UST FINAL EXAM 2026–2027 | (100 QUESTIONS AND CORRECT
ANSWERS) | ALREADY GRADED A+ | 100% VERIFIED
Nursing & Academic Health Sciences | University of Santo Tomas (UST) / University of St. Thomas
Nursing Programs
Key Domains: Medical-Surgical Nursing, Pharmacology, Pathophysiology, Nursing Fundamentals, Health Assessment, Maternal
and Child Health, and Professional Ethics | Expert-Aligned Structure | Exam-Ready Format
Introduction
This structured UST FINAL EXAM format for 2026–2027 provides the complete layout for generating high-quality exam-style
questions with correct answers and rationales. It emphasizes foundational nursing principles, evidence-based clinical
interventions, patient safety protocols, and critical thinking strategies critical to academic success and professional nursing
practice.
The official, verified question count for the actual UST Final Nursing Examination is exactly 100 multiple-choice questions. This
document mirrors that authentic exam length and structure.
Answer Format
All correct answers appear in BOLD CYAN. Each question includes a concise rationale explaining safety/clinical reasoning,
protocol adherence, and why alternative options are less appropriate.
1. A nurse is preparing to administer a medication via the intramuscular route. Which site is preferred for an adult
patient who requires frequent injections?
A. Dorsogluteal muscle
B. Ventrogluteal muscle
C. Vastus lateralis muscle
D. Deltoid muscle
Correct Answer: B. Ventrogluteal muscle
Rationale: The ventrogluteal site is preferred for IM injections in adults because it is away from major nerves and blood vessels,
has a thick muscle mass, and is easily accessible.
2. Which action best demonstrates the principle of asepsis when performing a sterile dressing change?
A. Placing the sterile dressing kit on the patient’s bed without a barrier
B. Reaching across the sterile field to adjust the patient’s position
C. Wearing sterile gloves while touching only the outer 1-inch border of the sterile field
D. Using the same pair of sterile gloves for multiple dressing changes
Correct Answer: C. Wearing sterile gloves while touching only the outer 1-inch border of the sterile field
,Rationale: The outer 1-inch border of a sterile field is considered contaminated. Touching only the outer border while wearing
sterile gloves maintains asepsis. Reaching across or using non-sterile surfaces contaminates the field.
3. A patient’s vital signs are: BP 88/54 mmHg, HR 112 bpm, RR 28 breaths/min, Temp 36.2°C. The nurse recognizes
these findings as indicative of:
A. Normal compensatory response
B. Hypertensive crisis
C. Early septic shock or hypovolemic shock
D. Normal postoperative recovery
Correct Answer: C. Early septic shock or hypovolemic shock
Rationale: Hypotension, tachycardia, and tachypnea are classic signs of compensatory shock (hypovolemic or distributive).
These indicate inadequate tissue perfusion and require immediate intervention.
4. When delegating ambulation of a stable patient to a nursing assistant, the nurse must:
A. Delegate only if the patient has no history of falls
B. Provide specific instructions and remain available to assist if needed
C. Assume the nursing assistant will report any problems without follow-up
D. Document that the task was completed without verifying
Correct Answer: B. Provide specific instructions and remain available to assist if needed
Rationale: Delegation requires clear communication of expectations, patient-specific instructions, and the nurse’s availability for
assistance. The nurse retains accountability and must follow up.
5. A nurse is teaching a patient about the importance of hand hygiene. Which statement by the patient indicates
correct understanding?
A. I should wash my hands for at least 20 seconds with soap and water or use alcohol-based sanitizer when hands are not
visibly soiled
B. Gloves replace the need for hand hygiene
C. Hand hygiene is only necessary before eating
D. I only need to wash my hands after using the bathroom
Correct Answer: A. I should wash my hands for at least 20 seconds with soap and water or use alcohol-based sanitizer
when hands are not visibly soiled
Rationale: Proper hand hygiene (20 seconds with soap or alcohol sanitizer when not visibly dirty) is the single most effective
measure to prevent infection transmission. Gloves do not replace hand hygiene.
