NUR 215 Exam 2026-2027 BANK QUESTIONS WITH
DETAILED VERIFIED ANSWERS EXAM QUESTIONS
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1. A nurse is caring for a client who is postoperative day one following
an abdominal hysterectomy. The client reports a pain level of 7 on a
scale of 0 to 10. Which of the following actions should the nurse take
first?
A) Administer the prescribed PRN analgesic.
B) Reposition the client to promote comfort.
C) Assess the surgical incision for signs of complications.
D) Encourage the client to use guided imagery.
Answer: C) Assess the surgical incision for signs of complications.
Explanation: The nursing process prioritizes assessment before
intervention. While the client is in pain, the nurse must first rule out a
potential complication such as infection, dehiscence, or internal
bleeding that could be causing or contributing to the pain. Repositioning
or administering an analgesic may be appropriate after a thorough
assessment. Guided imagery is a complementary therapy that can be
used adjunctively but is not the priority in acute postoperative pain
management.
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2. A nurse is preparing to administer an enteral feeding through a
nasogastric tube. Which of the following actions is essential to perform
before initiating the feeding?
A) Flush the tube with 30 mL of sterile water.
B) Confirm placement of the tube by aspirating gastric contents and
testing the pH.
C) Elevate the head of the bed to 15 degrees.
D) Warm the formula to body temperature in a microwave.
Answer: B) Confirm placement of the tube by aspirating gastric contents
and testing the pH.
Explanation: Verification of tube placement is a critical safety measure
before any enteral feeding to prevent accidental administration into the
respiratory tract. While flushing with water is a standard practice,
placement confirmation via pH testing or radiographic confirmation is
paramount. Elevating the head of the bed to at least 30 degrees (not
15) is necessary to reduce the risk of aspiration. Formula should be
warmed gradually, but microwaving is contraindicated due to the risk of
hot spots and nutrient degradation.
3. A client with a history of heart failure is prescribed a low-sodium
diet. Which food choice by the client indicates an understanding of the
dietary teaching?
A) Canned vegetable soup.
B) Grilled chicken breast with steamed broccoli.
C) Salted pretzels.
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D) Processed cheese slices.
Answer: B) Grilled chicken breast with steamed broccoli.
Explanation: Fresh or minimally processed foods like grilled chicken and
steamed vegetables are naturally low in sodium. Canned soups, salted
pretzels, and processed cheeses are notoriously high in sodium, which
can exacerbate fluid retention and worsen heart failure symptoms. The
nurse should reinforce teaching about reading nutrition labels and
choosing fresh ingredients.
4. A nurse is performing a sterile dressing change. After setting up the
sterile field, the nurse drops a sterile gauze pad onto the outer 1-inch
border of the field. What is the appropriate action?
A) Pick up the gauze pad and place it in the center of the field.
B) Discard the gauze pad and obtain a new one.
C) Consider the gauze pad contaminated and use it only for cleaning the
wound edge.
D) Leave the gauze pad in place as it is within the sterile field.
Answer: B) Discard the gauze pad and obtain a new one.
Explanation: The outer 1-inch border of a sterile field is considered non-
sterile. Any item that touches this border is contaminated and must be
discarded. Maintaining the integrity of the sterile field is essential to
prevent surgical site infections. The nurse should open a new sterile
package and ensure all items are placed within the inner sterile area.
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5. A nurse is educating a client about self-administration of insulin.
Which of the following statements by the client indicates a need for
further teaching?
A) I will rotate my injection sites within the same anatomical region.
B) I can store my current vial of insulin at room temperature.
C) I will draw up the cloudy insulin first, then the clear insulin.
D) I should inject the insulin at a 90-degree angle if using a 5/8-inch
needle.
Answer: C) I will draw up the cloudy insulin first, then the clear insulin.
Explanation: The correct technique involves drawing up the clear
(regular) insulin first, followed by the cloudy (NPH) insulin to avoid
contaminating the clear insulin with the cloudy suspension. Rotating
sites is appropriate to prevent lipohypertrophy. Vials in use can be kept
at room temperature for up to 28 days. A 5/8-inch needle typically
requires a 45-degree angle unless the client is very thin; otherwise, a 90-
degree angle is used with longer needles.
6. A client is receiving a blood transfusion and develops chills, fever,
and flank pain. The nurse identifies these findings as indicative of which
type of transfusion reaction?
A) Febrile non-hemolytic reaction.
B) Acute hemolytic reaction.
C) Allergic reaction.
D) Circulatory overload.
Answer: B) Acute hemolytic reaction.