NUR 2811 FINAL 2026/2027 EXAM QUESTIONS AND
VERIFIED ANSWERS WITH RATIONALES JUST
RELEASED
Core Domains
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Introduction
This comprehensive final examination assesses the nursing student's
readiness to transition from the student role to entry-level professional
practice. The test evaluates competency across all domains of nursing
practice, including safe care delivery, clinical judgment, prioritization,
delegation, and patient education. Questions emphasize the application
of the nursing process, critical thinking, and evidence-based decision-
making in diverse clinical scenarios. The multiple-choice format covers
foundational concepts through complex clinical applications required
for associate degree nurse practice, ensuring graduates demonstrate the
knowledge and skills essential for safe, effective patient care.
Section One: Questions 1–100
Question 1
A nurse is caring for multiple clients on a medical-surgical unit.
Which client is at the highest risk for developing a nosocomial
infection?
A. Client with alcohol use disorder admitted for detoxification
,B. Client with Type 1 diabetes mellitus and peripheral neuropathy
C. Client recovering from a laparoscopic cholecystectomy
D. Client with full-thickness burns, NG tube, and Foley catheter
D. Client with full-thickness burns, NG tube, and Foley catheter
RATIONALE: Patients with extensive burns have a severely
compromised skin barrier, making them highly susceptible to infection.
The presence of invasive devices such as an NG tube and Foley catheter
further increases infection risk by providing entry points for
microorganisms. Although diabetes and surgery also increase risk, the
combination of broken skin integrity and multiple invasive devices
places the burn patient at the greatest risk.
Question 2
Which client should the nurse prioritize for transfer from ICU to a
step-down neurological unit?
A. Client with acute head injury and seizures
B. Client with ischemic stroke 4 days ago and mild confusion
C. Client 1-day post-transsphenoidal craniotomy with CSF leak
D. Client with bacterial meningitis and Glasgow Coma Scale of 7
B. Client with ischemic stroke 4 days ago and mild confusion
RATIONALE: The most stable client is the one with an ischemic
stroke who is several days post-event and only mildly confused. The
other clients are unstable due to CSF leak, decreased level of
consciousness, or active neurological compromise.
Question 3
After shift report, which client should the nurse assess first?
A. Ventilated client requiring sputum culture collection
,B. COPD client with oxygen saturation of 90% from previous shift
C. Pneumonia client awaiting IV antibiotics
D. Asthma client reporting shortness of breath after bronchodilator use
D. Asthma client reporting shortness of breath after bronchodilator
use
RATIONALE: Shortness of breath after bronchodilator use suggests
worsening bronchospasm or treatment failure. This is an airway priority
(ABCs). The other clients are either stable or receiving routine care.
Question 4
Which postoperative client should the nurse assess first?
A. Client scheduled for laparoscopic cholecystectomy
B. Multiple trauma client from motor vehicle collision
C. Client scheduled for thyroidectomy
D. Client awaiting discharge after appendectomy
B. Multiple trauma client from motor vehicle collision
RATIONALE: Trauma patients are the most unstable and require
immediate assessment due to risk of internal injuries, hemorrhage, and
airway compromise.
Question 5
During disaster triage, which client can be safely discharged first?
A. 24-hour post-hysterectomy client
B. 5-day post-total hip replacement client
C. 12-hour pyelonephritis admission
D. 5-day stage III pressure ulcer patient
, B. 5-day post-total hip replacement client
RATIONALE: This client is the most stable and least dependent on
acute care services compared to infection or surgical complications.
Question 6
Which client requires immediate assessment after shift change?
A. BP 90/60 with hot, dry skin
B. Sleeping client with stable vital signs
C. Fruity breath, polydipsia, and polyphagia
D. Irritable client with tremors
C. Fruity breath, polydipsia, and polyphagia
RATIONALE: These are classic signs of diabetic ketoacidosis
(DKA), a life-threatening metabolic emergency.
Question 7
Which finding should be immediately reported in a client receiving
chemotherapy?
A. Headache rated 3/10
B. Watery diarrhea with abdominal pain
C. Oxygen saturation 94%
D. Nausea after contrast dye
B. Watery diarrhea with abdominal pain
RATIONALE: Frequent diarrhea increases risk for dehydration and
electrolyte imbalance, which can quickly become life-threatening.
