HONDROS NUR 205 Final Exam Actual 2026/2027 with
Detailed Rationales | Complete Exam-Style Questions |
100% Verified | Pass Guaranteed - A+ Graded
Total Questions: 50 | Time: 90 min | Pass: 100%
TABLE OF CONTENTS
Section 1 | Fundamentals of Nursing & Patient Care | Q1 – Q10
Section 2 | Medical-Surgical Nursing Concepts | Q11 – Q20
Section 3 | Pharmacology & Medication Administration | Q21 – Q30
Section 4 | Health Assessment & Clinical Judgment | Q31 – Q40
Section 5 | Nursing Leadership & Professional Practice | Q41 – Q50
Instructions: Choose the single best answer. Pass: 100% in 90 minutes.
══════════════════════════════════════
SECTION 1: FUNDAMENTALS OF NURSING & PATIENT CARE Q1 – Q10
══════════════════════════════════════
Question 1 of 50
A 78-year-old client with a history of congestive heart failure is admitted to the
medical-surgical unit with bilateral lower extremity edema. The nurse is reviewing the
physician's orders and notes a prescription for furosemide 40 mg IV push daily. Before
administering the medication, the nurse should prioritize which assessment?
A. Auscultating lung sounds bilaterally and checking for crackles
B. Evaluating the client's current serum potassium level
C. Measuring the client's daily intake and output for the past 24 hours
D. Assessing the client's level of consciousness and orientation
B. Evaluating the client's current serum potassium level ✓ CORRECT
Correct Answer: B
Rationale: Furosemide is a loop diuretic that promotes potassium wasting, and a
78-year-old client with CHF is already at high risk for hypokalemia and cardiac
,dysrhythmias. Checking the potassium level before administration prevents potentially
lethal arrhythmias from electrolyte imbalance. While lung sounds are important for
monitoring fluid status, they do not pose an immediate safety threat before giving the
first dose. A quick glance at the most recent labs takes priority over retrospective intake
and output measurements.
Question 2 of 50
A nurse is caring for a postoperative client who had an abdominal hysterectomy 8 hours
ago. The client reports pain at a 7/10 and states she is afraid to use the
patient-controlled analgesia (PCA) pump because she does not want to become
addicted. Which response by the nurse best demonstrates therapeutic communication?
A. "You won't become addicted; the pump has a lockout interval that prevents overdose."
B. "Addiction is very rare in the acute postoperative setting when pain is being managed
appropriately."
C. "I understand your concern. Let's talk about how the PCA works and what you can
expect."
D. "Your surgeon ordered this because he expects you to have significant pain."
C. "I understand your concern. Let's talk about how the PCA works and what you can
expect." ✓ CORRECT
Correct Answer: C
Rationale: Therapeutic communication begins with acknowledging the client's feelings
and inviting collaboration, which builds trust and reduces anxiety. Stating that addiction
is rare, while factually accurate, dismisses the client's emotional concern rather than
validating it. Providing a technical explanation about the lockout interval does not
address the underlying fear, and citing the surgeon's authority does not empower the
client to participate in her own care.
Question 3 of 50
,During a morning assessment, a nurse notices that an 82-year-old client with dementia
has a Stage 2 pressure injury on the sacrum. The wound is 2 cm × 1.5 cm, partial
thickness, with a red-pink wound bed and no slough. Which intervention should the
nurse implement first?
A. Apply a hydrocolloid dressing to maintain a moist healing environment
B. Reposition the client every 2 hours and document the wound measurements
C. Notify the wound care team for advanced debridement recommendations
D. Obtain a culture and sensitivity specimen from the wound bed
B. Reposition the client every 2 hours and document the wound measurements ✓
CORRECT
Correct Answer: B
Rationale: The first priority in pressure injury management is relieving the source of
pressure to prevent further tissue damage, and repositioning is the most immediate
nursing intervention. A hydrocolloid dressing is appropriate for a Stage 2 wound but
only after pressure relief has been established. Debridement is unnecessary for a clean
Stage 2 wound with no slough, and cultures are only indicated when infection is
suspected.
