NUR 211 - FINAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026
Q&A | INSTANT DOWNLOAD PDF
Core Domains
- Foundations of Nursing Practice
- Legal and Ethical Nursing Standards
- Patient Safety and Infection Control
- Health Assessment and Vital Signs
- Pharmacology and Medication Administration
- Chronic Illness and End-of-Life Care
- Perioperative and Emergency Nursing
- Communication and Patient Education
- Cultural Competence and Health Equity
- Clinical Judgment and Critical Thinking
Introduction
This comprehensive examination is designed to assess mastery of essential nursing knowledge and clinical
reasoning for NUR 211. It evaluates foundational theory, applied professional skills, regulatory compliance, ethical
decision‑making, and real‑world scenario management. Each of the 200 multiple‑choice questions emphasizes
practical application, patient safety, and prioritization. Questions range from recall of key facts to complex clinical
judgments. Correct answers are verified, and each includes a clear rationale to reinforce learning. This assessment
mirrors the demands of modern nursing practice, focusing on safe, competent, and compassionate care across
diverse settings.
,SECTION ONE: QUESTIONS 1–100
Question 1
A nurse is caring for a post‑operative patient who reports sudden chest pain and shortness of breath. What is
the nurse’s priority action?
A. Administer oxygen at 2 L/min via nasal cannula
B. Notify the provider immediately
C. Check the patient’s oxygen saturation
D. Elevate the head of the bed to 45 degrees
🟢D
🔴 RATIONALE: Elevating the head of the bed improves ventilation and reduces preload, which is critical when
pulmonary embolism or cardiac ischemia is suspected. Airway and breathing come before notifying the provider
or further assessment.
Question 2
A patient with heart failure has a daily weight increase of 2.2 lbs (1 kg) in 24 hours. Which finding should the
nurse expect?
A. Jugular vein distension
B. Decreased blood pressure
C. Increased urine output
D. Thready radial pulse
🟢A
,🔴 RATIONALE: Rapid weight gain in heart failure indicates fluid retention, often presenting with jugular vein
distension due to increased central venous pressure. Decreased BP and thready pulse occur in later
decompensation; urine output typically decreases.
Question 3
A nurse is preparing to administer digoxin. The patient’s apical pulse is 52 bpm. What should the nurse do first?
A. Hold the dose and notify the provider
B. Administer the dose as ordered
C. Recheck the pulse in 30 minutes
D. Give atropine to increase heart rate
🟢A
🔴 RATIONALE: Digoxin is withheld for an apical pulse below 60 bpm (or per facility policy) to avoid toxicity; the
provider must be notified for further orders.
Question 4
Which finding in a patient receiving a blood transfusion indicates an acute hemolytic reaction?
A. Urticaria and itching
B. Fever and chills
C. Low back pain and dark urine
D. Wheezing and stridor
🟢C
, 🔴 RATIONALE: Low back pain, hemoglobinuria (dark urine), and hypotension are hallmark signs of acute
hemolytic reaction due to ABO incompatibility. Urticaria suggests allergic reaction; fever/chills suggest febrile
reaction; wheezing indicates anaphylaxis.
Question 5
A nurse is teaching a patient with type 2 diabetes about foot care. Which statement by the patient indicates
understanding?
A. “I’ll soak my feet daily for 20 minutes.”
B. “I’ll use a heating pad to warm cold feet.”
C. “I’ll cut my own corns with a razor blade.”
D. “I’ll check the inside of my shoes before wearing them.”
🟢D
🔴 RATIONALE: Checking shoes for foreign objects prevents injury and ulceration in neuropathic feet. Soaking,
heating pads, and self‑treatment of corns increase infection and burn risk.
Question 6
A nurse is providing discharge teaching to a patient with a new colostomy. Which food should the patient avoid
to prevent obstruction?
