NUR2214 EXAM 3 STUDY GUIDE 2026 COMPLETE
QUESTIONS WITH CORRECT DETAILED ANSWERS ||
100% GUARANTEED PASS <RECENT VERSION>
1. The nurse is delegating tasks to a Licensed Practical Nurse (LPN) and an unlicensed assistive
personnel (UAP). Which task is most appropriate for the UAP?
A. Administering oral medications to a stable patient.
B. Performing a sterile dressing change.
C. Assisting a stable patient with ambulation to the bathroom. ✓
D. Assessing a patient's pain level after surgery.
2. A patient with heart failure is prescribed a 2-gram sodium diet. Which food choice by the
patient indicates a need for further teaching?
A. Steamed vegetables without salt.
B. A grilled chicken breast seasoned with fresh herbs.
C. A bowl of canned soup for lunch. ✓
D. A fresh apple for a snack.
3. To prevent ventilator-associated pneumonia (VAP), which intervention is a priority for the
nurse to implement?
A. Administering prophylactic antibiotics daily.
B. Maintaining the head of the bed at 30-45 degrees. ✓
C. Suctioning the endotracheal tube every 2 hours.
D. Using sterile water in the ventilator circuit.
4. An elderly patient is at high risk for falls. Which action is the most effective in preventing a
fall?
A. Placing a "High Risk for Falls" sign on the door.
B. Using a bed alarm and ensuring the call light is within reach. ✓
C. Restraining the patient in a chair.
D. Administering a sedative to keep the patient in bed.
5. When using the SBAR (Situation-Background-Assessment-Recommendation) format for
communication, which component would include the patient's code status and recent vital
signs?
A. Situation
B. Background ✓
,C. Assessment
D. Recommendation
Cardiovascular Disorders
6. A patient with a history of myocardial infarction is prescribed Clopidogrel (Plavix). The
nurse teaches the patient that the purpose of this medication is to:
A. Dissolve existing blood clots.
B. Prevent the formation of new blood clots by inhibiting platelet aggregation. ✓
C. Lower cholesterol levels.
D. Slow the heart rate to reduce oxygen demand.
7. The nurse is caring for a patient with heart failure who has 3+ pitting edema in the lower
extremities and dyspnea at rest. The nurse anticipates which finding on the patient's morning
laboratory results?
A. Elevated blood urea nitrogen (BUN) and creatinine.
B. Elevated brain natriuretic peptide (BNP). ✓
C. Decreased white blood cell (WBC) count.
D. Decreased hemoglobin and hematocrit.
8. A patient with atrial fibrillation is started on Warfarin (Coumadin). The nurse understands
that the therapeutic effect of this medication is monitored by which laboratory test?
A. Prothrombin Time (PT) and International Normalized Ratio (INR). ✓
B. Activated Partial Thromboplastin Time (aPTT).
C. Platelet count.
D. Bleeding time.
9. The nurse assesses a patient and notes muffled heart sounds, jugular venous distension,
and a drop in systolic blood pressure of more than 10 mm Hg during inspiration (pulsus
paradoxus). The nurse suspects which condition?
A. Pulmonary embolism
B. Cardiac tamponade ✓
C. Aortic stenosis
D. Heart failure
10. When teaching a patient about a new prescription for Nitroglycerin sublingual tablets for
angina, which instruction is correct?
A. "Take one tablet daily every morning."
B. "If you have chest pain, take one tablet every 5 minutes until the pain is relieved, but do not
take more than three tablets." ✓
,C. "Swallow the tablet whole with a full glass of water."
D. "This medication will cure the underlying cause of your chest pain."
Respiratory Disorders
11. A patient is admitted with an acute exacerbation of Chronic Obstructive Pulmonary
Disease (COPD). Which assessment finding requires immediate intervention?
A. SpO2 of 85% on room air. ✓
B. Productive cough with white sputum.
C. Barrel-shaped chest.
D. Pursed-lip breathing.
12. The nurse is preparing to administer a tuberculin skin test (Mantoux test). Which
technique is correct?
A. Inject the antigen subcutaneously on the ventral surface of the forearm.
B. Clean the site with an alcohol swab and inject the antigen intramuscularly.
C. Clean the site with an alcohol swab and inject the antigen intradermally, creating a small
wheal. ✓
D. Apply the antigen to the skin surface and cover it with an adhesive bandage.
13. A patient with pneumonia has a temperature of 102.2°F (39°C), is diaphoretic, and has a
shallow, rapid respiratory rate. The nurse identifies the nursing diagnosis of "Ineffective
Airway Clearance." What is the priority intervention?
