NUR 206 Exam 2: Verified Questions
& Answers with Well-Elaborated
Rationales — The Ultimate Study
Guide for Community Health Nursing
Exam Success (2026 Edition)
Medication Administration & Safety
1. Which action best reflects safe medication administration practice?
A. Administer the medication immediately after receiving it
B. Verify the medication against the medication administration record
three times
C. Ask another patient to confirm the medication
D. Skip identification if the patient is familiar to the nurse
Answer: B. Verify the medication against the medication
administration record three times
Rationale: Verifying against the MAR three times (when pulling, preparing,
and administering) is a core safety practice that reduces medication errors .
2. The HCP orders Narcan (naloxone) 0.3 mg IV STAT. Narcan is
provided as 0.4 mg/mL. The nurse will administer ___ mL.
Answer: 0.8 mL
,Rationale: Using the formula: (0.3 mg ÷ 0.4 mg/mL) = 0.75 mL, rounded to
the nearest tenth = 0.8 mL .
Patient Assessment & Intervention
3. A patient reports pain rated 8/10 one hour after surgery. What is the
nurse's priority action?
A. Assess the pain characteristics and review prescribed interventions
B. Inform the family immediately
C. Delay intervention until the next assessment
D. Document the complaint without further action
Answer: A. Assess the pain characteristics and review prescribed
interventions
Rationale: Assessment is the first step of the nursing process. The nurse
must evaluate pain quality, location, and severity before intervening .
4. A nurse notes redness over a patient's sacral area. Which
intervention is most appropriate?
A. Massage the reddened area
B. Apply heat
C. Reposition the patient and reduce pressure
D. Cover with a tight dressing
Answer: C. Reposition the patient and reduce pressure
Rationale: Redness indicates early pressure injury. Repositioning relieves
pressure and prevents progression. Massaging reddened skin may worsen
tissue damage .
5. A postoperative patient develops a temperature of 38.7°C (101.7°F).
What should the nurse assess first?
, A. Respiratory status and potential infection sources
B. Visitor attendance
C. Television usage
D. Dietary preferences
Answer: A. Respiratory status and potential infection sources
Rationale: Postoperative fever may indicate infection, atelectasis, or
inflammatory responses requiring prompt assessment .
Infection Control & Safety
6. Which finding indicates effective hand hygiene compliance?
A. Wearing gloves for all patient interactions
B. Using sanitizer only after patient contact
C. Performing hand hygiene before and after patient contact
D. Washing hands only when visibly soiled
Answer: C. Performing hand hygiene before and after patient contact
Rationale: Evidence-based infection control requires hand hygiene before
and after patient contact to reduce transmission of microorganisms .
7. Which laboratory value requires immediate nursing attention?
A. Potassium 6.2 mEq/L
B. Sodium 138 mEq/L
C. Hemoglobin 13 g/dL
D. White blood cell count 8,000/mm³
Answer: A. Potassium 6.2 mEq/L
Rationale: Severe hyperkalemia may cause life-threatening cardiac
dysrhythmias and requires prompt intervention .
, 8. A patient is at risk for falls. Which intervention is most appropriate?
A. Raise all four side rails continuously
B. Place the call light within reach
C. Restrict fluid intake
D. Encourage independent ambulation without assistance
Answer: B. Place the call light within reach
Rationale: Ensuring the call light is accessible empowers the patient to
request assistance and reduces fall risk without unnecessary restraints .
Documentation & Legal/Ethical Issues
9. A nurse identifies an error in a previously documented note. What is
the correct action?
A. Erase the entry
B. Delete the documentation completely
C. Use correction fluid
D. Draw a single line through the error, initial it, and document
correctly
Answer: D. Draw a single line through the error, initial it, and
document correctly
Rationale: Accurate correction methods preserve the legal integrity of the
health record while ensuring transparency .
