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NUR2811 MIDTERM EXAM QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
NUR2811 MIDTERM EXAM
EXAM COVERAGE — MOSTLY TESTED AREAS
1. Nursing assessment and clinical judgment — collecting subjective and objective data,
identifying abnormal findings, prioritizing patient needs, and recognizing changes in condition.
2. Vital signs and basic patient assessment — temperature, pulse, respirations, blood pressure,
oxygen saturation, pain assessment, trends, and appropriate nursing responses.
3. Infection prevention and control — standard precautions, transmission-based precautions,
hand hygiene, personal protective equipment, isolation procedures, and prevention of
healthcare-associated infections.
4. Safety and fall prevention — environmental safety, fall-risk assessment, safe transfers,
positioning, restraints, emergency precautions, and prevention of patient injury.
5. Medication administration fundamentals — medication rights, dosage safety, routes of
administration, adverse effects, medication reconciliation, documentation, and patient
education.
6. Fluid, electrolyte, and nutritional balance — hydration status, dehydration, fluid overload,
sodium and potassium abnormalities, nutrition assessment, and nursing interventions.
7. Mobility, positioning, and skin integrity — pressure-injury prevention, repositioning, range-of-
motion exercises, mobility assistance, pressure-relieving measures, and skin assessment.
8. Communication and therapeutic nursing relationships — therapeutic communication, active
listening, professional boundaries, patient education, cultural considerations, and effective
nurse-patient interactions.
9. Pain, comfort, sleep, and psychosocial needs — pain assessment, pharmacologic and
nonpharmacologic interventions, sleep promotion, anxiety, coping, and emotional support.
10. Documentation, delegation, ethics, and professional nursing practice — accurate charting,
confidentiality, informed consent, scope of practice, delegation, ethical principles, prioritization,
and patient advocacy.
1.
A nurse is beginning an assessment of an adult patient who reports feeling generally unwell but provides
few specific symptoms. Which action should the nurse perform first?
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A. Obtain a complete medication history before asking additional questions
B. Begin with a systematic assessment while allowing the patient to describe concerns
C. Ask the patient's family member to explain the patient's current condition
D. Immediately notify the healthcare provider about the patient's vague complaint
Answer: B.
Rationale: A systematic assessment begins by establishing the patient's concerns and collecting
subjective and objective information before determining appropriate interventions.
2.
A hospitalized patient suddenly becomes confused and restless compared with the patient's
documented condition earlier that morning. What should the nurse do first?
A. Document the behavior and reassess the patient during the next scheduled assessment
B. Ask the family whether similar confusion occurs at home
C. Assess the patient's airway, breathing, circulation, vital signs, and neurologic status
D. Administer a prescribed medication for anxiety before performing another assessment
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Answer: C.
Rationale: An acute change in mental status may indicate a serious physiologic problem. Immediate
assessment of ABCs and neurologic status is appropriate.
3.
A nurse is teaching a patient why hand hygiene is required before and after direct patient contact.
Which explanation is most accurate?
A. Hand hygiene removes every microorganism permanently from the hands
B. Hand hygiene reduces transmission of microorganisms between patients, staff, and environments
C. Hand hygiene is necessary only when visible contamination is present
D. Hand hygiene replaces the need for appropriate personal protective equipment
Answer: B.
Rationale: Proper hand hygiene is one of the most important measures for reducing transmission of
microorganisms in healthcare settings.
4.
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A nurse is assessing a patient who reports severe pain using a numerical pain scale. Which additional
assessment information is most important?
A. The patient's favorite recreational activities
B. The patient's usual bedtime routine
C. The location, quality, duration, and factors affecting the pain
D. The patient's preferred hospital meal
Answer: C.
Rationale: Comprehensive pain assessment includes location, intensity, quality, timing, aggravating
factors, relieving factors, and associated symptoms.
5.
A nurse is preparing to administer a medication and discovers that the patient's identification band is
missing. What should the nurse do?
