QUESTION BANK WITH PATIENT CARE
COORDINATION AND PHARMACOLOGY ACTUAL
EXAM [QUESTION 1- 200] AND ANSWERS UPDATED
2026/2027| 100% VERIFIED|DETAILED RATIONALES –
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Introduction
NUR 210 Exams 1–4 may assess nursing students' ability to integrate clinical reasoning,
evidence-based practice, patient safety, pharmacology, communication, and coordinated care.
The exact learning objectives depend on the educational institution and course curriculum. This
practice bank uses broadly applicable nursing principles to help students develop the judgment
required to manage common patient-care situations.
The intended audience includes prelicensure nursing students and other learners preparing for
nursing examinations that emphasize medication administration, patient assessment,
prioritization, interdisciplinary collaboration, and patient education. Students should compare
these practice questions with their assigned readings, course learning objectives, laboratory
materials, and instructor-provided study guides.
Strong performance in nursing examinations requires more than memorizing definitions.
Students must recognize changes in patient condition, identify potential adverse medication
effects, distinguish expected findings from warning signs, prioritize interventions, and
communicate clinical information accurately. Certification and professional advancement
requirements are separate from individual course examinations; successful completion of this
practice bank does not guarantee an examination score or professional credential.
Exam format and duration: The official number of questions, testing time, and domain weighting
for NUR 210 Exams 1–4 cannot be established from the course number alone. The 200 questions
below are an original practice set, not a representation of a confirmed official examination
length. Each question includes four options, one best answer, and an educational rationale
explaining the clinical reasoning behind the answer.
Core Domains Tested in NUR 210 Exams 1–4
Patient assessment, clinical judgment, and recognition of deterioration
Nursing prioritization, delegation, and scope of practice
Patient care coordination and interdisciplinary communication
Pharmacology principles and safe medication administration
Cardiovascular and respiratory assessment and interventions
, Fluid balance, electrolytes, and renal function
Infection prevention, isolation, and patient safety
Patient education, therapeutic communication, and discharge planning
Evidence-based nursing practice and documentation
Ethical practice, informed consent, and patient advocacy
Content Area Table for NUR 210 Exams 1–4
The following is an illustrative practice-bank distribution, not a verified institutional exam
blueprint. The percentages total 100%, and the approximate question counts total 200.
% of Approx. # of
Content Domain Key Topics Covered
Exam Questions
Patient assessment and Focused assessment, abnormal
15% 30
clinical judgment findings, clinical deterioration
Patient care coordination and SBAR, handoffs, referrals,
12% 24
communication interdisciplinary care
Pharmacology and Medication administration, adverse
18% 36
medication safety effects, interactions
Perfusion, blood pressure, cardiac
Cardiovascular nursing 10% 20
medications
Oxygenation, respiratory distress,
Respiratory nursing 10% 20
airway management
Fluids, electrolytes, and renal Fluid deficits, electrolyte
10% 20
function abnormalities, renal monitoring
Infection prevention and Standard precautions, isolation, error
8% 16
patient safety prevention
Delegation, ethics, and scope Accountability, consent, delegation,
7% 14
of practice advocacy
Patient education and Teach-back, medication
5% 10
discharge planning reconciliation, continuity of care
Evidence-based practice and Accurate records, clinical evidence,
5% 10
documentation quality improvement
Total 100% 200 Integrated nursing practice
QUESTIONS 1–200
Exam 1: Clinical Judgment, Patient Assessment, and
Prioritization
Q1: A nurse receives handoff on four patients. Which patient should the nurse assess first?
,A) A patient with chronic osteoarthritis reporting pain of 7/10 B) A patient with new confusion,
oxygen saturation of 86%, and increased work of breathing C) A postoperative patient requesting
assistance with ambulation D) A patient with diabetes requesting a scheduled snack
Correct Answer: B
Rationale: New confusion accompanied by hypoxemia and increased work of breathing suggests
acute respiratory compromise. The nurse should immediately assess airway and breathing,
provide appropriate emergency interventions, and escalate care. Chronic pain, routine mobility
assistance, and a snack request remain important but do not supersede a potentially life-
threatening deterioration.
