NSG 5442 QUIZ 1,2,3 AND 4 REVIEW
QUESTIONS AND ANSWERS 2026 UPDATE
100% CORRECT - SC.
180 QUESTIONS
TABLE OF CONTENTS
Analyze complex clinical scenarios to Integrate ethical, legal, and safety principles
prioritize interventions and anticipate in advanced nursing practice
Q1 - patient with chronic kidney disease Q37 - patient is receiving gentamicin for
Q2 - nurse is leading a quality Q38 - patient with epilepsy is switched
Q3 - patient with type 2 diabetes Q39 - patient on digoxin for atrial
Q4 - nurse is assessing a patient Q40 - patient with rheumatoid arthritis is
Q5 - ethical principle is primarily challenged Q41 - patient with acute decompensated heart
Q6 - nurse is reviewing a patient's Q42 - nurse is reviewing a patient's
Q7 - intervention is most appropriate for Q43 - intervention is MOST appropriate for
Q8 - patient on warfarin has an Q44 - patient has a blood glucose
Q9 - nursing intervention best demonstrates se... Q45 - patient with a pulmonary embolism
Q10 - nurse is using the SBAR Q46 - patient is prescribed a low-molecular-weight
Q11 - the context of the Health Q47 - finding is MOST indicative of
Q12 - patient is prescribed a drug Q48 - patient is receiving a blood
Q13 - of the following assessment findings Q49 - patient is prescribed a medication
Q14 - patient with chronic kidney disease Q50 - patient with chronic kidney disease
Q15 - of the following best describes Q51 - patient on warfarin requires urgent
Q16 - patient is diagnosed with a Q52 - a patient with septic shock,
Q17 - of the following laboratory findings Q53 - medication requires dosage adjustment in
Q18 - patient is prescribed a medication Q54 - patient develops acute dystonia after
Evaluate pharmacological and Synthesize data from multiple sources to
non-pharmacological management make clinical decisions
Q19 - of the following best describes Q55 - finding is most indicative of
Q20 - patient is receiving an aminoglycoside Q56 - nurse is caring for a
Q21 - a patient with diabetic ketoacidosis, Q57 - laboratory value is most consistent
Q22 - assessment finding is most indicative Q58 - assessment finding is most concerning
Q23 - patient with chronic kidney disease Q59 - patient with type 2 diabetes
Q24 - finding is most consistent with Q60 - action demonstrates appropriate use of
Q25 - patient with acute respiratory distress Q61 - a double-blind RCT, a new
Q26 - patient with sepsis is prescribed Q62 - patient with type 2 diabetes
Q27 - patient on a heparin drip Q63 - of the following represents the
Q28 - finding is most indicative of Q64 - 52-year-old patient with hypertension and
Q29 - patient with severe hyperkalemia (K+ Q65 - interpreting a diagnostic test with
Q30 - finding is most consistent with Q66 - 45-year-old patient with obesity (BMI
Q31 - patient with type 2 diabetes Q67 - of the following best explains
Q32 - 45-year-old patient with heart failure Q68 - patient on warfarin for mechanical
Q33 - patient with chronic obstructive pulmonary Q69 - of the following is the
Q34 - patient on warfarin has an Q70 - 65-year-old patient with COPD (FEV1
Q35 - patient with major depressive disorder Q71 - pharmacodynamic principle best explains why
Q36 - patient with opioid use disorder Q72 - patient presents with acute severe
Page 1
,NSG 5442 Quiz 1 Foundations of Nursing (Advanced Practice)
Q73 - statement accurately contrasts the mechanism Q109 - patient with diabetic ketoacidosis (DKA)
Q74 - patient on chronic warfarin therapy Q110 - patient is receiving vancomycin 1
Q75 - drug class is most likely Q111 - patient with chronic kidney disease
Q76 - Under the DEA's final rule Q112 - phase of pharmacokinetics is most
Q77 - patient with chronic kidney disease Q113 - patient with hepatic impairment is
Q78 - pharmacogenomic variant is most strongly Q114 - drug-drug interaction mechanism is exempl...
