NU 170 NUR 170 EXAM 4 V1 AND V2
QUESTIONS AND ANSWERS 2026 UPDATED
100% CORRECT - GALEN.
190 QUESTIONS
TABLE OF CONTENTS
Demonstrate mastery of core concepts NU 170 NUR 170 Exam 4 V1 and V2
Q1 - a patient with severe sepsis Questions and Answers 2026 Updated 100%
Q2 - parameter obtained from a pulmonary Q29 - finding is most indicative of
Q3 - patient with acute respiratory distress Q30 - patient on a continuous norepinephrine
Q4 - finding is most indicative of Q31 - a patient with acute decompensated
Q5 - patient with acute pancreatitis develops Q32 - patient on a continuous norepinephrine
Q6 - of the following is a Q33 - of the following best explains
Q7 - patient is receiving a norepinephrine Q34 - mechanically ventilated patient with severe
Q8 - laboratory value is most consistent Q35 - the management of septic shock,
Q9 - patient with severe sepsis is Q36 - patient with severe hyperkalemia (K+
Q10 - of the following is a Q37 - of the following acid-base disturbances
Q11 - a patient with severe sepsis Q38 - patient with acute pancreatitis develops
Q12 - patient receiving a continuous heparin Q39 - of the following findings is
Q13 - pathophysiologic mechanism best explains the Q40 - patient with severe sepsis and
Q14 - a patient with hyperkalemia (K+ Q41 - postoperative patient receiving a continuous
Q15 - assessment finding is most indicative Q42 - patient with heart failure is
Q16 - finding warrants immediate discontinuatio... Q43 - nurse is reviewing laboratory results
Q17 - a patient with diabetic ketoacidosis, Q44 - finding in a patient with
Q18 - clinical presentation is most consistent Q45 - patient is prescribed vancomycin 1
Q19 - patient with a pulmonary embolism Q46 - nurse is caring for a
Q20 - assessment finding is most concerning Q47 - patient with a traumatic brain
Q21 - patient with a serum potassium Q48 - assessment finding in a patient
Q22 - assessment finding in a patient Q49 - patient is receiving a continuous
Q23 - patient with heart failure and Q50 - nurse is preparing to administer
Q24 - patient on a nitroprusside infusion Q51 - a patient with severe sepsis
Q25 - statement accurately reflects the mechanism Q52 - patient on a continuous norepinephrine
Q26 - patient receiving an IV infusion Q53 - ventilator setting adjustment is most
Q27 - laboratory finding is most consistent Q54 - patient with a pulmonary embolism
Q28 - patient with chronic kidney disease Q55 - finding is most indicative of
Page 1
,Galen. Foundations of NU 170 NUR 170 Exam 4 V1
Q56 - patient with chronic heart failure and V2 Questions and Answers 2026
Q57 - assessment finding is most consistent Q83 - the context of chronic disease
Q58 - patient with septic shock has Q84 - nurse is caring for a
Q59 - electrocardiographic change is most specific Q85 - of the following best describes
Q60 - patient with acute pancreatitis develops Q86 - nurse is reviewing a patient's
Q61 - a patient with acute decompensated Q87 - According to current evidence-based pract...
Q62 - patient on mechanical ventilation develops Q88 - of the following actions by
Q63 - of the following best describes Q89 - patient is receiving an intravenous
Q64 - patient with septic shock remains Q90 - using the SBAR technique to
Q65 - a patient with hyperkalemia, which Q91 - patient with cirrhosis and refractory
Q66 - of the following is the Q92 - assessment finding in a patient
Q67 - patient with chronic kidney disease Q93 - nurse is preparing to administer
Q68 - a patient with acute pancreatitis, Q94 - patient with chronic kidney disease
Q69 - patient is receiving a blood Q95 - nurse is caring for a
Q70 - of the following is the Q96 - patient presentation is most consistent
Q71 - the management of a patient Q97 - nurse is evaluating a patient's
Q72 - patient with chronic kidney disease Q98 - patient is prescribed vancomycin 1
Q73 - of the following best explains Q99 - postoperative patient develops sudden onset
Q74 - patient with type 2 diabetes Q100 - nurse is assessing a patient
Q75 - a patient with suspected sepsis, Q101 - managing a patient with diabetic
Q76 - of the following is the Q102 - patient with chronic kidney disease
Q77 - patient with atrial fibrillation is Q103 - finding in a patient's arterial
Q78 - of the following is the Q104 - nurse is caring for a
Q79 - patient is receiving a continuous Q105 - patient on a continuous heparin
Q80 - of the following findings is Q106 - patient assessment finding is most
Q81 - During a root cause analysis Q107 - patient with heart failure is
