NR 224 Final Exam 2026
NR 224 Final Exam 2026 | Chamberlain
University | Complete Exam Questions with
Correct Answers for Fundamentals of Nursing
Final Exam
the nurse is checking feeding tube placement. Place the steps in the proper sequence.
1. draw 5 to 10 mL gastric aspirate into syringe.
2. Flush tube with 30 mL air
3. mix aspirate in syringe and place in medicine cup
4. observe color of gastric aspirate
5. perform hand hygiene and put on clean gloves
6. dip pH strip into gastric aspirate
7. compare strip color chart from manufacturer. - Correct Answer :5, 2, 1, 4, 3, 6, 7
The home care nurse is seeing the following patients. Which patient is at greatest risk for
experiencing inadequate nutrition?
A+ TEST BANK 1
, NR 224 Final Exam 2026
a. a 55-year old obese man recently diagnosed with diabetes mellitus
b. a recently widowed 76-year-old woman recovering from a mild stroke.
c. a 22 year old mother with a 3-year old toddler who had a tonsillectomy surgery
d. a 46 year old man recovering at home following a coronary artery bypass surgery –
Correct Answer :b.
rationale: the woman suffered a stroke and lives alone would be the greatest risk due to
possible immobility issues to get food, and move around the house.
A nurse is providing for the nutritional needs of several patients. Which problems increase
patients' calorie requirements? SELECT ALL THAT APPLY
a. burns
b. nausea
c. dysphagia
d. pneumonia
e. depression - Correct Answer :a, d.
rationale: burns interrupt the integrity of the skin and as a result a primary defense against
infection is disrupted. The body's metabolic rate increases dramatically in an attempt to repair
the skin and protect the body from infections. pneumonia is also an infection which would
require an increase in calorie consumption. Nausea, dysphagia and depression does not
precipitate for an increase in calorie consumption
A nurse is caring for a patient receiving bolus enteral feedings several times daily. Which
nursing intervention is MOST important to help prevent diarrhea?
a. flush the tube after every feedings
A+ TEST BANK 2
, NR 224 Final Exam 2026
b. check the residual before each feeding
c. elevate the head of the bed 30 degrees continuously.
d. discard the refrigerated opened cans of formula after 24 hours. - Correct Answer :d.
rationale: contaminated formula can cause diarrhea opened cans of formula support bacterial
growth and must be discarded after 24 hours. even when refrigerated.
The nurse is having difficulty reading a physician's order for a medication. The nurse knows the
physician is very busy and does not like to be called. What is the most appropriate next step
for the nurse to take?
a. call a pharmacist to interpret the order
b. call the physician to have the order clarified
c. consult the unit manager tp help interpret the order
d. ask the unit secretary to interpret the physician's order - Correct Answer :b.
rationale: regardless if the physician does not like to be called... you call them to verify the
order... a pharmacist or another nurse cannot do that.
How often should "docusate sodium 100 mg PO BID" be given?
a. three times a day
b. every other day
c. two times a day
d. at bedtime - Correct Answer :c.
rationale: BID=two times a day
A provider prescribes a medication that must be administered via the intramuscular route.
Which site should the nurse eliminate from consideration because it has the HIGHEST
potential for injury when administering an IM injection?
A+ TEST BANK 3
, NR 224 Final Exam 2026
a. vastus lateralis
b. rectus femoris
c. ventralgluteal
d. dorsogluteal - Correct Answer :d.
rationale: this site has the highest risk for injury because it is near the sciatic nerve, blood
vessels, and bone... the rectus femoris, ventrogluteal, or vastus lateralis site are not near any
large vessels, nerves or bones
Which characteristics is associated with a subcutaneous injection of 5,000 units of heparin?
a. 3-mL syringe
b. 22-gage needle
c. 1 in needle length
d. 90-degree angle of insertion - Correct Answer :a 1/2 in length needle is inserted at a 90-
degree angle will ensure that the heparin is inserted into the SUBCUT tissue... a 3Ml syringe is
usually less than 1 mL which would be way too big
Which routes are associated with the administration of a suppository? SELECT ALL THAT
APPLY
a. ear
b. nose
c. mouth
d. vagina
e. rectum - Correct Answer :d., e.
rationale: the warm internal temperatures of the vagina and rectum ensures absorption of
medication... ear route always has drops... nose is spray.. and mouth is tablets
A+ TEST BANK 4
NR 224 Final Exam 2026 | Chamberlain
University | Complete Exam Questions with
Correct Answers for Fundamentals of Nursing
Final Exam
the nurse is checking feeding tube placement. Place the steps in the proper sequence.
