1|Page
NUR 1290 FINAL EXAM NEWEST 2026 ACTUAL EXAM| NUR1290
NURSING PRINCIPLES FINAL EXAM REVIEW WITH COMPLETE
EXAM QUSTIONS AND CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+ (BRAND NEW!!)
A nurse is assessing a client who suddenly develops shortness of breath,
cyanosis, and an oxygen saturation of 82%. Which action should the
nurse take first?
A. Offer oral fluids
B. Assess the airway and respiratory status
C. Assist the client to the bathroom
D. Obtain a dietary history
Answer: B
Rationale: Airway and breathing are immediate priorities when a
client develops acute respiratory compromise.
A client reports severe chest pressure that radiates to the left arm and
is accompanied by diaphoresis. Which action should the nurse take
first?
A. Encourage ambulation
B. Provide a meal
,2|Page
C. Assess vital signs and initiate the appropriate chest-pain response
D. Ask the client about sleep habits
Answer: C
Rationale: The symptoms may indicate acute coronary syndrome and
require immediate assessment and intervention.
A nurse is preparing to administer medication. Which action is essential
for preventing medication errors?
A. Verify the client's identity using approved identifiers
B. Ask another client to identify the medication
C. Skip the medication label check
D. Prepare medications for several clients without separation
Answer: A
Rationale: Proper client identification is a fundamental medication-
safety practice.
A client receiving morphine has a respiratory rate of 8/min and is
difficult to arouse. Which medication should the nurse anticipate?
A. Naloxone
,3|Page
B. Acetaminophen
C. Furosemide
D. Diphenhydramine
Answer: A
Rationale: Naloxone is an opioid antagonist used to reverse significant
opioid-induced respiratory depression.
A client develops wheezing, facial swelling, and hypotension shortly
after receiving an antibiotic. Which medication is the priority?
A. Ondansetron
B. Epinephrine
C. Acetaminophen
D. Furosemide
Answer: B
Rationale: These findings indicate possible anaphylaxis. Epinephrine is
the first-line treatment for severe anaphylactic reactions.
A nurse is assessing a client for dehydration. Which finding supports
fluid volume deficit?
, 4|Page
A. Bilateral crackles
B. Peripheral edema
C. Dry mucous membranes and concentrated urine
D. Bounding pulse
Answer: C
Rationale: Dry mucous membranes and concentrated urine are
common findings associated with dehydration.
A client has had persistent vomiting and diarrhea. Which complication
should the nurse monitor most closely?
A. Fluid and electrolyte imbalance
B. Increased circulating volume
C. Hyperoxygenation
D. Increased bone density
Answer: A
oRationale: Vomiting and diarrhea can cause significant fluid and
electrolyte lsses.
A client receiving IV fluids develops dyspnea, crackles, and peripheral
edema. Which complication should the nurse suspect?
NUR 1290 FINAL EXAM NEWEST 2026 ACTUAL EXAM| NUR1290
NURSING PRINCIPLES FINAL EXAM REVIEW WITH COMPLETE
EXAM QUSTIONS AND CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+ (BRAND NEW!!)
A nurse is assessing a client who suddenly develops shortness of breath,
cyanosis, and an oxygen saturation of 82%. Which action should the
nurse take first?
A. Offer oral fluids
B. Assess the airway and respiratory status
C. Assist the client to the bathroom
D. Obtain a dietary history
Answer: B
Rationale: Airway and breathing are immediate priorities when a
client develops acute respiratory compromise.
A client reports severe chest pressure that radiates to the left arm and
is accompanied by diaphoresis. Which action should the nurse take
first?
A. Encourage ambulation
B. Provide a meal
,2|Page
C. Assess vital signs and initiate the appropriate chest-pain response
D. Ask the client about sleep habits
Answer: C
Rationale: The symptoms may indicate acute coronary syndrome and
require immediate assessment and intervention.
A nurse is preparing to administer medication. Which action is essential
for preventing medication errors?
A. Verify the client's identity using approved identifiers
B. Ask another client to identify the medication
C. Skip the medication label check
D. Prepare medications for several clients without separation
Answer: A
Rationale: Proper client identification is a fundamental medication-
safety practice.
A client receiving morphine has a respiratory rate of 8/min and is
difficult to arouse. Which medication should the nurse anticipate?
A. Naloxone
,3|Page
B. Acetaminophen
C. Furosemide
D. Diphenhydramine
Answer: A
Rationale: Naloxone is an opioid antagonist used to reverse significant
opioid-induced respiratory depression.
A client develops wheezing, facial swelling, and hypotension shortly
after receiving an antibiotic. Which medication is the priority?
A. Ondansetron
B. Epinephrine
C. Acetaminophen
D. Furosemide
Answer: B
Rationale: These findings indicate possible anaphylaxis. Epinephrine is
the first-line treatment for severe anaphylactic reactions.
A nurse is assessing a client for dehydration. Which finding supports
fluid volume deficit?
, 4|Page
A. Bilateral crackles
B. Peripheral edema
C. Dry mucous membranes and concentrated urine
D. Bounding pulse
Answer: C
Rationale: Dry mucous membranes and concentrated urine are
common findings associated with dehydration.
A client has had persistent vomiting and diarrhea. Which complication
should the nurse monitor most closely?
A. Fluid and electrolyte imbalance
B. Increased circulating volume
C. Hyperoxygenation
D. Increased bone density
Answer: A
oRationale: Vomiting and diarrhea can cause significant fluid and
electrolyte lsses.
A client receiving IV fluids develops dyspnea, crackles, and peripheral
edema. Which complication should the nurse suspect?
