NUR 242 EXAM 4 EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) Q&A 2026/2027
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1. A nurse is caring for a client who has a newly inserted
urinary catheter. Which action should the nurse take to
prevent infection?
A. Disconnect the catheter tubing daily for cleaning
B. Keep the drainage bag above bladder level
C. Maintain a closed drainage system
D. Irrigate the catheter routinely
Correct Answer: C. Maintain a closed drainage system
Rationale: A closed urinary drainage system reduces the risk of
introducing bacteria into the urinary tract and prevents
catheter-associated urinary tract infections (CAUTIs).
2. A nurse is preparing to administer medication to a client.
Which action demonstrates safe medication administration?
A. Verify the medication label once
B. Use two client identifiers before giving medication
C. Ask another patient to confirm the client’s name
D. Document medication before administration
,Correct Answer: B. Use two client identifiers before giving
medication
Rationale: Using two identifiers, such as name and birth date,
prevents medication errors by ensuring the medication is given
to the correct client.
3. A nurse is caring for a client who is at risk for falls. Which
intervention is appropriate?
A. Keep the bed in the highest position
B. Place frequently used items within reach
C. Encourage the client to walk independently
D. Remove the call light from the room
Correct Answer: B. Place frequently used items within reach
Rationale: Keeping needed items accessible reduces
unnecessary movement and decreases fall risk.
4. A nurse should use which position for a client experiencing
difficulty breathing?
A. Supine
B. Trendelenburg
C. High Fowler’s
D. Sims’
Correct Answer: C. High Fowler’s
,Rationale: High Fowler’s position promotes lung expansion and
improves oxygenation in clients with respiratory distress.
5. A nurse is performing hand hygiene. Which situation
requires handwashing with soap and water instead of alcohol-
based sanitizer?
A. Before measuring blood pressure
B. After touching intact skin
C. When hands are visibly soiled
D. Before entering a patient room
Correct Answer: C. When hands are visibly soiled
Rationale: Alcohol-based hand rubs are effective in many
situations, but soap and water are required when hands are
visibly dirty or contaminated.
6. A nurse is caring for a client receiving oxygen therapy.
Which safety measure is essential?
A. Allow smoking near the oxygen source
B. Keep oxygen away from flames
C. Cover oxygen tubing with blankets
D. Store oxygen tanks horizontally without securing
Correct Answer: B. Keep oxygen away from flames
Rationale: Oxygen supports combustion, so flames and
smoking must be avoided.
, 7. A nurse is changing a sterile dressing. Which action
maintains sterile technique?
A. Reaching over the sterile field
B. Keeping sterile supplies above waist level
C. Using clean gloves instead of sterile gloves
D. Touching sterile items with bare hands
Correct Answer: B. Keeping sterile supplies above waist level
Rationale: Sterile objects must remain within sight and above
waist level to prevent contamination.
8. A client reports pain rated 8/10. What should the nurse do
first?
A. Ignore the pain rating
B. Assess the pain characteristics
C. Tell the client pain is expected
D. Wait until the pain improves
Correct Answer: B. Assess the pain characteristics
Rationale: The nurse should assess pain location, intensity,
quality, and duration before implementing interventions.
9. Which action is appropriate when assisting a client with
ambulation?
ANSWERS (VERIFIED ANSWERS) Q&A 2026/2027
|INSTANT DOWNLOAD PDF
1. A nurse is caring for a client who has a newly inserted
urinary catheter. Which action should the nurse take to
prevent infection?
A. Disconnect the catheter tubing daily for cleaning
B. Keep the drainage bag above bladder level
C. Maintain a closed drainage system
D. Irrigate the catheter routinely
Correct Answer: C. Maintain a closed drainage system
Rationale: A closed urinary drainage system reduces the risk of
introducing bacteria into the urinary tract and prevents
catheter-associated urinary tract infections (CAUTIs).
2. A nurse is preparing to administer medication to a client.
Which action demonstrates safe medication administration?
A. Verify the medication label once
B. Use two client identifiers before giving medication
C. Ask another patient to confirm the client’s name
D. Document medication before administration
,Correct Answer: B. Use two client identifiers before giving
medication
Rationale: Using two identifiers, such as name and birth date,
prevents medication errors by ensuring the medication is given
to the correct client.
3. A nurse is caring for a client who is at risk for falls. Which
intervention is appropriate?
A. Keep the bed in the highest position
B. Place frequently used items within reach
C. Encourage the client to walk independently
D. Remove the call light from the room
Correct Answer: B. Place frequently used items within reach
Rationale: Keeping needed items accessible reduces
unnecessary movement and decreases fall risk.
4. A nurse should use which position for a client experiencing
difficulty breathing?
A. Supine
B. Trendelenburg
C. High Fowler’s
D. Sims’
Correct Answer: C. High Fowler’s
,Rationale: High Fowler’s position promotes lung expansion and
improves oxygenation in clients with respiratory distress.
5. A nurse is performing hand hygiene. Which situation
requires handwashing with soap and water instead of alcohol-
based sanitizer?
A. Before measuring blood pressure
B. After touching intact skin
C. When hands are visibly soiled
D. Before entering a patient room
Correct Answer: C. When hands are visibly soiled
Rationale: Alcohol-based hand rubs are effective in many
situations, but soap and water are required when hands are
visibly dirty or contaminated.
6. A nurse is caring for a client receiving oxygen therapy.
Which safety measure is essential?
A. Allow smoking near the oxygen source
B. Keep oxygen away from flames
C. Cover oxygen tubing with blankets
D. Store oxygen tanks horizontally without securing
Correct Answer: B. Keep oxygen away from flames
Rationale: Oxygen supports combustion, so flames and
smoking must be avoided.
, 7. A nurse is changing a sterile dressing. Which action
maintains sterile technique?
A. Reaching over the sterile field
B. Keeping sterile supplies above waist level
C. Using clean gloves instead of sterile gloves
D. Touching sterile items with bare hands
Correct Answer: B. Keeping sterile supplies above waist level
Rationale: Sterile objects must remain within sight and above
waist level to prevent contamination.
8. A client reports pain rated 8/10. What should the nurse do
first?
A. Ignore the pain rating
B. Assess the pain characteristics
C. Tell the client pain is expected
D. Wait until the pain improves
Correct Answer: B. Assess the pain characteristics
Rationale: The nurse should assess pain location, intensity,
quality, and duration before implementing interventions.
9. Which action is appropriate when assisting a client with
ambulation?
