NUR 106 Final Questions With Complete
Solutions
Format: Multiple Choice
Level: Nursing Fundamentals / Introductory Nursing
Purpose: Comprehensive final-exam review
Question 1
A nurse is preparing to assess a newly admitted patient. Which action should the nurse perform
first?
A. Obtain the patient's complete health history
B. Assess airway, breathing, and circulation
C. Review the patient's dietary preferences
D. Obtain the patient's admission weight
Answer: B. Assess airway, breathing, and circulation
Rationale:
Airway, breathing, and circulation are immediate priorities because problems involving
oxygenation and circulation can rapidly become life-threatening. The nurse should address
physiological threats before completing routine admission activities.
Question 2
Which nursing intervention is most appropriate for preventing pressure injuries in an immobile
patient?
A. Massage reddened areas frequently
B. Reposition the patient regularly
C. Limit fluid intake
D. Keep the head of the bed elevated at all times
Answer: B. Reposition the patient regularly
Rationale:
Regular repositioning reduces prolonged pressure over bony prominences and promotes tissue
perfusion. Massaging reddened areas can cause additional tissue injury and is not recommended.
Question 3
A patient reports pain rated 8/10. Which intervention should the nurse implement first?
A. Tell the patient that the pain medication will work shortly
B. Perform an appropriate pain assessment
,C. Encourage the patient to ignore the pain
D. Document the pain without further intervention
Answer: B. Perform an appropriate pain assessment
Rationale:
Pain is subjective, so the nurse should assess its location, quality, severity, timing, and
contributing factors before selecting or implementing interventions.
Question 4
Which finding requires immediate nursing intervention?
A. Respiratory rate of 8 breaths/min
B. Temperature of 37.1°C
C. Pulse of 82 beats/min
D. Blood pressure of 118/76 mmHg
Answer: A. Respiratory rate of 8 breaths/min
Rationale:
A respiratory rate of 8 breaths/min indicates bradypnea and may reflect respiratory depression,
medication effects, or another serious problem. Airway and breathing take priority.
Question 5
Which technique should the nurse use when removing gloves after providing patient care?
A. Touch the outside of both gloves with bare hands
B. Remove both gloves simultaneously
C. Avoid touching the contaminated outer surface
D. Wash the gloves before removing them
Answer: C. Avoid touching the contaminated outer surface
Rationale:
The outside of gloves is considered contaminated. Proper glove removal prevents transferring
microorganisms from the gloves to the nurse's hands or surrounding surfaces.
Question 6
A nurse is educating a patient about hand hygiene. Which statement by the patient indicates
correct understanding?
A. "Hand hygiene is unnecessary when gloves are worn."
B. "I should clean my hands before and after patient contact."
C. "Only visibly dirty hands require cleaning."
D. "Alcohol-based hand sanitizer should never be used."
, Answer: B. "I should clean my hands before and after patient contact."
Rationale:
Hand hygiene should be performed before and after patient contact and at other appropriate
moments to reduce transmission of microorganisms. Gloves do not replace hand hygiene.
Question 7
The nurse needs to measure a patient's blood pressure manually. Which action promotes an
accurate reading?
A. Place the cuff over thick clothing
B. Position the patient's arm at heart level
C. Use a cuff that is too small
D. Ask the patient to talk during measurement
Answer: B. Position the patient's arm at heart level
Rationale:
The arm should be supported at approximately heart level. An improperly sized cuff, clothing
beneath the cuff, and patient movement or talking can affect accuracy.
Question 8
Which patient is at greatest risk for falls?
A. A 25-year-old patient with a minor skin wound
B. A 35-year-old patient with seasonal allergies
C. An older adult receiving a sedating medication
D. A 20-year-old patient with a mild headache
Answer: C. An older adult receiving a sedating medication
Rationale:
Advanced age combined with medication effects such as sedation can significantly increase fall
risk. The nurse should assess gait, balance, medications, cognition, and environmental hazards.
Question 9
A nurse is assisting a patient from the bed to a wheelchair. Which action is appropriate?
