NUR 106 FINAL EXAM 2026/2027 |
Questions with Complete Solutions |
Answers | Pass Gu
1. The primary purpose of the nursing process is to:
A. Provide a standardized care plan for all patients.
B. Diagnose and treat medical conditions.
C. Deliver holistic, patient-centered care.
D. Document nursing interventions for billing.
• Correct Answer: C
• Rationale: The nursing process is a systematic, patient-centered
framework for providing holistic care. It focuses on the patient's response to
health and illness, not on diagnosing medical conditions (B), which is the
physician's role. It is individualized, not standardized (A), and its primary
purpose is not billing (D).
2. Which of the following is the first step of the nursing process?
A. Planning
B. Assessment
C. Implementation
D. Evaluation
• Correct Answer: B
• Rationale: Assessment is the first and most critical step of the nursing
process. It involves collecting comprehensive data about the patient's
health status. Planning (A), Implementation (C), and Evaluation (D) all follow
the initial assessment.
3. A nurse is collecting subjective data from a patient. Which of the following is
an example of subjective data?
,A. Blood pressure of 120/80 mmHg.
B. A patient's statement of "I feel nauseous."
C. A temperature of 101.2°F.
D. Observing a reddened area on the skin.
• Correct Answer: B
• Rationale: Subjective data is information that only the patient can
perceive and report, such as feelings, perceptions, and sensations. "I feel
nauseous" is a classic example. Blood pressure (A), temperature (C), and a
reddened area (D) are all objective data, which are observable and
measurable by the nurse.
4. The "Hand-off" or "Handover" report is critical for:
A. Ensuring continuity of care.
B. Assigning blame for errors.
C. Reducing the number of staff on a unit.
D. Completing billing paperwork.
• Correct Answer: A
• Rationale: The hand-off report is a communication tool used when
transferring patient care responsibility from one caregiver to another. Its
primary goal is to ensure the safe and continuous care of the patient by
providing accurate and timely information.
5. What is the correct sequence for donning (putting on) Personal Protective
Equipment (PPE)?
A. Gown, mask, goggles, gloves.
B. Gloves, gown, mask, goggles.
C. Mask, goggles, gown, gloves.
D. Gown, gloves, mask, goggles.
• Correct Answer: A
• Rationale: The correct sequence for donning PPE is: 1. Perform hand
hygiene. 2. Put on the gown. 3. Put on the mask/respirator. 4. Put on eye
, protection (goggles/face shield). 5. Put on gloves, ensuring they cover the
cuffs of the gown. This order prevents contamination.
6. The normal adult resting heart rate range is:
A. 40-60 beats per minute.
B. 60-100 beats per minute.
C. 100-120 beats per minute.
D. 120-140 beats per minute.
• Correct Answer: B
• Rationale: The universally accepted normal resting heart rate for an
adult is 60 to 100 beats per minute (bpm). A rate below 60 is bradycardia,
and a rate above 100 is tachycardia.
7. A nurse is preparing to administer a medication via the intramuscular (IM)
route. Which site is most commonly used for adults?
A. Deltoid muscle
B. Vastus lateralis muscle
C. Ventrogluteal muscle
D. Dorsogluteal muscle
• Correct Answer: C
• Rationale: The ventrogluteal site is the preferred site for IM injections
in adults because it is free of major nerves and blood vessels, and it has a
well-developed muscle mass. The deltoid (A) is used for smaller volumes.
The vastus lateralis (B) is the preferred site for infants. The dorsogluteal (D)
site is no longer recommended due to the risk of sciatic nerve injury.
8. Which of the following is a "Right" of medication administration?
A. Right Diagnosis
B. Right Hospital
C. Right Documentation
D. Right Physician
• Correct Answer: C
, • Rationale: The "Rights" of medication administration are a core safety
checklist. They include: Right Patient, Right Drug, Right Dose, Right Route,
Right Time, Right Documentation, Right Reason, and Right to Refuse. "Right
Diagnosis" (A), "Right Hospital" (B), and "Right Physician" (D) are not part of
this standard list.
9. A patient is prescribed a medication to be given "sublingually." The nurse will
place the medication:
A. Under the tongue.
B. In the cheek.
C. On the skin.
D. In the eye.
• Correct Answer: A
• Rationale: "Sublingual" literally means "under the tongue." Medications
given this way are absorbed rapidly into the bloodstream through the rich
capillary network under the tongue. "Buccal" refers to the cheek (B),
"topical" to the skin (C), and "ophthalmic" to the eye (D).
10. The primary goal of sterile technique is to:
A. Protect the nurse from all infections.
B. Prevent the introduction of microorganisms into a susceptible area.
C. Keep the patient's bed linens clean.
D. Save money on hospital supplies.
• Correct Answer: B
• Rationale: Sterile technique, also known as surgical asepsis, includes all
practices that destroy all microorganisms and their spores. The goal is to
prevent the introduction of any pathogens into a sterile body area (like a
surgical wound or the bloodstream).