Q2: A patient admitted with pneumonia becomes restless and tachypneic. The oxygen saturation
falls from 95% to 89% on the prescribed oxygen. What is the nurse's priority action?
A) Document the findings and reassess in 30 minutes B) Encourage oral fluids C) Immediately
assess respiratory status and initiate appropriate escalation of care D) Administer a prescribed
antipyretic
Correct Answer: C
Rationale: A falling oxygen saturation, tachypnea, and restlessness may indicate worsening gas
exchange. The nurse should rapidly assess airway, breathing, respiratory effort, oxygen delivery,
and mental status while initiating protocol-directed support and notifying the appropriate
clinician or emergency response team. Waiting delays treatment, fluids do not correct acute
hypoxemia, and an antipyretic does not address the immediate threat.
Q3: A nurse assesses a patient who reports sudden, severe chest pressure radiating to the jaw
with diaphoresis and nausea. Which action is most appropriate?
A) Ask the patient to walk to determine exercise tolerance B) Offer an antacid and reassess in 20
minutes C) Complete a routine assessment before notifying the provider D) Activate the
emergency response pathway and obtain immediate cardiac assessment
Correct Answer: D
Rationale: Sudden chest pressure with radiation, diaphoresis, and nausea is concerning for acute
coronary syndrome. Immediate assessment, emergency escalation, and rapid acquisition of a 12-
lead ECG according to protocol are indicated. Ambulation increases cardiac demand, an antacid
may delay diagnosis, and routine sequencing is inappropriate when a time-sensitive cardiac
emergency is suspected.
Q4: A patient who was alert earlier suddenly develops facial asymmetry and difficulty speaking.
What should the nurse do first?
, A) Activate the stroke response pathway and establish the time the patient was last known well
B) Give oral aspirin immediately C) Offer water to assess swallowing D) Allow the patient to
rest and reassess in 15 minutes
Correct Answer: A
Rationale: Sudden focal neurological deficits require immediate stroke evaluation. The last-
known-well time helps determine eligibility for time-sensitive treatment. Oral medication and
water are unsafe before swallowing assessment, and observation without escalation may delay
reperfusion therapy.
Q5: A patient with diabetes becomes diaphoretic and tremulous. The bedside glucose is 48
mg/dL, and the patient is awake and able to swallow safely. What is the best initial intervention?
A) Administer the next scheduled insulin dose B) Give a high-fat meal and check glucose in an
hour C) Give approximately 15 g of fast-acting carbohydrate and recheck glucose in 15 minutes
D) Restrict oral intake until the provider arrives
Correct Answer: C
Rationale: A conscious patient who can swallow safely should receive fast-acting carbohydrate
for hypoglycemia, followed by repeat glucose testing after approximately 15 minutes and
additional treatment if necessary. High-fat foods delay glucose absorption, insulin can worsen
hypoglycemia, and withholding treatment risks seizures or loss of consciousness. If the patient
cannot swallow safely, oral carbohydrate is contraindicated and an appropriate emergency
hypoglycemia protocol is required.
Q6: A nurse measures a blood pressure of 82/48 mmHg in a patient who is pale, dizzy, and
tachycardic after surgery. Which action is the priority?
A) Assist the patient to the bathroom B) Administer the scheduled antihypertensive C) Recheck
the blood pressure at the end of the shift D) Assess for hemorrhage and impaired perfusion while
urgently escalating care
Correct Answer: D
Rationale: Hypotension with pallor, tachycardia, and dizziness after surgery may indicate
bleeding and inadequate tissue perfusion. The nurse should assess the patient, inspect for
potential bleeding, obtain urgent assistance, and prepare for interventions such as fluid
resuscitation and laboratory evaluation as ordered. Ambulation increases fall risk,
antihypertensives may worsen hypotension, and delayed reassessment is unsafe.
Q7: A patient receiving an opioid analgesic is difficult to arouse, with a respiratory rate of 7
breaths/min. What should the nurse do?