NUR 200 EXAM 3 (HONDROS) NEWEST 2026 ACTUAL
EXAM TEST BANK| NUR200 CRITICAL THINKING
EXAM 3 REVIEW WITH 300 REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ (BRAND NEW!!)
The nurse is preparing medications for four patients. Which medication
order requires clarification?
A. Acetaminophen 650 mg PO
B. Digoxin with HR 48
C. Cefazolin IV
D. Pantoprazole PO - Correct Answer - B. Digoxin with HR 48
Digoxin slows heart rate. A pulse below approximately 60 beats/min in
adults generally requires withholding the medication and contacting the
provider because administering it may worsen bradycardia.
A patient with heart failure reports increasing shortness of breath while
lying flat. Which finding is most concerning?
A. Orthopnea
B. Dry skin
C. Appetite
D. Bruising - Correct Answer - A. Orthopnea
Orthopnea commonly indicates worsening pulmonary congestion and
fluid overload in heart failure. It requires prompt assessment and
intervention to prevent respiratory compromise.
pg. 1
,A diabetic patient suddenly becomes diaphoretic, shaky, and confused
before lunch. Which action should the nurse take first?
A. Check glucose
B. Call provider
C. Give insulin
D. Encourage walking - Correct Answer - A. Check glucose
The symptoms strongly suggest hypoglycemia. The nurse should verify
the blood glucose immediately so treatment can begin promptly based
on objective data.
A patient is admitted with severe dehydration caused by persistent
vomiting. The patient suddenly reports muscle weakness and
palpitations. Cardiac monitoring reveals frequent premature ventricular
contractions (PVCs). The morning laboratory results are:
Potassium: 2.8 mEq/L
Sodium: 140 mEq/L
Magnesium: 2.0 mg/dL
Calcium: 9.1 mg/dL
Which provider prescription should the nurse implement first?
A. Oral fluids
B. Potassium IV
C. Antiemetic
D. Daily weight - Correct Answer - B. Potassium IV
The patient's hypokalemia is severe and symptomatic, producing
ventricular ectopy that can rapidly progress to life-threatening
dysrhythmias. Correcting the potassium deficit is the highest priority
while maintaining cardiac monitoring.
pg. 2
,A patient admitted with bacterial meningitis has been receiving
antibiotics for 24 hours. During morning assessment, the nurse notes the
patient is increasingly confused and difficult to awaken. Vital signs
include:
BP 168/92
HR 54
RR 10
Temperature 100.2°F (37.9°C)
Which complication is the nurse most concerned about?
A. Sepsis
B. Increased ICP
C. Dehydration
D. Hypoglycemia - Correct Answer - B. Increased ICP
Bradycardia, hypertension, decreased respirations, and worsening level
of consciousness suggest increased intracranial pressure (Cushing
response). This neurological emergency requires immediate intervention
to prevent brain herniation.
A patient with type 1 diabetes received rapid-acting insulin before
breakfast. The patient eats only a few bites because of nausea. Thirty
minutes later, the patient becomes pale, diaphoretic, and confused. The
bedside glucose is 48 mg/dL. If the patient is awake and able to swallow,
which intervention should the nurse perform first?
A. Juice
B. Glucagon
C. Dextrose IV
D. Repeat glucose later - Correct Answer - A. Juice
pg. 3
, A conscious patient with symptomatic hypoglycemia should receive
approximately 15 g of a rapid-acting carbohydrate, such as fruit juice,
glucose tablets, or regular soda. Glucagon or IV dextrose is indicated
when oral treatment is not possible.
A patient receiving a packed red blood cell transfusion reports chills,
flank pain, chest tightness, and shortness of breath approximately 15
minutes after the transfusion begins. What should the nurse do first?
A. Slow infusion
B. Stop transfusion
C. Notify family
D. Give acetaminophen - Correct Answer - B. Stop transfusion
These findings are consistent with an acute hemolytic transfusion
reaction. The nurse must immediately stop the transfusion while
maintaining IV access with normal saline using new tubing, assess the
patient, and notify the provider and blood bank.
The nurse is caring for a patient hospitalized with heart failure. During
the afternoon assessment, the patient develops:
Increasing crackles throughout both lung bases
Productive cough with pink frothy sputum
Respiratory rate of 34/min
Oxygen saturation of 84%
Which nursing intervention should occur first?