Q79 - patient is prescribed a medication Q115 - drug has a narrow therapeutic
Q80 - of the following best describes Q116 - factor most significantly influences the
Q81 - patient with type 2 diabetes Q117 - drug is a prodrug that
Q82 - of the following best describes Q118 - patient with a genetic polymorphism
Q83 - patient with heart failure with Q119 - route of administration bypasses first-pass
Q84 - researcher is evaluating a new Q120 - pharmacodynamic principle explains why a
Q85 - of the following statements best Q121 - a patient with severe sepsis
Q86 - patient is prescribed an inhaled Q122 - patient on a ketogenic diet
Q87 - patient with chronic kidney disease Q123 - finding most strongly indicates that
Q88 - patient with opioid use disorder Q124 - patient with chronic kidney disease
Q89 - of the following is the Q125 - a patient with hypernatremia (serum
Q90 - patient with atrial fibrillation is Q126 - patient with chronic alcoholism and
3 and 4 Review Questions and Answers 2026 Applied Nursing (Advanced Practice)
Update 100% Correct Q127 - patient on vancomycin and piperacillin-ta...
Q91 - nurse is caring for a Q128 - acid-base disturbance is most likely
Q92 - pathophysiological mechanism primarily un... Q129 - patient with hypercalcemia (Ca2+ 13.2
Q93 - patient with type 2 diabetes Q130 - a patient with acute respiratory
Q94 - patient on long-term warfarin therapy Q131 - a patient with suspected acute
Q95 - patient with heart failure is Q132 - patient with a history of
Q96 - patient with severe sepsis is Q133 - of the following best explains
Q97 - laboratory finding is most consistent Q134 - patient with a history of
Q98 - patient is receiving an intravenous Q135 - patient with suspected bacterial meningitis
Q99 - drug requires therapeutic drug monitoring Q136 - a patient with new-onset generalized
Q100 - patient with bipolar disorder is Q137 - of the following is the
Q101 - patient in the ICU develops Q138 - patient with multiple sclerosis is
Q102 - a patient with suspected acute Q139 - a patient with Parkinson's disease,
Q103 - patient with chronic heart failure Q140 - patient with myasthenia gravis presents
Q104 - a patient with sepsis and Q141 - patient with chronic kidney disease
Q105 - physiological change in pregnancy most Q142 - patient on warfarin for atrial
Q106 - patient is receiving a continuous Q143 - patient presents with fever, hypotension,
Q107 - patient with acute respiratory distress Q144 - medication requires dosage adjustment in
Q108 - managing a patient with acute
Page 2
,Advanced Nursing (Advanced Practice)
Q145 - patient with heart failure with
Q146 - assessment finding is most consistent
Q147 - patient with type 2 diabetes
Q148 - patient on vancomycin has a
Q149 - finding in a patient with
Q150 - patient with chronic obstructive pulmonary
Q151 - a critical care setting, a
Q152 - patient with chronic kidney disease
Q153 - 34-year-old pregnant patient at 28
Q154 - patient with chronic obstructive pulmonary
Q155 - of the following best describes
Q156 - patient with atrial fibrillation is
Q157 - patient with type 2 diabetes
Q158 - the management of acute ischemic
Q159 - patient with community-acquired pneumonia is
Q160 - of the following best describes
Q161 - a patient with suspected acute
Q162 - patient with type 2 diabetes
Nursing (Advanced Practice) Review
Q163 - patient on warfarin for mechanical
Q164 - of the following best describes
Q165 - a patient with acute decompensated
Q166 - patient with atrial fibrillation and
Q167 - of the following best describes
Q168 - patient with type 2 diabetes
Q169 - of the following is the
Q170 - patient with complete heart block
Q171 - a patient with cirrhosis and
Q172 - hospitalized patient with heart failure
Q173 - patient with sepsis develops acute
Q174 - a patient with severe hyperkalemia
Q175 - of the following best explains
Q176 - patient with type 2 diabetes
Q177 - patient with cirrhosis and ascites
Q178 - patient with septic shock remains
Q179 - of the following best describes
Q180 - patient with acute pancreatitis develops
Page 3
, Q1 ANALYZE COMPLEX CLINICAL SCENARIOS TO PRIORITIZE INTERVENTIONS AND
ANTICIPATE OUTCOMES
A patient with chronic kidney disease (stage 4) is prescribed a medication that is
primarily renally eliminated. The nurse reviews the drug's pharmacokinetics.
