CNR N4000: DR. CHELLY TUFTS BEVEL
NURSING FINAL EXAM 2026/2027
QUESTIONS AND ANSWERS | 2026/2027
UPDATED | 100% CORRECT
1. A nurse is caring for a client in the ICU with a Central Venous Pressure (CVP) of 2 mmHg
and a Mean Arterial Pressure (MAP) of 55 mmHg. Which intervention should the nurse
prioritize?
A. Administer a prescribed 500 mL bolus of Normal Saline.
B. Initiate a continuous infusion of norepinephrine at 5 mcg/min.
C. Place the client in a high-Fowler’s position to improve ventilation.
D. Perform a 12-lead ECG to evaluate for myocardial ischemia.
Answer: A
Conceptual Explanation: A CVP of 2 mmHg is low (normal 2-8 mmHg), suggesting
hypovolemia. The low MAP indicates inadequate perfusion. The priority is to restore
volume before considering vasopressors.
2. An arterial blood gas (ABG) result shows: pH 7.28, PaCO2 52 mmHg, and HCO3 28 mEq/L.
How should the nurse interpret these findings?
A. Partially compensated respiratory acidosis.
,B. Uncompensated metabolic acidosis.
C. Fully compensated metabolic alkalosis.
D. Uncompensated respiratory alkalosis.
Answer: A
Conceptual Explanation: The pH is acidic (<7.35). The PaCO2 is high (>45), indicating a
respiratory cause. The HCO3 is elevated (>26), indicating the kidneys are attempting to
compensate, but since pH is not normal, it is partially compensated.
3. A client is admitted with suspected Autonomic Dysreflexia. Which assessment finding is
most characteristic of this condition?
A. Tachycardia and hypotension.
B. Flaccid paralysis below the level of the spinal cord injury.
C. Severe pounding headache and profuse sweating above the level of injury.
D. Sudden loss of bowel and bladder control.
Answer: C
Conceptual Explanation: Autonomic Dysreflexia is a medical emergency in spinal cord
injuries (T6 or above) characterized by extreme hypertension, bradycardia, and
diaphoresis above the injury level.
, 4. The nurse is triaging victims of a mass casualty event. Which client should be assigned a
RED tag?
A. An unconscious client with an open head injury and fixed dilated pupils.
B. A client with a sucking chest wound and marked respiratory distress.
C. A client with a closed fracture of the right humerus and controlled bleeding.
D. A client with 2nd-degree burns over 10% of the body who is walking.
Answer: B
Conceptual Explanation: Red tags are for immediate life-threatening injuries that are
treatable. A sucking chest wound requires immediate intervention. Fixed pupils in a mass
casualty are usually tagged black (expectant).
5. A nurse is administering Digoxin to a client with heart failure. Which laboratory value
requires immediate notification of the provider?
A. Serum sodium of 138 mEq/L.
B. Serum digoxin level of 1.2 ng/mL.
C. Serum creatinine of 1.0 mg/dL.
D. Serum potassium of 3.1 mEq/L.
Answer: D
NURSING FINAL EXAM 2026/2027
QUESTIONS AND ANSWERS | 2026/2027
UPDATED | 100% CORRECT
1. A nurse is caring for a client in the ICU with a Central Venous Pressure (CVP) of 2 mmHg
and a Mean Arterial Pressure (MAP) of 55 mmHg. Which intervention should the nurse
prioritize?
A. Administer a prescribed 500 mL bolus of Normal Saline.
B. Initiate a continuous infusion of norepinephrine at 5 mcg/min.
C. Place the client in a high-Fowler’s position to improve ventilation.
D. Perform a 12-lead ECG to evaluate for myocardial ischemia.
Answer: A
Conceptual Explanation: A CVP of 2 mmHg is low (normal 2-8 mmHg), suggesting
hypovolemia. The low MAP indicates inadequate perfusion. The priority is to restore
volume before considering vasopressors.
2. An arterial blood gas (ABG) result shows: pH 7.28, PaCO2 52 mmHg, and HCO3 28 mEq/L.
How should the nurse interpret these findings?
A. Partially compensated respiratory acidosis.
,B. Uncompensated metabolic acidosis.
C. Fully compensated metabolic alkalosis.
D. Uncompensated respiratory alkalosis.
Answer: A
Conceptual Explanation: The pH is acidic (<7.35). The PaCO2 is high (>45), indicating a
respiratory cause. The HCO3 is elevated (>26), indicating the kidneys are attempting to
compensate, but since pH is not normal, it is partially compensated.
3. A client is admitted with suspected Autonomic Dysreflexia. Which assessment finding is
most characteristic of this condition?
A. Tachycardia and hypotension.
B. Flaccid paralysis below the level of the spinal cord injury.
C. Severe pounding headache and profuse sweating above the level of injury.
D. Sudden loss of bowel and bladder control.
Answer: C
Conceptual Explanation: Autonomic Dysreflexia is a medical emergency in spinal cord
injuries (T6 or above) characterized by extreme hypertension, bradycardia, and
diaphoresis above the injury level.
, 4. The nurse is triaging victims of a mass casualty event. Which client should be assigned a
RED tag?
A. An unconscious client with an open head injury and fixed dilated pupils.
B. A client with a sucking chest wound and marked respiratory distress.
C. A client with a closed fracture of the right humerus and controlled bleeding.
D. A client with 2nd-degree burns over 10% of the body who is walking.
Answer: B
Conceptual Explanation: Red tags are for immediate life-threatening injuries that are
treatable. A sucking chest wound requires immediate intervention. Fixed pupils in a mass
casualty are usually tagged black (expectant).
5. A nurse is administering Digoxin to a client with heart failure. Which laboratory value
requires immediate notification of the provider?
A. Serum sodium of 138 mEq/L.
B. Serum digoxin level of 1.2 ng/mL.
C. Serum creatinine of 1.0 mg/dL.
D. Serum potassium of 3.1 mEq/L.
Answer: D
