NR 226 | Adult Health I | Final Exam Version 3 Practice Questions
2026 |Chamberlain
1. A nurse is assessing a patient with a suspected localized infection. Which of
the following is a primary sign of inflammation at the site?
A. Pale skin color
B. Coolness to the touch
C. Numbness
D. Edema (swelling)
Answer: D
Rationale: Localized signs of inflammation include redness, heat, swelling (edema), pain,
and loss of function in the affected body part.
2. The nurse is preparing to move a patient up in bed. Which principle of body
mechanics should the nurse implement?
A. Bend at the waist
B. Tighten the abdominal muscles
C. Position the feet close together
D. Keep the knees straight
Answer: B
Rationale: Tightening the abdominal and gluteal muscles (the ‘internal girdle’) provides a
stable core and protects the back during lifting and moving.
,3. Which assessment finding would most likely indicate that a patient is
experiencing hypoxia?
A. Bradycardia
B. Decreased respiratory rate
C. Cyanosis of the nail beds
D. Increased urine output
Answer: C
Rationale: Cyanosis, a bluish discoloration of the skin and mucous membranes, is a late
sign of hypoxia resulting from decreased oxygen saturation in the blood.
4. A nurse is caring for a patient on a clear liquid diet. Which item is appropriate
to provide?
A. Orange juice with pulp
B. Vanilla pudding
C. Cream of chicken soup
D. Apple juice
Answer: D
Rationale: A clear liquid diet consists of fluids that are transparent to light and liquid at
room temperature, such as apple juice, broth, and gelatin.
5. When performing hand hygiene with an alcohol-based hand rub, the nurse
should rub the hands together until:
A. The hands are visibly clean
B. At least 5 seconds have passed
C. The alcohol dries completely
D. The skin feels sticky
Answer: C
Rationale: For effective antisepsis, the nurse must rub the hands together until the alcohol
has evaporated and the hands are completely dry.
, 6. Which vital sign should the nurse prioritize for assessment before
administering a dose of digoxin?
A. Blood pressure
B. Respiratory rate
C. Apical pulse
D. Temperature
Answer: C
Rationale: Digoxin is a cardiac glycoside that slows the heart rate; the nurse must assess
the apical pulse for one full minute and hold the medication if the rate is below 60 bpm.
7. A patient has a Stage 2 pressure injury. What is the characteristic appearance
of this stage?
A. Non-blanchable erythema of intact skin
B. Full-thickness skin loss with exposed bone
C. Full-thickness skin loss with visible adipose tissue
D. Partial-thickness skin loss with exposed dermis
Answer: D
Rationale: Stage 2 pressure injuries involve partial-thickness loss of skin with exposed
dermis. It may also present as an intact or ruptured serum-filled blister.
8. To prevent a medication error, when should the nurse check the medication
label against the MAR?
A. Only when pulling the medication from the drawer
B. After the medication is administered
C. Once at the nurses’ station
D. Three times: when pulling, when preparing, and at the bedside
Answer: D
Rationale: The three checks of medication administration (when retrieving, when
preparing/opening, and at the bedside) are critical to ensure the ‘six rights’ are met.
2026 |Chamberlain
1. A nurse is assessing a patient with a suspected localized infection. Which of
the following is a primary sign of inflammation at the site?
A. Pale skin color
B. Coolness to the touch
C. Numbness
D. Edema (swelling)
Answer: D
Rationale: Localized signs of inflammation include redness, heat, swelling (edema), pain,
and loss of function in the affected body part.
2. The nurse is preparing to move a patient up in bed. Which principle of body
mechanics should the nurse implement?
A. Bend at the waist
B. Tighten the abdominal muscles
C. Position the feet close together
D. Keep the knees straight
Answer: B
Rationale: Tightening the abdominal and gluteal muscles (the ‘internal girdle’) provides a
stable core and protects the back during lifting and moving.
,3. Which assessment finding would most likely indicate that a patient is
experiencing hypoxia?
A. Bradycardia
B. Decreased respiratory rate
C. Cyanosis of the nail beds
D. Increased urine output
Answer: C
Rationale: Cyanosis, a bluish discoloration of the skin and mucous membranes, is a late
sign of hypoxia resulting from decreased oxygen saturation in the blood.
4. A nurse is caring for a patient on a clear liquid diet. Which item is appropriate
to provide?
A. Orange juice with pulp
B. Vanilla pudding
C. Cream of chicken soup
D. Apple juice
Answer: D
Rationale: A clear liquid diet consists of fluids that are transparent to light and liquid at
room temperature, such as apple juice, broth, and gelatin.
5. When performing hand hygiene with an alcohol-based hand rub, the nurse
should rub the hands together until:
A. The hands are visibly clean
B. At least 5 seconds have passed
C. The alcohol dries completely
D. The skin feels sticky
Answer: C
Rationale: For effective antisepsis, the nurse must rub the hands together until the alcohol
has evaporated and the hands are completely dry.
, 6. Which vital sign should the nurse prioritize for assessment before
administering a dose of digoxin?
A. Blood pressure
B. Respiratory rate
C. Apical pulse
D. Temperature
Answer: C
Rationale: Digoxin is a cardiac glycoside that slows the heart rate; the nurse must assess
the apical pulse for one full minute and hold the medication if the rate is below 60 bpm.
7. A patient has a Stage 2 pressure injury. What is the characteristic appearance
of this stage?
A. Non-blanchable erythema of intact skin
B. Full-thickness skin loss with exposed bone
C. Full-thickness skin loss with visible adipose tissue
D. Partial-thickness skin loss with exposed dermis
Answer: D
Rationale: Stage 2 pressure injuries involve partial-thickness loss of skin with exposed
dermis. It may also present as an intact or ruptured serum-filled blister.
8. To prevent a medication error, when should the nurse check the medication
label against the MAR?
A. Only when pulling the medication from the drawer
B. After the medication is administered
C. Once at the nurses’ station
D. Three times: when pulling, when preparing, and at the bedside
Answer: D
Rationale: The three checks of medication administration (when retrieving, when
preparing/opening, and at the bedside) are critical to ensure the ‘six rights’ are met.
