NURS 109 FINAL COMPREHENSIVE EXAM – 2025 COMPLETE
REVIEW WITH 150 VERIFIED QUESTIONS AND CORRECT
ANSWERS WITH MOST TESTED QUESTIONS
THIS RESOURCE CONTAINS VERIFIED QUESTIONS AND CORRECT ANSWERS FOR
THE NURS 109 FINAL COMPREHENSIVE EXAM, FOCUSED ON FOUNDATIONAL
NURSING CONCEPTS INCLUDING SAFETY, BASIC CARE, COMMUNICATION, AND
ETHICAL PRACTICE. DESIGNED FOR FIRST-SEMESTER NURSING STUDENTS, IT
OFFERS A THOROUGH REVIEW TO SUPPORT SUCCESS IN THE 2025
COMPREHENSIVE FINAL EXAM.
When delegating I&O, the RN instructs them to record what information about ice chips?
1. 2/3 of the volume
2. 1/2 of the volume
3. 1/4 of the volume
4. 2x the volume - CORRECT ANSWER-2. 1/2 the volume
The RN notices the pt's stool is black. What should the RN ask the pt.?
1. "are you straining when you defecate"
2. "do you take laxatives?"
3. "do you have hemorrhoids?"
4. "are you taking iron supplements?" - CORRECT ANSWER-4. "are you taking iron supplements?"
(black stools are caused by by GI bleeds or can be caused by supplemental iron)
RN caring for pt w pending urine culture. Which action indicates understanding of standard
precautions?
1. Teaches pt about good nutrition
2. dons gloves b4 taking vitals
3. disposes uncapped needle in designated container
4. wears eyewear & gloves when emptying urine drainage bag - CORRECT ANSWER-4. wears
eyewear & gloves when emptying urine drainage bag
What med can be administered in G-tube?
,1. most oral meds
2. most capsule contents dissolved in water
3. most enteric coated tabs well dissolved in water
4. most tablets except ER & enteric coated - CORRECT ANSWER-4. most tablets except ER &
enteric coated
Pt has elevated triglycerides and cholesterol, what food would RN educated pt to include in diet for
discharge? SATA
1. wheat toast and sugar free jelly
2. grilled salmon with herbs
3. egg-white omelet with veggies
4. natural honey from farmer's market
5. plain grilled steak with pepper only - CORRECT ANSWER-2. grilled salmon with herbs
3. egg-white omelet with veggies
RN notes red, warm, purulent drainage at insertion site of central line in pt getting total parenteral
nutrition. What is priority axn?
1. change IV tubing
2. slow TPN infusion rate
3. notify doc
4. call pharm for new TPN bag - CORRECT ANSWER-3. notify doc
Two blood vessels most commonly used for TPN:
1. subclavian and jugular vv
2. brachial and subclavian vv
3. femoral and jugular vv
4. brachial and femoral vv - CORRECT ANSWER-1. subclavian and jugular vv
Doc writes order for opioid naïve patient, post-op total knee replacement: Fentanyl patch 100 mcg/h
and change q3 day. What is RN action:
,1. apply within 30min of rec'v med from pharm
2. apply patch closest to incision for max pain relief
3. call doc and question order
4. call doc for additional pain control orders - CORRECT ANSWER-3. call doc and question order
(fenty unsafe for naïve pt)
What statement by pre-op pt causes RN to question routine plan of care?
1. pt reports they have narcolepsy
2. pt reports they have restless leg syndrome
3. pt reports they have parasomnias
4. pt reports they have sleep apnea - CORRECT ANSWER-4. pt reports they have sleep apnea
Pt admits to ED with brain injury, RN understands injury is more likely to be fatal it it involves:
1. Pons
2. medulla
3. midbrain
4. thalamus - CORRECT ANSWER-2. medulla (contains vital respiratory, cardiac, vasomotor centers)
Pt with head injury has temp. that rises to 102.2 degrees F. RN suggest injury to which structure?
1. thalamus
2. hypothalamus
3. temporal lobes
4. globus pallidus - CORRECT ANSWER-2. hypothalamus
Pt hospitalized with multi-drug resistant organism and treatment of infection, what infection control
practice does RN use?
1. use of N95 respirator
2. contact precaution
3. hepa filtration
4. droplet precaution - CORRECT ANSWER-2. contact precaution
, What pt likely has high respirations?
1. post-op and on opioid pain relief
2. post-op after intra-op blood loss
3. lived at high alt. and moved to sea level
4. exposed to cold and now hypothermic - CORRECT ANSWER-2. post-op after intra-op blood loss
RN preparing to admin med for two pts with same last name, after admin... RN notices mix up in
admin. What axn is priority:
1. alert charge RN of error
2. notify doc
3. complete error documentation
4. return to room and assess pt - CORRECT ANSWER-4. return to room and assess pt
Which clinical manifestation should RN monitor for pt with risk of respiratory distress?
1. productive cough
2. fever
3. eupnea
4. orthopnea - CORRECT ANSWER-4. orthopnea
Pt has kidney dysfunction and tests are ordered, which serum level will be measured?
1. BUN
2. potassium
3. creatinine
4. CBC - CORRECT ANSWER-3. creatinine
Pt admitted to hospital with edema of the ankles. What should RN do first to reduce edema?
