NURS 2000 Final Exam Questions
with Complete Solutions.
Course
NURS 2000
Question 1
A nurse is preparing to administer medications to a patient. Which action is most important for
preventing medication errors?
A. Administer medications as quickly as possible.
B. Verify the patient's identity using two approved identifiers.
C. Ask the patient's roommate to identify the patient.
D. Prepare medications for several patients at once.
Correct Answer: B. Verify the patient's identity using two approved identifiers.
Solution
Patient identification is the first step in safe medication administration. Nurses should use two
approved identifiers (e.g., full name and date of birth or medical record number) before
administering medications.
Incorrect Options:
A: Rushing increases the risk of errors.
C: Roommates are not reliable identifiers.
D: Preparing medications for multiple patients increases the chance of mix-ups.
Question 2
A postoperative patient suddenly reports shortness of breath and chest pain. What is the nurse's
priority action?
A. Document the symptoms.
B. Notify the healthcare provider after completing rounds.
C. Assess airway, breathing, and circulation immediately.
D. Encourage the patient to rest.
Correct Answer: C. Assess airway, breathing, and circulation immediately.
,Solution
The ABC (Airway, Breathing, Circulation) approach guides emergency assessment. Shortness
of breath and chest pain may indicate a pulmonary embolism or myocardial infarction, requiring
immediate assessment and intervention.
Question 3
Which vital sign finding should the nurse report immediately?
A. Temperature: 98.6°F (37°C)
B. Pulse: 76 beats/min
C. Respiratory rate: 8 breaths/min
D. Blood pressure: 118/72 mmHg
Correct Answer: C. Respiratory rate: 8 breaths/min
Solution
A respiratory rate of 8 breaths/min indicates significant respiratory depression and requires
prompt evaluation.
Normal adult respiratory rate: 12–20 breaths/min.
Question 4
Which intervention is most effective in preventing healthcare-associated infections?
A. Wearing gloves for every patient interaction
B. Performing proper hand hygiene before and after patient contact
C. Administering antibiotics routinely
D. Using sterile gloves for all procedures
Correct Answer: B. Performing proper hand hygiene before and after patient contact.
Solution
Hand hygiene is the single most effective measure for preventing the transmission of healthcare-
associated infections.
,Question 5
A patient is at high risk for developing pressure injuries. Which nursing intervention is most
appropriate?
A. Reposition the patient every 2 hours.
B. Massage reddened areas.
C. Limit fluid intake.
D. Keep the head of the bed elevated above 60 degrees continuously.
Correct Answer: A. Reposition the patient every 2 hours.
Solution
Frequent repositioning reduces prolonged pressure on tissues and promotes circulation, helping
prevent pressure injuries.
Question 6
Which finding requires immediate nursing intervention?
A. Oxygen saturation of 88% on room air
B. Heart rate of 82 beats/min
C. Blood glucose of 110 mg/dL
D. Temperature of 98.2°F (36.8°C)
Correct Answer: A. Oxygen saturation of 88% on room air
Solution
An SpO₂ below 90% indicates hypoxemia and requires prompt assessment and intervention to
improve oxygenation.
Question 7
A patient receiving opioid analgesics becomes difficult to arouse and has shallow respirations.
Which medication should the nurse anticipate administering?
A. Epinephrine
B. Naloxone
, C. Atropine
D. Diphenhydramine
Correct Answer: B. Naloxone
Solution
Naloxone is an opioid antagonist used to reverse opioid-induced respiratory depression.
Question 8
Which action demonstrates effective therapeutic communication?
A. "Everything will be fine."
B. "You shouldn't feel that way."
C. "Can you tell me more about what concerns you?"
D. "I know exactly how you feel."
Correct Answer: C. "Can you tell me more about what concerns you?"
Solution
Open-ended questions encourage patients to express feelings and provide additional information.
Question 9
A nurse delegates ambulation of a stable patient to an unlicensed assistive personnel (UAP). The
nurse remains responsible for:
A. Performing the delegated task personally
B. Evaluating the patient's response after ambulation
C. Ignoring the outcome
D. Documenting only if complications occur
Correct Answer: B. Evaluating the patient's response after ambulation
Solution
The registered nurse retains accountability for patient outcomes, including evaluating the
effectiveness and safety of delegated care.
with Complete Solutions.
