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NURS 242 Final Exam (180+ Qs) – IV Therapy, Urinary Catheters, NG Tubes, Oxygen Safety | 2025/2026

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This thoroughly detailed final exam prep for NURS 242 – Foundations of Nursing Practice II includes over 180 real-world multiple choice questions and correct answers, aligned with the 2025/2026 curriculum of [Example University]. The material is presented in a structured Q&A format, with rationales where needed, making it ideal for exam readiness, clinical validation, and NCLEX-RN preparation. Key nursing topics reviewed: IV therapy: catheter site selection, insertion technique, complications (infiltration, phlebitis), IV push risks, fluid regulation, CVAD management, infusion rates, and IV tubing change protocols Blood transfusion procedures: verification steps, reaction signs, emergency actions, Y-tubing setup, and compatible fluids Urinary catheterization: male and female catheter insertion, Foley care, sterile specimen collection, PVR measurement, infection prevention, and I&O tracking methods Nasogastric (NG) and enteral tubes: placement verification, intermittent and continuous feedings, decompression, medication administration, and patient safety during tube use Oxygen therapy: device selection (nasal cannula, non-rebreather, Venturi mask), FiO2 delivery, safety guidelines, and suctioning practices Tracheostomy and VAP prevention: suctioning, dressing changes, oral hygiene, cuff pressure monitoring, and positioning Chest tube care: air leak detection, water seal monitoring, tubing management, and emergency response protocols Every question reinforces fundamental nursing concepts with up-to-date, safe clinical practices, making this resource highly effective for skill application in exams and clinical rotations. Recommended for: BSN and ADN students enrolled in NURS 242 or similar foundational nursing practice courses NCLEX-RN candidates needing clinical skills and procedural question practice International nurses preparing for U.S. licensure exams Nurse instructors seeking a detailed exam review toolkit Students preparing for skill check-offs and practical exams involving tubes, oxygen, catheters, and transfusion procedures Keywords: NURS 242, IV therapy, urinary catheter care, blood transfusion, NG tube feeding, oxygen devices, suctioning, sterile technique, PCA pumps, CVAD, nasogastric tube, enteral feeding, foley catheter, I&O measurement, chest tubes, VAP prevention, NCLEX practice

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NURS 242 Final Exam 2025/2026 Exam
Questions and Correct Answers | New
Update



Which of the following steps is necessary when a patient is prepared for an

IV solution?

A. Shaving the hair from the site

B. Selecting a proximal site in an extremity

C. Applying a tourniquet 4-6 inches above the selected site

D. Vigorously taping and massaging the selected vein. - 🧠 ANSWER

✔✔ANS: C


No Shaving needed

,Most distal site

Do not tap or massage vein

Why is the IV push considered a dangerous method by which to adminster

medications? (select all that apply)

A. It does not allow time to correct errors

B. It may be irritating to the lining of the blood vessels

C. It can cause pain and abscesses


D. It can cause sloughing of tissue - 🧠 ANSWER ✔✔ANS: ABCD


What should the nurse do when discontinuing a peripheral IV?

A. Withdrawl the catheter quickly

B. Keep the hub perpendicular to the skin

C. Apply pressure to the site for 1 minute


D. Inspect the catheter for intactness after removal - 🧠 ANSWER ✔✔ANS:

D

Don't reinsert

Do not want fragments of the catheter

,True or False? Intravenous therapy is a method of replacing fliud and

electrolytes into the blood stream rather than the digestive system. - 🧠

ANSWER ✔✔ANS: True


When considering an IV site which one of these are true?

A. Avoid areas easily bumped in the elderly and children (like the wrists)

B.Always start with proximal and move more distal

C. Avoid any site which appears infected


D. Avoid any site with a graph or mastectomy - 🧠 ANSWER ✔✔ANS: ACD


Always start more distal

True or Flase? Infiltration occurs when IV fluid enters the surrounding tissie

around the venipuncture site? - 🧠 ANSWER ✔✔ANS: True


In order to discontinue an IV line, the nurse should obtain which item from

the supply area for applying pressure to the site after removing an IV

catheter?

A. Elastic wrap

B. Betadine swab

C. Adhesive bandage

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, D. Sterile 2x2 gauze - 🧠 ANSWER ✔✔ANS: D


Only one that makes sense because this applies pressure and getting any

blood from removing

What is the best size of IV?

A. The largest one you can feel comfortably insert in the patient

B. The smallest you can find

C. The smallest gauge to accomplish therapy


D. The largest gauge your facility has. - 🧠 ANSWER ✔✔ANS: C because

you want the medication to flow as fast as it can with still being in catheter

proameters

What materials are necessary when preparing to start an IV?

A. Gloves

B. Gown

C. IV catheter

D. Saline Flush

E Eye protection

F Mask

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