NUR204 Exam 2 Comprehensive Resource To Help You Ace 2026-2027 Exams Includes
Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
1. Which action should be taken when attempting to de-
crease falls in the hospital setting? Answer: a
a. Lower the height of the bed and the bottom two side Keeping the bed in the lowest position and lowering the
rails before leaving the room. bottom side rails decreases the chance of a fall. Hourly
b. Ask patients on first encounter to use the bathroom and rounding for toileting is recommended to improve patient
every 4 hours thereafter. safety. Patients should always use a call light to get up
c. Instruct patients to use the call light only if they think even if they do not think they need it. Patients should
they need help getting out of bed. take prescribed medications but may need assistance with
d. Encourage patients to not take any prescribed medicine ambulation.
that could cause drowsiness or light headedness.
2. The nurse demonstrates proper use of a fire extinguish-
Answer: b
er by taking which action first?
The pin must be pulled to break the seal and activate the
a. Sweep from side to side
fire extinguisher. When using a fire extinguisher, remem-
b. Pull the pin
bering the PASS acronym (i.e., pull, aim, squeeze, and
c. Squeeze the handles together
sweep) ensures proper technique.
d. Aim and approach the fire
A nurse is assessing a patient in restraints. The nurse
Answer: d
observes correct use of restraints by checking which of the
Restraints should be secured to a part of the bed that
following?
moves with the patient. The bedframe allows for a secure
a. Restraint is tied in a secure knot.
area to attach. The restraint should always be tied in a
b. Restraint is secured to the bedrail.
quick release knot that can be easily untied in an emer-
c. Restraint allows for 3 to 4 fingers width between re-
gency. The recommendation is for two finger widths of
straint and patient's wrist.
space between the restraint and the patient's extremity.
d. Restraint is secured to the bedframe.
4. What actions should be taken when caring for an Answer: d
80-year-old postoperative patient with a history of Parkin- Hourly rounding prevents patient falls and addresses pa-
son's disease? tient care needs. Four side rails are considered a restraint.
a. Ensure that all four side rails are elevated. Restraints are used only if other measures to keep the
b. Instruct family that they cannot leave the room. patient safe have been tried and failed. It is the nurse's
,NUR204 Exam 2 Comprehensive Resource To Help You Ace 2026-2027 Exams Includes
Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
c. Place wrists in soft restraints to protect invasive lines. responsibility to care for the patient; families are not re-
d. Include hourly rounding in the plan of care. quired to be with patients at all times.
5. The nurse is caring for a patient requiring parenter-
al anticoagulant therapy. Which of the following actions
should the nurse take to maximize patient safety? (Select Answer: a, b
all that apply.) Double-checking the order and dose with another RN can
a. Double-check order and dosage with another RN. prevent errors. Using an IV smart pump to administer anti-
b. Administer medication using a smart IV infusion coagulants increases correct dose administration. Heparin
pump. can be administered through a peripheral line. Glucose
c. Administer heparin only through a central venous is not a focus of anticoagulant therapy. IV access requires
catheter. more frequent monitoring than every 8 hours.
d. Monitor glucose every 6 hours.
e. Assess and document IV site every 8 hours.
Answer: a, b, c
The safest bed position is lowest to the ground and secure
. The nurse implements the necessary safety precautions
(brakes intact) with the upper two side rails elevated.
in an environment for a patient by doing which of the
Raising all four side rails is restrictive and should not be
following? (Select all that apply.)
used. Having personal belongings within reach minimizes
a. Place bed in lowest position with brakes locked.
patients moving about to get items. The bedside table
b. Put both upper side rails up while patients are in bed.
has wheels and is not stable to use for resting. It creates
c. Move personal belongings within reach.
an obstacle for the patient to navigate on the way to the
d. Place bedside table between patient and the bathroom
bathroom and would be better placed on the opposite
to use as a resting area.
side of the bed from the bathroom. Some patients are able
e. Ensure that all patients have bedside commode access.
to walk to the bathroom; therefore, they do not require a
bedside commode.