1. restrict fluids
2. elevate legs
3. apply compression socks
4. ROM exercises - CORRECT ANSWER-2. elevate legs (most immediate relief and RN can do
independently, TED hose after elevation)
REVIEW WITH 150 VERIFIED QUESTIONS AND CORRECT
ANSWERS WITH MOST TESTED QUESTIONS
THIS RESOURCE CONTAINS VERIFIED QUESTIONS AND CORRECT ANSWERS FOR
THE NURS 109 FINAL COMPREHENSIVE EXAM, FOCUSED ON FOUNDATIONAL
NURSING CONCEPTS INCLUDING SAFETY, BASIC CARE, COMMUNICATION, AND
ETHICAL PRACTICE. DESIGNED FOR FIRST-SEMESTER NURSING STUDENTS, IT
OFFERS A THOROUGH REVIEW TO SUPPORT SUCCESS IN THE 2025
COMPREHENSIVE FINAL EXAM.
When delegating I&O, the RN instructs them to record what information about ice chips?
1. 2/3 of the volume
2. 1/2 of the volume
3. 1/4 of the volume
4. 2x the volume - CORRECT ANSWER-2. 1/2 the volume
The RN notices the pt's stool is black. What should the RN ask the pt.?
1. "are you straining when you defecate"
2. "do you take laxatives?"
3. "do you have hemorrhoids?"
4. "are you taking iron supplements?" - CORRECT ANSWER-4. "are you taking iron supplements?"
(black stools are caused by by GI bleeds or can be caused by supplemental iron)
RN caring for pt w pending urine culture. Which action indicates understanding of standard
precautions?
1. Teaches pt about good nutrition
2. dons gloves b4 taking vitals
3. disposes uncapped needle in designated container
4. wears eyewear & gloves when emptying urine drainage bag - CORRECT ANSWER-4. wears
eyewear & gloves when emptying urine drainage bag
What med can be administered in G-tube?
,1. most oral meds
2. most capsule contents dissolved in water
3. most enteric coated tabs well dissolved in water
4. most tablets except ER & enteric coated - CORRECT ANSWER-4. most tablets except ER &
enteric coated
Pt has elevated triglycerides and cholesterol, what food would RN educated pt to include in diet for
discharge? SATA
1. wheat toast and sugar free jelly
2. grilled salmon with herbs
3. egg-white omelet with veggies
4. natural honey from farmer's market
5. plain grilled steak with pepper only - CORRECT ANSWER-2. grilled salmon with herbs
3. egg-white omelet with veggies
RN notes red, warm, purulent drainage at insertion site of central line in pt getting total parenteral
nutrition. What is priority axn?
1. change IV tubing
2. slow TPN infusion rate
3. notify doc
4. call pharm for new TPN bag - CORRECT ANSWER-3. notify doc
Two blood vessels most commonly used for TPN:
1. subclavian and jugular vv
2. brachial and subclavian vv
3. femoral and jugular vv
4. brachial and femoral vv - CORRECT ANSWER-1. subclavian and jugular vv
Doc writes order for opioid naïve patient, post-op total knee replacement: Fentanyl patch 100 mcg/h
and change q3 day. What is RN action:
,1. apply within 30min of rec'v med from pharm
2. apply patch closest to incision for max pain relief
3. call doc and question order
4. call doc for additional pain control orders - CORRECT ANSWER-3. call doc and question order
(fenty unsafe for naïve pt)
What statement by pre-op pt causes RN to question routine plan of care?
1. pt reports they have narcolepsy
2. pt reports they have restless leg syndrome
3. pt reports they have parasomnias
4. pt reports they have sleep apnea - CORRECT ANSWER-4. pt reports they have sleep apnea
Pt admits to ED with brain injury, RN understands injury is more likely to be fatal it it involves:
1. Pons
2. medulla
3. midbrain
4. thalamus - CORRECT ANSWER-2. medulla (contains vital respiratory, cardiac, vasomotor centers)
Pt with head injury has temp. that rises to 102.2 degrees F. RN suggest injury to which structure?
1. thalamus
2. hypothalamus
3. temporal lobes
4. globus pallidus - CORRECT ANSWER-2. hypothalamus
Pt hospitalized with multi-drug resistant organism and treatment of infection, what infection control
practice does RN use?
1. use of N95 respirator
2. contact precaution
3. hepa filtration
4. droplet precaution - CORRECT ANSWER-2. contact precaution
, What pt likely has high respirations?
1. post-op and on opioid pain relief
2. post-op after intra-op blood loss
3. lived at high alt. and moved to sea level
4. exposed to cold and now hypothermic - CORRECT ANSWER-2. post-op after intra-op blood loss
RN preparing to admin med for two pts with same last name, after admin... RN notices mix up in
admin. What axn is priority:
1. alert charge RN of error
2. notify doc
3. complete error documentation
4. return to room and assess pt - CORRECT ANSWER-4. return to room and assess pt
Which clinical manifestation should RN monitor for pt with risk of respiratory distress?
1. productive cough
2. fever
3. eupnea
4. orthopnea - CORRECT ANSWER-4. orthopnea
Pt has kidney dysfunction and tests are ordered, which serum level will be measured?
1. BUN
2. potassium
3. creatinine
4. CBC - CORRECT ANSWER-3. creatinine
Pt admitted to hospital with edema of the ankles. What should RN do first to reduce edema?
1. restrict fluids
2. elevate legs
3. apply compression socks
4. ROM exercises - CORRECT ANSWER-2. elevate legs (most immediate relief and RN can do
independently, TED hose after elevation)
