ECU Nursing Exam Practice Questions and Answers

140 Questions and Answers

$4.99

Thorough preparation is the key to excelling in nursing assessments, and this resource offers a focused, high-yield tool for success. The ECU Nursing Exam Practice Questions and Answers quiz is crafted to support students enrolled in nursing programs, particularly those following the curriculum structure of East Carolina University or similar academic standards.

This comprehensive practice quiz covers core nursing concepts, clinical reasoning, and evidence-based care practices essential for both foundational understanding and advanced application. The material emphasizes medical-surgical nursing, pharmacology, maternal and child health, mental health nursing, community health, and pathophysiology, aligning with the topics commonly tested in ECU’s rigorous nursing program assessments.

Each question is scenario-based and reflective of real-world clinical environments, helping students strengthen their critical thinking and clinical decision-making skills. Questions are written to mirror exam standards, supporting mastery of NCLEX-style formats, multiple-choice reasoning, and prioritization techniques often found in timed assessments.

Key features include a strong focus on nursing process steps, safety protocols, patient education, therapeutic communication, dosage calculations, and cultural competence—areas that are not only frequently tested but are vital for delivering competent and compassionate patient care.

Ideal for ECU nursing students as well as learners from other institutions with similar course structures, this exam prep tool helps identify areas for improvement while reinforcing your strengths. It’s suitable for daily review, midterm or final exam prep, or as part of your NCLEX-RN study plan.

With well-researched questions and clinically relevant content, these ECU Nursing Exam Practice Questions and Answers provide a reliable, challenging, and effective study solution to ensure you’re confident and ready for your next exam.


Sample Questions and Answers

What is the normal range for adult respiratory rate?

A) 8-16 breaths per minute
B) 12-20 breaths per minute
C) 18-26 breaths per minute
D) 24-30 breaths per minute

Answer: B) 12-20 breaths per minute

What is the primary purpose of therapeutic communication in nursing?

A) Providing instructions to patients
B) Encouraging patients to express their feelings
C) Diagnosing medical conditions
D) Giving patients direct solutions

Answer: B) Encouraging patients to express their feelings

Which action is most important when administering medications via a nasogastric (NG) tube?

A) Flushing the tube with water after medication administration
B) Mixing all medications together before administration
C) Skipping the flush if the tube is already clear
D) Keeping the patient supine during administration

Answer: A) Flushing the tube with water after medication administration

What is the first step in the nursing process?

A) Planning
B) Diagnosis
C) Evaluation
D) Assessment

Answer: D) Assessment

Which infection control precaution is used for tuberculosis (TB)?

A) Contact precautions
B) Droplet precautions
C) Airborne precautions
D) Standard precautions

Answer: C) Airborne precautions

Which of the following signs indicates hypoglycemia?

A) Dry skin
B) Tachycardia and confusion
C) Deep, labored breathing
D) Fruity-smelling breath

Answer: B) Tachycardia and confusion

What is the normal range for serum potassium levels?

A) 2.5-3.5 mEq/L
B) 3.5-5.0 mEq/L
C) 5.5-6.5 mEq/L
D) 7.0-8.0 mEq/L

Answer: B) 3.5-5.0 mEq/L

What is the main side effect of opioid medications?

A) Hypertension
B) Respiratory depression
C) Tachycardia
D) Increased urine output

Answer: B) Respiratory depression

Which heart sound is associated with heart failure?

A) S1
B) S2
C) S3
D) S4

Answer: C) S3

Which patient position is best for preventing aspiration during feeding?

A) Supine
B) Semi-Fowler’s
C) High Fowler’s
D) Trendelenburg

Answer: C) High Fowler’s

What is a common symptom of left-sided heart failure?

A) Peripheral edema
B) Jugular vein distention
C) Pulmonary congestion
D) Hepatomegaly

Answer: C) Pulmonary congestion

What is the maximum amount of time a peripheral IV site should remain before it is changed?

A) 24 hours
B) 48 hours
C) 72 hours
D) 96 hours

Answer: C) 72 hours

What is the antidote for warfarin toxicity?

A) Vitamin B12
B) Vitamin K
C) Protamine sulfate
D) Calcium gluconate

Answer: B) Vitamin K

Which is an early sign of hypoxia?

A) Cyanosis
B) Restlessness
C) Bradycardia
D) Hypotension

Answer: B) Restlessness

Which type of shock is associated with widespread infection?

A) Cardiogenic shock
B) Hypovolemic shock
C) Neurogenic shock
D) Septic shock

Answer: D) Septic shock

What is the best way to assess pain in a non-verbal patient?

A) Assume no pain if the patient is not crying
B) Use a pain scale specific for non-verbal patients
C) Observe vital signs only
D) Ask family members about the patient’s pain level

Answer: B) Use a pain scale specific for non-verbal patients

Which nursing action reduces the risk of catheter-associated urinary tract infections (CAUTIs)?

A) Keeping the drainage bag at bed level
B) Performing hand hygiene before catheter care
C) Avoiding catheter care unless it appears soiled
D) Emptying the bag every 12 hours

Answer: B) Performing hand hygiene before catheter care

What is the normal range for blood pH?

A) 6.5-7.0
B) 7.0-7.2
C) 7.35-7.45
D) 7.45-7.55

Answer: C) 7.35-7.45

Which electrolyte imbalance is a common cause of cardiac arrhythmias?

A) Hypercalcemia
B) Hypokalemia
C) Hypernatremia
D) Hypophosphatemia

Answer: B) Hypokalemia

When performing CPR on an adult, what is the recommended compression-to-ventilation ratio?

A) 15:2
B) 20:1
C) 30:2
D) 40:2

Answer: C) 30:2

What is a priority nursing intervention for a patient with a seizure?

A) Insert a bite block
B) Restrain the patient
C) Place the patient in a side-lying position
D) Call for immediate intubation

Answer: C) Place the patient in a side-lying position

Which stage of pressure injury is characterized by full-thickness skin loss with visible fat?

A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4

Answer: C) Stage 3

What is the normal value for fasting blood glucose?

A) 50-70 mg/dL
B) 70-100 mg/dL
C) 110-140 mg/dL
D) 140-180 mg/dL

Answer: B) 70-100 mg/dL

What is the most accurate method of checking nasogastric tube placement?

A) X-ray
B) Injecting air and listening for a sound
C) Observing for gastric contents
D) Checking pH of aspirated fluid

Answer: A) X-ray

Which of the following is a risk factor for deep vein thrombosis (DVT)?

A) Regular ambulation
B) Dehydration
C) Low body mass index
D) Hypotension

Answer: B) Dehydration

Which vaccine prevents cervical cancer?

A) Hepatitis B vaccine
B) MMR vaccine
C) HPV vaccine
D) Varicella vaccine

Answer: C) HPV vaccine

What is the appropriate size needle for an intramuscular injection in an adult?

A) 18-gauge, ½ inch
B) 22-gauge, 1-1½ inch
C) 25-gauge, 5/8 inch
D) 28-gauge, ½ inch

Answer: B) 22-gauge, 1-1½ inch

Which laboratory test is most specific for kidney function?

A) Hematocrit
B) Serum creatinine
C) Potassium levels
D) Glucose levels

Answer: B) Serum creatinine

What is the best site for IM injections in infants?

A) Deltoid
B) Vastus lateralis
C) Gluteus maximus
D) Rectus femoris

Answer: B) Vastus lateralis

Which of the following is an adverse effect of loop diuretics?

A) Hyperkalemia
B) Ototoxicity
C) Hypertension
D) Constipation

Answer: B) Ototoxicity

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