10. What is the primary purpose of informed consent?
A. Protect hospital finances
B. Allow family members to decide treatment
C. Reduce nursing workload
D. Ensure the patient understands risks, benefits, and alternatives
& Answers with Well-Elaborated
Rationales — The Ultimate Study
Guide for Community Health Nursing
Exam Success (2026 Edition)
Medication Administration & Safety
1. Which action best reflects safe medication administration practice?
A. Administer the medication immediately after receiving it
B. Verify the medication against the medication administration record
three times
C. Ask another patient to confirm the medication
D. Skip identification if the patient is familiar to the nurse
Answer: B. Verify the medication against the medication
administration record three times
Rationale: Verifying against the MAR three times (when pulling, preparing,
and administering) is a core safety practice that reduces medication errors .
2. The HCP orders Narcan (naloxone) 0.3 mg IV STAT. Narcan is
provided as 0.4 mg/mL. The nurse will administer ___ mL.
Answer: 0.8 mL
,Rationale: Using the formula: (0.3 mg ÷ 0.4 mg/mL) = 0.75 mL, rounded to
the nearest tenth = 0.8 mL .
Patient Assessment & Intervention
3. A patient reports pain rated 8/10 one hour after surgery. What is the
nurse's priority action?
A. Assess the pain characteristics and review prescribed interventions
B. Inform the family immediately
C. Delay intervention until the next assessment
D. Document the complaint without further action
Answer: A. Assess the pain characteristics and review prescribed
interventions
Rationale: Assessment is the first step of the nursing process. The nurse
must evaluate pain quality, location, and severity before intervening .
4. A nurse notes redness over a patient's sacral area. Which
intervention is most appropriate?
A. Massage the reddened area
B. Apply heat
C. Reposition the patient and reduce pressure
D. Cover with a tight dressing
Answer: C. Reposition the patient and reduce pressure
Rationale: Redness indicates early pressure injury. Repositioning relieves
pressure and prevents progression. Massaging reddened skin may worsen
tissue damage .
5. A postoperative patient develops a temperature of 38.7°C (101.7°F).
What should the nurse assess first?
, A. Respiratory status and potential infection sources
B. Visitor attendance
C. Television usage
D. Dietary preferences
Answer: A. Respiratory status and potential infection sources
Rationale: Postoperative fever may indicate infection, atelectasis, or
inflammatory responses requiring prompt assessment .
Infection Control & Safety
6. Which finding indicates effective hand hygiene compliance?
A. Wearing gloves for all patient interactions
B. Using sanitizer only after patient contact
C. Performing hand hygiene before and after patient contact
D. Washing hands only when visibly soiled
Answer: C. Performing hand hygiene before and after patient contact
Rationale: Evidence-based infection control requires hand hygiene before
and after patient contact to reduce transmission of microorganisms .
7. Which laboratory value requires immediate nursing attention?
A. Potassium 6.2 mEq/L
B. Sodium 138 mEq/L
C. Hemoglobin 13 g/dL
D. White blood cell count 8,000/mm³
Answer: A. Potassium 6.2 mEq/L
Rationale: Severe hyperkalemia may cause life-threatening cardiac
dysrhythmias and requires prompt intervention .
, 8. A patient is at risk for falls. Which intervention is most appropriate?
A. Raise all four side rails continuously
B. Place the call light within reach
C. Restrict fluid intake
D. Encourage independent ambulation without assistance
Answer: B. Place the call light within reach
Rationale: Ensuring the call light is accessible empowers the patient to
request assistance and reduces fall risk without unnecessary restraints .
Documentation & Legal/Ethical Issues
9. A nurse identifies an error in a previously documented note. What is
the correct action?
A. Erase the entry
B. Delete the documentation completely
C. Use correction fluid
D. Draw a single line through the error, initial it, and document
correctly
Answer: D. Draw a single line through the error, initial it, and
document correctly
Rationale: Accurate correction methods preserve the legal integrity of the
health record while ensuring transparency .
10. What is the primary purpose of informed consent?
A. Protect hospital finances
B. Allow family members to decide treatment
C. Reduce nursing workload
D. Ensure the patient understands risks, benefits, and alternatives