Which adjustment is most appropriate based on current KDIGO guidelines?
A. Administer the standard dose at extended intervals CORRECT
B. Reduce the dose and maintain the same interval
C. Avoid the drug entirely due to contraindication
D. Use a loading dose then standard maintenance
RATIONALE: In CKD, renal clearance decreases, so dosing adjustments often involve extending
the dosing interval to avoid accumulation. Reducing dose may also be considered, but interval
extension is preferred for drugs with concentration-dependent toxicity. KDIGO recommends
adjusting renally eliminated drugs based on GFR, often by prolonging intervals. Avoiding the drug
is not always necessary unless contraindicated. Loading doses are typically unchanged.
Q2 ANALYZE COMPLEX CLINICAL SCENARIOS TO PRIORITIZE INTERVENTIONS AND
ANTICIPATE OUTCOMES
A nurse is leading a quality improvement project to reduce catheter-associated
urinary tract infections (CAUTI). Using the Plan-Do-Study-Act (PDSA) model, which
step best exemplifies the 'Study' phase?
A. Implement a daily checklist for catheter necessity
B. Analyze post-intervention CAUTI rates against baseline CORRECT
C. Educate staff on proper insertion techniques
D. Develop a protocol for early catheter removal
RATIONALE: The 'Study' phase involves analyzing outcomes to determine if the change led to
improvement. Implementing checklists (A) and education (C) are 'Do' phase actions. Developing
protocols (D) is part of 'Plan'. Data analysis is central to 'Study'.
Page 4
QUESTIONS AND ANSWERS 2026 UPDATE
100% CORRECT - SC.
180 QUESTIONS
TABLE OF CONTENTS
Analyze complex clinical scenarios to Integrate ethical, legal, and safety principles
prioritize interventions and anticipate in advanced nursing practice
Q1 - patient with chronic kidney disease Q37 - patient is receiving gentamicin for
Q2 - nurse is leading a quality Q38 - patient with epilepsy is switched
Q3 - patient with type 2 diabetes Q39 - patient on digoxin for atrial
Q4 - nurse is assessing a patient Q40 - patient with rheumatoid arthritis is
Q5 - ethical principle is primarily challenged Q41 - patient with acute decompensated heart
Q6 - nurse is reviewing a patient's Q42 - nurse is reviewing a patient's
Q7 - intervention is most appropriate for Q43 - intervention is MOST appropriate for
Q8 - patient on warfarin has an Q44 - patient has a blood glucose
Q9 - nursing intervention best demonstrates se... Q45 - patient with a pulmonary embolism
Q10 - nurse is using the SBAR Q46 - patient is prescribed a low-molecular-weight
Q11 - the context of the Health Q47 - finding is MOST indicative of
Q12 - patient is prescribed a drug Q48 - patient is receiving a blood
Q13 - of the following assessment findings Q49 - patient is prescribed a medication
Q14 - patient with chronic kidney disease Q50 - patient with chronic kidney disease
Q15 - of the following best describes Q51 - patient on warfarin requires urgent
Q16 - patient is diagnosed with a Q52 - a patient with septic shock,
Q17 - of the following laboratory findings Q53 - medication requires dosage adjustment in
Q18 - patient is prescribed a medication Q54 - patient develops acute dystonia after
Evaluate pharmacological and Synthesize data from multiple sources to