Q82 - nurse is preparing to administer Q108 - of the following acid-base disturbances
Q109 - patient with acute pancreatitis has
Page 2
,Applied NU 170 NUR 170 Exam 4 V1 and V2 Advanced NU 170 NUR 170 Exam 4 V1 and
Questions and Answers 2026 Updated 100% V2 Questions and Answers 2026 Updated
Q110 - patient with sepsis is receiving Q137 - patient with acute kidney injury
Q111 - a patient with untreated hypovolemic Q138 - patient with cirrhosis and ascites
Q112 - patient with chronic heart failure Q139 - patient is receiving a continuous
Q113 - pathophysiological mechanism best explain... Q140 - patient with diabetic ketoacidosis (DKA)
Q114 - nurse is assessing a patient Q141 - patient with chronic kidney disease
Q115 - patient with septic shock has Q142 - assessment finding is most indicative
Q116 - finding is most indicative of Q143 - patient is receiving a continuous
Q117 - patient with chronic kidney disease Q144 - assessment finding is the earliest
Q118 - laboratory finding is most consistent Q145 - patient with heart failure is
Q119 - patient with acute pancreatitis develops Q146 - patient with diabetic ketoacidosis (DKA)
Q120 - assessment finding in a patient Q147 - nursing intervention is most appropriate
Q121 - patient with chronic kidney disease Q148 - postoperative patient has a urine
Q122 - pharmacokinetic principle best explains why Q149 - patient with liver cirrhosis is
Q123 - patient on warfarin for atrial Q150 - laboratory value is most consistent
Q124 - patient with opioid-induced constipation is Q151 - a patient with suspected acute
Q125 - patient with hypertension and benign Q152 - patient with heart failure is
Q126 - patient receiving vancomycin has a Q153 - ventilator setting adjustment is most
Q127 - assessment finding is most indicative Q154 - patient with chronic kidney disease
Q128 - patient with heart failure is Q155 - statement accurately reflects the current
Q129 - patient with type 1 diabetes Q156 - critically ill patient with septic
Q130 - patient on lithium therapy has Q157 - finding is most indicative of
Q131 - patient with a history of Q158 - patient with acute pancreatitis develops
Q132 - patient receiving IV heparin for Q159 - laboratory value is most consistent
Q133 - managing a patient with acute Q160 - intervention is most appropriate for
Q134 - patient with septic shock remains Q161 - patient on a medical-surgical unit
Q135 - patient with acute respiratory distress Q162 - evaluating the effectiveness of an
Q136 - electrocardiographic finding is most indi... Q163 - patient with type 2 diabetes
Page 3
, NU 170 NUR 170 Exam 4 V1 and V2
Questions and Answers 2026 Updated 100%
Q164 - nurse is caring for a
Q165 - medication requires the nurse to
Q166 - patient is receiving a transfusion
Q167 - laboratory finding is most consistent
Q168 - patient with heart failure is
Q169 - intervention is most effective in
Q170 - nurse is reviewing the medication
Q171 - pathophysiological mechanism most directl...
Q172 - patient with chronic kidney disease
Q173 - finding most reliably distinguishes anaph...
Q174 - patient with acute pancreatitis develops
Q175 - combination of findings is most
Q176 - patient with cirrhosis and ascites
Q177 - physiological response is most likely
Q178 - patient with type 2 diabetes
Q179 - assessment finding is most indicative
Q180 - patient with chronic obstructive pulmonary
Q181 - a patient with syndrome of
Q182 - patient on a continuous heparin
Q183 - a patient with acute respiratory
Q184 - of the following best describes
Q185 - patient with septic shock remains
Q186 - a patient with diabetic ketoacidosis
Q187 - of the following is the
Q188 - patient with a history of
Q189 - of the following ECG changes
Q190 - patient with acute pancreatitis develops
Q1 DEMONSTRATE MASTERY OF CORE CONCEPTS
In a patient with severe sepsis and a serum lactate of 6 mmol/L, the Surviving
Sepsis Campaign hour-1 bundle includes all of the following EXCEPT:
A. Measuring lactate level; repeat lactate if initial is elevated
B. Administering broad-spectrum antibiotics within 1 hour
C. Starting 30 mL/kg crystalloid for hypotension or lactate 4 mmol/L
D. Inserting a central venous catheter for ScvO2 monitoring CORRECT
RATIONALE: The hour-1 bundle includes lactate measurement, blood cultures before antibiotics,
broad-spectrum antibiotics, and 30 mL/kg crystalloid for hypotension or lactate 4 mmol/L. Central
venous catheter placement and ScvO2 monitoring are not part of the hour-1 bundle; they were in
older early goal-directed therapy protocols. Thus D is the correct exception.