7. The nurse would understand the need for further safety
education when a parent makes which of the following
statements? Answer: c
a. "I secure my 8-month-old in a rear-facing car seat in the Infants should be placed on their backs to sleep to prevent
back seat."
b. "My 10-year-old is angry that I still make him use a
,NUR204 Exam 2 Comprehensive Resource To Help You Ace 2026-2027 Exams Includes
Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
booster seat and he is not permitted to ride in the front
seat."
sudden infant death syndrome. The other statements all
c. "My 2-month-old sleeps the longest when I put him in
agree with safety recommendations and show an under-
his crib on his stomach."
standing of correct behavior.
d. "All of our household cleaners are stored in the upper
cabinets in my home."
8. A patient is being discharged and several previous
medications are being discontinued. The patient asks
the nurse what she should do with unused medications.
The nurse demonstrates knowledge of proper disposal Answer: a, b, d
of medications by which of the following? (Select all that Drug take-back locations are the recommended disposal
apply.) method for unused and expired medications. If a med-
a. Encouraging the patient to use a drug take-back loca- ication can be flushed down the toilet, this is the next
tion if available recommended way to discard medication. Since some
b. Telling the patient to check the label and, if approved, may not be able to be flush, they should be mixed with
flush the medication down the toilet an undesirable substance, placed in a sealed bag, and
c. Encouraging the patient to donate the unused medica- then disposed of. Medications are not meant to be shared;
tion to a local hospital for use thus, they should not be sent to a health care facility or
d. Teaching the patient to add cottee grounds to the given to a family member.
medication, put in a sealed bag, and dispose in the trash.
e. Checking to see whether the patient's family members
could benefit from the medication.
Answer: b
Which of the following interventions by the nurse ad- One of the patient safety goals focuses on reducing harm
dresses a National Patient Safety Goal as indicated by The associated with clinical alarm systems. A nurse responding
Joint Commission? to a patient alarm in a timely manner indicates that the
a. Take a picture of the patient upon admission to verify alarm can be heard and the patient condition is being
patient identity. assessed. Patients should be identified by scanning bar-
b. Answer patient call alarms in a timely manner. codes or comparing the patient's stated name and birth-
c. Provide patients a permanent marker to label all of their date to information on the patient's wristband or health
record. Patients are encouraged to leave medications in
, NUR204 Exam 2 Comprehensive Resource To Help You Ace 2026-2027 Exams Includes
Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
medications. labeled bottles. Handwashing remains the most ettective
d. Use hand sanitizer as the best option for hand hygiene. hand hygiene technique.
The nurse is providing discharge instructions on ways to
prevent falls at home. Which of the following guidelines
are helpful in preventing falls? (Select all that apply.) Answer: b, c, e, f
a. Always wear socks when walking to protect your feet Hard-soled shoes with a back or nonskid slippers should
when ambulating. be worn instead of socks. Chairs should be sturdy with
b. Remove rugs that can slip; use rubber mats instead. arms and not move for increased safety. Interventions to
c. Use your walker or cane even if only moving short decrease falls include replacing rugs with rubber mats
distances. that will not skid or slip, using ambulatory devices and
d. Use lightweight, easily moveable chairs to assist with handrails, and placing frequently used items within easy
mobility. reach.
e. Put frequently used items in easy-to-reach places.
f. Use handrails when available.
An uncooperative 70-year-old male with right-sided
paralysis from a recent cerebrovascular accident (CVA) has
Answer: cAccording to safe patient handling algorithms,
to be transferred from the bed to a wheelchair. Which
a full-body sling with more than one caregiver is indi-
action indicates the best method to transfer this patient?
cated because the patient is uncooperative and able to
a. A two-person lift is performed, with one person on each
bear only partial weight. Lifting a patient manually has
side of the patient.
the potential to injure the patient and the care providers.
b. The patient is steadied under the arms and pivoted on
The stand-and-pivot technique is not indicated because
his left leg.
the patient is uncooperative. The stand assist lift is not
c. A full-body sling lift is used with the help of unlicensed
indicated because the patient is uncooperative.
assistive personnel (UAP).
d. A stand assist lift is used with the help of another nurse.