non-pharmacological management make clinical decisions
Q19 - of the following best describes Q55 - finding is most indicative of
Q20 - patient is receiving an aminoglycoside Q56 - nurse is caring for a
Q21 - a patient with diabetic ketoacidosis, Q57 - laboratory value is most consistent
Q22 - assessment finding is most indicative Q58 - assessment finding is most concerning
Q23 - patient with chronic kidney disease Q59 - patient with type 2 diabetes
Q24 - finding is most consistent with Q60 - action demonstrates appropriate use of
Q25 - patient with acute respiratory distress Q61 - a double-blind RCT, a new
Q26 - patient with sepsis is prescribed Q62 - patient with type 2 diabetes
Q27 - patient on a heparin drip Q63 - of the following represents the
Q28 - finding is most indicative of Q64 - 52-year-old patient with hypertension and
Q29 - patient with severe hyperkalemia (K+ Q65 - interpreting a diagnostic test with
Q30 - finding is most consistent with Q66 - 45-year-old patient with obesity (BMI
Q31 - patient with type 2 diabetes Q67 - of the following best explains
Q32 - 45-year-old patient with heart failure Q68 - patient on warfarin for mechanical
Q33 - patient with chronic obstructive pulmonary Q69 - of the following is the
Q34 - patient on warfarin has an Q70 - 65-year-old patient with COPD (FEV1
Q35 - patient with major depressive disorder Q71 - pharmacodynamic principle best explains why
Q36 - patient with opioid use disorder Q72 - patient presents with acute severe
Page 1
,NSG 5442 Quiz 1 Foundations of Nursing (Advanced Practice)
Q73 - statement accurately contrasts the mechanism Q109 - patient with diabetic ketoacidosis (DKA)
Q74 - patient on chronic warfarin therapy Q110 - patient is receiving vancomycin 1
Q75 - drug class is most likely Q111 - patient with chronic kidney disease
Q76 - Under the DEA's final rule Q112 - phase of pharmacokinetics is most
Q77 - patient with chronic kidney disease Q113 - patient with hepatic impairment is
Q78 - pharmacogenomic variant is most strongly Q114 - drug-drug interaction mechanism is exempl...
Q79 - patient is prescribed a medication Q115 - drug has a narrow therapeutic
Q80 - of the following best describes Q116 - factor most significantly influences the
Q81 - patient with type 2 diabetes Q117 - drug is a prodrug that
Q82 - of the following best describes Q118 - patient with a genetic polymorphism
Q83 - patient with heart failure with Q119 - route of administration bypasses first-pass
Q84 - researcher is evaluating a new Q120 - pharmacodynamic principle explains why a
Q85 - of the following statements best Q121 - a patient with severe sepsis
Q86 - patient is prescribed an inhaled Q122 - patient on a ketogenic diet
Q87 - patient with chronic kidney disease Q123 - finding most strongly indicates that
Q88 - patient with opioid use disorder Q124 - patient with chronic kidney disease
Q89 - of the following is the Q125 - a patient with hypernatremia (serum
Q90 - patient with atrial fibrillation is Q126 - patient with chronic alcoholism and
3 and 4 Review Questions and Answers 2026 Applied Nursing (Advanced Practice)
Update 100% Correct Q127 - patient on vancomycin and piperacillin-ta...
