NUR 275 MIDTERM EXAM 2026/2027 QUESTIONS AND ANSWERS ALREADY GRADED A+. 100% Verified
Solutions | Updated Per Latest Guidelines | Graded A+
CORE DOMAINS
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Clinical Judgment and Decision-Making
INTRODUCTION
This comprehensive examination handbook is designed to prepare candidates for the NUR 275 Midterm
Examination. It assesses the essential competencies required for professional nursing practice, focusing on the
application of clinical reasoning, evidence-based decision-making, and sound professional judgment. The questions
are presented in a realistic, scenario-based format to evaluate critical thinking skills in diverse healthcare settings.
Candidates will be challenged to synthesize knowledge, prioritize patient needs, and demonstrate a commitment
to patient safety and ethical practice. This rigorous assessment mirrors the complexity of real-world nursing
,situations and is structured to reflect the official examination blueprint, ensuring candidates are well-prepared for
certification-level expectations.
SECTION ONE
Questions 1–100
Question 1
A nurse is caring for a patient who is post-operative day one following a total knee arthroplasty. The patient's
vital signs are stable, and they are reporting pain at a level of 5 on a 0-10 scale. The nurse administers oral
oxycodone as ordered. Which of the following is the nurse's priority action 30 minutes after medication
administration?
A. Assess the patient's level of pain.
B. Document the medication administration.
C. Evaluate the patient's respiratory rate and depth.
D. Encourage the patient to perform range-of-motion exercises.
🟢 Correct Answer:
C. Evaluate the patient's respiratory rate and depth.
,🔴 RATIONALE:
The priority action after administering an opioid analgesic, such as oxycodone, is to evaluate the patient's
respiratory status to monitor for respiratory depression, a serious adverse effect. While pain reassessment and
documentation are important, assessing respiratory function takes precedence to ensure patient safety.
Encouraging exercise is a later step, contingent on adequate pain control and patient stability.
Question 2
A nurse is preparing to perform a sterile wound dressing change for a patient with a surgical incision. Which of
the following actions by the nurse indicates a break in sterile technique?
A. Opening the sterile dressing tray away from the body.
B. Holding sterile gloved hands above the waist level.
C. Reaching over the sterile field to retrieve a forgotten item.
D. Using sterile forceps to handle sterile supplies.
🟢 Correct Answer:
C. Reaching over the sterile field to retrieve a forgotten item.
🔴 RATIONALE:
Reaching over a sterile field contaminates it because a non-sterile object or area (the nurse's body or clothing)
is passing over the field, potentially shedding microorganisms. Opening a sterile tray away from the body,
keeping hands above the waist, and using sterile forceps are all correct practices to maintain sterility.
, Question 3
A nurse is educating a patient with a newly diagnosed condition about managing their care at home. Which of
the following actions best demonstrates that the patient is ready to learn?
A. The patient asks the nurse to repeat the instructions.
B. The patient states, "I can remember what you said."
C. The patient performs a return demonstration of a skill.
D. The patient expresses concern about the cost of medications.
🟢 Correct Answer:
C. The patient performs a return demonstration of a skill.
🔴 RATIONALE:
A return demonstration is the most objective and reliable indicator that a patient has learned a psychomotor
skill and understands the information taught. Asking for repetition may indicate a need for reinforcement, while
expressions of concern about cost can be a barrier but do not confirm learning. A verbal statement of
understanding is less reliable than a physical demonstration.
Question 4
A patient is exhibiting signs of acute confusion, including disorientation to time and place, and has a urinary
tract infection. The nurse understands that this cognitive change is most likely due to:
Solutions | Updated Per Latest Guidelines | Graded A+
CORE DOMAINS
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Clinical Judgment and Decision-Making
INTRODUCTION
This comprehensive examination handbook is designed to prepare candidates for the NUR 275 Midterm
Examination. It assesses the essential competencies required for professional nursing practice, focusing on the
application of clinical reasoning, evidence-based decision-making, and sound professional judgment. The questions
are presented in a realistic, scenario-based format to evaluate critical thinking skills in diverse healthcare settings.
Candidates will be challenged to synthesize knowledge, prioritize patient needs, and demonstrate a commitment
to patient safety and ethical practice. This rigorous assessment mirrors the complexity of real-world nursing
,situations and is structured to reflect the official examination blueprint, ensuring candidates are well-prepared for
certification-level expectations.
SECTION ONE
Questions 1–100
Question 1
A nurse is caring for a patient who is post-operative day one following a total knee arthroplasty. The patient's
vital signs are stable, and they are reporting pain at a level of 5 on a 0-10 scale. The nurse administers oral
oxycodone as ordered. Which of the following is the nurse's priority action 30 minutes after medication
administration?
A. Assess the patient's level of pain.
B. Document the medication administration.
C. Evaluate the patient's respiratory rate and depth.
D. Encourage the patient to perform range-of-motion exercises.
🟢 Correct Answer:
C. Evaluate the patient's respiratory rate and depth.
,🔴 RATIONALE:
The priority action after administering an opioid analgesic, such as oxycodone, is to evaluate the patient's
respiratory status to monitor for respiratory depression, a serious adverse effect. While pain reassessment and
documentation are important, assessing respiratory function takes precedence to ensure patient safety.
Encouraging exercise is a later step, contingent on adequate pain control and patient stability.
Question 2
A nurse is preparing to perform a sterile wound dressing change for a patient with a surgical incision. Which of
the following actions by the nurse indicates a break in sterile technique?
A. Opening the sterile dressing tray away from the body.
B. Holding sterile gloved hands above the waist level.
C. Reaching over the sterile field to retrieve a forgotten item.
D. Using sterile forceps to handle sterile supplies.
🟢 Correct Answer:
C. Reaching over the sterile field to retrieve a forgotten item.
🔴 RATIONALE:
Reaching over a sterile field contaminates it because a non-sterile object or area (the nurse's body or clothing)
is passing over the field, potentially shedding microorganisms. Opening a sterile tray away from the body,
keeping hands above the waist, and using sterile forceps are all correct practices to maintain sterility.
, Question 3
A nurse is educating a patient with a newly diagnosed condition about managing their care at home. Which of
the following actions best demonstrates that the patient is ready to learn?
A. The patient asks the nurse to repeat the instructions.
B. The patient states, "I can remember what you said."
C. The patient performs a return demonstration of a skill.
D. The patient expresses concern about the cost of medications.
🟢 Correct Answer:
C. The patient performs a return demonstration of a skill.
🔴 RATIONALE:
A return demonstration is the most objective and reliable indicator that a patient has learned a psychomotor
skill and understands the information taught. Asking for repetition may indicate a need for reinforcement, while
expressions of concern about cost can be a barrier but do not confirm learning. A verbal statement of
understanding is less reliable than a physical demonstration.
Question 4
A patient is exhibiting signs of acute confusion, including disorientation to time and place, and has a urinary
tract infection. The nurse understands that this cognitive change is most likely due to:
