NUR 102 Final Exam NEWEST 2026-2027 ACTUAL
EXAM COMPLETE 220 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ BRAND
NEW!!
A comatose patient begins to vomit while lying in bed. In what position should the nurse
immediately place the patient? - CORRECT ANSWER: Lateral
The lateral position prevents aspiration because it allows vomitus to drain out of the mouth via
gravity.
A nurse identifies that a patient may be experiencing urinary retention. Which clinical indicators
support this inference? Select all that apply. - CORRECT ANSWER: Tenderness over the
symphysis pubis on palpation
and
Voiding small amounts of urine several times hourly
A nurse is assessing an older adult who was transferred to the hospital from a nursing home.
Which clinical finding most significantly indicates the presence of a fecal impaction? -
CORRECT ANSWER: Liquid fecal seepage with no passage of stool
A nurse is caring for a client diagnosed with fluid volume deficit (FVD). Which vital sign should
the nurse identify as most indicative of FVD? - CORRECT ANSWER: Blood pressure: 86/54
mm Hg
A nurse is caring for a group of patients with a variety of gastrointestinal problems. Which factor
can influence the occurrence of both diarrhea and constipation? - CORRECT ANSWER: Side
effects of medications
,A nurse is caring for a group of patients. Which behavioral description of a patient's lifestyle is
most likely related to the development of constipation? - CORRECT ANSWER: Leads a
sedentary lifestyle
A nurse is caring for a patient who has impaired kidney function. For which process associated
with pharmacokinetics should the nurse be most concerned about when evaluating a patient's
response to a medication regimen? - CORRECT ANSWER: Excretion
A nurse is caring for a patient who is receiving parenteral nutrition. Which nursing actions are
essential when providing care for this patient? Select all that apply. - CORRECT ANSWER: 1.
Use tubing with an in-line filter.
2.
Obtain the vital signs every 8 hours.
3.
Monitor blood glucose every 4 hours.
4.
Compare the patient's daily weight to fluid intake and output.
5.
Hang 5% to 10% dextrose solution if parenteral nutrition is interrupted
A nurse is caring for a patient who was admitted to the hospital with upper gastrointestinal
bleeding. For which clinical indicator most associated with gastrointestinal bleeding should the
nurse assess the patient? - CORRECT ANSWER: Black, tarry stool
, A nurse is caring for a patient with a nasogastric tube to low continuous suction. Which is the
most effective way for the nurse to prevent dislodgment of the nasogastric tube? - CORRECT
ANSWER: Tape the tube to the patient's nose.
A nurse is caring for a patient with a nasogastric tube. What should the nurse do to best assess for
correct placement of the tube? - CORRECT ANSWER: Aspirate stomach contents through the
tube.
A nurse is caring for a patient with a stage IV necrotic pressure ulcer. A vacuum-assisted closure
(VAC) device is ordered to be applied over the wound. What is the most important intervention
by the nurse? - CORRECT ANSWER: Discuss the order with the primary health-care provider.
The nurse should discuss the appropriateness of the order with the primary health-care provider
because the use of a VAC device is contraindicated in the presence of necrotic tissue. Nonviable
tissue needs to be removed first because it harbors bacteria and hinders formation of granulation
tissue.
A nurse is caring for a patient with an intestinal stoma. Which intervention is most important? -
CORRECT ANSWER: Selecting a bag with an appropriate-size stomal opening
A nurse is collecting a bowel elimination history for a newly admitted patient with a medical
diagnosis of possible bowel obstruction. Which question takes priority? - CORRECT ANSWER:
"When was the last time you moved your bowels?"
A nurse is planning a bowel retraining program for a patient who is incontinent of stool. Which
step is essential in the success of this program? - CORRECT ANSWER: Identify the patient's
frequency of stool passage.
A nurse is teaching a patient with a cardiac condition to avoid the Valsalva maneuver. What
should the nurse teach the patient to do? - CORRECT ANSWER: Exhale while contracting the
abdominal muscles
EXAM COMPLETE 220 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ BRAND
NEW!!
A comatose patient begins to vomit while lying in bed. In what position should the nurse
immediately place the patient? - CORRECT ANSWER: Lateral
The lateral position prevents aspiration because it allows vomitus to drain out of the mouth via
gravity.
A nurse identifies that a patient may be experiencing urinary retention. Which clinical indicators
support this inference? Select all that apply. - CORRECT ANSWER: Tenderness over the
symphysis pubis on palpation
and
Voiding small amounts of urine several times hourly
A nurse is assessing an older adult who was transferred to the hospital from a nursing home.
Which clinical finding most significantly indicates the presence of a fecal impaction? -
CORRECT ANSWER: Liquid fecal seepage with no passage of stool
A nurse is caring for a client diagnosed with fluid volume deficit (FVD). Which vital sign should
the nurse identify as most indicative of FVD? - CORRECT ANSWER: Blood pressure: 86/54
mm Hg
A nurse is caring for a group of patients with a variety of gastrointestinal problems. Which factor
can influence the occurrence of both diarrhea and constipation? - CORRECT ANSWER: Side
effects of medications
,A nurse is caring for a group of patients. Which behavioral description of a patient's lifestyle is
most likely related to the development of constipation? - CORRECT ANSWER: Leads a
sedentary lifestyle
A nurse is caring for a patient who has impaired kidney function. For which process associated
with pharmacokinetics should the nurse be most concerned about when evaluating a patient's
response to a medication regimen? - CORRECT ANSWER: Excretion
A nurse is caring for a patient who is receiving parenteral nutrition. Which nursing actions are
essential when providing care for this patient? Select all that apply. - CORRECT ANSWER: 1.
Use tubing with an in-line filter.
2.
Obtain the vital signs every 8 hours.
3.
Monitor blood glucose every 4 hours.
4.
Compare the patient's daily weight to fluid intake and output.
5.
Hang 5% to 10% dextrose solution if parenteral nutrition is interrupted
A nurse is caring for a patient who was admitted to the hospital with upper gastrointestinal
bleeding. For which clinical indicator most associated with gastrointestinal bleeding should the
nurse assess the patient? - CORRECT ANSWER: Black, tarry stool
, A nurse is caring for a patient with a nasogastric tube to low continuous suction. Which is the
most effective way for the nurse to prevent dislodgment of the nasogastric tube? - CORRECT
ANSWER: Tape the tube to the patient's nose.
A nurse is caring for a patient with a nasogastric tube. What should the nurse do to best assess for
correct placement of the tube? - CORRECT ANSWER: Aspirate stomach contents through the
tube.
A nurse is caring for a patient with a stage IV necrotic pressure ulcer. A vacuum-assisted closure
(VAC) device is ordered to be applied over the wound. What is the most important intervention
by the nurse? - CORRECT ANSWER: Discuss the order with the primary health-care provider.
The nurse should discuss the appropriateness of the order with the primary health-care provider
because the use of a VAC device is contraindicated in the presence of necrotic tissue. Nonviable
tissue needs to be removed first because it harbors bacteria and hinders formation of granulation
tissue.
A nurse is caring for a patient with an intestinal stoma. Which intervention is most important? -
CORRECT ANSWER: Selecting a bag with an appropriate-size stomal opening
A nurse is collecting a bowel elimination history for a newly admitted patient with a medical
diagnosis of possible bowel obstruction. Which question takes priority? - CORRECT ANSWER:
"When was the last time you moved your bowels?"
A nurse is planning a bowel retraining program for a patient who is incontinent of stool. Which
step is essential in the success of this program? - CORRECT ANSWER: Identify the patient's
frequency of stool passage.
A nurse is teaching a patient with a cardiac condition to avoid the Valsalva maneuver. What
should the nurse teach the patient to do? - CORRECT ANSWER: Exhale while contracting the
abdominal muscles