6. Which oxygen delivery device provides the most precise FiO2 for a patient requiring 40% oxygen?
A. Non-rebreather mask
B. Simple face mask
C. Venturi mask
D. Nasal cannula at 6 L/min
, Correct Answer: C. Venturi mask
Rationale: The Venturi mask delivers a precise, controlled FiO2 regardless of the patient’s respiratory pattern, making it ideal for
patients who require exact oxygen concentrations.
7. A nurse is caring for a patient with a nasogastric tube. Which action is essential to prevent aspiration?
A. Administer feedings rapidly to reduce exposure time
B. Verify tube placement before each feeding or medication administration
C. Flush the tube with 10 mL of air only before checking residual
D. Keep the head of the bed flat at all times
Correct Answer: B. Verify tube placement before each feeding or medication administration
Rationale: Confirming NG tube placement (by pH, x-ray, or aspirate characteristics) before use is critical to prevent accidental
pulmonary feeding or medication administration, which can cause severe aspiration pneumonia.
8. The nurse is performing range-of-motion exercises on a comatose patient. Which principle should guide the
intervention?
A. Force the joint past the point of resistance to increase flexibility
B. Avoid any movement of the affected extremities
C. Support the joint above and below the area being moved and move slowly through the full range
D. Perform passive ROM exercises only once per week to avoid fatigue
Correct Answer: C. Support the joint above and below the area being moved and move slowly through the full range
Rationale: Passive ROM should be performed slowly and gently with support at the joints to maintain mobility and prevent
contractures without causing injury or pain.
9. A patient reports severe pain rated 9/10. The nurse’s first action should be to:
A. Assess the characteristics, location, and aggravating/alleviating factors of the pain
B. Encourage the patient to use distraction techniques
C. Administer the prescribed analgesic immediately
D. Document the pain score and continue with other tasks
Correct Answer: A. Assess the characteristics, location, and aggravating/alleviating factors of the pain
Rationale: Thorough pain assessment (location, quality, radiation, severity, timing, etc.) is required before intervention to
determine the appropriate treatment and evaluate effectiveness.
10. Which infection control precaution is indicated for a patient with Clostridium difficile infection?
A. Airborne precautions with N95 mask
B. Standard precautions only
C. Droplet precautions with surgical mask
D. Contact precautions with soap and water hand hygiene
Correct Answer: D. Contact precautions with soap and water hand hygiene
ANSWERS) | ALREADY GRADED A+ | 100% VERIFIED
Nursing & Academic Health Sciences | University of Santo Tomas (UST) / University of St. Thomas
Nursing Programs
Key Domains: Medical-Surgical Nursing, Pharmacology, Pathophysiology, Nursing Fundamentals, Health Assessment, Maternal
and Child Health, and Professional Ethics | Expert-Aligned Structure | Exam-Ready Format
Introduction
This structured UST FINAL EXAM format for 2026–2027 provides the complete layout for generating high-quality exam-style
questions with correct answers and rationales. It emphasizes foundational nursing principles, evidence-based clinical
interventions, patient safety protocols, and critical thinking strategies critical to academic success and professional nursing
practice.
The official, verified question count for the actual UST Final Nursing Examination is exactly 100 multiple-choice questions. This
document mirrors that authentic exam length and structure.
Answer Format
All correct answers appear in BOLD CYAN. Each question includes a concise rationale explaining safety/clinical reasoning,
protocol adherence, and why alternative options are less appropriate.
1. A nurse is preparing to administer a medication via the intramuscular route. Which site is preferred for an adult
patient who requires frequent injections?
A. Dorsogluteal muscle
B. Ventrogluteal muscle
C. Vastus lateralis muscle
D. Deltoid muscle
Correct Answer: B. Ventrogluteal muscle
Rationale: The ventrogluteal site is preferred for IM injections in adults because it is away from major nerves and blood vessels,
has a thick muscle mass, and is easily accessible.
2. Which action best demonstrates the principle of asepsis when performing a sterile dressing change?
A. Placing the sterile dressing kit on the patient’s bed without a barrier
B. Reaching across the sterile field to adjust the patient’s position
C. Wearing sterile gloves while touching only the outer 1-inch border of the sterile field
D. Using the same pair of sterile gloves for multiple dressing changes
Correct Answer: C. Wearing sterile gloves while touching only the outer 1-inch border of the sterile field
,Rationale: The outer 1-inch border of a sterile field is considered contaminated. Touching only the outer border while wearing
sterile gloves maintains asepsis. Reaching across or using non-sterile surfaces contaminates the field.
