Final Exam 1 NR 226 Comprehensive
Review Study Guide with Practice
Questions Latest Edition (2026
EXAM.
1. A nurse is caring for a patient who reports shortness of
breath. Which action should the nurse take first?
A. Call the provider
B. Check the oxygen saturation
C. Raise the head of the bed
D. Administer oxygen via mask
Answer: B
Rationale: Assessment is the first step of the nursing process. The
nurse must collect objective data (pulse oximetry) to determine
the severity before implementing interventions (positioning or
oxygen).
2. Which statement by the nurse best reflects the principle of
autonomy?
A. “I’ll give you your pain medication now.”
B. “You have the right to refuse this blood transfusion.”
, C. “We need to start your IV antibiotics.”
D. “Your family wants you to eat more.”
Answer: B
Rationale: Autonomy respects the patient’s right to make their
own healthcare decisions, even if the nurse disagrees.
3. A patient with an advance directive has a Do Not
Resuscitate (DNR) order. The patient goes into cardiac arrest.
What should the nurse do?
A. Start CPR immediately
B. Call a code blue
C. Do not start CPR and support the family
D. Call the provider for permission
Answer: C
Rationale: A valid DNR order legally means CPR should not be
initiated. The nurse supports the patient’s wishes and provides
emotional support to the family.
4. The nurse delegates taking vital signs to an unlicensed
assistive personnel (UAP). Which right of delegation is the
nurse exercising?
A. Right task
B. Right person
, C. Right circumstance
D. Right supervision
Answer: A
Rationale: Vital signs are a routine, stable task appropriate for
delegation. This is the "right task." (Note: all 5 rights apply, but
this directly asks which right is being used; the act of choosing
vitals is the task itself).
5. A patient tells the nurse, “I don’t want to take that pill; it
makes me dizzy.” The nurse crushes the pill and hides it in
applesauce. This is an example of:
A. Assault
B. Battery
C. Malpractice
D. Negligence
Answer: B
Rationale: Battery is intentional physical contact without consent.
Hiding the medication constitutes unwanted bodily contact
(administration of a drug the patient refused).
6. Which NANDA nursing diagnosis is written correctly?
A. Pneumonia related to infection
, B. Impaired Gas Exchange related to alveolar-capillary
membrane changes
C. Risk for Falls r/t age
D. Pain related to surgical incision as evidenced by patient
statement
Answer: B
Rationale: Correct format: [NANDA diagnosis] related to
[etiology] as evidenced by [signs/symptoms] (when applicable). B
uses a nursing diagnosis, not a medical one. A is a medical
diagnosis.
7. The nurse is using the ISBAR tool to call a provider. What
does the "B" stand for?
A. Breathing
B. Background
C. Baseline
D. Behavior
Answer: B
Rationale: ISBAR = Identify, Situation, Background, Assessment,
Recommendation. "Background" gives context (admission
diagnosis, relevant history).
Review Study Guide with Practice
Questions Latest Edition (2026
EXAM.
1. A nurse is caring for a patient who reports shortness of
breath. Which action should the nurse take first?
A. Call the provider
B. Check the oxygen saturation
C. Raise the head of the bed
D. Administer oxygen via mask
Answer: B
Rationale: Assessment is the first step of the nursing process. The
nurse must collect objective data (pulse oximetry) to determine
the severity before implementing interventions (positioning or
oxygen).
2. Which statement by the nurse best reflects the principle of
autonomy?
A. “I’ll give you your pain medication now.”
B. “You have the right to refuse this blood transfusion.”
, C. “We need to start your IV antibiotics.”
D. “Your family wants you to eat more.”
Answer: B
Rationale: Autonomy respects the patient’s right to make their
own healthcare decisions, even if the nurse disagrees.
3. A patient with an advance directive has a Do Not
Resuscitate (DNR) order. The patient goes into cardiac arrest.
What should the nurse do?
A. Start CPR immediately
B. Call a code blue
C. Do not start CPR and support the family
D. Call the provider for permission
Answer: C
Rationale: A valid DNR order legally means CPR should not be
initiated. The nurse supports the patient’s wishes and provides
emotional support to the family.
4. The nurse delegates taking vital signs to an unlicensed
assistive personnel (UAP). Which right of delegation is the
nurse exercising?
A. Right task
B. Right person
, C. Right circumstance
D. Right supervision
Answer: A
Rationale: Vital signs are a routine, stable task appropriate for
delegation. This is the "right task." (Note: all 5 rights apply, but
this directly asks which right is being used; the act of choosing
vitals is the task itself).
5. A patient tells the nurse, “I don’t want to take that pill; it
makes me dizzy.” The nurse crushes the pill and hides it in
applesauce. This is an example of:
A. Assault
B. Battery
C. Malpractice
D. Negligence
Answer: B
Rationale: Battery is intentional physical contact without consent.
Hiding the medication constitutes unwanted bodily contact
(administration of a drug the patient refused).
6. Which NANDA nursing diagnosis is written correctly?
A. Pneumonia related to infection
, B. Impaired Gas Exchange related to alveolar-capillary
membrane changes
C. Risk for Falls r/t age
D. Pain related to surgical incision as evidenced by patient
statement
Answer: B
Rationale: Correct format: [NANDA diagnosis] related to
[etiology] as evidenced by [signs/symptoms] (when applicable). B
uses a nursing diagnosis, not a medical one. A is a medical
diagnosis.
7. The nurse is using the ISBAR tool to call a provider. What
does the "B" stand for?
A. Breathing
B. Background
C. Baseline
D. Behavior
Answer: B
Rationale: ISBAR = Identify, Situation, Background, Assessment,
Recommendation. "Background" gives context (admission
diagnosis, relevant history).
