NR 226 FUNDAMENTALS PATIENT CARE COMPREHENSIVE EXAM
CHAMBERLAIN UNIVERSITY ACTUAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALES 100% GUARANTEED PASS!!
<LATEST VERSION>
Question 1
A nurse is preparing to assist a postoperative client from the bed to a chair for the
first time. The client reports feeling weak and slightly dizzy when sitting upright.
Which action should the nurse take first?
A. Have the client stand immediately with assistance
B. Return the client to a supine position and notify the provider
C. Allow the client to sit at the bedside while assessing tolerance
D. Place the client in a chair using a mechanical lift
Answer: C
Rationale: The client should be allowed to sit at the bedside, often called dangling,
before standing. This permits the nurse to assess for orthostatic symptoms and
determine whether the client can safely tolerate the position change. Immediately
standing could increase the risk for syncope and falls.
Question 2
A client has an indwelling urinary catheter. During morning care, the nurse notices
that the drainage bag is resting on the floor. What should the nurse do?
A. Empty the drainage bag and place it on the bedside table
B. Secure the drainage bag below bladder level
C. Disconnect the tubing and clean the drainage system
D. Clamp the catheter for 30 minutes before repositioning the bag
Answer: B
,Rationale: The urinary drainage bag should remain below bladder level to
promote gravity drainage and reduce the risk of backflow and infection. It should
never rest on the floor. The closed drainage system should not be unnecessarily
disconnected.
Question 3
A client's arterial blood gas results are:
pH: 7.29
PaCO₂: 52 mm Hg
HCO₃⁻: 24 mEq/L
How should the nurse interpret these findings?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Metabolic alkalosis
Answer: A
Rationale: The pH is below 7.35, indicating acidosis. The PaCO₂ is elevated,
indicating a respiratory cause. The bicarbonate is within the expected range,
supporting an uncompensated respiratory acidosis.
Question 4
A nurse enters a client's room and finds the client sitting on the floor beside the
bed. The client states, "I didn't hurt myself." What is the nurse's priority action?
A. Help the client back into bed immediately
B. Complete an incident report before assessing the client
C. Assess the client for injury before moving the client
D. Ask the client why the call light was not used
Answer: C
,Rationale: The client must be assessed for injury before being moved. Moving a
client without determining whether an injury has occurred could worsen a fracture
or spinal injury. Once the client's condition is evaluated and appropriate care is
provided, documentation and incident reporting should follow facility policy.
Question 5
A nurse is preparing to administer oral medications to four clients. Which action
best demonstrates safe medication administration?
A. Prepare all medications for the four clients before entering their rooms
B. Compare each medication with the medication administration record at
appropriate points
C. Ask another client to confirm the medication's appearance
D. Leave prepared medications at the bedside if the client is temporarily
unavailable
Answer: B
Rationale: Safe medication administration requires systematic verification of the
medication against the medication administration record and appropriate
identification of the client. Medications should not be left unattended or prepared
in a way that increases the risk for mix-ups.
Question 6
A client with chronic obstructive pulmonary disease is receiving oxygen at 2 L/min
through a nasal cannula. The client becomes increasingly drowsy and difficult to
arouse. Which action should the nurse take first?
A. Increase the oxygen flow rate
B. Assess respiratory rate, effort, and oxygen saturation
C. Place the client in a supine position
D. Encourage the client to drink fluids
Answer: B
, Rationale: A change in level of consciousness in a client with respiratory disease
can indicate worsening gas exchange. The nurse should immediately assess
respiratory status, including rate, effort, oxygen saturation, and other relevant
findings. Increasing oxygen without assessment may be inappropriate.
Question 7
A nurse is caring for a client who has Clostridioides difficile infection. Which
action is most appropriate when leaving the client's room after providing care?
A. Remove gloves and gown and perform hand hygiene with soap and water
B. Remove gloves but keep the gown on until reaching the nurses' station
C. Use alcohol-based hand sanitizer as the only hand hygiene method
D. Remove the gown first and then remove the gloves outside the room
Answer: A
Rationale: C. difficile produces spores that are not reliably eliminated by alcohol-
based hand sanitizer. Soap and water should be used after caring for a client with
C. difficile, along with appropriate contact precautions and proper removal of
personal protective equipment.
Question 8
A client has been prescribed a medication at a dose of 375 mg. The available
medication is 250 mg per tablet. How many tablets should the nurse administer?
A. 0.5 tablet
B. 1 tablet
C. 1.5 tablets
D. 2 tablets
Answer: C
Rationale: Use the formula:
Dose desired ÷ Dose available × Quantity = Amount to administer
375 mg ÷ 250 mg × 1 tablet = 1.5 tablets.
