NUR2115 Fundamentals of Professional Nursing Final
Exam Review 2026/2027 - Highly Rated Guide for
Rasmussen College
Section 1: Clinical Judgment & Prioritization
1. A nurse is caring for four patients at the start of the shift. Which patient requires
immediate assessment?
A) A post-operative patient requesting pain medication (pain rated 4/10).
B) A patient with diabetes whose capillary blood glucose is 68 mg/dL.
C) A patient with pneumonia who has a productive cough.
D) A patient scheduled for physical therapy in 30 minutes.
Correct Answer: B
Correct Answer Text: A patient with diabetes whose capillary blood glucose is 68
mg/dL.
Rationale: A blood glucose of 68 mg/dL indicates hypoglycemia, which is an immediate
safety concern requiring assessment and intervention to prevent further decline that
could lead to seizures or loss of consciousness. This takes priority using the ABC
(airway, breathing, circulation) and urgent vs. non-urgent frameworks.
2. A nurse is preparing to transfer a patient with left-sided weakness from the bed
to a chair. What should the nurse do first?
A) Apply a gait belt around the patient’s waist.
B) Assess the patient’s strength and mobility level.
C) Lock the wheels on the bed and chair.
D) Explain the transfer procedure to the patient.
Correct Answer: C
Correct Answer Text: Lock the wheels on the bed and chair.
, Rationale: The first step in any patient transfer is ensuring environmental safety by
locking the wheels on both the bed and chair to prevent movement during the transfer,
which could cause a fall. This follows the safety principle of "secure the environment
first" before assessing or intervening with the patient.
3. A client with newly diagnosed diabetes mellitus is being discharged. Which client
statement indicates that additional teaching is needed?
A) “I will rotate my injection sites to prevent lipodystrophy.”
B) “I can skip checking my blood sugar if I feel fine.”
C) “I will carry a source of fast-acting glucose at all times.”
D) “I will inspect my feet daily for cuts or sores.”
Correct Answer: B
Correct Answer Text: “I can skip checking my blood sugar if I feel fine.”
Rationale: Blood glucose monitoring is essential for safe insulin dosing and detecting
hypo/hyperglycemia, regardless of how the patient feels. Skipping checks (B) is unsafe
and indicates a need for further education. The other statements reflect correct
self-management.
Section 2: Safety & Infection Control
4. A nurse is caring for a patient with Clostridioides difficile (C. diff) diarrhea. Which
action by the nurse requires immediate correction?
A) Wearing a gown and gloves when entering the room.
B) Using alcohol-based hand sanitizer after removing gloves.
C) Placing the patient in a private room.
D) Using dedicated equipment in the patient’s room.
Correct Answer: B
Correct Answer Text: Using alcohol-based hand sanitizer after removing gloves.
Exam Review 2026/2027 - Highly Rated Guide for
Rasmussen College
Section 1: Clinical Judgment & Prioritization
1. A nurse is caring for four patients at the start of the shift. Which patient requires
immediate assessment?
A) A post-operative patient requesting pain medication (pain rated 4/10).
B) A patient with diabetes whose capillary blood glucose is 68 mg/dL.
C) A patient with pneumonia who has a productive cough.
D) A patient scheduled for physical therapy in 30 minutes.
Correct Answer: B
Correct Answer Text: A patient with diabetes whose capillary blood glucose is 68
mg/dL.
Rationale: A blood glucose of 68 mg/dL indicates hypoglycemia, which is an immediate
safety concern requiring assessment and intervention to prevent further decline that
could lead to seizures or loss of consciousness. This takes priority using the ABC
(airway, breathing, circulation) and urgent vs. non-urgent frameworks.
2. A nurse is preparing to transfer a patient with left-sided weakness from the bed
to a chair. What should the nurse do first?
A) Apply a gait belt around the patient’s waist.
B) Assess the patient’s strength and mobility level.
C) Lock the wheels on the bed and chair.
D) Explain the transfer procedure to the patient.
Correct Answer: C
Correct Answer Text: Lock the wheels on the bed and chair.
, Rationale: The first step in any patient transfer is ensuring environmental safety by
locking the wheels on both the bed and chair to prevent movement during the transfer,
which could cause a fall. This follows the safety principle of "secure the environment
first" before assessing or intervening with the patient.
3. A client with newly diagnosed diabetes mellitus is being discharged. Which client
statement indicates that additional teaching is needed?
A) “I will rotate my injection sites to prevent lipodystrophy.”
B) “I can skip checking my blood sugar if I feel fine.”
C) “I will carry a source of fast-acting glucose at all times.”
D) “I will inspect my feet daily for cuts or sores.”
Correct Answer: B
Correct Answer Text: “I can skip checking my blood sugar if I feel fine.”
Rationale: Blood glucose monitoring is essential for safe insulin dosing and detecting
hypo/hyperglycemia, regardless of how the patient feels. Skipping checks (B) is unsafe
and indicates a need for further education. The other statements reflect correct
self-management.
Section 2: Safety & Infection Control
4. A nurse is caring for a patient with Clostridioides difficile (C. diff) diarrhea. Which
action by the nurse requires immediate correction?
A) Wearing a gown and gloves when entering the room.
B) Using alcohol-based hand sanitizer after removing gloves.
C) Placing the patient in a private room.
D) Using dedicated equipment in the patient’s room.
Correct Answer: B
Correct Answer Text: Using alcohol-based hand sanitizer after removing gloves.
