NURS 221 - Exam 2 Liberty University (Latest) || Most Recent
Exam 2026|2027 Actual Complete Real Exam Questions And
Correct Answer (Verified Answers) Already Graded A+ |
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A nurse is preparing to administer medication to a client. Which action
best demonstrates the nurse's responsibility for medication safety?
A. Asking another nurse to identify the client
B. Administering the medication based on the room number
C. Using two approved client identifiers before administration
D. Documenting the medication before giving it
Answer: C. Using two approved client identifiers before administration
Rationale: Using two approved identifiers, such as the client's name
and date of birth, helps ensure that the medication is given to the
correct client. Room numbers should never be used as identifiers.
Documentation should occur after administration according to
institutional policy.
A nurse is assisting an older adult with ambulation for the first time
after prolonged bed rest. Which nursing action is most appropriate?
A. Encourage the client to stand immediately
B. Have the client sit at the bedside before standing
C. Ask the client to walk independently
,D. Restrict fluids before ambulation
Answer: B. Have the client sit at the bedside before standing
Rationale: Prolonged bed rest can contribute to orthostatic
hypotension. Sitting at the bedside allows the nurse to assess the
client's tolerance to position changes and reduces the risk of dizziness
and falls.
A client reports feeling anxious before a procedure. Which response by
the nurse is most therapeutic?
A. “There is nothing to worry about.”
B. “You should try not to think about the procedure.”
C. “Tell me what concerns you most about the procedure.”
D. “The procedure is very routine.”
Answer: C. “Tell me what concerns you most about the procedure.”
Rationale: This response uses an open-ended statement that
encourages the client to express concerns. Therapeutic communication
focuses on the client's feelings rather than minimizing or dismissing
anxiety.
Which nursing intervention is most effective for preventing pressure
injuries in an immobile client?
A. Massaging reddened areas
B. Repositioning the client regularly
,C. Limiting protein intake
D. Keeping the client in one position for comfort
Answer: B. Repositioning the client regularly
Rationale: Regular repositioning reduces prolonged pressure over
bony prominences and promotes tissue perfusion. Reddened areas
should not be massaged because massage can further damage
compromised tissue.
A nurse is teaching a client how to use an incentive spirometer. Which
instruction is correct?
A. “Exhale forcefully into the device.”
B. “Take a slow, deep breath through the mouthpiece.”
C. “Use the device only when you feel short of breath.”
D. “Breathe rapidly several times into the device.”
Answer: B. “Take a slow, deep breath through the mouthpiece.”
Rationale: An incentive spirometer promotes lung expansion by
encouraging slow, sustained inspiration. It is commonly used to reduce
the risk of postoperative atelectasis.
Which finding requires the nurse to intervene immediately when
assessing a client receiving oxygen therapy?
A. Dry nasal passages
B. Oxygen saturation of 98%
, C. A petroleum-based product applied around the nose
D. Mild anxiety
Answer: C. A petroleum-based product applied around the nose
Rationale: Petroleum-based products can increase fire risk in the
presence of oxygen. Water-soluble products are generally preferred for
moisturizing around oxygen-delivery equipment.
A nurse is caring for a client who has difficulty swallowing. Which
intervention is most appropriate?
A. Place the client flat during meals
B. Encourage large bites
C. Position the client upright during meals
D. Encourage rapid eating
Answer: C. Position the client upright during meals
Rationale: Upright positioning facilitates swallowing and decreases the
risk of aspiration. Clients with dysphagia should receive appropriate
swallowing precautions and individualized dietary recommendations.
Which nursing action demonstrates proper infection-prevention
technique?
A. Wearing the same gloves between clients
B. Performing hand hygiene before and after client contact
C. Recapping contaminated needles routinely
Exam 2026|2027 Actual Complete Real Exam Questions And
Correct Answer (Verified Answers) Already Graded A+ |
Guaranteed Success!! Newest Exam | Just Released!!
A nurse is preparing to administer medication to a client. Which action
best demonstrates the nurse's responsibility for medication safety?
A. Asking another nurse to identify the client
B. Administering the medication based on the room number
C. Using two approved client identifiers before administration
D. Documenting the medication before giving it
Answer: C. Using two approved client identifiers before administration
Rationale: Using two approved identifiers, such as the client's name
and date of birth, helps ensure that the medication is given to the
correct client. Room numbers should never be used as identifiers.
Documentation should occur after administration according to
institutional policy.
A nurse is assisting an older adult with ambulation for the first time
after prolonged bed rest. Which nursing action is most appropriate?
A. Encourage the client to stand immediately
B. Have the client sit at the bedside before standing
C. Ask the client to walk independently
,D. Restrict fluids before ambulation
Answer: B. Have the client sit at the bedside before standing
Rationale: Prolonged bed rest can contribute to orthostatic
hypotension. Sitting at the bedside allows the nurse to assess the
client's tolerance to position changes and reduces the risk of dizziness
and falls.
A client reports feeling anxious before a procedure. Which response by
the nurse is most therapeutic?
A. “There is nothing to worry about.”
B. “You should try not to think about the procedure.”
C. “Tell me what concerns you most about the procedure.”
D. “The procedure is very routine.”
Answer: C. “Tell me what concerns you most about the procedure.”
Rationale: This response uses an open-ended statement that
encourages the client to express concerns. Therapeutic communication
focuses on the client's feelings rather than minimizing or dismissing
anxiety.
Which nursing intervention is most effective for preventing pressure
injuries in an immobile client?
A. Massaging reddened areas
B. Repositioning the client regularly
,C. Limiting protein intake
D. Keeping the client in one position for comfort
Answer: B. Repositioning the client regularly
Rationale: Regular repositioning reduces prolonged pressure over
bony prominences and promotes tissue perfusion. Reddened areas
should not be massaged because massage can further damage
compromised tissue.
A nurse is teaching a client how to use an incentive spirometer. Which
instruction is correct?
A. “Exhale forcefully into the device.”
B. “Take a slow, deep breath through the mouthpiece.”
C. “Use the device only when you feel short of breath.”
D. “Breathe rapidly several times into the device.”
Answer: B. “Take a slow, deep breath through the mouthpiece.”
Rationale: An incentive spirometer promotes lung expansion by
encouraging slow, sustained inspiration. It is commonly used to reduce
the risk of postoperative atelectasis.
Which finding requires the nurse to intervene immediately when
assessing a client receiving oxygen therapy?
A. Dry nasal passages
B. Oxygen saturation of 98%
, C. A petroleum-based product applied around the nose
D. Mild anxiety
Answer: C. A petroleum-based product applied around the nose
Rationale: Petroleum-based products can increase fire risk in the
presence of oxygen. Water-soluble products are generally preferred for
moisturizing around oxygen-delivery equipment.
A nurse is caring for a client who has difficulty swallowing. Which
intervention is most appropriate?
A. Place the client flat during meals
B. Encourage large bites
C. Position the client upright during meals
D. Encourage rapid eating
Answer: C. Position the client upright during meals
Rationale: Upright positioning facilitates swallowing and decreases the
risk of aspiration. Clients with dysphagia should receive appropriate
swallowing precautions and individualized dietary recommendations.
Which nursing action demonstrates proper infection-prevention
technique?
A. Wearing the same gloves between clients
B. Performing hand hygiene before and after client contact
C. Recapping contaminated needles routinely