A. Offer warm fluids every hour.
B. Administer an antipyretic medication.
C. Assist with controlled coughing and deep breathing. ✓
D. Place the patient in a supine position.
14. A patient with a massive pulmonary embolism is most likely to initially present with:
A. Productive cough and fever.
B. Sudden onset of pleuritic chest pain and dyspnea. ✓
C. Bradycardia and hypotension.
D. Ruddy cyanosis of the face and neck.
15. The nurse is caring for a patient with a chest tube connected to a water-seal drainage
system. The nurse notes continuous bubbling in the water-seal chamber. What is the
appropriate action?
A. This is a normal finding and requires no action.
B. Clamp the chest tube immediately.
, C. Check the system for an air leak. ✓
D. Increase the suction pressure.
Neurological Disorders
16. The nurse is assessing a patient who just had a stroke. The patient has weakness of the
right arm and leg and difficulty speaking. The nurse identifies that the stroke most likely
occurred in which part of the brain?
A. Right frontal lobe
B. Right temporal lobe
C. Left frontal lobe ✓
D. Brainstem
17. A patient is being evaluated for a possible transient ischemic attack (TIA). The nurse
understands that the key characteristic of a TIA is that:
A. It causes permanent neurological damage.
B. Symptoms typically resolve within 24 hours. ✓
C. It is treated with thrombolytic therapy.
D. It is always preceded by a severe headache.
18. The nurse is providing discharge teaching for a patient diagnosed with epilepsy who is
prescribed Phenytoin (Dilantin). Which statement by the patient indicates a correct
understanding?
A. "I can stop taking this medication once I feel better."
B. "I will need to have my blood levels of this medication checked regularly." ✓
C. "It is safe for me to drink alcohol in moderation while on this drug."
D. "This medication will cure my epilepsy."
19. The nurse is performing a neurological assessment on a patient with a head injury. Which
finding is the most critical indicator of increasing intracranial pressure (ICP)?
A. Headache
B. A change in the level of consciousness. ✓
C. Pupils equal and reactive to light.
D. Vomiting
20. When caring for a patient with a spinal cord injury at the T4 level, the nurse should be
alert for signs of autonomic dysreflexia. What is the initial nursing action if this occurs?
A. Administer an antihypertensive medication.
B. Place the patient in a supine position.
QUESTIONS WITH CORRECT DETAILED ANSWERS ||
100% GUARANTEED PASS <RECENT VERSION>
1. The nurse is delegating tasks to a Licensed Practical Nurse (LPN) and an unlicensed assistive
personnel (UAP). Which task is most appropriate for the UAP?
A. Administering oral medications to a stable patient.
B. Performing a sterile dressing change.
C. Assisting a stable patient with ambulation to the bathroom. ✓
D. Assessing a patient's pain level after surgery.
2. A patient with heart failure is prescribed a 2-gram sodium diet. Which food choice by the
patient indicates a need for further teaching?
A. Steamed vegetables without salt.
B. A grilled chicken breast seasoned with fresh herbs.
C. A bowl of canned soup for lunch. ✓
D. A fresh apple for a snack.
3. To prevent ventilator-associated pneumonia (VAP), which intervention is a priority for the
nurse to implement?
A. Administering prophylactic antibiotics daily.
B. Maintaining the head of the bed at 30-45 degrees. ✓
C. Suctioning the endotracheal tube every 2 hours.
D. Using sterile water in the ventilator circuit.
4. An elderly patient is at high risk for falls. Which action is the most effective in preventing a
fall?
A. Placing a "High Risk for Falls" sign on the door.
B. Using a bed alarm and ensuring the call light is within reach. ✓
C. Restraining the patient in a chair.
D. Administering a sedative to keep the patient in bed.
5. When using the SBAR (Situation-Background-Assessment-Recommendation) format for
communication, which component would include the patient's code status and recent vital
signs?
A. Situation
B. Background ✓
,C. Assessment
D. Recommendation
Cardiovascular Disorders
6. A patient with a history of myocardial infarction is prescribed Clopidogrel (Plavix). The
nurse teaches the patient that the purpose of this medication is to:
A. Dissolve existing blood clots.
B. Prevent the formation of new blood clots by inhibiting platelet aggregation. ✓
C. Lower cholesterol levels.
D. Slow the heart rate to reduce oxygen demand.
7. The nurse is caring for a patient with heart failure who has 3+ pitting edema in the lower
extremities and dyspnea at rest. The nurse anticipates which finding on the patient's morning
laboratory results?
