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NUR 185 / NUR 185 Final Exam | Hondros College of Nursing Original Practice
Questions with Correct Answers & Detailed Rationales
Fundamentals of Nursing & NCLEX-RN® Prep | 2026 Update
Exam Blueprint
Content Area
Safety & Infection Control
Basic Care & Comfort
Health Promotion & Maintenance
Physiological Integrity: Basic Care
Physiological Integrity: Pharmacological Therapies
Reduction of Risk Potential
Psychosocial Integrity
Professional Practice / Legal / Ethical
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Content Area
Communication & Documentation
Clinical Judgment / Nursing Process
Total
SECTION 1: Safety & Infection Control
1. The nurse is preparing to administer an oral medication to a
client with dysphagia. Which action is most important to
reduce the risk of aspiration?
A. Crush all medications and mix with pudding
B. Place the client in a supine position
C. Assess the client's swallowing ability and position upright at
90 degrees
D. Administer medications rapidly to reduce fatigue
Answer: C
Rationale: Clients with dysphagia are at high risk for aspiration.
The nurse should assess swallowing ability and ensure the client
is sitting fully upright (90 degrees) before giving oral
medications. Crushing medications may be appropriate only if
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allowed and after pharmacist confirmation; mixing with
pudding may alter absorption. Supine positioning increases
aspiration risk.
2. The nurse uses an alcohol-based hand rub for hand hygiene.
In which situation is this inappropriate?
A. Before donning sterile gloves
B. After removing gloves
C. When hands are visibly soiled
D. Before palpating a client's pulse
Answer: C
Rationale: Alcohol-based hand rubs are not effective when
hands are visibly soiled with blood, body fluids, or dirt. Soap
and water must be used in that situation.
3. A client is at risk for falls. Which nursing intervention is
most effective to prevent falls in the client's room?
A. Keep the bed in the highest position
B. Place the call light within reach and keep the bed in low
position
C. Use full side rails at all times
D. Keep the room dark to promote rest
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Answer: B
Rationale: Keeping the bed low and the call light within reach
are key fall prevention strategies. Full side rails may be
considered a restraint and increase injury risk; bright lighting
helps orientation.
4. The nurse is preparing a sterile field for a dressing change.
Which action contaminates the field?
A. Placing sterile items on the field with sterile forceps
B. Keeping the field above waist level
C. Pouring sterile solution from a bottle held 6 inches above the
field
D. Turning away from the field while talking
Answer: D
Rationale: Turning away from the sterile field allows
contamination from the nurse's breath, hair, or clothing. The
other actions maintain sterility.
5. A client is on contact precautions for Clostridium difficile
infection. Which hand hygiene method is most effective?
A. Alcohol-based hand rub
B. Soap and water with friction
C. Hand sanitizer followed by soap
D. Antiseptic wipes only
NUR 185 / NUR 185 Final Exam | Hondros College of Nursing Original Practice
Questions with Correct Answers & Detailed Rationales
Fundamentals of Nursing & NCLEX-RN® Prep | 2026 Update
Exam Blueprint
Content Area
Safety & Infection Control
Basic Care & Comfort
Health Promotion & Maintenance
Physiological Integrity: Basic Care
Physiological Integrity: Pharmacological Therapies
Reduction of Risk Potential
Psychosocial Integrity
Professional Practice / Legal / Ethical
,https://www.stuvia.com/user/performance
Content Area
Communication & Documentation
Clinical Judgment / Nursing Process
Total
SECTION 1: Safety & Infection Control
1. The nurse is preparing to administer an oral medication to a
client with dysphagia. Which action is most important to
reduce the risk of aspiration?
A. Crush all medications and mix with pudding
B. Place the client in a supine position
C. Assess the client's swallowing ability and position upright at
90 degrees
D. Administer medications rapidly to reduce fatigue
Answer: C
Rationale: Clients with dysphagia are at high risk for aspiration.
The nurse should assess swallowing ability and ensure the client
is sitting fully upright (90 degrees) before giving oral
medications. Crushing medications may be appropriate only if
,https://www.stuvia.com/user/performance
allowed and after pharmacist confirmation; mixing with
pudding may alter absorption. Supine positioning increases
aspiration risk.
2. The nurse uses an alcohol-based hand rub for hand hygiene.
In which situation is this inappropriate?
A. Before donning sterile gloves
B. After removing gloves
C. When hands are visibly soiled
D. Before palpating a client's pulse
Answer: C
Rationale: Alcohol-based hand rubs are not effective when
hands are visibly soiled with blood, body fluids, or dirt. Soap
and water must be used in that situation.
3. A client is at risk for falls. Which nursing intervention is
most effective to prevent falls in the client's room?
A. Keep the bed in the highest position
B. Place the call light within reach and keep the bed in low
position
C. Use full side rails at all times
D. Keep the room dark to promote rest
, https://www.stuvia.com/user/performance
Answer: B
Rationale: Keeping the bed low and the call light within reach
are key fall prevention strategies. Full side rails may be
considered a restraint and increase injury risk; bright lighting
helps orientation.
4. The nurse is preparing a sterile field for a dressing change.
Which action contaminates the field?
A. Placing sterile items on the field with sterile forceps
B. Keeping the field above waist level
C. Pouring sterile solution from a bottle held 6 inches above the
field
D. Turning away from the field while talking
Answer: D
Rationale: Turning away from the sterile field allows
contamination from the nurse's breath, hair, or clothing. The
other actions maintain sterility.
5. A client is on contact precautions for Clostridium difficile
infection. Which hand hygiene method is most effective?
A. Alcohol-based hand rub
B. Soap and water with friction
C. Hand sanitizer followed by soap
D. Antiseptic wipes only