A. Applesauce
B. Cooked carrots
C. Raw celery
D. White bread
🟢C
Q&A | INSTANT DOWNLOAD PDF
Core Domains
- Foundations of Nursing Practice
- Legal and Ethical Nursing Standards
- Patient Safety and Infection Control
- Health Assessment and Vital Signs
- Pharmacology and Medication Administration
- Chronic Illness and End-of-Life Care
- Perioperative and Emergency Nursing
- Communication and Patient Education
- Cultural Competence and Health Equity
- Clinical Judgment and Critical Thinking
Introduction
This comprehensive examination is designed to assess mastery of essential nursing knowledge and clinical
reasoning for NUR 211. It evaluates foundational theory, applied professional skills, regulatory compliance, ethical
decision‑making, and real‑world scenario management. Each of the 200 multiple‑choice questions emphasizes
practical application, patient safety, and prioritization. Questions range from recall of key facts to complex clinical
judgments. Correct answers are verified, and each includes a clear rationale to reinforce learning. This assessment
mirrors the demands of modern nursing practice, focusing on safe, competent, and compassionate care across
diverse settings.
,SECTION ONE: QUESTIONS 1–100
Question 1
A nurse is caring for a post‑operative patient who reports sudden chest pain and shortness of breath. What is
the nurse’s priority action?
A. Administer oxygen at 2 L/min via nasal cannula
B. Notify the provider immediately
C. Check the patient’s oxygen saturation
D. Elevate the head of the bed to 45 degrees
🟢D
🔴 RATIONALE: Elevating the head of the bed improves ventilation and reduces preload, which is critical when
pulmonary embolism or cardiac ischemia is suspected. Airway and breathing come before notifying the provider
or further assessment.
Question 2
A patient with heart failure has a daily weight increase of 2.2 lbs (1 kg) in 24 hours. Which finding should the
nurse expect?
A. Jugular vein distension
B. Decreased blood pressure
C. Increased urine output
D. Thready radial pulse
🟢A
,🔴 RATIONALE: Rapid weight gain in heart failure indicates fluid retention, often presenting with jugular vein
distension due to increased central venous pressure. Decreased BP and thready pulse occur in later
decompensation; urine output typically decreases.
Question 3
A nurse is preparing to administer digoxin. The patient’s apical pulse is 52 bpm. What should the nurse do first?
A. Hold the dose and notify the provider
B. Administer the dose as ordered
C. Recheck the pulse in 30 minutes
D. Give atropine to increase heart rate
🟢A
🔴 RATIONALE: Digoxin is withheld for an apical pulse below 60 bpm (or per facility policy) to avoid toxicity; the
provider must be notified for further orders.
Question 4
Which finding in a patient receiving a blood transfusion indicates an acute hemolytic reaction?
A. Urticaria and itching
B. Fever and chills
C. Low back pain and dark urine
D. Wheezing and stridor
🟢C
, 🔴 RATIONALE: Low back pain, hemoglobinuria (dark urine), and hypotension are hallmark signs of acute
hemolytic reaction due to ABO incompatibility. Urticaria suggests allergic reaction; fever/chills suggest febrile
reaction; wheezing indicates anaphylaxis.
Question 5
A nurse is teaching a patient with type 2 diabetes about foot care. Which statement by the patient indicates
understanding?
A. “I’ll soak my feet daily for 20 minutes.”
B. “I’ll use a heating pad to warm cold feet.”
C. “I’ll cut my own corns with a razor blade.”
D. “I’ll check the inside of my shoes before wearing them.”
🟢D
🔴 RATIONALE: Checking shoes for foreign objects prevents injury and ulceration in neuropathic feet. Soaking,
heating pads, and self‑treatment of corns increase infection and burn risk.
Question 6
A nurse is providing discharge teaching to a patient with a new colostomy. Which food should the patient avoid
to prevent obstruction?
A. Applesauce
B. Cooked carrots
C. Raw celery
D. White bread
🟢C