A. Elevated blood urea nitrogen (BUN) and creatinine.
B. Elevated brain natriuretic peptide (BNP). ✓
C. Decreased white blood cell (WBC) count.
D. Decreased hemoglobin and hematocrit.
8. A patient with atrial fibrillation is started on Warfarin (Coumadin). The nurse understands
that the therapeutic effect of this medication is monitored by which laboratory test?
A. Prothrombin Time (PT) and International Normalized Ratio (INR). ✓
B. Activated Partial Thromboplastin Time (aPTT).
C. Platelet count.
D. Bleeding time.
9. The nurse assesses a patient and notes muffled heart sounds, jugular venous distension,
and a drop in systolic blood pressure of more than 10 mm Hg during inspiration (pulsus
paradoxus). The nurse suspects which condition?
A. Pulmonary embolism
B. Cardiac tamponade ✓
C. Aortic stenosis
D. Heart failure
10. When teaching a patient about a new prescription for Nitroglycerin sublingual tablets for
angina, which instruction is correct?
A. "Take one tablet daily every morning."
B. "If you have chest pain, take one tablet every 5 minutes until the pain is relieved, but do not
take more than three tablets." ✓
,C. "Swallow the tablet whole with a full glass of water."
D. "This medication will cure the underlying cause of your chest pain."
Respiratory Disorders
11. A patient is admitted with an acute exacerbation of Chronic Obstructive Pulmonary
Disease (COPD). Which assessment finding requires immediate intervention?
A. SpO2 of 85% on room air. ✓
B. Productive cough with white sputum.
C. Barrel-shaped chest.
D. Pursed-lip breathing.
12. The nurse is preparing to administer a tuberculin skin test (Mantoux test). Which
technique is correct?
A. Inject the antigen subcutaneously on the ventral surface of the forearm.
B. Clean the site with an alcohol swab and inject the antigen intramuscularly.
C. Clean the site with an alcohol swab and inject the antigen intradermally, creating a small
wheal. ✓
D. Apply the antigen to the skin surface and cover it with an adhesive bandage.
13. A patient with pneumonia has a temperature of 102.2°F (39°C), is diaphoretic, and has a
shallow, rapid respiratory rate. The nurse identifies the nursing diagnosis of "Ineffective
Airway Clearance." What is the priority intervention?
A. Offer warm fluids every hour.
B. Administer an antipyretic medication.
C. Assist with controlled coughing and deep breathing. ✓
D. Place the patient in a supine position.
14. A patient with a massive pulmonary embolism is most likely to initially present with:
A. Productive cough and fever.
B. Sudden onset of pleuritic chest pain and dyspnea. ✓
C. Bradycardia and hypotension.
D. Ruddy cyanosis of the face and neck.
15. The nurse is caring for a patient with a chest tube connected to a water-seal drainage
system. The nurse notes continuous bubbling in the water-seal chamber. What is the
appropriate action?
A. This is a normal finding and requires no action.
B. Clamp the chest tube immediately.
, C. Check the system for an air leak. ✓
D. Increase the suction pressure.
Neurological Disorders
16. The nurse is assessing a patient who just had a stroke. The patient has weakness of the
right arm and leg and difficulty speaking. The nurse identifies that the stroke most likely
occurred in which part of the brain?
A. Right frontal lobe
B. Right temporal lobe
C. Left frontal lobe ✓
D. Brainstem
17. A patient is being evaluated for a possible transient ischemic attack (TIA). The nurse
understands that the key characteristic of a TIA is that:
A. It causes permanent neurological damage.
B. Symptoms typically resolve within 24 hours. ✓
C. It is treated with thrombolytic therapy.
D. It is always preceded by a severe headache.
18. The nurse is providing discharge teaching for a patient diagnosed with epilepsy who is
prescribed Phenytoin (Dilantin). Which statement by the patient indicates a correct
understanding?
A. "I can stop taking this medication once I feel better."
B. "I will need to have my blood levels of this medication checked regularly." ✓
C. "It is safe for me to drink alcohol in moderation while on this drug."
D. "This medication will cure my epilepsy."
19. The nurse is performing a neurological assessment on a patient with a head injury. Which
finding is the most critical indicator of increasing intracranial pressure (ICP)?
A. Headache
B. A change in the level of consciousness. ✓
C. Pupils equal and reactive to light.
D. Vomiting
20. When caring for a patient with a spinal cord injury at the T4 level, the nurse should be
alert for signs of autonomic dysreflexia. What is the initial nursing action if this occurs?
A. Administer an antihypertensive medication.
B. Place the patient in a supine position.
