NR 226: Fundamentals of Patient Care | Final Exam — Version 1 2026
|Chamberlain
1. During which phase of the nursing process does the nurse establish short-
term and long-term goals for the patient?
A. Assessment
B. Planning
C. Implementation
D. Evaluation
Answer: B
Rationale: The Planning phase involves setting measurable goals and outcomes and
selecting nursing interventions.
2. Which of the following is considered subjective data?
A. The patient stating, ‘I feel nauseous’
B. A visible rash on the patient’s arm
C. Patient’s blood pressure of 140/90 mmHg
D. Crackles heard during lung auscultation
Answer: A
Rationale: Subjective data is information perceived only by the affected person; objective
data is observable and measurable.
,3. When removing Personal Protective Equipment (PPE), which item is generally
removed first?
A. Mask
B. Gloves
C. Gown
D. Goggles
Answer: B
Rationale: Gloves are the most contaminated item and should be removed first to prevent
cross-contamination.
4. A nurse is caring for a patient with Clocaloidioides difficile (C-diff). Which
infection control measure is mandatory?
A. Wearing an N95 respirator
B. Using alcohol-based hand sanitizer after care
C. Maintaining the door closed at all times
D. Washing hands with soap and water
Answer: D
Rationale: C-diff spores are resistant to alcohol-based sanitizers; mechanical friction with
soap and water is required.
5. Which ethical principle refers to the nurse’s obligation to do no harm to the
patient?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
Answer: C
Rationale: Nonmaleficence is the duty to avoid causing harm.
, 6. A patient is at high risk for falls. Which intervention should the nurse
implement first?
A. Apply soft wrist restraints
B. Keep the bed in the lowest position
C. Administer a sedative as ordered
D. Raise all four side rails
Answer: B
Rationale: Keeping the bed in the lowest position is a standard safety intervention to
prevent fall injuries.
7. What is the primary purpose of the ISBAR communication tool?
A. To provide a structured format for hand-off communication
B. To document patient care in the EMR
C. To assess patient vital signs
D. To schedule diagnostic tests
Answer: A
Rationale: ISBAR (Introduction, Situation, Background, Assessment, Recommendation)
ensures clear communication between healthcare providers.
8. The nurse is performing an abdominal assessment. In which order should the
techniques be performed?
A. Inspection, Palpation, Percussion, Auscultation
B. Auscultation, Inspection, Palpation, Percussion
C. Inspection, Auscultation, Percussion, Palpation
D. Palpation, Percussion, Auscultation, Inspection
Answer: C
Rationale: Auscultation is done before percussion and palpation to avoid altering bowel
sounds.
|Chamberlain
1. During which phase of the nursing process does the nurse establish short-
term and long-term goals for the patient?
A. Assessment
B. Planning
C. Implementation
D. Evaluation
Answer: B
Rationale: The Planning phase involves setting measurable goals and outcomes and
selecting nursing interventions.
2. Which of the following is considered subjective data?
A. The patient stating, ‘I feel nauseous’
B. A visible rash on the patient’s arm
C. Patient’s blood pressure of 140/90 mmHg
D. Crackles heard during lung auscultation
Answer: A
Rationale: Subjective data is information perceived only by the affected person; objective
data is observable and measurable.
,3. When removing Personal Protective Equipment (PPE), which item is generally
removed first?
A. Mask
B. Gloves
C. Gown
D. Goggles
Answer: B
Rationale: Gloves are the most contaminated item and should be removed first to prevent
cross-contamination.
4. A nurse is caring for a patient with Clocaloidioides difficile (C-diff). Which
infection control measure is mandatory?
A. Wearing an N95 respirator
B. Using alcohol-based hand sanitizer after care
C. Maintaining the door closed at all times
D. Washing hands with soap and water
Answer: D
Rationale: C-diff spores are resistant to alcohol-based sanitizers; mechanical friction with
soap and water is required.
5. Which ethical principle refers to the nurse’s obligation to do no harm to the
patient?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
Answer: C
Rationale: Nonmaleficence is the duty to avoid causing harm.
, 6. A patient is at high risk for falls. Which intervention should the nurse
implement first?
A. Apply soft wrist restraints
B. Keep the bed in the lowest position
C. Administer a sedative as ordered
D. Raise all four side rails
Answer: B
Rationale: Keeping the bed in the lowest position is a standard safety intervention to
prevent fall injuries.
7. What is the primary purpose of the ISBAR communication tool?
A. To provide a structured format for hand-off communication
B. To document patient care in the EMR
C. To assess patient vital signs
D. To schedule diagnostic tests
Answer: A
Rationale: ISBAR (Introduction, Situation, Background, Assessment, Recommendation)
ensures clear communication between healthcare providers.
8. The nurse is performing an abdominal assessment. In which order should the
techniques be performed?
A. Inspection, Palpation, Percussion, Auscultation
B. Auscultation, Inspection, Palpation, Percussion
C. Inspection, Auscultation, Percussion, Palpation
D. Palpation, Percussion, Auscultation, Inspection
Answer: C
Rationale: Auscultation is done before percussion and palpation to avoid altering bowel
sounds.
