NR-226 Comprehensive Final Exam
Questions And Correct Answers (Verified
Answers) Plus Rationales 2025/2026 Q&A |
Instant Download Pdf
1.
A nurse is preparing to administer medications to a client. Which
action best demonstrates the “right patient” principle?
A. Checking the medication label twice
B. Comparing the medication with the prescription
C. Checking the client’s ID band and asking the client to state their
name
D. Verifying the medication expiration date
Answer: C
Verifying the client using two identifiers such as name and ID band
ensures the medication is given to the correct patient.
2.
Which position should the nurse place a client in for administration
of an enema?
A. Supine
B. Left Sims position
C. Fowler’s position
D. Trendelenburg position
Answer: B
The left Sims position allows the solution to flow naturally into the
sigmoid colon and rectum.
,3.
A nurse notes redness and warmth at a client’s IV site. What is the
priority action?
A. Flush the IV line
B. Slow the IV infusion
C. Discontinue the IV catheter
D. Apply cold compress
Answer: C
Redness and warmth indicate phlebitis; the IV must be discontinued
to prevent further vessel damage.
4.
Which vital sign change is most concerning after surgery?
A. BP 128/80
B. Pulse 88 bpm
C. Respirations 8/min
D. Temperature 37.2°C (99°F)
Answer: C
Respiratory depression may indicate opioid overdose or anesthesia
complications.
5.
Which finding indicates proper nasogastric (NG) tube placement?
A. Client coughs
B. Aspirated gastric contents with acidic pH
C. Client feels nausea
D. Tube length increases
,Answer: B
Aspiration of acidic gastric fluid confirms placement in the stomach.
6.
A nurse is caring for a client with pressure injury risk. Which
intervention is most appropriate?
A. Massage bony prominences
B. Reposition every 2 hours
C. Use donut cushion
D. Limit fluids
Answer: B
Frequent repositioning reduces prolonged pressure that causes tissue
ischemia.
7.
Which infection control method prevents transmission of
tuberculosis?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions
Answer: C
Tuberculosis spreads via airborne particles requiring negative-
pressure rooms and N95 masks.
8.
Which sign indicates fluid volume deficit?
, A. Bounding pulse
B. Decreased urine output
C. Edema
D. Weight gain
Answer: B
Low urine output indicates decreased circulating fluid volume.
9.
A nurse assesses a client’s pain as 8/10. What is the priority nursing
action?
A. Offer distraction
B. Document the pain
C. Administer prescribed analgesic
D. Reassess in 30 minutes
Answer: C
Pain relief is the priority once severe pain is assessed.
10.
Which finding indicates hypoxia?
A. Pink skin
B. Restlessness
C. Bradycardia
D. Warm extremities
Answer: B
Early signs of hypoxia include restlessness and anxiety.
11.
Questions And Correct Answers (Verified
Answers) Plus Rationales 2025/2026 Q&A |
Instant Download Pdf
1.
A nurse is preparing to administer medications to a client. Which
action best demonstrates the “right patient” principle?
A. Checking the medication label twice
B. Comparing the medication with the prescription
C. Checking the client’s ID band and asking the client to state their
name
D. Verifying the medication expiration date
Answer: C
Verifying the client using two identifiers such as name and ID band
ensures the medication is given to the correct patient.
2.
Which position should the nurse place a client in for administration
of an enema?
A. Supine
B. Left Sims position
C. Fowler’s position
D. Trendelenburg position
Answer: B
The left Sims position allows the solution to flow naturally into the
sigmoid colon and rectum.
,3.
A nurse notes redness and warmth at a client’s IV site. What is the
priority action?
A. Flush the IV line
B. Slow the IV infusion
C. Discontinue the IV catheter
D. Apply cold compress
Answer: C
Redness and warmth indicate phlebitis; the IV must be discontinued
to prevent further vessel damage.
4.
Which vital sign change is most concerning after surgery?
A. BP 128/80
B. Pulse 88 bpm
C. Respirations 8/min
D. Temperature 37.2°C (99°F)
Answer: C
Respiratory depression may indicate opioid overdose or anesthesia
complications.
5.
Which finding indicates proper nasogastric (NG) tube placement?
A. Client coughs
B. Aspirated gastric contents with acidic pH
C. Client feels nausea
D. Tube length increases
,Answer: B
Aspiration of acidic gastric fluid confirms placement in the stomach.
6.
A nurse is caring for a client with pressure injury risk. Which
intervention is most appropriate?
A. Massage bony prominences
B. Reposition every 2 hours
C. Use donut cushion
D. Limit fluids
Answer: B
Frequent repositioning reduces prolonged pressure that causes tissue
ischemia.
7.
Which infection control method prevents transmission of
tuberculosis?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions
Answer: C
Tuberculosis spreads via airborne particles requiring negative-
pressure rooms and N95 masks.
8.
Which sign indicates fluid volume deficit?
, A. Bounding pulse
B. Decreased urine output
C. Edema
D. Weight gain
Answer: B
Low urine output indicates decreased circulating fluid volume.
9.
A nurse assesses a client’s pain as 8/10. What is the priority nursing
action?
A. Offer distraction
B. Document the pain
C. Administer prescribed analgesic
D. Reassess in 30 minutes
Answer: C
Pain relief is the priority once severe pain is assessed.
10.
Which finding indicates hypoxia?
A. Pink skin
B. Restlessness
C. Bradycardia
D. Warm extremities
Answer: B
Early signs of hypoxia include restlessness and anxiety.
11.