A. Increase oxygen
B. Daily weight
pg. 4
EXAM TEST BANK| NUR200 CRITICAL THINKING
EXAM 3 REVIEW WITH 300 REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ (BRAND NEW!!)
The nurse is preparing medications for four patients. Which medication
order requires clarification?
A. Acetaminophen 650 mg PO
B. Digoxin with HR 48
C. Cefazolin IV
D. Pantoprazole PO - Correct Answer - B. Digoxin with HR 48
Digoxin slows heart rate. A pulse below approximately 60 beats/min in
adults generally requires withholding the medication and contacting the
provider because administering it may worsen bradycardia.
A patient with heart failure reports increasing shortness of breath while
lying flat. Which finding is most concerning?
A. Orthopnea
B. Dry skin
C. Appetite
D. Bruising - Correct Answer - A. Orthopnea
Orthopnea commonly indicates worsening pulmonary congestion and
fluid overload in heart failure. It requires prompt assessment and
intervention to prevent respiratory compromise.
pg. 1
,A diabetic patient suddenly becomes diaphoretic, shaky, and confused
before lunch. Which action should the nurse take first?
A. Check glucose
B. Call provider
C. Give insulin
D. Encourage walking - Correct Answer - A. Check glucose
The symptoms strongly suggest hypoglycemia. The nurse should verify
the blood glucose immediately so treatment can begin promptly based
on objective data.
A patient is admitted with severe dehydration caused by persistent
vomiting. The patient suddenly reports muscle weakness and
palpitations. Cardiac monitoring reveals frequent premature ventricular
contractions (PVCs). The morning laboratory results are:
Potassium: 2.8 mEq/L
Sodium: 140 mEq/L
Magnesium: 2.0 mg/dL
Calcium: 9.1 mg/dL
Which provider prescription should the nurse implement first?
A. Oral fluids
B. Potassium IV
C. Antiemetic
D. Daily weight - Correct Answer - B. Potassium IV
The patient's hypokalemia is severe and symptomatic, producing
ventricular ectopy that can rapidly progress to life-threatening
dysrhythmias. Correcting the potassium deficit is the highest priority
while maintaining cardiac monitoring.
pg. 2
,A patient admitted with bacterial meningitis has been receiving
antibiotics for 24 hours. During morning assessment, the nurse notes the
patient is increasingly confused and difficult to awaken. Vital signs
include:
BP 168/92
HR 54
RR 10
Temperature 100.2°F (37.9°C)
Which complication is the nurse most concerned about?
A. Sepsis
B. Increased ICP
C. Dehydration
D. Hypoglycemia - Correct Answer - B. Increased ICP
Bradycardia, hypertension, decreased respirations, and worsening level
of consciousness suggest increased intracranial pressure (Cushing
response). This neurological emergency requires immediate intervention
to prevent brain herniation.
A patient with type 1 diabetes received rapid-acting insulin before
breakfast. The patient eats only a few bites because of nausea. Thirty
minutes later, the patient becomes pale, diaphoretic, and confused. The
bedside glucose is 48 mg/dL. If the patient is awake and able to swallow,
which intervention should the nurse perform first?
A. Juice
B. Glucagon
C. Dextrose IV
D. Repeat glucose later - Correct Answer - A. Juice
pg. 3
, A conscious patient with symptomatic hypoglycemia should receive
approximately 15 g of a rapid-acting carbohydrate, such as fruit juice,
glucose tablets, or regular soda. Glucagon or IV dextrose is indicated
when oral treatment is not possible.
A patient receiving a packed red blood cell transfusion reports chills,
flank pain, chest tightness, and shortness of breath approximately 15
minutes after the transfusion begins. What should the nurse do first?
A. Slow infusion
B. Stop transfusion
C. Notify family
D. Give acetaminophen - Correct Answer - B. Stop transfusion
These findings are consistent with an acute hemolytic transfusion
reaction. The nurse must immediately stop the transfusion while
maintaining IV access with normal saline using new tubing, assess the
patient, and notify the provider and blood bank.
The nurse is caring for a patient hospitalized with heart failure. During
the afternoon assessment, the patient develops:
Increasing crackles throughout both lung bases
Productive cough with pink frothy sputum
Respiratory rate of 34/min
Oxygen saturation of 84%
Which nursing intervention should occur first?
A. Increase oxygen
B. Daily weight
pg. 4
