NUR 125 Fundamentals of Nursing final exam
at Joyce University, based on the latest
2026/2027
Exam Title: NUR 125 Fundamentals of Nursing Final Exam
Institution: Joyce University
Date: Latest 2026/2027 Update.
Section 1: Safe & Effective Care Environment (Management of Care & Safety)
1. A nurse is preparing to delegate tasks to an unlicensed assistive personnel
(UAP). Which task is most appropriate for the nurse to delegate?
A. Assessing a post-operative patient’s lung sounds
B. Creating a plan of care for a newly admitted patient
C. Administering IV push morphine to a patient
D. Measuring a stable patient’s vital signs
.Correct Answer: D
Rationale: Delegation involves transferring responsibility for a specific task.
,Measuring vital signs on a stable patient falls within the scope of practice for
UAPs. Assessment, care planning, and IV push medications require licensed
nursing judgment and cannot be delegated.
2. A patient falls while attempting to get out of bed unassisted. What is the
nurse’s immediate priority action?
A. Complete an incident report
B. Assess the patient for injuries
C. Notify the patient’s physician
D. Determine why the call light was not .Correct Answered
.Correct Answer: B
Rationale: The immediate priority in any emergency or unexpected event is to
assess the patient’s airway, breathing, and circulation (ABCs) and check for
injuries. Documentation and notification come after the patient is stable.
3. A nurse is reviewing informed consent with a patient scheduled for surgery.
Which statement by the patient indicates a need for further teaching?
A. “I can change my mind about the surgery at any time.”
B. “My doctor explained the risks of the procedure to me.”
C. “I need to sign the form because the nurse explained the procedure to me.”
,D. “I understand why I need this surgery.”
.Correct Answer: C
Rationale: Informed consent is the responsibility of the physician performing the
procedure. The nurse’s role is to witness the signature and ensure the patient
understands the information provided by the physician. The nurse does not
explain the procedural risks or indications.
4. A charge nurse is observing a new graduate nurse perform hand hygiene.
Which action requires intervention?
A. Washing hands with soap and water for 15 seconds
B. Using an alcohol-based hand rub when hands are visibly soiled
C. Keeping fingernails short and without artificial tips
D. Removing jewelry before washing hands
.Correct Answer: B
Rationale: Alcohol-based hand rubs are effective for decontaminating hands that
are not visibly soiled. If hands are visibly soiled, the CDC mandates that hands
must be washed with soap and water.
5. A nurse is applying restraints to a confused patient who is pulling at their IV
line. Which action is essential to include?
, A. Tie the restraint to the side rail of the bed
B. Apply the restraint tightly to prevent escape
C. Remove the restraint every 2 hours to assess skin and circulation
D. Obtain a PRN order from the physician
.Correct Answer: C
Rationale: Restraints must be removed at least every 2 hours (or per facility
policy) to allow for range of motion, toileting, and skin assessment. Restraints
should be tied to the bed frame (not side rails) using a quick-release knot. PRN
orders for restraints are not permitted; they require a specific time-limited order.
6. A nurse is preparing to transfer a patient from the bed to a stretcher. Which
action demonstrates proper body mechanics?
A. Placing the bed in the highest position to avoid bending the back
B. Keeping feet together to maintain a stable base of support
C. Positioning the patient closest to the nurse’s center of gravity
D. Twisting at the waist to guide the patient onto the stretcher
.Correct Answer: C
Rationale: Proper body mechanics involve keeping the patient close to the
nurse’s center of gravity to reduce leverage and strain on the back. The bed
at Joyce University, based on the latest
2026/2027
Exam Title: NUR 125 Fundamentals of Nursing Final Exam
Institution: Joyce University
Date: Latest 2026/2027 Update.
Section 1: Safe & Effective Care Environment (Management of Care & Safety)
1. A nurse is preparing to delegate tasks to an unlicensed assistive personnel
(UAP). Which task is most appropriate for the nurse to delegate?
A. Assessing a post-operative patient’s lung sounds
B. Creating a plan of care for a newly admitted patient
C. Administering IV push morphine to a patient
D. Measuring a stable patient’s vital signs
.Correct Answer: D
Rationale: Delegation involves transferring responsibility for a specific task.
,Measuring vital signs on a stable patient falls within the scope of practice for
UAPs. Assessment, care planning, and IV push medications require licensed
nursing judgment and cannot be delegated.
2. A patient falls while attempting to get out of bed unassisted. What is the
nurse’s immediate priority action?
A. Complete an incident report
B. Assess the patient for injuries
C. Notify the patient’s physician
D. Determine why the call light was not .Correct Answered
.Correct Answer: B
Rationale: The immediate priority in any emergency or unexpected event is to
assess the patient’s airway, breathing, and circulation (ABCs) and check for
injuries. Documentation and notification come after the patient is stable.
3. A nurse is reviewing informed consent with a patient scheduled for surgery.
Which statement by the patient indicates a need for further teaching?
A. “I can change my mind about the surgery at any time.”
B. “My doctor explained the risks of the procedure to me.”
C. “I need to sign the form because the nurse explained the procedure to me.”
,D. “I understand why I need this surgery.”
.Correct Answer: C
Rationale: Informed consent is the responsibility of the physician performing the
procedure. The nurse’s role is to witness the signature and ensure the patient
understands the information provided by the physician. The nurse does not
explain the procedural risks or indications.
4. A charge nurse is observing a new graduate nurse perform hand hygiene.
Which action requires intervention?
A. Washing hands with soap and water for 15 seconds
B. Using an alcohol-based hand rub when hands are visibly soiled
C. Keeping fingernails short and without artificial tips
D. Removing jewelry before washing hands
.Correct Answer: B
Rationale: Alcohol-based hand rubs are effective for decontaminating hands that
are not visibly soiled. If hands are visibly soiled, the CDC mandates that hands
must be washed with soap and water.
5. A nurse is applying restraints to a confused patient who is pulling at their IV
line. Which action is essential to include?
, A. Tie the restraint to the side rail of the bed
B. Apply the restraint tightly to prevent escape
C. Remove the restraint every 2 hours to assess skin and circulation
D. Obtain a PRN order from the physician
.Correct Answer: C
Rationale: Restraints must be removed at least every 2 hours (or per facility
policy) to allow for range of motion, toileting, and skin assessment. Restraints
should be tied to the bed frame (not side rails) using a quick-release knot. PRN
orders for restraints are not permitted; they require a specific time-limited order.
6. A nurse is preparing to transfer a patient from the bed to a stretcher. Which
action demonstrates proper body mechanics?
A. Placing the bed in the highest position to avoid bending the back
B. Keeping feet together to maintain a stable base of support
C. Positioning the patient closest to the nurse’s center of gravity
D. Twisting at the waist to guide the patient onto the stretcher
.Correct Answer: C
Rationale: Proper body mechanics involve keeping the patient close to the
nurse’s center of gravity to reduce leverage and strain on the back. The bed
