NURSING 104 FINAL EXAM — ULL | ACTUAL EXAM 2026 || MOST
RECENT EXAM 2026|2027 ACTUAL COMPLETE REAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ | GUARANTEED SUCCESS!! BRAND NEW
VERSION! | JUST RELEASED!!
A nurse is preparing to administer medication to a patient. Which
action is most important before administering the medication?
A. Ask the patient whether the medication tastes acceptable
B. Verify the medication against the prescription and identify the
patient using approved identifiers
C. Document administration before giving the medication
D. Ask another patient to confirm the patient's identity
Answer: B. verify the medication against the prescription and identify
the patient using approved identifiers.
Rationale: Medication administration requires careful verification to
prevent errors. The nurse should compare the medication with the
prescription and use appropriate patient identifiers before
administration. Documentation should occur after administration, and
another patient should never be used to verify identity.
A patient reports experiencing shortness of breath. Which assessment
finding requires the nurse's most immediate attention?
A. Respiratory rate of 18 breaths/minute
B. Oxygen saturation of 86%
,C. Temperature of 37.1°C (98.8°F)
D. Blood pressure of 128/76 mmHg
Answer: B. Oxygen saturation of 86%.
Rationale: An oxygen saturation of 86% indicates significant
hypoxemia and requires prompt assessment and intervention. Airway
and breathing are immediate priorities. The other findings are within
generally acceptable adult ranges.
Which nursing intervention is most effective for preventing pressure
injuries in an immobile patient?
A. Massage reddened areas vigorously
B. Reposition the patient regularly and relieve pressure over bony
prominences
C. Restrict oral fluids
D. Keep the patient in one position to promote rest
Answer: B. Reposition the patient regularly and relieve pressure over
bony prominences.
Rationale: Prolonged pressure decreases tissue perfusion and can
cause pressure injuries. Regular repositioning, pressure redistribution,
skin assessment, moisture management, and adequate nutrition help
prevent injury. Vigorous massage over reddened areas may worsen
tissue damage.
,A nurse is assessing a patient who has fallen. Which assessment should
be performed first?
A. Ask the patient about the circumstances of the fall
B. Assess airway, breathing, circulation, and level of consciousness
C. Complete the incident report
D. Notify the patient's family
Answer: B. Assess airway, breathing, circulation, and level of
consciousness.
Rationale: Following a fall, the nurse first determines whether the
patient has an immediately life-threatening condition. The primary
assessment focuses on airway, breathing, circulation, neurological
status, and potential injuries. Documentation and notifications occur
after immediate safety concerns have been addressed.
Which finding is most consistent with dehydration?
A. Bounding pulse
B. Moist mucous membranes
C. Concentrated urine
D. Increased urine output
Answer: C. Concentrated urine.
Rationale: Dehydration commonly causes concentrated urine, dry
mucous membranes, thirst, decreased urine output, tachycardia, and
sometimes orthostatic hypotension. Bounding pulses and increased
urine output are not typical findings.
, Which patient statement demonstrates correct understanding of
infection prevention?
A. “I only need to wash my hands when they look dirty.”
B. “Hand hygiene is important before and after patient contact.”
C. “Gloves eliminate the need for hand hygiene.”
D. “Alcohol-based hand sanitizer should never be used.”
Answer: B. “Hand hygiene is important before and after patient
contact.”
Rationale: Hand hygiene is one of the most important measures for
preventing transmission of infection. Gloves do not replace hand
hygiene, and alcohol-based hand rub is appropriate in many clinical
situations when hands are not visibly soiled.
A nurse is caring for a patient who is receiving oxygen therapy. Which
safety intervention is appropriate?
A. Allow smoking near the oxygen source
B. Keep oxygen equipment away from open flames
C. Apply petroleum-based products around the patient's nose
D. Place oxygen equipment next to a heat source
Answer: B. Keep oxygen equipment away from open flames.