11. Which of the following vital signs is considered a late sign of shock?
A. Increased heart rate.
B. Decreased blood pressure.
Questions with Complete Solutions |
Answers | Pass Gu
1. The primary purpose of the nursing process is to:
A. Provide a standardized care plan for all patients.
B. Diagnose and treat medical conditions.
C. Deliver holistic, patient-centered care.
D. Document nursing interventions for billing.
• Correct Answer: C
• Rationale: The nursing process is a systematic, patient-centered
framework for providing holistic care. It focuses on the patient's response to
health and illness, not on diagnosing medical conditions (B), which is the
physician's role. It is individualized, not standardized (A), and its primary
purpose is not billing (D).
2. Which of the following is the first step of the nursing process?
A. Planning
B. Assessment
C. Implementation
D. Evaluation
• Correct Answer: B
• Rationale: Assessment is the first and most critical step of the nursing
process. It involves collecting comprehensive data about the patient's
health status. Planning (A), Implementation (C), and Evaluation (D) all follow
the initial assessment.
3. A nurse is collecting subjective data from a patient. Which of the following is
an example of subjective data?
,A. Blood pressure of 120/80 mmHg.
B. A patient's statement of "I feel nauseous."
C. A temperature of 101.2°F.
D. Observing a reddened area on the skin.
• Correct Answer: B
• Rationale: Subjective data is information that only the patient can
perceive and report, such as feelings, perceptions, and sensations. "I feel
nauseous" is a classic example. Blood pressure (A), temperature (C), and a
reddened area (D) are all objective data, which are observable and
measurable by the nurse.
4. The "Hand-off" or "Handover" report is critical for:
A. Ensuring continuity of care.
B. Assigning blame for errors.
C. Reducing the number of staff on a unit.
D. Completing billing paperwork.
• Correct Answer: A
• Rationale: The hand-off report is a communication tool used when
transferring patient care responsibility from one caregiver to another. Its
primary goal is to ensure the safe and continuous care of the patient by
providing accurate and timely information.
5. What is the correct sequence for donning (putting on) Personal Protective
Equipment (PPE)?
A. Gown, mask, goggles, gloves.
B. Gloves, gown, mask, goggles.
C. Mask, goggles, gown, gloves.
D. Gown, gloves, mask, goggles.
• Correct Answer: A
• Rationale: The correct sequence for donning PPE is: 1. Perform hand
hygiene. 2. Put on the gown. 3. Put on the mask/respirator. 4. Put on eye
, protection (goggles/face shield). 5. Put on gloves, ensuring they cover the
cuffs of the gown. This order prevents contamination.
6. The normal adult resting heart rate range is:
A. 40-60 beats per minute.
B. 60-100 beats per minute.
C. 100-120 beats per minute.
D. 120-140 beats per minute.
• Correct Answer: B
• Rationale: The universally accepted normal resting heart rate for an
adult is 60 to 100 beats per minute (bpm). A rate below 60 is bradycardia,
and a rate above 100 is tachycardia.
7. A nurse is preparing to administer a medication via the intramuscular (IM)
route. Which site is most commonly used for adults?
A. Deltoid muscle
B. Vastus lateralis muscle
C. Ventrogluteal muscle
D. Dorsogluteal muscle
• Correct Answer: C
• Rationale: The ventrogluteal site is the preferred site for IM injections
in adults because it is free of major nerves and blood vessels, and it has a
well-developed muscle mass. The deltoid (A) is used for smaller volumes.
The vastus lateralis (B) is the preferred site for infants. The dorsogluteal (D)
site is no longer recommended due to the risk of sciatic nerve injury.
8. Which of the following is a "Right" of medication administration?
A. Right Diagnosis
B. Right Hospital
C. Right Documentation
D. Right Physician
• Correct Answer: C
, • Rationale: The "Rights" of medication administration are a core safety
checklist. They include: Right Patient, Right Drug, Right Dose, Right Route,
Right Time, Right Documentation, Right Reason, and Right to Refuse. "Right
Diagnosis" (A), "Right Hospital" (B), and "Right Physician" (D) are not part of
this standard list.
9. A patient is prescribed a medication to be given "sublingually." The nurse will
place the medication:
A. Under the tongue.
B. In the cheek.
C. On the skin.
D. In the eye.
• Correct Answer: A
• Rationale: "Sublingual" literally means "under the tongue." Medications
given this way are absorbed rapidly into the bloodstream through the rich
capillary network under the tongue. "Buccal" refers to the cheek (B),
"topical" to the skin (C), and "ophthalmic" to the eye (D).
10. The primary goal of sterile technique is to:
A. Protect the nurse from all infections.
B. Prevent the introduction of microorganisms into a susceptible area.
C. Keep the patient's bed linens clean.
D. Save money on hospital supplies.
• Correct Answer: B
• Rationale: Sterile technique, also known as surgical asepsis, includes all
practices that destroy all microorganisms and their spores. The goal is to
prevent the introduction of any pathogens into a sterile body area (like a
surgical wound or the bloodstream).
11. Which of the following vital signs is considered a late sign of shock?
A. Increased heart rate.
B. Decreased blood pressure.