Page 4
QUESTIONS AND ANSWERS 2026 UPDATED
100% CORRECT - GALEN.
190 QUESTIONS
TABLE OF CONTENTS
Demonstrate mastery of core concepts NU 170 NUR 170 Exam 4 V1 and V2
Q1 - a patient with severe sepsis Questions and Answers 2026 Updated 100%
Q2 - parameter obtained from a pulmonary Q29 - finding is most indicative of
Q3 - patient with acute respiratory distress Q30 - patient on a continuous norepinephrine
Q4 - finding is most indicative of Q31 - a patient with acute decompensated
Q5 - patient with acute pancreatitis develops Q32 - patient on a continuous norepinephrine
Q6 - of the following is a Q33 - of the following best explains
Q7 - patient is receiving a norepinephrine Q34 - mechanically ventilated patient with severe
Q8 - laboratory value is most consistent Q35 - the management of septic shock,
Q9 - patient with severe sepsis is Q36 - patient with severe hyperkalemia (K+
Q10 - of the following is a Q37 - of the following acid-base disturbances
Q11 - a patient with severe sepsis Q38 - patient with acute pancreatitis develops
Q12 - patient receiving a continuous heparin Q39 - of the following findings is
Q13 - pathophysiologic mechanism best explains the Q40 - patient with severe sepsis and
Q14 - a patient with hyperkalemia (K+ Q41 - postoperative patient receiving a continuous
Q15 - assessment finding is most indicative Q42 - patient with heart failure is
Q16 - finding warrants immediate discontinuatio... Q43 - nurse is reviewing laboratory results
Q17 - a patient with diabetic ketoacidosis, Q44 - finding in a patient with
Q18 - clinical presentation is most consistent Q45 - patient is prescribed vancomycin 1
Q19 - patient with a pulmonary embolism Q46 - nurse is caring for a
Q20 - assessment finding is most concerning Q47 - patient with a traumatic brain
Q21 - patient with a serum potassium Q48 - assessment finding in a patient
Q22 - assessment finding in a patient Q49 - patient is receiving a continuous
Q23 - patient with heart failure and Q50 - nurse is preparing to administer
Q24 - patient on a nitroprusside infusion Q51 - a patient with severe sepsis
Q25 - statement accurately reflects the mechanism Q52 - patient on a continuous norepinephrine
Q26 - patient receiving an IV infusion Q53 - ventilator setting adjustment is most
Q27 - laboratory finding is most consistent Q54 - patient with a pulmonary embolism
Q28 - patient with chronic kidney disease Q55 - finding is most indicative of
Page 1
,Galen. Foundations of NU 170 NUR 170 Exam 4 V1
Q56 - patient with chronic heart failure and V2 Questions and Answers 2026
Q57 - assessment finding is most consistent Q83 - the context of chronic disease
Q58 - patient with septic shock has Q84 - nurse is caring for a
Q59 - electrocardiographic change is most specific Q85 - of the following best describes
Q60 - patient with acute pancreatitis develops Q86 - nurse is reviewing a patient's
Q61 - a patient with acute decompensated Q87 - According to current evidence-based pract...
Q62 - patient on mechanical ventilation develops Q88 - of the following actions by
Q63 - of the following best describes Q89 - patient is receiving an intravenous
Q64 - patient with septic shock remains Q90 - using the SBAR technique to
Q65 - a patient with hyperkalemia, which Q91 - patient with cirrhosis and refractory
Q66 - of the following is the Q92 - assessment finding in a patient
Q67 - patient with chronic kidney disease Q93 - nurse is preparing to administer
Q68 - a patient with acute pancreatitis, Q94 - patient with chronic kidney disease
Q69 - patient is receiving a blood Q95 - nurse is caring for a
Q70 - of the following is the Q96 - patient presentation is most consistent
Q71 - the management of a patient Q97 - nurse is evaluating a patient's
Q72 - patient with chronic kidney disease Q98 - patient is prescribed vancomycin 1
Q73 - of the following best explains Q99 - postoperative patient develops sudden onset
Q74 - patient with type 2 diabetes Q100 - nurse is assessing a patient
Q75 - a patient with suspected sepsis, Q101 - managing a patient with diabetic
Q76 - of the following is the Q102 - patient with chronic kidney disease
Q77 - patient with atrial fibrillation is Q103 - finding in a patient's arterial
Q78 - of the following is the Q104 - nurse is caring for a
Q79 - patient is receiving a continuous Q105 - patient on a continuous heparin
Q80 - of the following findings is Q106 - patient assessment finding is most
Q81 - During a root cause analysis Q107 - patient with heart failure is
Q82 - nurse is preparing to administer Q108 - of the following acid-base disturbances