Rationale: Oxygen supports combustion and substantially increases
fire risk. Smoking, flames, sparks, and heat sources must be kept away
RECENT EXAM 2026|2027 ACTUAL COMPLETE REAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ | GUARANTEED SUCCESS!! BRAND NEW
VERSION! | JUST RELEASED!!
A nurse is preparing to administer medication to a patient. Which
action is most important before administering the medication?
A. Ask the patient whether the medication tastes acceptable
B. Verify the medication against the prescription and identify the
patient using approved identifiers
C. Document administration before giving the medication
D. Ask another patient to confirm the patient's identity
Answer: B. verify the medication against the prescription and identify
the patient using approved identifiers.
Rationale: Medication administration requires careful verification to
prevent errors. The nurse should compare the medication with the
prescription and use appropriate patient identifiers before
administration. Documentation should occur after administration, and
another patient should never be used to verify identity.
A patient reports experiencing shortness of breath. Which assessment
finding requires the nurse's most immediate attention?
A. Respiratory rate of 18 breaths/minute
B. Oxygen saturation of 86%
,C. Temperature of 37.1°C (98.8°F)
D. Blood pressure of 128/76 mmHg
Answer: B. Oxygen saturation of 86%.
Rationale: An oxygen saturation of 86% indicates significant
hypoxemia and requires prompt assessment and intervention. Airway
and breathing are immediate priorities. The other findings are within
generally acceptable adult ranges.
Which nursing intervention is most effective for preventing pressure
injuries in an immobile patient?
A. Massage reddened areas vigorously
B. Reposition the patient regularly and relieve pressure over bony
prominences
C. Restrict oral fluids
D. Keep the patient in one position to promote rest
Answer: B. Reposition the patient regularly and relieve pressure over
bony prominences.
Rationale: Prolonged pressure decreases tissue perfusion and can
cause pressure injuries. Regular repositioning, pressure redistribution,
skin assessment, moisture management, and adequate nutrition help
prevent injury. Vigorous massage over reddened areas may worsen
tissue damage.
,A nurse is assessing a patient who has fallen. Which assessment should
be performed first?
A. Ask the patient about the circumstances of the fall
B. Assess airway, breathing, circulation, and level of consciousness
C. Complete the incident report
D. Notify the patient's family
Answer: B. Assess airway, breathing, circulation, and level of
consciousness.
Rationale: Following a fall, the nurse first determines whether the
patient has an immediately life-threatening condition. The primary
assessment focuses on airway, breathing, circulation, neurological
status, and potential injuries. Documentation and notifications occur
after immediate safety concerns have been addressed.
Which finding is most consistent with dehydration?
A. Bounding pulse
B. Moist mucous membranes
C. Concentrated urine
D. Increased urine output
Answer: C. Concentrated urine.
Rationale: Dehydration commonly causes concentrated urine, dry
mucous membranes, thirst, decreased urine output, tachycardia, and
sometimes orthostatic hypotension. Bounding pulses and increased
urine output are not typical findings.
, Which patient statement demonstrates correct understanding of
infection prevention?
A. “I only need to wash my hands when they look dirty.”
B. “Hand hygiene is important before and after patient contact.”
C. “Gloves eliminate the need for hand hygiene.”
D. “Alcohol-based hand sanitizer should never be used.”
Answer: B. “Hand hygiene is important before and after patient
contact.”
Rationale: Hand hygiene is one of the most important measures for
preventing transmission of infection. Gloves do not replace hand
hygiene, and alcohol-based hand rub is appropriate in many clinical
situations when hands are not visibly soiled.
A nurse is caring for a patient who is receiving oxygen therapy. Which
safety intervention is appropriate?
A. Allow smoking near the oxygen source
B. Keep oxygen equipment away from open flames
C. Apply petroleum-based products around the patient's nose
D. Place oxygen equipment next to a heat source
Answer: B. Keep oxygen equipment away from open flames.
Rationale: Oxygen supports combustion and substantially increases
fire risk. Smoking, flames, sparks, and heat sources must be kept away
