NR 226 Fundamentals of Patient Care Final Comprehensive Prep 2026
|Chamberlain
1. When performing hand hygiene with an alcohol-based hand rub, the nurse
should continue rubbing the hands together until:
A. At least 10 seconds have passed.
B. The hands are visibly clean.
C. The alcohol has completely dried.
D. The skin feels slightly sticky.
Answer: C
Rationale: For alcohol-based hand rubs to be effective and ensure all surfaces are covered,
the nurse must rub until the solution is dry.
2. Which assessment finding is an early sign of hypoxia?
A. Cyanosis
B. Bradypnea
C. Bradycardia
D. Restlessness
Answer: D
Rationale: Restlessness and anxiety are early signs of hypoxia. Cyanosis and bradycardia
are late signs.
,3. The nurse is preparing to administer an intramuscular injection into the
ventrogluteal site. Which landmark should the nurse use?
A. The acromion process.
B. The posterior superior iliac spine.
C. The vastus lateralis muscle.
D. The greater trochanter and the anterior superior iliac spine.
Answer: D
Rationale: The ventrogluteal site is located by placing the palm over the greater trochanter
and the index finger on the anterior superior iliac spine.
4. A patient has a blood pressure reading of 150/96 mmHg. This is classified as:
A. Hypertension Stage 2
B. Elevated
C. Hypertension Stage 1
D. Normal
Answer: A
Rationale: According to current guidelines, a systolic pressure of 140 or higher or a
diastolic of 90 or higher is Stage 2 hypertension.
5. Which nursing action is essential before administering a medication via a
nasogastric (NG) tube?
A. Check the gastric pH and residual volume.
B. Flush the tube with 100 mL of water.
C. Position the patient in a prone position.
D. Mix all medications together in one cup.
Answer: A
Rationale: Verifying placement via pH and checking residual prevents aspiration and
ensures the tube is in the stomach.
, 6. The nurse is assessing a patient’s radial and apical pulse simultaneously and
notes a difference. This is known as:
A. Pulse pressure
B. Tachycardia
C. Pulsus paradoxus
D. Pulse deficit
Answer: D
Rationale: A pulse deficit occurs when the radial pulse is slower than the apical pulse,
indicating ineffective heart contractions.
7. When moving a patient up in bed, what should the nurse do to prevent self-
injury?
A. Keep the back straight and use the leg muscles.
B. Stand with feet close together for stability.
C. Lower the bed to its lowest position.
D. Keep the knees straight and bend at the waist.
Answer: A
Rationale: Using large muscle groups like the legs and maintaining a straight back
prevents musculoskeletal strain.
8. Which of the following is an example of a ‘SMART’ goal in a nursing care plan?
A. Patient will feel better by the end of the shift.
B. Nurse will encourage the patient to walk more.
C. Patient will understand how to use the incentive spirometer.
D. Patient will ambulate 50 feet in the hallway by tomorrow morning.
Answer: D
Rationale: SMART goals must be Specific, Measurable, Attainable, Realistic, and Timely.
|Chamberlain
1. When performing hand hygiene with an alcohol-based hand rub, the nurse
should continue rubbing the hands together until:
A. At least 10 seconds have passed.
B. The hands are visibly clean.
C. The alcohol has completely dried.
D. The skin feels slightly sticky.
Answer: C
Rationale: For alcohol-based hand rubs to be effective and ensure all surfaces are covered,
the nurse must rub until the solution is dry.
2. Which assessment finding is an early sign of hypoxia?
A. Cyanosis
B. Bradypnea
C. Bradycardia
D. Restlessness
Answer: D
Rationale: Restlessness and anxiety are early signs of hypoxia. Cyanosis and bradycardia
are late signs.
,3. The nurse is preparing to administer an intramuscular injection into the
ventrogluteal site. Which landmark should the nurse use?
A. The acromion process.
B. The posterior superior iliac spine.
C. The vastus lateralis muscle.
D. The greater trochanter and the anterior superior iliac spine.
Answer: D
Rationale: The ventrogluteal site is located by placing the palm over the greater trochanter
and the index finger on the anterior superior iliac spine.
4. A patient has a blood pressure reading of 150/96 mmHg. This is classified as:
A. Hypertension Stage 2
B. Elevated
C. Hypertension Stage 1
D. Normal
Answer: A
Rationale: According to current guidelines, a systolic pressure of 140 or higher or a
diastolic of 90 or higher is Stage 2 hypertension.
5. Which nursing action is essential before administering a medication via a
nasogastric (NG) tube?
A. Check the gastric pH and residual volume.
B. Flush the tube with 100 mL of water.
C. Position the patient in a prone position.
D. Mix all medications together in one cup.
Answer: A
Rationale: Verifying placement via pH and checking residual prevents aspiration and
ensures the tube is in the stomach.
, 6. The nurse is assessing a patient’s radial and apical pulse simultaneously and
notes a difference. This is known as:
A. Pulse pressure
B. Tachycardia
C. Pulsus paradoxus
D. Pulse deficit
Answer: D
Rationale: A pulse deficit occurs when the radial pulse is slower than the apical pulse,
indicating ineffective heart contractions.
7. When moving a patient up in bed, what should the nurse do to prevent self-
injury?
A. Keep the back straight and use the leg muscles.
B. Stand with feet close together for stability.
C. Lower the bed to its lowest position.
D. Keep the knees straight and bend at the waist.
Answer: A
Rationale: Using large muscle groups like the legs and maintaining a straight back
prevents musculoskeletal strain.
8. Which of the following is an example of a ‘SMART’ goal in a nursing care plan?
A. Patient will feel better by the end of the shift.
B. Nurse will encourage the patient to walk more.
C. Patient will understand how to use the incentive spirometer.
D. Patient will ambulate 50 feet in the hallway by tomorrow morning.
Answer: D
Rationale: SMART goals must be Specific, Measurable, Attainable, Realistic, and Timely.