A. Leave the wheelchair unlocked
B. Place the wheelchair close to the bed and lock the brakes
C. Ask the patient to stand without assistance
D. Pull the patient quickly into the chair
Answer: B. Place the wheelchair close to the bed and lock the brakes
Solutions
Format: Multiple Choice
Level: Nursing Fundamentals / Introductory Nursing
Purpose: Comprehensive final-exam review
Question 1
A nurse is preparing to assess a newly admitted patient. Which action should the nurse perform
first?
A. Obtain the patient's complete health history
B. Assess airway, breathing, and circulation
C. Review the patient's dietary preferences
D. Obtain the patient's admission weight
Answer: B. Assess airway, breathing, and circulation
Rationale:
Airway, breathing, and circulation are immediate priorities because problems involving
oxygenation and circulation can rapidly become life-threatening. The nurse should address
physiological threats before completing routine admission activities.
Question 2
Which nursing intervention is most appropriate for preventing pressure injuries in an immobile
patient?
A. Massage reddened areas frequently
B. Reposition the patient regularly
C. Limit fluid intake
D. Keep the head of the bed elevated at all times
Answer: B. Reposition the patient regularly
Rationale:
Regular repositioning reduces prolonged pressure over bony prominences and promotes tissue
perfusion. Massaging reddened areas can cause additional tissue injury and is not recommended.
Question 3
A patient reports pain rated 8/10. Which intervention should the nurse implement first?
A. Tell the patient that the pain medication will work shortly
B. Perform an appropriate pain assessment
,C. Encourage the patient to ignore the pain
D. Document the pain without further intervention
Answer: B. Perform an appropriate pain assessment
Rationale:
Pain is subjective, so the nurse should assess its location, quality, severity, timing, and
contributing factors before selecting or implementing interventions.
Question 4
Which finding requires immediate nursing intervention?
A. Respiratory rate of 8 breaths/min
B. Temperature of 37.1°C
C. Pulse of 82 beats/min
D. Blood pressure of 118/76 mmHg
Answer: A. Respiratory rate of 8 breaths/min
Rationale:
A respiratory rate of 8 breaths/min indicates bradypnea and may reflect respiratory depression,
medication effects, or another serious problem. Airway and breathing take priority.
Question 5
Which technique should the nurse use when removing gloves after providing patient care?
A. Touch the outside of both gloves with bare hands
B. Remove both gloves simultaneously
C. Avoid touching the contaminated outer surface
D. Wash the gloves before removing them
Answer: C. Avoid touching the contaminated outer surface
Rationale:
The outside of gloves is considered contaminated. Proper glove removal prevents transferring
microorganisms from the gloves to the nurse's hands or surrounding surfaces.
Question 6
A nurse is educating a patient about hand hygiene. Which statement by the patient indicates
correct understanding?
A. "Hand hygiene is unnecessary when gloves are worn."
B. "I should clean my hands before and after patient contact."
C. "Only visibly dirty hands require cleaning."
D. "Alcohol-based hand sanitizer should never be used."
, Answer: B. "I should clean my hands before and after patient contact."
Rationale:
Hand hygiene should be performed before and after patient contact and at other appropriate
moments to reduce transmission of microorganisms. Gloves do not replace hand hygiene.
Question 7
The nurse needs to measure a patient's blood pressure manually. Which action promotes an
accurate reading?
A. Place the cuff over thick clothing
B. Position the patient's arm at heart level
C. Use a cuff that is too small
D. Ask the patient to talk during measurement
Answer: B. Position the patient's arm at heart level
Rationale:
The arm should be supported at approximately heart level. An improperly sized cuff, clothing
beneath the cuff, and patient movement or talking can affect accuracy.
Question 8
Which patient is at greatest risk for falls?
A. A 25-year-old patient with a minor skin wound
B. A 35-year-old patient with seasonal allergies
C. An older adult receiving a sedating medication
D. A 20-year-old patient with a mild headache
Answer: C. An older adult receiving a sedating medication
Rationale:
Advanced age combined with medication effects such as sedation can significantly increase fall
risk. The nurse should assess gait, balance, medications, cognition, and environmental hazards.
Question 9
A nurse is assisting a patient from the bed to a wheelchair. Which action is appropriate?
A. Leave the wheelchair unlocked
B. Place the wheelchair close to the bed and lock the brakes
C. Ask the patient to stand without assistance
D. Pull the patient quickly into the chair
Answer: B. Place the wheelchair close to the bed and lock the brakes