1. draw 5 to 10 mL gastric aspirate into syringe.
2. Flush tube with 30 mL air
3. mix aspirate in syringe and place in medicine cup
4. observe color of gastric aspirate
5. perform hand hygiene and put on clean gloves
6. dip pH strip into gastric aspirate
7. compare strip color chart from manufacturer. - Correct Answer :5, 2, 1, 4, 3, 6, 7
The home care nurse is seeing the following patients. Which patient is at greatest risk for
experiencing inadequate nutrition?
A+ TEST BANK 1
, NR 224 Final Exam 2026
a. a 55-year old obese man recently diagnosed with diabetes mellitus
b. a recently widowed 76-year-old woman recovering from a mild stroke.
c. a 22 year old mother with a 3-year old toddler who had a tonsillectomy surgery
d. a 46 year old man recovering at home following a coronary artery bypass surgery –
Correct Answer :b.
rationale: the woman suffered a stroke and lives alone would be the greatest risk due to
possible immobility issues to get food, and move around the house.
A nurse is providing for the nutritional needs of several patients. Which problems increase
patients' calorie requirements? SELECT ALL THAT APPLY
a. burns
b. nausea
c. dysphagia
d. pneumonia
e. depression - Correct Answer :a, d.
rationale: burns interrupt the integrity of the skin and as a result a primary defense against
infection is disrupted. The body's metabolic rate increases dramatically in an attempt to repair
the skin and protect the body from infections. pneumonia is also an infection which would
require an increase in calorie consumption. Nausea, dysphagia and depression does not
precipitate for an increase in calorie consumption
A nurse is caring for a patient receiving bolus enteral feedings several times daily. Which
nursing intervention is MOST important to help prevent diarrhea?
a. flush the tube after every feedings
A+ TEST BANK 2
, NR 224 Final Exam 2026
b. check the residual before each feeding
c. elevate the head of the bed 30 degrees continuously.
d. discard the refrigerated opened cans of formula after 24 hours. - Correct Answer :d.
rationale: contaminated formula can cause diarrhea opened cans of formula support bacterial
growth and must be discarded after 24 hours. even when refrigerated.
The nurse is having difficulty reading a physician's order for a medication. The nurse knows the
physician is very busy and does not like to be called. What is the most appropriate next step
for the nurse to take?
a. call a pharmacist to interpret the order
b. call the physician to have the order clarified
c. consult the unit manager tp help interpret the order
d. ask the unit secretary to interpret the physician's order - Correct Answer :b.
rationale: regardless if the physician does not like to be called... you call them to verify the
order... a pharmacist or another nurse cannot do that.
How often should "docusate sodium 100 mg PO BID" be given?
a. three times a day
b. every other day
c. two times a day
d. at bedtime - Correct Answer :c.
rationale: BID=two times a day
A provider prescribes a medication that must be administered via the intramuscular route.
Which site should the nurse eliminate from consideration because it has the HIGHEST
potential for injury when administering an IM injection?
A+ TEST BANK 3
, NR 224 Final Exam 2026
a. vastus lateralis
b. rectus femoris
c. ventralgluteal
d. dorsogluteal - Correct Answer :d.
rationale: this site has the highest risk for injury because it is near the sciatic nerve, blood
vessels, and bone... the rectus femoris, ventrogluteal, or vastus lateralis site are not near any
large vessels, nerves or bones
Which characteristics is associated with a subcutaneous injection of 5,000 units of heparin?
a. 3-mL syringe
b. 22-gage needle
c. 1 in needle length
d. 90-degree angle of insertion - Correct Answer :a 1/2 in length needle is inserted at a 90-
degree angle will ensure that the heparin is inserted into the SUBCUT tissue... a 3Ml syringe is
usually less than 1 mL which would be way too big
Which routes are associated with the administration of a suppository? SELECT ALL THAT
APPLY
a. ear
b. nose
c. mouth
d. vagina
e. rectum - Correct Answer :d., e.
rationale: the warm internal temperatures of the vagina and rectum ensures absorption of
medication... ear route always has drops... nose is spray.. and mouth is tablets
A+ TEST BANK 4