. After instruction, which action by a patient who can bear
weight on both feet indicates an understanding of the Answer: b
proper use of crutches? Moving the opposing crutch and leg together provides
a. Adjusting the crutches so that they rest directly under needed stability for patients who can bear partial weight
the axilla on each foot. Crutches must rest at minimum of two to
b. Moving the opposing crutch and leg together for a
Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
1. Which action should be taken when attempting to de-
crease falls in the hospital setting? Answer: a
a. Lower the height of the bed and the bottom two side Keeping the bed in the lowest position and lowering the
rails before leaving the room. bottom side rails decreases the chance of a fall. Hourly
b. Ask patients on first encounter to use the bathroom and rounding for toileting is recommended to improve patient
every 4 hours thereafter. safety. Patients should always use a call light to get up
c. Instruct patients to use the call light only if they think even if they do not think they need it. Patients should
they need help getting out of bed. take prescribed medications but may need assistance with
d. Encourage patients to not take any prescribed medicine ambulation.
that could cause drowsiness or light headedness.
2. The nurse demonstrates proper use of a fire extinguish-
Answer: b
er by taking which action first?
The pin must be pulled to break the seal and activate the
a. Sweep from side to side
fire extinguisher. When using a fire extinguisher, remem-
b. Pull the pin
bering the PASS acronym (i.e., pull, aim, squeeze, and
c. Squeeze the handles together
sweep) ensures proper technique.
d. Aim and approach the fire
A nurse is assessing a patient in restraints. The nurse
Answer: d
observes correct use of restraints by checking which of the
Restraints should be secured to a part of the bed that
following?
moves with the patient. The bedframe allows for a secure
a. Restraint is tied in a secure knot.
area to attach. The restraint should always be tied in a
b. Restraint is secured to the bedrail.
quick release knot that can be easily untied in an emer-
c. Restraint allows for 3 to 4 fingers width between re-
gency. The recommendation is for two finger widths of
straint and patient's wrist.
space between the restraint and the patient's extremity.
d. Restraint is secured to the bedframe.
4. What actions should be taken when caring for an Answer: d
80-year-old postoperative patient with a history of Parkin- Hourly rounding prevents patient falls and addresses pa-
son's disease? tient care needs. Four side rails are considered a restraint.
a. Ensure that all four side rails are elevated. Restraints are used only if other measures to keep the
b. Instruct family that they cannot leave the room. patient safe have been tried and failed. It is the nurse's
,NUR204 Exam 2 Comprehensive Resource To Help You Ace 2026-2027 Exams Includes
Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
c. Place wrists in soft restraints to protect invasive lines. responsibility to care for the patient; families are not re-
d. Include hourly rounding in the plan of care. quired to be with patients at all times.
5. The nurse is caring for a patient requiring parenter-
al anticoagulant therapy. Which of the following actions
should the nurse take to maximize patient safety? (Select Answer: a, b
all that apply.) Double-checking the order and dose with another RN can
a. Double-check order and dosage with another RN. prevent errors. Using an IV smart pump to administer anti-
b. Administer medication using a smart IV infusion coagulants increases correct dose administration. Heparin
pump. can be administered through a peripheral line. Glucose
c. Administer heparin only through a central venous is not a focus of anticoagulant therapy. IV access requires
catheter. more frequent monitoring than every 8 hours.
d. Monitor glucose every 6 hours.
e. Assess and document IV site every 8 hours.
Answer: a, b, c
The safest bed position is lowest to the ground and secure
. The nurse implements the necessary safety precautions
(brakes intact) with the upper two side rails elevated.
in an environment for a patient by doing which of the
Raising all four side rails is restrictive and should not be
following? (Select all that apply.)
used. Having personal belongings within reach minimizes
a. Place bed in lowest position with brakes locked.
patients moving about to get items. The bedside table
b. Put both upper side rails up while patients are in bed.
has wheels and is not stable to use for resting. It creates
c. Move personal belongings within reach.
an obstacle for the patient to navigate on the way to the
d. Place bedside table between patient and the bathroom
bathroom and would be better placed on the opposite
to use as a resting area.
side of the bed from the bathroom. Some patients are able
e. Ensure that all patients have bedside commode access.
to walk to the bathroom; therefore, they do not require a
bedside commode.
