NR 226 / NR226 Fundamentals Patient Care Guide
Exam Actual 2025/2026 with Detailed Rationales |
100% Verified | Pass Guaranteed – A+ Graded
SECTION 1: FOUNDATIONS OF NURSING PRACTICE (Q1–Q12)
Q1: A nurse is caring for a patient who has been diagnosed with a new chronic
illness. The patient states, "I don't understand why this is happening to me." Which
response by the nurse demonstrates therapeutic communication?
A. "Don't worry, everything will be fine."
B. "You should focus on getting better instead of asking why."
C. "Tell me more about what you are feeling right now."
D. "Many people feel this way when they get sick."
Correct Answer: C
Rationale: Correct because open-ended questions encourage patients to express
their feelings and concerns, facilitating a therapeutic nurse-patient relationship and
promoting emotional processing.
Q2: During the evaluation phase of the nursing process, the nurse determines that
the patient's goal of "ambulating 50 feet with a walker by day 3" was not met. What is
the nurse's priority action?
A. Discontinue the care plan immediately
B. Reassess the patient, review the plan, and revise interventions as needed
C. Document the failure and move to the next diagnosis
D. Ask the physician to write a new order
Correct Answer: C
Rationale: Correct because evaluation requires analyzing why a goal was not
achieved, reassessing the patient, and modifying the care plan with revised
interventions to address barriers to goal attainment.
Q3: A nurse is using critical thinking to prioritize patient care. Which factor should be
considered first when determining which patient need requires immediate attention?
A. The patient's insurance coverage
B. The patient's room assignment
C. The patient's airway, breathing, and circulation status
,D. The patient's scheduled discharge date
Correct Answer: C
Rationale: Correct because Maslow's hierarchy of needs and the ABCs (airway,
breathing, circulation) guide prioritization, ensuring that life-threatening physiological
needs are addressed before all other concerns.
Q4: A patient refuses a prescribed blood transfusion based on religious beliefs. The
nurse understands that respecting this decision is an example of which ethical
principle?
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Justice
Correct Answer: C
Rationale: Correct because autonomy is the ethical principle that recognizes a
patient's right to self-determination, including the right to refuse treatment even
when the nurse or physician disagrees with the decision.
Q5: A nurse delegates the task of measuring vital signs to an unlicensed assistive
personnel (UAP). Which action by the nurse demonstrates appropriate delegation?
A. Asking the UAP to interpret the vital sign results
B. Instructing the UAP to report abnormal findings immediately and verifying
competency first
C. Telling the UAP to handle all patient care without supervision
D. Delegating the task without providing any instructions
Correct Answer: C
Rationale: Correct because appropriate delegation requires clear communication of
expectations, verification of the UAP's competency, and the expectation that
abnormal findings will be reported to the licensed nurse for clinical decision-making.
Q6: A nurse is documenting patient care using the SOAP format. What does the "A" in
SOAP represent?
A. Admission data
B. Assessment (analysis of the subjective and objective data)
C. Activities of daily living
D. Allergies
Correct Answer: C
, Rationale: Correct because in SOAP documentation, "A" stands for Assessment,
which is the nurse's clinical judgment or analysis of the subjective and objective data
collected during patient care.
Q7: A nurse is providing care to a patient who speaks a different language. Which
action best ensures accurate communication?
A. Asking a family member to translate all medical information
B. Using a professional medical interpreter
C. Speaking louder and slower in English
D. Avoiding communication to prevent misunderstandings
Correct Answer: C
Rationale: Correct because professional medical interpreters are trained to convey
accurate medical information while maintaining confidentiality, which is essential for
safe, culturally competent care.
Q8: A nurse observes a colleague documenting care that was not actually provided.
What is the nurse's first responsibility?
A. Ignore the behavior to avoid conflict
B. Confront the colleague publicly
C. Report the incident to the nurse manager following facility policy and professional
standards
D. Document the observation in the patient's chart
Correct Answer: C
Rationale: Correct because falsification of documentation is a serious breach of
professional ethics and patient safety; the nurse must follow the chain of command
and institutional policy to report the incident.
Q9: Which nursing action best demonstrates the principle of beneficence?
A. Respecting a patient's refusal of treatment
B. Administering pain medication as prescribed to relieve suffering
C. Treating all patients equally regardless of background
D. Maintaining patient confidentiality
Correct Answer: C
Rationale: Correct because beneficence is the ethical obligation to act in the patient's
best interest by promoting well-being and preventing harm, such as providing
effective pain relief.