Q109 - patient with acute pancreatitis has
Page 2
,Applied NU 170 NUR 170 Exam 4 V1 and V2 Advanced NU 170 NUR 170 Exam 4 V1 and
Questions and Answers 2026 Updated 100% V2 Questions and Answers 2026 Updated
Q110 - patient with sepsis is receiving Q137 - patient with acute kidney injury
Q111 - a patient with untreated hypovolemic Q138 - patient with cirrhosis and ascites
Q112 - patient with chronic heart failure Q139 - patient is receiving a continuous
Q113 - pathophysiological mechanism best explain... Q140 - patient with diabetic ketoacidosis (DKA)
Q114 - nurse is assessing a patient Q141 - patient with chronic kidney disease
Q115 - patient with septic shock has Q142 - assessment finding is most indicative
Q116 - finding is most indicative of Q143 - patient is receiving a continuous
Q117 - patient with chronic kidney disease Q144 - assessment finding is the earliest
Q118 - laboratory finding is most consistent Q145 - patient with heart failure is
Q119 - patient with acute pancreatitis develops Q146 - patient with diabetic ketoacidosis (DKA)
Q120 - assessment finding in a patient Q147 - nursing intervention is most appropriate
Q121 - patient with chronic kidney disease Q148 - postoperative patient has a urine
Q122 - pharmacokinetic principle best explains why Q149 - patient with liver cirrhosis is
Q123 - patient on warfarin for atrial Q150 - laboratory value is most consistent
Q124 - patient with opioid-induced constipation is Q151 - a patient with suspected acute
Q125 - patient with hypertension and benign Q152 - patient with heart failure is
Q126 - patient receiving vancomycin has a Q153 - ventilator setting adjustment is most
Q127 - assessment finding is most indicative Q154 - patient with chronic kidney disease
Q128 - patient with heart failure is Q155 - statement accurately reflects the current
Q129 - patient with type 1 diabetes Q156 - critically ill patient with septic
Q130 - patient on lithium therapy has Q157 - finding is most indicative of
Q131 - patient with a history of Q158 - patient with acute pancreatitis develops
Q132 - patient receiving IV heparin for Q159 - laboratory value is most consistent
Q133 - managing a patient with acute Q160 - intervention is most appropriate for
Q134 - patient with septic shock remains Q161 - patient on a medical-surgical unit
Q135 - patient with acute respiratory distress Q162 - evaluating the effectiveness of an
Q136 - electrocardiographic finding is most indi... Q163 - patient with type 2 diabetes
Page 3
, NU 170 NUR 170 Exam 4 V1 and V2
Questions and Answers 2026 Updated 100%
Q164 - nurse is caring for a
Q165 - medication requires the nurse to
Q166 - patient is receiving a transfusion
Q167 - laboratory finding is most consistent
Q168 - patient with heart failure is
Q169 - intervention is most effective in
Q170 - nurse is reviewing the medication
Q171 - pathophysiological mechanism most directl...
Q172 - patient with chronic kidney disease
Q173 - finding most reliably distinguishes anaph...
Q174 - patient with acute pancreatitis develops
Q175 - combination of findings is most
Q176 - patient with cirrhosis and ascites
Q177 - physiological response is most likely
Q178 - patient with type 2 diabetes
Q179 - assessment finding is most indicative
Q180 - patient with chronic obstructive pulmonary
Q181 - a patient with syndrome of
Q182 - patient on a continuous heparin
Q183 - a patient with acute respiratory
Q184 - of the following best describes
Q185 - patient with septic shock remains
Q186 - a patient with diabetic ketoacidosis
Q187 - of the following is the
Q188 - patient with a history of
Q189 - of the following ECG changes
Q190 - patient with acute pancreatitis develops
Q1 DEMONSTRATE MASTERY OF CORE CONCEPTS
In a patient with severe sepsis and a serum lactate of 6 mmol/L, the Surviving
Sepsis Campaign hour-1 bundle includes all of the following EXCEPT:
A. Measuring lactate level; repeat lactate if initial is elevated
B. Administering broad-spectrum antibiotics within 1 hour
C. Starting 30 mL/kg crystalloid for hypotension or lactate 4 mmol/L
D. Inserting a central venous catheter for ScvO2 monitoring CORRECT
RATIONALE: The hour-1 bundle includes lactate measurement, blood cultures before antibiotics,
broad-spectrum antibiotics, and 30 mL/kg crystalloid for hypotension or lactate 4 mmol/L. Central
venous catheter placement and ScvO2 monitoring are not part of the hour-1 bundle; they were in
older early goal-directed therapy protocols. Thus D is the correct exception.
Page 4
