NRSG 220 Midterm Exam Fall 2025.
Questions & Answers (Answer key below)
1. After a change of shift, you are assigned to care for the following patients. Which patient
should you assess first?
a. A 60-year old patient on a ventilator for whom a sterile sputum specimen must be
sent to the lab.
b. A 55-year old with COPD and a pulse oximetry reading from the previous shift of
90% saturation.
c. A 70-year old with pneumonia who needs to be started on intravenous (IV)
antibiotics.
d. A 50-year old with asthma who complains of shortness of breath after using a
bronchodilator.
2. You are the nurse preparing a patient with iron deficiency anemia for discharge and are
about to complete required teaching. What foods should you suggest the patient eat?
a. Cereal and milk
b. Caesar salad
c. Egg with wheat toast and orange juice
d. Baked potato with butter
3. Select ALL the signs and symptoms that can present in pernicious anemia:
a. Erythema
b. Paresthesia of hands and feet
c. Racing thoughts
d. Extreme hunger
e. Unsteady gait
f. Shortness of breath with activity
4. A newly admitted client has sickle cell crisis. The nurse is planning care based on
assessment of the client. The client is complaining of severe pain in his feet and hands.
The pulse oximetry is 89. Which of the following interventions would be implemented
first? Assume that there are orders for each intervention.
a. Adjust the room temperature
b. Give a bolus of IV fluids
c. Start O2
d. Administer Morphine 2 mg IV push
5. What will the nurse identify as symptoms of hypovolemic shock in a patient? SATA
a. Temperature of 97.6°F (36.4°C)
b. Restlessness