A. Ask another patient to confirm the patient's identity
B. Administer the medication because the nurse recognizes the patient
C. Verify the patient's identity using approved identification procedures before administration
D. Leave the medication at the bedside for the patient to take later
NUR2811 MIDTERM EXAM QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
NUR2811 MIDTERM EXAM
EXAM COVERAGE — MOSTLY TESTED AREAS
1. Nursing assessment and clinical judgment — collecting subjective and objective data,
identifying abnormal findings, prioritizing patient needs, and recognizing changes in condition.
2. Vital signs and basic patient assessment — temperature, pulse, respirations, blood pressure,
oxygen saturation, pain assessment, trends, and appropriate nursing responses.
3. Infection prevention and control — standard precautions, transmission-based precautions,
hand hygiene, personal protective equipment, isolation procedures, and prevention of
healthcare-associated infections.
4. Safety and fall prevention — environmental safety, fall-risk assessment, safe transfers,
positioning, restraints, emergency precautions, and prevention of patient injury.
5. Medication administration fundamentals — medication rights, dosage safety, routes of
administration, adverse effects, medication reconciliation, documentation, and patient
education.
6. Fluid, electrolyte, and nutritional balance — hydration status, dehydration, fluid overload,
sodium and potassium abnormalities, nutrition assessment, and nursing interventions.
7. Mobility, positioning, and skin integrity — pressure-injury prevention, repositioning, range-of-
motion exercises, mobility assistance, pressure-relieving measures, and skin assessment.
8. Communication and therapeutic nursing relationships — therapeutic communication, active
listening, professional boundaries, patient education, cultural considerations, and effective
nurse-patient interactions.
9. Pain, comfort, sleep, and psychosocial needs — pain assessment, pharmacologic and
nonpharmacologic interventions, sleep promotion, anxiety, coping, and emotional support.
10. Documentation, delegation, ethics, and professional nursing practice — accurate charting,
confidentiality, informed consent, scope of practice, delegation, ethical principles, prioritization,
and patient advocacy.
1.
A nurse is beginning an assessment of an adult patient who reports feeling generally unwell but provides
few specific symptoms. Which action should the nurse perform first?
, Page 2 of 171
A. Obtain a complete medication history before asking additional questions
B. Begin with a systematic assessment while allowing the patient to describe concerns
C. Ask the patient's family member to explain the patient's current condition
D. Immediately notify the healthcare provider about the patient's vague complaint
Answer: B.
Rationale: A systematic assessment begins by establishing the patient's concerns and collecting
subjective and objective information before determining appropriate interventions.
2.
A hospitalized patient suddenly becomes confused and restless compared with the patient's
documented condition earlier that morning. What should the nurse do first?
A. Document the behavior and reassess the patient during the next scheduled assessment
B. Ask the family whether similar confusion occurs at home
C. Assess the patient's airway, breathing, circulation, vital signs, and neurologic status
D. Administer a prescribed medication for anxiety before performing another assessment
, Page 3 of 171
Answer: C.
Rationale: An acute change in mental status may indicate a serious physiologic problem. Immediate
assessment of ABCs and neurologic status is appropriate.
3.
A nurse is teaching a patient why hand hygiene is required before and after direct patient contact.
Which explanation is most accurate?
A. Hand hygiene removes every microorganism permanently from the hands
B. Hand hygiene reduces transmission of microorganisms between patients, staff, and environments
C. Hand hygiene is necessary only when visible contamination is present
D. Hand hygiene replaces the need for appropriate personal protective equipment
Answer: B.
Rationale: Proper hand hygiene is one of the most important measures for reducing transmission of
microorganisms in healthcare settings.
4.
, Page 4 of 171
A nurse is assessing a patient who reports severe pain using a numerical pain scale. Which additional
assessment information is most important?
A. The patient's favorite recreational activities
B. The patient's usual bedtime routine
C. The location, quality, duration, and factors affecting the pain
D. The patient's preferred hospital meal
Answer: C.
Rationale: Comprehensive pain assessment includes location, intensity, quality, timing, aggravating
factors, relieving factors, and associated symptoms.
5.
A nurse is preparing to administer a medication and discovers that the patient's identification band is
missing. What should the nurse do?
A. Ask another patient to confirm the patient's identity
B. Administer the medication because the nurse recognizes the patient
C. Verify the patient's identity using approved identification procedures before administration
D. Leave the medication at the bedside for the patient to take later
