NRSG3000 Exam 1 [Galen College]

NRSG3000 Exam 1 [Oct 2026]

A patient with increased intracranial pressure is receiving IV mannitol. Four hours after initiation, the nurse notes new cardiac arrhythmias. Which finding is the priority concern?

1. Reduced peripheral edema
2. Decreased intracranial pressure
3. Irregular heart rhythm ✅
4. Increased urine output

Which factor has the greatest negative impact on the wound healing process?

1. Adequate protein intake
2. Normal immune function
3. Good tissue perfusion
4. Poor nutritional status ✅

A 72-year-old patient presents with fever, productive cough, shortness of breath, and decreased oxygen saturation. Chest auscultation reveals crackles. Which combination of diagnostic tests best supports the diagnosis of pneumonia?

1. Peak flow and sputum culture
2. Chest X-ray and sputum culture ✅
3. ABG (arterial blood gas) and echocardiogram
4. Pulmonary function tests and chest X-ray

A patient with prolonged vomiting is diagnosed with hypochloremia. Which clinical finding is most likely associated with this imbalance?

1. Muscle paralysis
2. Hyperactive reflexes
3. Intense thirst
4. Weakness and metabolic alkalosis ✅

Which inflammatory mediator is most associated with vasodilation and fever during acute inflammation?

1. Leukotrienes
2. Complement proteins
3. Histamine
4. Prostaglandins ✅

Which substance functions as the primary base responsible for buffering acids?

1. Lactic acid
2. Hydrogen ions
3. Bicarbonate ✅
4. Carbon dioxide

Which finding is most consistent with pneumonia?

1. Chest pain with exertion only
2. Fever, productive cough, and crackles ✅
3. Snoring and daytime sleepiness
4. Dry cough and nasal congestion

A nurse is teaching about the acute inflammatory response following tissue injury. Which events occur during the normal inflammatory process? Select all that apply

1. Vasodilation at the injury site ✅
2. Formation of antibodies
3. Increased capillary permeability ✅
4. Development of immunologic memory
5. Removal of debris by phagocytes ✅
6. Migration of neutrophils to damaged tissue  ✅……………………………………..purchase this entire exam at $40 only