CHAMBERLAIN UNIVERSITY ACTUAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALES 100% GUARANTEED PASS!!
<LATEST VERSION>
Question 1
A nurse is preparing to assist a postoperative client from the bed to a chair for the
first time. The client reports feeling weak and slightly dizzy when sitting upright.
Which action should the nurse take first?
A. Have the client stand immediately with assistance
B. Return the client to a supine position and notify the provider
C. Allow the client to sit at the bedside while assessing tolerance
D. Place the client in a chair using a mechanical lift
Answer: C
Rationale: The client should be allowed to sit at the bedside, often called dangling,
before standing. This permits the nurse to assess for orthostatic symptoms and
determine whether the client can safely tolerate the position change. Immediately
standing could increase the risk for syncope and falls.
Question 2
A client has an indwelling urinary catheter. During morning care, the nurse notices
that the drainage bag is resting on the floor. What should the nurse do?
A. Empty the drainage bag and place it on the bedside table
B. Secure the drainage bag below bladder level
C. Disconnect the tubing and clean the drainage system
D. Clamp the catheter for 30 minutes before repositioning the bag
Answer: B
,Rationale: The urinary drainage bag should remain below bladder level to
promote gravity drainage and reduce the risk of backflow and infection. It should
never rest on the floor. The closed drainage system should not be unnecessarily
disconnected.
Question 3
A client's arterial blood gas results are:
pH: 7.29
PaCO₂: 52 mm Hg
HCO₃⁻: 24 mEq/L
How should the nurse interpret these findings?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Metabolic alkalosis
Answer: A
Rationale: The pH is below 7.35, indicating acidosis. The PaCO₂ is elevated,
indicating a respiratory cause. The bicarbonate is within the expected range,
supporting an uncompensated respiratory acidosis.
Question 4
A nurse enters a client's room and finds the client sitting on the floor beside the
bed. The client states, "I didn't hurt myself." What is the nurse's priority action?
A. Help the client back into bed immediately
B. Complete an incident report before assessing the client
C. Assess the client for injury before moving the client
D. Ask the client why the call light was not used
Answer: C
,Rationale: The client must be assessed for injury before being moved. Moving a
client without determining whether an injury has occurred could worsen a fracture
or spinal injury. Once the client's condition is evaluated and appropriate care is
provided, documentation and incident reporting should follow facility policy.
Question 5
A nurse is preparing to administer oral medications to four clients. Which action
best demonstrates safe medication administration?
A. Prepare all medications for the four clients before entering their rooms
B. Compare each medication with the medication administration record at
appropriate points
C. Ask another client to confirm the medication's appearance
D. Leave prepared medications at the bedside if the client is temporarily
unavailable
Answer: B
Rationale: Safe medication administration requires systematic verification of the
medication against the medication administration record and appropriate
identification of the client. Medications should not be left unattended or prepared
in a way that increases the risk for mix-ups.
Question 6
A client with chronic obstructive pulmonary disease is receiving oxygen at 2 L/min
through a nasal cannula. The client becomes increasingly drowsy and difficult to
arouse. Which action should the nurse take first?
A. Increase the oxygen flow rate
B. Assess respiratory rate, effort, and oxygen saturation
C. Place the client in a supine position
D. Encourage the client to drink fluids
Answer: B
, Rationale: A change in level of consciousness in a client with respiratory disease
can indicate worsening gas exchange. The nurse should immediately assess
respiratory status, including rate, effort, oxygen saturation, and other relevant
findings. Increasing oxygen without assessment may be inappropriate.
Question 7
A nurse is caring for a client who has Clostridioides difficile infection. Which
action is most appropriate when leaving the client's room after providing care?
A. Remove gloves and gown and perform hand hygiene with soap and water
B. Remove gloves but keep the gown on until reaching the nurses' station
C. Use alcohol-based hand sanitizer as the only hand hygiene method
D. Remove the gown first and then remove the gloves outside the room
Answer: A
Rationale: C. difficile produces spores that are not reliably eliminated by alcohol-
based hand sanitizer. Soap and water should be used after caring for a client with
C. difficile, along with appropriate contact precautions and proper removal of
personal protective equipment.
Question 8
A client has been prescribed a medication at a dose of 375 mg. The available
medication is 250 mg per tablet. How many tablets should the nurse administer?
A. 0.5 tablet
B. 1 tablet
C. 1.5 tablets
D. 2 tablets
Answer: C
Rationale: Use the formula:
Dose desired ÷ Dose available × Quantity = Amount to administer
375 mg ÷ 250 mg × 1 tablet = 1.5 tablets.