3. A patient’s vital signs are: BP 88/54 mmHg, HR 112 bpm, RR 28 breaths/min, Temp 36.2°C. The nurse recognizes
these findings as indicative of:
A. Normal compensatory response
B. Hypertensive crisis
C. Early septic shock or hypovolemic shock
D. Normal postoperative recovery
Correct Answer: C. Early septic shock or hypovolemic shock
Rationale: Hypotension, tachycardia, and tachypnea are classic signs of compensatory shock (hypovolemic or distributive).
These indicate inadequate tissue perfusion and require immediate intervention.
4. When delegating ambulation of a stable patient to a nursing assistant, the nurse must:
A. Delegate only if the patient has no history of falls
B. Provide specific instructions and remain available to assist if needed
C. Assume the nursing assistant will report any problems without follow-up
D. Document that the task was completed without verifying
Correct Answer: B. Provide specific instructions and remain available to assist if needed
Rationale: Delegation requires clear communication of expectations, patient-specific instructions, and the nurse’s availability for
assistance. The nurse retains accountability and must follow up.
5. A nurse is teaching a patient about the importance of hand hygiene. Which statement by the patient indicates
correct understanding?
A. I should wash my hands for at least 20 seconds with soap and water or use alcohol-based sanitizer when hands are not
visibly soiled
B. Gloves replace the need for hand hygiene
C. Hand hygiene is only necessary before eating
D. I only need to wash my hands after using the bathroom
Correct Answer: A. I should wash my hands for at least 20 seconds with soap and water or use alcohol-based sanitizer
when hands are not visibly soiled
Rationale: Proper hand hygiene (20 seconds with soap or alcohol sanitizer when not visibly dirty) is the single most effective
measure to prevent infection transmission. Gloves do not replace hand hygiene.
6. Which oxygen delivery device provides the most precise FiO2 for a patient requiring 40% oxygen?
A. Non-rebreather mask
B. Simple face mask
C. Venturi mask
D. Nasal cannula at 6 L/min
, Correct Answer: C. Venturi mask
Rationale: The Venturi mask delivers a precise, controlled FiO2 regardless of the patient’s respiratory pattern, making it ideal for
patients who require exact oxygen concentrations.
7. A nurse is caring for a patient with a nasogastric tube. Which action is essential to prevent aspiration?
A. Administer feedings rapidly to reduce exposure time
B. Verify tube placement before each feeding or medication administration
C. Flush the tube with 10 mL of air only before checking residual
D. Keep the head of the bed flat at all times
Correct Answer: B. Verify tube placement before each feeding or medication administration
Rationale: Confirming NG tube placement (by pH, x-ray, or aspirate characteristics) before use is critical to prevent accidental
pulmonary feeding or medication administration, which can cause severe aspiration pneumonia.
8. The nurse is performing range-of-motion exercises on a comatose patient. Which principle should guide the
intervention?
A. Force the joint past the point of resistance to increase flexibility
B. Avoid any movement of the affected extremities
C. Support the joint above and below the area being moved and move slowly through the full range
D. Perform passive ROM exercises only once per week to avoid fatigue
Correct Answer: C. Support the joint above and below the area being moved and move slowly through the full range
Rationale: Passive ROM should be performed slowly and gently with support at the joints to maintain mobility and prevent
contractures without causing injury or pain.
9. A patient reports severe pain rated 9/10. The nurse’s first action should be to:
A. Assess the characteristics, location, and aggravating/alleviating factors of the pain
B. Encourage the patient to use distraction techniques
C. Administer the prescribed analgesic immediately
D. Document the pain score and continue with other tasks
Correct Answer: A. Assess the characteristics, location, and aggravating/alleviating factors of the pain
Rationale: Thorough pain assessment (location, quality, radiation, severity, timing, etc.) is required before intervention to
determine the appropriate treatment and evaluate effectiveness.
10. Which infection control precaution is indicated for a patient with Clostridium difficile infection?
A. Airborne precautions with N95 mask
B. Standard precautions only
C. Droplet precautions with surgical mask
D. Contact precautions with soap and water hand hygiene
Correct Answer: D. Contact precautions with soap and water hand hygiene