Question 4 of 50
A nurse is preparing to insert an indwelling urinary catheter for a 65-year-old male client
who has urinary retention following spinal surgery. The client is alert and cooperative.
Which action by the nurse demonstrates the correct application of standard
precautions?
A. Donning sterile gloves after performing hand hygiene and opening the sterile kit
B. Wearing a face shield and gown throughout the entire catheter insertion procedure
C. Cleaning the perineal area with soap and water before beginning the sterile procedure
D. Applying clean gloves to remove the old condom catheter before starting the sterile
insertion
, A. Donning sterile gloves after performing hand hygiene and opening the sterile kit ✓
CORRECT
Correct Answer: A
Rationale: Standard precautions require hand hygiene before and after patient contact,
and sterile technique during catheter insertion mandates sterile gloves after the kit is
opened to maintain asepsis. A face shield and gown are indicated for splash risk, not
routine catheter insertion. Soap and water cleansing is not part of the sterile
catheterization protocol; an antiseptic solution is used during the sterile procedure.
Clean gloves would be appropriate for removing a condom catheter, but the question
focuses on the insertion itself.
Question 5 of 50
A nurse is caring for a client with a newly placed nasogastric (NG) tube for gastric
decompression. When verifying tube placement prior to initiating suction, which finding
provides the most reliable confirmation?
A. Aspirating 20 mL of clear yellow fluid and testing the pH at 3.5
B. Auscultating a gurgling sound over the epigastrium after instilling 30 mL of air
C. Measuring the tube length from the nare to the earlobe to the xiphoid process
D. Observing the client cough and gag during the initial insertion
A. Aspirating 20 mL of clear yellow fluid and testing the pH at 3.5 ✓ CORRECT
Correct Answer: A
Rationale: Aspirating gastric fluid with a pH of 3.5 or less is the most reliable bedside
method for confirming NG tube placement in the stomach, as gastric pH is typically
acidic. The auscultatory air insufflation method is no longer recommended because it
can produce false positives if the tube is in the esophagus or lungs. External
measurement estimates insertion length but does not confirm final placement.
Detailed Rationales | Complete Exam-Style Questions |
100% Verified | Pass Guaranteed - A+ Graded
Total Questions: 50 | Time: 90 min | Pass: 100%
TABLE OF CONTENTS
Section 1 | Fundamentals of Nursing & Patient Care | Q1 – Q10
Section 2 | Medical-Surgical Nursing Concepts | Q11 – Q20
Section 3 | Pharmacology & Medication Administration | Q21 – Q30
Section 4 | Health Assessment & Clinical Judgment | Q31 – Q40
Section 5 | Nursing Leadership & Professional Practice | Q41 – Q50
Instructions: Choose the single best answer. Pass: 100% in 90 minutes.
══════════════════════════════════════
SECTION 1: FUNDAMENTALS OF NURSING & PATIENT CARE Q1 – Q10
══════════════════════════════════════
Question 1 of 50
A 78-year-old client with a history of congestive heart failure is admitted to the
medical-surgical unit with bilateral lower extremity edema. The nurse is reviewing the
physician's orders and notes a prescription for furosemide 40 mg IV push daily. Before
administering the medication, the nurse should prioritize which assessment?
A. Auscultating lung sounds bilaterally and checking for crackles
B. Evaluating the client's current serum potassium level
C. Measuring the client's daily intake and output for the past 24 hours
D. Assessing the client's level of consciousness and orientation
B. Evaluating the client's current serum potassium level ✓ CORRECT
Correct Answer: B
Rationale: Furosemide is a loop diuretic that promotes potassium wasting, and a
78-year-old client with CHF is already at high risk for hypokalemia and cardiac
,dysrhythmias. Checking the potassium level before administration prevents potentially
lethal arrhythmias from electrolyte imbalance. While lung sounds are important for
monitoring fluid status, they do not pose an immediate safety threat before giving the
first dose. A quick glance at the most recent labs takes priority over retrospective intake
and output measurements.