Question 8
VERIFIED ANSWERS WITH RATIONALES JUST
RELEASED
Core Domains
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Introduction
This comprehensive final examination assesses the nursing student's
readiness to transition from the student role to entry-level professional
practice. The test evaluates competency across all domains of nursing
practice, including safe care delivery, clinical judgment, prioritization,
delegation, and patient education. Questions emphasize the application
of the nursing process, critical thinking, and evidence-based decision-
making in diverse clinical scenarios. The multiple-choice format covers
foundational concepts through complex clinical applications required
for associate degree nurse practice, ensuring graduates demonstrate the
knowledge and skills essential for safe, effective patient care.
Section One: Questions 1–100
Question 1
A nurse is caring for multiple clients on a medical-surgical unit.
Which client is at the highest risk for developing a nosocomial
infection?
A. Client with alcohol use disorder admitted for detoxification
,B. Client with Type 1 diabetes mellitus and peripheral neuropathy
C. Client recovering from a laparoscopic cholecystectomy
D. Client with full-thickness burns, NG tube, and Foley catheter
D. Client with full-thickness burns, NG tube, and Foley catheter
RATIONALE: Patients with extensive burns have a severely
compromised skin barrier, making them highly susceptible to infection.
The presence of invasive devices such as an NG tube and Foley catheter
further increases infection risk by providing entry points for
microorganisms. Although diabetes and surgery also increase risk, the
combination of broken skin integrity and multiple invasive devices
places the burn patient at the greatest risk.
Question 2
Which client should the nurse prioritize for transfer from ICU to a
step-down neurological unit?
A. Client with acute head injury and seizures
B. Client with ischemic stroke 4 days ago and mild confusion
C. Client 1-day post-transsphenoidal craniotomy with CSF leak
D. Client with bacterial meningitis and Glasgow Coma Scale of 7
B. Client with ischemic stroke 4 days ago and mild confusion
RATIONALE: The most stable client is the one with an ischemic
stroke who is several days post-event and only mildly confused. The
other clients are unstable due to CSF leak, decreased level of
consciousness, or active neurological compromise.
Question 3
After shift report, which client should the nurse assess first?
A. Ventilated client requiring sputum culture collection
,B. COPD client with oxygen saturation of 90% from previous shift
C. Pneumonia client awaiting IV antibiotics
D. Asthma client reporting shortness of breath after bronchodilator use
D. Asthma client reporting shortness of breath after bronchodilator
use
RATIONALE: Shortness of breath after bronchodilator use suggests
worsening bronchospasm or treatment failure. This is an airway priority
(ABCs). The other clients are either stable or receiving routine care.
Question 4
Which postoperative client should the nurse assess first?
A. Client scheduled for laparoscopic cholecystectomy
B. Multiple trauma client from motor vehicle collision
C. Client scheduled for thyroidectomy
D. Client awaiting discharge after appendectomy
B. Multiple trauma client from motor vehicle collision
RATIONALE: Trauma patients are the most unstable and require
immediate assessment due to risk of internal injuries, hemorrhage, and
airway compromise.
Question 5
During disaster triage, which client can be safely discharged first?
A. 24-hour post-hysterectomy client
B. 5-day post-total hip replacement client
C. 12-hour pyelonephritis admission
D. 5-day stage III pressure ulcer patient
, B. 5-day post-total hip replacement client
RATIONALE: This client is the most stable and least dependent on
acute care services compared to infection or surgical complications.
Question 6
Which client requires immediate assessment after shift change?
A. BP 90/60 with hot, dry skin
B. Sleeping client with stable vital signs
C. Fruity breath, polydipsia, and polyphagia
D. Irritable client with tremors
C. Fruity breath, polydipsia, and polyphagia
RATIONALE: These are classic signs of diabetic ketoacidosis
(DKA), a life-threatening metabolic emergency.
Question 7
Which finding should be immediately reported in a client receiving
chemotherapy?
A. Headache rated 3/10
B. Watery diarrhea with abdominal pain
C. Oxygen saturation 94%
D. Nausea after contrast dye
B. Watery diarrhea with abdominal pain
RATIONALE: Frequent diarrhea increases risk for dehydration and
electrolyte imbalance, which can quickly become life-threatening.
Question 8
