NUR 3219C Clinical Reasoning & Personalized NC – Adult Acute Conditions FINALS READINESS EXAM Q & S 2025/2026

1. Which of the following statements best describes clinical
reasoning in the context of acute care nursing?
 A. A linear process of applying medical protocols.
 B. The application of evidence-based practice on a caseby-case basis.
 C. A complex, cyclical process that involves critical
thinking, intuition, and pattern recognition.
 D. A straightforward technique for identifying patient
diagnoses.
 Correct Answer: C
 Rationale: Clinical reasoning involves not only
analytical and intuitive thinking but also pattern recognition,
making it a complex process essential in acute care
settings.
2. When assessing an adult patient with acute respiratory
distress, the priority nursing intervention is to:
 A. Administer prescribed bronchodilators.
 B. Obtain arterial blood gases (ABGs).
 C. Position the patient in high Fowler's position to
maximize ventilation.
 D. Initiate high-flow oxygen therapy.
 Correct Answer: C
 Rationale: Positioning the patient properly can
immediately help improve ventilation, making it a priority
intervention before proceeding with medication or
diagnostic tests.