Q91 - nurse is caring for a Q128 - acid-base disturbance is most likely
Q92 - pathophysiological mechanism primarily un... Q129 - patient with hypercalcemia (Ca2+ 13.2
Q93 - patient with type 2 diabetes Q130 - a patient with acute respiratory
Q94 - patient on long-term warfarin therapy Q131 - a patient with suspected acute
Q95 - patient with heart failure is Q132 - patient with a history of
Q96 - patient with severe sepsis is Q133 - of the following best explains
Q97 - laboratory finding is most consistent Q134 - patient with a history of
Q98 - patient is receiving an intravenous Q135 - patient with suspected bacterial meningitis
Q99 - drug requires therapeutic drug monitoring Q136 - a patient with new-onset generalized
Q100 - patient with bipolar disorder is Q137 - of the following is the
Q101 - patient in the ICU develops Q138 - patient with multiple sclerosis is
Q102 - a patient with suspected acute Q139 - a patient with Parkinson's disease,
Q103 - patient with chronic heart failure Q140 - patient with myasthenia gravis presents
Q104 - a patient with sepsis and Q141 - patient with chronic kidney disease
Q105 - physiological change in pregnancy most Q142 - patient on warfarin for atrial
Q106 - patient is receiving a continuous Q143 - patient presents with fever, hypotension,
Q107 - patient with acute respiratory distress Q144 - medication requires dosage adjustment in
Q108 - managing a patient with acute
Page 2
,Advanced Nursing (Advanced Practice)
Q145 - patient with heart failure with
Q146 - assessment finding is most consistent
Q147 - patient with type 2 diabetes
Q148 - patient on vancomycin has a
Q149 - finding in a patient with
Q150 - patient with chronic obstructive pulmonary
Q151 - a critical care setting, a
Q152 - patient with chronic kidney disease
Q153 - 34-year-old pregnant patient at 28
Q154 - patient with chronic obstructive pulmonary
Q155 - of the following best describes
Q156 - patient with atrial fibrillation is
Q157 - patient with type 2 diabetes
Q158 - the management of acute ischemic
Q159 - patient with community-acquired pneumonia is
Q160 - of the following best describes
Q161 - a patient with suspected acute
Q162 - patient with type 2 diabetes
Nursing (Advanced Practice) Review
Q163 - patient on warfarin for mechanical
Q164 - of the following best describes
Q165 - a patient with acute decompensated
Q166 - patient with atrial fibrillation and
Q167 - of the following best describes
Q168 - patient with type 2 diabetes
Q169 - of the following is the
Q170 - patient with complete heart block
Q171 - a patient with cirrhosis and
Q172 - hospitalized patient with heart failure
Q173 - patient with sepsis develops acute
Q174 - a patient with severe hyperkalemia
Q175 - of the following best explains
Q176 - patient with type 2 diabetes
Q177 - patient with cirrhosis and ascites
Q178 - patient with septic shock remains
Q179 - of the following best describes
Q180 - patient with acute pancreatitis develops
Page 3
, Q1 ANALYZE COMPLEX CLINICAL SCENARIOS TO PRIORITIZE INTERVENTIONS AND
ANTICIPATE OUTCOMES
A patient with chronic kidney disease (stage 4) is prescribed a medication that is
primarily renally eliminated. The nurse reviews the drug's pharmacokinetics.
Which adjustment is most appropriate based on current KDIGO guidelines?
A. Administer the standard dose at extended intervals CORRECT
B. Reduce the dose and maintain the same interval
C. Avoid the drug entirely due to contraindication
D. Use a loading dose then standard maintenance
RATIONALE: In CKD, renal clearance decreases, so dosing adjustments often involve extending
the dosing interval to avoid accumulation. Reducing dose may also be considered, but interval
extension is preferred for drugs with concentration-dependent toxicity. KDIGO recommends
adjusting renally eliminated drugs based on GFR, often by prolonging intervals. Avoiding the drug
is not always necessary unless contraindicated. Loading doses are typically unchanged.
Q2 ANALYZE COMPLEX CLINICAL SCENARIOS TO PRIORITIZE INTERVENTIONS AND
ANTICIPATE OUTCOMES
A nurse is leading a quality improvement project to reduce catheter-associated
urinary tract infections (CAUTI). Using the Plan-Do-Study-Act (PDSA) model, which
step best exemplifies the 'Study' phase?
A. Implement a daily checklist for catheter necessity
B. Analyze post-intervention CAUTI rates against baseline CORRECT
C. Educate staff on proper insertion techniques
D. Develop a protocol for early catheter removal
RATIONALE: The 'Study' phase involves analyzing outcomes to determine if the change led to
improvement. Implementing checklists (A) and education (C) are 'Do' phase actions. Developing
protocols (D) is part of 'Plan'. Data analysis is central to 'Study'.
Page 4
