NURS 221 Final Exam Questions And
Answers 2025 Update.
Which of the following nursing interventions is considered the most effective form of universal
precautions in regards to sharps?
a. Discard all uncapped needles and syringes in a puncture-resistant protective container
b. Report a needle stick to an instructor if there is an onset of abnormal symptoms
c. Follow the hospital's enteric precautions
d. Recap the dirty needle after giving the injection and then place it in the sharps container -
Answer✔A
Which religion attempts to remove illness by means of stories, rituals, prayers, symbols and
sand painting?
A. Hinduism
B. Judaism
C. Navajos
D. Islam - Answer✔C
When restraining a patient you must remember that
A) You must have a good reason
B) You need a physicians order
C) You can restrain an arm on a combative patient needing an IV
D) Once a patient is restrained, they stay restrained until discharge - Answer✔B
Which of the following changes occur during the alarm stage of GAS?
a. decrease in blood volume
b. increase in blood glucose
c. increase in digestion
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d. decrease in oxygen intake - Answer✔B
A nurse goes in to assess a patient's wound. She finds that the wound has been intentionally
left open as ordered by the physician. This patient's wound is ________.
A. Secondary intention
B. Quaternary intention
C. Primary intention
D. Tertiary intention - Answer✔D
During the assessment of the preoperative surgical phase, the nurse would assess for all of the
following except:
a. support sources
b. preoperative pain assessment
c. review of emotional health
d. skin integrity and condition of wound - Answer✔D
Which of the following actions requested of the NAP is inappropriate by the nurse?
A. Take the pt's vital signs and tell me if his pneumonia is worsening
B. Help me assist this patient in moving from the bed to the chair
C. Document the pt's input and ouput
D. Answer the pt's call light while I'm busy - Answer✔A
Your patient has just received a terminal cancer diagnosis and is expected to live for less than
six months. He is visibly upset, so you provide a nursing presence for comfort. He states, "I will
go to church every time the doors open, tithe my whole paycheck, anything, if God will just take
this cancer away." According to Kubler Ross' stages of dying theory, what stage is this patient
in?
A. depression
B. denial
C. bargaining
D. anger - Answer✔C
The nurse can delegate with the unlicensed assistive personnel (UAP) about:
a. performing glucose monitoring every 6 hours on a patient.
b. hanging a bag of enteral feeding
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c. inserting the nasogastric tube
d. assessing a patient's risk for aspiration - Answer✔A
In the event of an ischemic stroke on the left side of the brain, these problems occur. Select all
that apply.
a. Altered balance
b. Problems with speech
c. Visual-spatial problems
d. Altered coordination
e. Loss of sensation and coordination in extremities on the left side of the body - Answer✔A,B,D
What actions help create a nonthreatening physical environment during an interview? Select all
that apply.
A. Placing chairs at a 90-degree angle or side by side
B. Talk loudly with a stern voice
C. Arrange the interview environment so that you can maintain or avoid eye contact
comfortably
D. Let the patient talk and do not say anything - Answer✔A,C
A woman was driving in her car when out of nowhere she was hit from behind. Up until this
point in her life, the woman had never experienced chronic stress. After the accident, she has
been struggling with flashbacks and getting into another car. What is the woman suffering
from?
a. Dissociation
b. Situational factors
c. Post-traumatic stress disorder
d. Regression - Answer✔C
Which of the following can be delegated to the UAP? Select all that apply.
a. Oropharyngeal suctioning
b. Tracheostomy suctioning
c. Oral suctioning
d. Nasopharyngeal suctioning
e. Nasotracheal suctioning - Answer✔A,C
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