Question 2 of 50
A nurse is caring for a postoperative client who had an abdominal hysterectomy 8 hours
ago. The client reports pain at a 7/10 and states she is afraid to use the
patient-controlled analgesia (PCA) pump because she does not want to become
addicted. Which response by the nurse best demonstrates therapeutic communication?
A. "You won't become addicted; the pump has a lockout interval that prevents overdose."
B. "Addiction is very rare in the acute postoperative setting when pain is being managed
appropriately."
C. "I understand your concern. Let's talk about how the PCA works and what you can
expect."
D. "Your surgeon ordered this because he expects you to have significant pain."
C. "I understand your concern. Let's talk about how the PCA works and what you can
expect." ✓ CORRECT
Correct Answer: C
Rationale: Therapeutic communication begins with acknowledging the client's feelings
and inviting collaboration, which builds trust and reduces anxiety. Stating that addiction
is rare, while factually accurate, dismisses the client's emotional concern rather than
validating it. Providing a technical explanation about the lockout interval does not
address the underlying fear, and citing the surgeon's authority does not empower the
client to participate in her own care.
Question 3 of 50
,During a morning assessment, a nurse notices that an 82-year-old client with dementia
has a Stage 2 pressure injury on the sacrum. The wound is 2 cm × 1.5 cm, partial
thickness, with a red-pink wound bed and no slough. Which intervention should the
nurse implement first?
A. Apply a hydrocolloid dressing to maintain a moist healing environment
B. Reposition the client every 2 hours and document the wound measurements
C. Notify the wound care team for advanced debridement recommendations
D. Obtain a culture and sensitivity specimen from the wound bed
B. Reposition the client every 2 hours and document the wound measurements ✓
CORRECT
Correct Answer: B
Rationale: The first priority in pressure injury management is relieving the source of
pressure to prevent further tissue damage, and repositioning is the most immediate
nursing intervention. A hydrocolloid dressing is appropriate for a Stage 2 wound but
only after pressure relief has been established. Debridement is unnecessary for a clean
Stage 2 wound with no slough, and cultures are only indicated when infection is
suspected.
Question 4 of 50
A nurse is preparing to insert an indwelling urinary catheter for a 65-year-old male client
who has urinary retention following spinal surgery. The client is alert and cooperative.
Which action by the nurse demonstrates the correct application of standard
precautions?
A. Donning sterile gloves after performing hand hygiene and opening the sterile kit
B. Wearing a face shield and gown throughout the entire catheter insertion procedure
C. Cleaning the perineal area with soap and water before beginning the sterile procedure
D. Applying clean gloves to remove the old condom catheter before starting the sterile
insertion
, A. Donning sterile gloves after performing hand hygiene and opening the sterile kit ✓
CORRECT
Correct Answer: A
Rationale: Standard precautions require hand hygiene before and after patient contact,
and sterile technique during catheter insertion mandates sterile gloves after the kit is
opened to maintain asepsis. A face shield and gown are indicated for splash risk, not
routine catheter insertion. Soap and water cleansing is not part of the sterile
catheterization protocol; an antiseptic solution is used during the sterile procedure.
Clean gloves would be appropriate for removing a condom catheter, but the question
focuses on the insertion itself.
Question 5 of 50
A nurse is caring for a client with a newly placed nasogastric (NG) tube for gastric
decompression. When verifying tube placement prior to initiating suction, which finding
provides the most reliable confirmation?
A. Aspirating 20 mL of clear yellow fluid and testing the pH at 3.5
B. Auscultating a gurgling sound over the epigastrium after instilling 30 mL of air
C. Measuring the tube length from the nare to the earlobe to the xiphoid process
D. Observing the client cough and gag during the initial insertion
A. Aspirating 20 mL of clear yellow fluid and testing the pH at 3.5 ✓ CORRECT
Correct Answer: A
Rationale: Aspirating gastric fluid with a pH of 3.5 or less is the most reliable bedside
method for confirming NG tube placement in the stomach, as gastric pH is typically
acidic. The auscultatory air insufflation method is no longer recommended because it
can produce false positives if the tube is in the esophagus or lungs. External
measurement estimates insertion length but does not confirm final placement.