7. The nurse would understand the need for further safety
education when a parent makes which of the following
statements? Answer: c
a. "I secure my 8-month-old in a rear-facing car seat in the Infants should be placed on their backs to sleep to prevent
back seat."
b. "My 10-year-old is angry that I still make him use a
,NUR204 Exam 2 Comprehensive Resource To Help You Ace 2026-2027 Exams Includes
Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
booster seat and he is not permitted to ride in the front
seat."
sudden infant death syndrome. The other statements all
c. "My 2-month-old sleeps the longest when I put him in
agree with safety recommendations and show an under-
his crib on his stomach."
standing of correct behavior.
d. "All of our household cleaners are stored in the upper
cabinets in my home."
8. A patient is being discharged and several previous
medications are being discontinued. The patient asks
the nurse what she should do with unused medications.
The nurse demonstrates knowledge of proper disposal Answer: a, b, d
of medications by which of the following? (Select all that Drug take-back locations are the recommended disposal
apply.) method for unused and expired medications. If a med-
a. Encouraging the patient to use a drug take-back loca- ication can be flushed down the toilet, this is the next
tion if available recommended way to discard medication. Since some
b. Telling the patient to check the label and, if approved, may not be able to be flush, they should be mixed with
flush the medication down the toilet an undesirable substance, placed in a sealed bag, and
c. Encouraging the patient to donate the unused medica- then disposed of. Medications are not meant to be shared;
tion to a local hospital for use thus, they should not be sent to a health care facility or
d. Teaching the patient to add cottee grounds to the given to a family member.
medication, put in a sealed bag, and dispose in the trash.
e. Checking to see whether the patient's family members
could benefit from the medication.
Answer: b
Which of the following interventions by the nurse ad- One of the patient safety goals focuses on reducing harm
dresses a National Patient Safety Goal as indicated by The associated with clinical alarm systems. A nurse responding
Joint Commission? to a patient alarm in a timely manner indicates that the
a. Take a picture of the patient upon admission to verify alarm can be heard and the patient condition is being
patient identity. assessed. Patients should be identified by scanning bar-
b. Answer patient call alarms in a timely manner. codes or comparing the patient's stated name and birth-
c. Provide patients a permanent marker to label all of their date to information on the patient's wristband or health
record. Patients are encouraged to leave medications in
, NUR204 Exam 2 Comprehensive Resource To Help You Ace 2026-2027 Exams Includes
Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
medications. labeled bottles. Handwashing remains the most ettective
d. Use hand sanitizer as the best option for hand hygiene. hand hygiene technique.
The nurse is providing discharge instructions on ways to
prevent falls at home. Which of the following guidelines
are helpful in preventing falls? (Select all that apply.) Answer: b, c, e, f
a. Always wear socks when walking to protect your feet Hard-soled shoes with a back or nonskid slippers should
when ambulating. be worn instead of socks. Chairs should be sturdy with
b. Remove rugs that can slip; use rubber mats instead. arms and not move for increased safety. Interventions to
c. Use your walker or cane even if only moving short decrease falls include replacing rugs with rubber mats
distances. that will not skid or slip, using ambulatory devices and
d. Use lightweight, easily moveable chairs to assist with handrails, and placing frequently used items within easy
mobility. reach.
e. Put frequently used items in easy-to-reach places.
f. Use handrails when available.
An uncooperative 70-year-old male with right-sided
paralysis from a recent cerebrovascular accident (CVA) has
Answer: cAccording to safe patient handling algorithms,
to be transferred from the bed to a wheelchair. Which
a full-body sling with more than one caregiver is indi-
action indicates the best method to transfer this patient?
cated because the patient is uncooperative and able to
a. A two-person lift is performed, with one person on each
bear only partial weight. Lifting a patient manually has
side of the patient.
the potential to injure the patient and the care providers.
b. The patient is steadied under the arms and pivoted on
The stand-and-pivot technique is not indicated because
his left leg.
the patient is uncooperative. The stand assist lift is not
c. A full-body sling lift is used with the help of unlicensed
indicated because the patient is uncooperative.
assistive personnel (UAP).
d. A stand assist lift is used with the help of another nurse.
. After instruction, which action by a patient who can bear
weight on both feet indicates an understanding of the Answer: b
proper use of crutches? Moving the opposing crutch and leg together provides
a. Adjusting the crutches so that they rest directly under needed stability for patients who can bear partial weight
the axilla on each foot. Crutches must rest at minimum of two to
b. Moving the opposing crutch and leg together for a