Course
NURS 2000
Question 1
A nurse is preparing to administer medications to a patient. Which action is most important for
preventing medication errors?
A. Administer medications as quickly as possible.
B. Verify the patient's identity using two approved identifiers.
C. Ask the patient's roommate to identify the patient.
D. Prepare medications for several patients at once.
Correct Answer: B. Verify the patient's identity using two approved identifiers.
Solution
Patient identification is the first step in safe medication administration. Nurses should use two
approved identifiers (e.g., full name and date of birth or medical record number) before
administering medications.
Incorrect Options:
A: Rushing increases the risk of errors.
C: Roommates are not reliable identifiers.
D: Preparing medications for multiple patients increases the chance of mix-ups.
Question 2
A postoperative patient suddenly reports shortness of breath and chest pain. What is the nurse's
priority action?
A. Document the symptoms.
B. Notify the healthcare provider after completing rounds.
C. Assess airway, breathing, and circulation immediately.
D. Encourage the patient to rest.
Correct Answer: C. Assess airway, breathing, and circulation immediately.
,Solution
The ABC (Airway, Breathing, Circulation) approach guides emergency assessment. Shortness
of breath and chest pain may indicate a pulmonary embolism or myocardial infarction, requiring
immediate assessment and intervention.
Question 3
Which vital sign finding should the nurse report immediately?
A. Temperature: 98.6°F (37°C)
B. Pulse: 76 beats/min
C. Respiratory rate: 8 breaths/min
D. Blood pressure: 118/72 mmHg
Correct Answer: C. Respiratory rate: 8 breaths/min
Solution
A respiratory rate of 8 breaths/min indicates significant respiratory depression and requires
prompt evaluation.
Normal adult respiratory rate: 12–20 breaths/min.
Question 4
Which intervention is most effective in preventing healthcare-associated infections?
A. Wearing gloves for every patient interaction
B. Performing proper hand hygiene before and after patient contact
C. Administering antibiotics routinely
D. Using sterile gloves for all procedures
Correct Answer: B. Performing proper hand hygiene before and after patient contact.
Solution
Hand hygiene is the single most effective measure for preventing the transmission of healthcare-
associated infections.
,Question 5
A patient is at high risk for developing pressure injuries. Which nursing intervention is most
appropriate?
A. Reposition the patient every 2 hours.
B. Massage reddened areas.
C. Limit fluid intake.
D. Keep the head of the bed elevated above 60 degrees continuously.
Correct Answer: A. Reposition the patient every 2 hours.
Solution
Frequent repositioning reduces prolonged pressure on tissues and promotes circulation, helping
prevent pressure injuries.
Question 6
Which finding requires immediate nursing intervention?
A. Oxygen saturation of 88% on room air
B. Heart rate of 82 beats/min
C. Blood glucose of 110 mg/dL
D. Temperature of 98.2°F (36.8°C)
Correct Answer: A. Oxygen saturation of 88% on room air
Solution
An SpO₂ below 90% indicates hypoxemia and requires prompt assessment and intervention to
improve oxygenation.
Question 7
A patient receiving opioid analgesics becomes difficult to arouse and has shallow respirations.
Which medication should the nurse anticipate administering?
A. Epinephrine
B. Naloxone
, C. Atropine
D. Diphenhydramine
Correct Answer: B. Naloxone
Solution
Naloxone is an opioid antagonist used to reverse opioid-induced respiratory depression.
Question 8
Which action demonstrates effective therapeutic communication?
A. "Everything will be fine."
B. "You shouldn't feel that way."
C. "Can you tell me more about what concerns you?"
D. "I know exactly how you feel."
Correct Answer: C. "Can you tell me more about what concerns you?"
Solution
Open-ended questions encourage patients to express feelings and provide additional information.
Question 9
A nurse delegates ambulation of a stable patient to an unlicensed assistive personnel (UAP). The
nurse remains responsible for:
A. Performing the delegated task personally
B. Evaluating the patient's response after ambulation
C. Ignoring the outcome
D. Documenting only if complications occur
Correct Answer: B. Evaluating the patient's response after ambulation
Solution
The registered nurse retains accountability for patient outcomes, including evaluating the
effectiveness and safety of delegated care.
