NRSG 2350 FINAL EXAM PREP 2026/2027 | ALL-IN-ONE TEST
BANK & STUDY GUIDE | MOST TESTED QUESTIONS |
VERIFIED ANSWERS| LATEST UPDATED VERSION
NRSG 2350 COMPREHENSIVE FINAL EXAM PRACTICE ASSESSMENT
MODULE I — FUNDAMENTALS, SAFETY & INFECTION PREVENTION
Question 1
A nurse is caring for a client who has a suspected Clostridioides difficile infection. Which
intervention is most appropriate?
A. Use alcohol-based hand sanitizer after removing gloves
B. Place the client on airborne precautions
C. Wash hands with soap and water after client contact
D. Wear an N95 respirator for all client interactions
Correct Answer: C
Rationale: Soap and water are required because alcohol-based hand sanitizers do not reliably
eliminate C. difficile spores. Airborne precautions and N95 respirators are not routinely indicated
for C. difficile infection.
Question 2
A nurse enters the room of a client who is receiving chemotherapy and has severe neutropenia.
Which finding requires the most immediate intervention?
A. Temperature of 38.3°C (100.9°F)
B. Mild fatigue
C. Decreased appetite
D. Hair loss
Correct Answer: A
Rationale: Fever in a severely neutropenic client may indicate a life-threatening infection and
requires immediate evaluation. Fatigue, anorexia, and alopecia are common effects of
chemotherapy but are not immediately life-threatening.
Question 3
Which client should the nurse assess first?
A. A postoperative client reporting pain of 7/10
B. A client with pneumonia and an oxygen saturation of 86%
,C. A client requesting assistance with bathing
D. A client awaiting discharge instructions
Correct Answer: B
Rationale: An oxygen saturation of 86% indicates significant hypoxemia and represents an
airway/breathing priority. Pain and activities of daily living remain important but take priority
after stabilization of oxygenation.
Question 4
A nurse is preparing to transfer a weak client from the bed to a wheelchair. Which action is
safest?
A. Keep the wheelchair several feet from the bed
B. Lock the wheelchair wheels before transferring the client
C. Ask the client to stand without assistance
D. Place the wheelchair on the client's weaker side
Correct Answer: B
Rationale: Locking the wheelchair prevents movement during the transfer and reduces fall risk.
The wheelchair should generally be positioned close to the bed on the client's stronger side when
clinically appropriate.
Question 5
Which intervention best reduces the risk of pressure injury in an immobile client?
A. Massage reddened areas
B. Reposition the client regularly
C. Restrict fluid intake
D. Use a donut-shaped cushion under the sacrum
Correct Answer: B
Rationale: Regular repositioning reduces prolonged pressure and promotes tissue perfusion.
Massaging reddened tissue can cause further injury, while fluid restriction and donut devices
may worsen tissue compromise.
Question 6
A nurse discovers a fire in a client's room. According to the RACE principle, what is the nurse's
first action?
A. Activate the alarm
B. Extinguish the fire
,C. Rescue anyone in immediate danger
D. Close all doors
Correct Answer: C
Rationale: RACE begins with Rescue clients from immediate danger, followed by Alarm,
Contain, and Extinguish/Evacuate. Client safety is therefore the first priority.
Question 7
A client receiving a blood transfusion develops chills, fever, and back pain 15 minutes after
initiation. What should the nurse do first?
A. Slow the infusion
B. Stop the transfusion
C. Administer acetaminophen
D. Continue the transfusion and notify the provider
Correct Answer: B
Rationale: The findings suggest an acute transfusion reaction, so the transfusion must be
stopped immediately. The nurse should maintain IV access with appropriate compatible fluid and
follow the facility's transfusion-reaction protocol.
Question 8
Which action demonstrates appropriate sterile technique?
A. Allowing a sterile glove to touch the outside of the sterile package
B. Holding sterile objects below waist level
C. Keeping the sterile field within view
D. Reaching across the sterile field
Correct Answer: C
Rationale: A sterile field must remain visible and above waist level to maintain sterility.
Reaching across the field or allowing contamination of sterile surfaces compromises the field.
Question 9
A client is at high risk for falls. Which intervention is most appropriate?
A. Keep all four side rails raised
B. Place frequently used items within reach
C. Keep the room completely dark at night
D. Encourage the client to ambulate independently
Correct Answer: B
, Rationale: Placing needed items within reach reduces unnecessary attempts to get out of bed.
Four raised side rails can constitute a restraint, and independent ambulation may increase risk.
Question 10
A nurse is caring for a client with tuberculosis. Which personal protective equipment is required?
A. Surgical mask only
B. N95 respirator or equivalent
C. Sterile gloves only
D. Face shield only
Correct Answer: B
Rationale: Tuberculosis requires airborne precautions, including an appropriately fitted N95
respirator or equivalent. Standard surgical masks do not provide adequate respiratory protection
for airborne transmission.
Question 11
Which assessment finding is most consistent with hypovolemia?
A. Bounding pulse
B. Hypertension
C. Tachycardia and poor skin turgor
D. Peripheral edema
Correct Answer: C
Rationale: Hypovolemia commonly causes tachycardia, hypotension, decreased urine output,
and poor skin turgor. Bounding pulses and edema are more consistent with fluid excess.
Question 12
A nurse is assessing a client's pain. Which statement best demonstrates appropriate pain
assessment?
A. “You appear comfortable, so your pain must be controlled.”
B. “Rate your pain from 0 to 10 and describe what it feels like.”
C. “Pain is expected after surgery, so try to tolerate it.”
D. “I will document your pain based on your vital signs.”
Correct Answer: B
Rationale: Pain is subjective and should be assessed using the client's report, including intensity
and characteristics. Appearance and vital signs alone cannot accurately determine pain severity.
