,ASU NUR 352 Final Exam | Fundamental Concepts in Nursing
(2026) Q&A
1. A nurse is caring for a patient who is 24 hours post-operative. The patient rates their
pain as an 8 on a scale of 0 to 10. What is the nurse's priority action?
A) Document the pain score
B) Administer prescribed analgesic
C) Notify the healthcare provider
D) Reassess pain in 30 minutes
Correct Answer: Administer prescribed analgesic
Rationale: A pain score of 8 indicates severe pain requiring intervention. The nurse should
administer a prescribed analgesic to manage the patient's pain. Documentation and
reassessment are important but should follow intervention. Notification of the provider is
not necessary if there is a standing order for pain medication.
2. A nurse is preparing to administer a blood transfusion to a patient. Which of the
following actions should the nurse take first?
A) Obtain baseline vital signs
B) Verify the patient's identity and the blood product with another licensed nurse
C) Prime the blood tubing with normal saline
D) Check the expiration date of the blood product
Correct Answer: Verify the patient's identity and the blood product with another licensed
nurse
,Rationale: The two-nurse verification of the blood product and client identity is the most
critical step to prevent a transfusion reaction. Baseline vital signs are important but should
be obtained after verification.
3. Which of the following patients would require the nurse to implement contact
precautions?
A) A patient with tuberculosis
B) A patient with a wound infection caused by MRSA
C) A patient with influenza
D) A patient with pneumonia
Correct Answer: A patient with a wound infection caused by MRSA
Rationale: Contact precautions are required for patients with infections that are spread by
direct or indirect contact, such as MRSA. Tuberculosis requires airborne precautions, and
influenza and pneumonia typically require droplet precautions.
4. A nurse is assessing a patient's pain. Which question should the nurse ask to assess the
quality of the patient's pain?
A) "Where is your pain located?"
B) "On a scale of 0 to 10, how would you rate your pain?"
C) "What does your pain feel like?"
D) "When did your pain start?"
Correct Answer: "What does your pain feel like?"
Rationale: Assessing the quality of pain involves asking the patient to describe the
sensation, such as sharp, dull, burning, or aching. This information helps identify the type
and potential cause of pain. The other options assess location, severity, and onset.
, 5. A nurse is assessing a patient's pain using the PQRST method. What does the "S" in
PQRST stand for?
A) Site
B) Severity
C) Source
D) Symptoms
Correct Answer: Severity
Rationale: In the PQRST method, "P" stands for Provocation/Palliation, "Q" for Quality, "R"
for Region/Radiation, "S" for Severity, and "T" for Timing. Severity is typically rated on a 0–
10 scale.
6. A patient is receiving a blood transfusion and develops sudden dyspnea, chest pain,
and hypotension. What is the most likely complication?
A) Febrile non-hemolytic reaction
B) Acute hemolytic transfusion reaction
C) Allergic reaction
D) Transfusion-associated circulatory overload
Correct Answer: Acute hemolytic transfusion reaction
Rationale: Acute hemolytic transfusion reactions occur when incompatible blood is
transfused, causing rapid destruction of red blood cells. Symptoms include fever, chills,
dyspnea, chest pain, hypotension, and hemoglobinuria. This is a medical emergency.
(2026) Q&A
1. A nurse is caring for a patient who is 24 hours post-operative. The patient rates their
pain as an 8 on a scale of 0 to 10. What is the nurse's priority action?
A) Document the pain score
B) Administer prescribed analgesic
C) Notify the healthcare provider
D) Reassess pain in 30 minutes
Correct Answer: Administer prescribed analgesic
Rationale: A pain score of 8 indicates severe pain requiring intervention. The nurse should
administer a prescribed analgesic to manage the patient's pain. Documentation and
reassessment are important but should follow intervention. Notification of the provider is
not necessary if there is a standing order for pain medication.
2. A nurse is preparing to administer a blood transfusion to a patient. Which of the
following actions should the nurse take first?
A) Obtain baseline vital signs
B) Verify the patient's identity and the blood product with another licensed nurse
C) Prime the blood tubing with normal saline
D) Check the expiration date of the blood product
Correct Answer: Verify the patient's identity and the blood product with another licensed
nurse
,Rationale: The two-nurse verification of the blood product and client identity is the most
critical step to prevent a transfusion reaction. Baseline vital signs are important but should
be obtained after verification.
3. Which of the following patients would require the nurse to implement contact
precautions?
A) A patient with tuberculosis
B) A patient with a wound infection caused by MRSA
C) A patient with influenza
D) A patient with pneumonia
Correct Answer: A patient with a wound infection caused by MRSA
Rationale: Contact precautions are required for patients with infections that are spread by
direct or indirect contact, such as MRSA. Tuberculosis requires airborne precautions, and
influenza and pneumonia typically require droplet precautions.
4. A nurse is assessing a patient's pain. Which question should the nurse ask to assess the
quality of the patient's pain?
A) "Where is your pain located?"
B) "On a scale of 0 to 10, how would you rate your pain?"
C) "What does your pain feel like?"
D) "When did your pain start?"
Correct Answer: "What does your pain feel like?"
Rationale: Assessing the quality of pain involves asking the patient to describe the
sensation, such as sharp, dull, burning, or aching. This information helps identify the type
and potential cause of pain. The other options assess location, severity, and onset.
, 5. A nurse is assessing a patient's pain using the PQRST method. What does the "S" in
PQRST stand for?
A) Site
B) Severity
C) Source
D) Symptoms
Correct Answer: Severity
Rationale: In the PQRST method, "P" stands for Provocation/Palliation, "Q" for Quality, "R"
for Region/Radiation, "S" for Severity, and "T" for Timing. Severity is typically rated on a 0–
10 scale.
6. A patient is receiving a blood transfusion and develops sudden dyspnea, chest pain,
and hypotension. What is the most likely complication?
A) Febrile non-hemolytic reaction
B) Acute hemolytic transfusion reaction
C) Allergic reaction
D) Transfusion-associated circulatory overload
Correct Answer: Acute hemolytic transfusion reaction
Rationale: Acute hemolytic transfusion reactions occur when incompatible blood is
transfused, causing rapid destruction of red blood cells. Symptoms include fever, chills,
dyspnea, chest pain, hypotension, and hemoglobinuria. This is a medical emergency.