Exam Actual 2025/2026 with Detailed Rationales |
100% Verified | Pass Guaranteed – A+ Graded
SECTION 1: FOUNDATIONS OF NURSING PRACTICE (Q1–Q12)
Q1: A nurse is caring for a patient who has been diagnosed with a new chronic
illness. The patient states, "I don't understand why this is happening to me." Which
response by the nurse demonstrates therapeutic communication?
A. "Don't worry, everything will be fine."
B. "You should focus on getting better instead of asking why."
C. "Tell me more about what you are feeling right now."
D. "Many people feel this way when they get sick."
Correct Answer: C
Rationale: Correct because open-ended questions encourage patients to express
their feelings and concerns, facilitating a therapeutic nurse-patient relationship and
promoting emotional processing.
Q2: During the evaluation phase of the nursing process, the nurse determines that
the patient's goal of "ambulating 50 feet with a walker by day 3" was not met. What is
the nurse's priority action?
A. Discontinue the care plan immediately
B. Reassess the patient, review the plan, and revise interventions as needed
C. Document the failure and move to the next diagnosis
D. Ask the physician to write a new order
Correct Answer: C
Rationale: Correct because evaluation requires analyzing why a goal was not
achieved, reassessing the patient, and modifying the care plan with revised
interventions to address barriers to goal attainment.
Q3: A nurse is using critical thinking to prioritize patient care. Which factor should be
considered first when determining which patient need requires immediate attention?
A. The patient's insurance coverage
B. The patient's room assignment
C. The patient's airway, breathing, and circulation status
,D. The patient's scheduled discharge date
Correct Answer: C
Rationale: Correct because Maslow's hierarchy of needs and the ABCs (airway,
breathing, circulation) guide prioritization, ensuring that life-threatening physiological
needs are addressed before all other concerns.
Q4: A patient refuses a prescribed blood transfusion based on religious beliefs. The
nurse understands that respecting this decision is an example of which ethical
principle?
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Justice
Correct Answer: C
Rationale: Correct because autonomy is the ethical principle that recognizes a
patient's right to self-determination, including the right to refuse treatment even
when the nurse or physician disagrees with the decision.
Q5: A nurse delegates the task of measuring vital signs to an unlicensed assistive
personnel (UAP). Which action by the nurse demonstrates appropriate delegation?
A. Asking the UAP to interpret the vital sign results
B. Instructing the UAP to report abnormal findings immediately and verifying
competency first
C. Telling the UAP to handle all patient care without supervision
D. Delegating the task without providing any instructions
Correct Answer: C
Rationale: Correct because appropriate delegation requires clear communication of
expectations, verification of the UAP's competency, and the expectation that
abnormal findings will be reported to the licensed nurse for clinical decision-making.
Q6: A nurse is documenting patient care using the SOAP format. What does the "A" in
SOAP represent?
A. Admission data
B. Assessment (analysis of the subjective and objective data)
C. Activities of daily living
D. Allergies
Correct Answer: C
, Rationale: Correct because in SOAP documentation, "A" stands for Assessment,
which is the nurse's clinical judgment or analysis of the subjective and objective data
collected during patient care.
Q7: A nurse is providing care to a patient who speaks a different language. Which
action best ensures accurate communication?
A. Asking a family member to translate all medical information
B. Using a professional medical interpreter
C. Speaking louder and slower in English
D. Avoiding communication to prevent misunderstandings
Correct Answer: C
Rationale: Correct because professional medical interpreters are trained to convey
accurate medical information while maintaining confidentiality, which is essential for
safe, culturally competent care.
Q8: A nurse observes a colleague documenting care that was not actually provided.
What is the nurse's first responsibility?
A. Ignore the behavior to avoid conflict
B. Confront the colleague publicly
C. Report the incident to the nurse manager following facility policy and professional
standards
D. Document the observation in the patient's chart
Correct Answer: C
Rationale: Correct because falsification of documentation is a serious breach of
professional ethics and patient safety; the nurse must follow the chain of command
and institutional policy to report the incident.
Q9: Which nursing action best demonstrates the principle of beneficence?
A. Respecting a patient's refusal of treatment
B. Administering pain medication as prescribed to relieve suffering
C. Treating all patients equally regardless of background
D. Maintaining patient confidentiality
Correct Answer: C
Rationale: Correct because beneficence is the ethical obligation to act in the patient's
best interest by promoting well-being and preventing harm, such as providing
effective pain relief.