Question 13
BANK & STUDY GUIDE | MOST TESTED QUESTIONS |
VERIFIED ANSWERS| LATEST UPDATED VERSION
NRSG 2350 COMPREHENSIVE FINAL EXAM PRACTICE ASSESSMENT
MODULE I — FUNDAMENTALS, SAFETY & INFECTION PREVENTION
Question 1
A nurse is caring for a client who has a suspected Clostridioides difficile infection. Which
intervention is most appropriate?
A. Use alcohol-based hand sanitizer after removing gloves
B. Place the client on airborne precautions
C. Wash hands with soap and water after client contact
D. Wear an N95 respirator for all client interactions
Correct Answer: C
Rationale: Soap and water are required because alcohol-based hand sanitizers do not reliably
eliminate C. difficile spores. Airborne precautions and N95 respirators are not routinely indicated
for C. difficile infection.
Question 2
A nurse enters the room of a client who is receiving chemotherapy and has severe neutropenia.
Which finding requires the most immediate intervention?
A. Temperature of 38.3°C (100.9°F)
B. Mild fatigue
C. Decreased appetite
D. Hair loss
Correct Answer: A
Rationale: Fever in a severely neutropenic client may indicate a life-threatening infection and
requires immediate evaluation. Fatigue, anorexia, and alopecia are common effects of
chemotherapy but are not immediately life-threatening.
Question 3
Which client should the nurse assess first?
A. A postoperative client reporting pain of 7/10
B. A client with pneumonia and an oxygen saturation of 86%
,C. A client requesting assistance with bathing
D. A client awaiting discharge instructions
Correct Answer: B
Rationale: An oxygen saturation of 86% indicates significant hypoxemia and represents an
airway/breathing priority. Pain and activities of daily living remain important but take priority
after stabilization of oxygenation.
Question 4
A nurse is preparing to transfer a weak client from the bed to a wheelchair. Which action is
safest?
A. Keep the wheelchair several feet from the bed
B. Lock the wheelchair wheels before transferring the client
C. Ask the client to stand without assistance
D. Place the wheelchair on the client's weaker side
Correct Answer: B
Rationale: Locking the wheelchair prevents movement during the transfer and reduces fall risk.
The wheelchair should generally be positioned close to the bed on the client's stronger side when
clinically appropriate.
Question 5
Which intervention best reduces the risk of pressure injury in an immobile client?
A. Massage reddened areas
B. Reposition the client regularly
C. Restrict fluid intake
D. Use a donut-shaped cushion under the sacrum
Correct Answer: B
Rationale: Regular repositioning reduces prolonged pressure and promotes tissue perfusion.
Massaging reddened tissue can cause further injury, while fluid restriction and donut devices
may worsen tissue compromise.
Question 6
A nurse discovers a fire in a client's room. According to the RACE principle, what is the nurse's
first action?
A. Activate the alarm
B. Extinguish the fire
,C. Rescue anyone in immediate danger
D. Close all doors
Correct Answer: C
Rationale: RACE begins with Rescue clients from immediate danger, followed by Alarm,
Contain, and Extinguish/Evacuate. Client safety is therefore the first priority.
Question 7
A client receiving a blood transfusion develops chills, fever, and back pain 15 minutes after
initiation. What should the nurse do first?
A. Slow the infusion
B. Stop the transfusion
C. Administer acetaminophen
D. Continue the transfusion and notify the provider
Correct Answer: B
Rationale: The findings suggest an acute transfusion reaction, so the transfusion must be
stopped immediately. The nurse should maintain IV access with appropriate compatible fluid and
follow the facility's transfusion-reaction protocol.
Question 8
Which action demonstrates appropriate sterile technique?
A. Allowing a sterile glove to touch the outside of the sterile package
B. Holding sterile objects below waist level
C. Keeping the sterile field within view
D. Reaching across the sterile field
Correct Answer: C
Rationale: A sterile field must remain visible and above waist level to maintain sterility.
Reaching across the field or allowing contamination of sterile surfaces compromises the field.
Question 9
A client is at high risk for falls. Which intervention is most appropriate?
A. Keep all four side rails raised
B. Place frequently used items within reach
C. Keep the room completely dark at night
D. Encourage the client to ambulate independently
Correct Answer: B
, Rationale: Placing needed items within reach reduces unnecessary attempts to get out of bed.
Four raised side rails can constitute a restraint, and independent ambulation may increase risk.
Question 10
A nurse is caring for a client with tuberculosis. Which personal protective equipment is required?
A. Surgical mask only
B. N95 respirator or equivalent
C. Sterile gloves only
D. Face shield only
Correct Answer: B
Rationale: Tuberculosis requires airborne precautions, including an appropriately fitted N95
respirator or equivalent. Standard surgical masks do not provide adequate respiratory protection
for airborne transmission.
Question 11
Which assessment finding is most consistent with hypovolemia?
A. Bounding pulse
B. Hypertension
C. Tachycardia and poor skin turgor
D. Peripheral edema
Correct Answer: C
Rationale: Hypovolemia commonly causes tachycardia, hypotension, decreased urine output,
and poor skin turgor. Bounding pulses and edema are more consistent with fluid excess.
Question 12
A nurse is assessing a client's pain. Which statement best demonstrates appropriate pain
assessment?
A. “You appear comfortable, so your pain must be controlled.”
B. “Rate your pain from 0 to 10 and describe what it feels like.”
C. “Pain is expected after surgery, so try to tolerate it.”
D. “I will document your pain based on your vital signs.”
Correct Answer: B
Rationale: Pain is subjective and should be assessed using the client's report, including intensity
and characteristics. Appearance and vital signs alone cannot accurately determine pain severity.
Question 13
