HONDROS NUR 163 FINAL EXAM WITH 100 ACTUAL
QUESTIONS AND CORRECT VERIFIED ANSWERS
Question 1
Which of the following describes the most appropriate action by the nurse
when administering a medication via a nasogastric (NG) tube?
A) Crush all medications into a fine powder and mix with water.
B) Administer all medications together simultaneously to save time.
C) Aspirate gastric contents, check pH, and flush the tube before and after
administration.
D) Elevate the head of the bed to 15 degrees during administration.
E) Administer cold medication directly from the refrigerator.
Correct Answer: C) Aspirate gastric contents, check pH, and flush the
tube before and after administration.
Rationale: Before administering medications via an NG tube, the
nurse must verify tube placement (aspirating gastric contents and
checking pH), and flush the tube before and after each medication
to prevent clogging and ensure delivery.
Question 2
A nurse is caring for a patient experiencing hypokalemia. Which of the
following clinical manifestations would the nurse expect to find?
A) Muscle twitching and tremors
B) Constipation and generalized muscle weakness
C) Bounding peripheral pulses and hypertension
D) Hyperactive bowel sounds and abdominal cramping
E) Shortened QT interval on ECG
Correct Answer: B) Constipation and generalized muscle weakness
Rationale: Hypokalemia (low potassium) often causes decreased
neuromuscular excitability, leading to muscle weakness, fatigue,
diminished deep tendon reflexes, and decreased GI motility
(constipation, paralytic ileus).
,Question 3
What is the primary purpose of the nursing process (ADPIE)?
A) To ensure all patient care is identical.
B) To provide a systematic, patient-centered method for delivering nursing
care.
C) To delegate nursing tasks efficiently.
D) To document all medical interventions.
E) To measure nurse performance.
Correct Answer: B) To provide a systematic, patient-centered method
for delivering nursing care.
Rationale: The nursing process (Assessment, Diagnosis, Planning,
Implementation, Evaluation) is a systematic, rational, and client-
centered method of planning and providing individualized nursing
care.
Question 4
A patient reports a pain level of 8 on a 0-10 scale. Which action should the
nurse prioritize?
A) Document the pain level and re-assess in 4 hours.
B) Administer prescribed analgesic medication and then re-assess.
C) Educate the patient on non-pharmacological pain relief methods.
D) Ask the patient to describe the pain using the OPQRST mnemonic.
E) Notify the physician immediately.
Correct Answer: B) Administer prescribed analgesic medication and
then re-assess.
Rationale: For severe pain (8/10), the priority is to provide rapid
relief. Administering a prescribed analgesic is the most direct
intervention, followed by re-assessment to evaluate its
effectiveness.
Question 5
Which isolation precaution requires the use of an N95 respirator mask for
,healthcare providers?
A) Standard precautions
B) Contact precautions
C) Droplet precautions
D) Airborne precautions
E) Protective environment
Correct Answer: D) Airborne precautions
Rationale: Airborne precautions are used for diseases transmitted by
small airborne droplets (e.g., tuberculosis, measles, varicella) and
require an N95 respirator or higher-level mask.
Question 6
When administering a subcutaneous injection, the nurse should insert the
needle at what angle for most patients?
A) 15 degrees
B) 30 degrees
C) 45 degrees
D) 60 degrees
E) 90 degrees
Correct Answer: C) 45 degrees
Rationale: For most subcutaneous injections, a 45-degree angle is
used. A 90-degree angle may be used for patients with sufficient
adipose tissue and a shorter needle.
Question 7
A nurse is assessing a patient's radial pulse. Which of the following
characteristics should the nurse evaluate?
A) Rate, rhythm, and depth.
B) Rate, rhythm, and quality (strength).
C) Depth, duration, and color.
D) Strength, temperature, and elasticity.
E) Only the rate.
, Correct Answer: B) Rate, rhythm, and quality (strength).
Rationale: When assessing a pulse, the nurse determines the rate
(beats per minute), rhythm (regular or irregular), and quality or
strength (e.g., bounding, strong, weak, thready).
Question 8
Which of the following ethical principles emphasizes telling the truth and
being honest with patients?
A) Autonomy
B) Beneficence
C) Nonmaleficence
D) Fidelity
E) Veracity
Correct Answer: E) Veracity
Rationale: Veracity is the ethical principle of telling the truth, which
is fundamental to building trust with patients.
Question 9
What is the primary role of the nurse in medication reconciliation?
A) To order all new medications for the patient.
B) To compare the medications a patient is currently taking with newly
ordered medications.
C) To administer all medications personally.
D) To educate patients about all possible side effects.
E) To ensure patients purchase their medications.
Correct Answer: B) To compare the medications a patient is currently
taking with newly ordered medications.
Rationale: Medication reconciliation is the process of comparing a
patient's medication orders to all of the medications that the
patient has been taking, with the goal of preventing medication
errors such as omissions, duplications, dosing errors, or drug
interactions.
QUESTIONS AND CORRECT VERIFIED ANSWERS
Question 1
Which of the following describes the most appropriate action by the nurse
when administering a medication via a nasogastric (NG) tube?
A) Crush all medications into a fine powder and mix with water.
B) Administer all medications together simultaneously to save time.
C) Aspirate gastric contents, check pH, and flush the tube before and after
administration.
D) Elevate the head of the bed to 15 degrees during administration.
E) Administer cold medication directly from the refrigerator.
Correct Answer: C) Aspirate gastric contents, check pH, and flush the
tube before and after administration.
Rationale: Before administering medications via an NG tube, the
nurse must verify tube placement (aspirating gastric contents and
checking pH), and flush the tube before and after each medication
to prevent clogging and ensure delivery.
Question 2
A nurse is caring for a patient experiencing hypokalemia. Which of the
following clinical manifestations would the nurse expect to find?
A) Muscle twitching and tremors
B) Constipation and generalized muscle weakness
C) Bounding peripheral pulses and hypertension
D) Hyperactive bowel sounds and abdominal cramping
E) Shortened QT interval on ECG
Correct Answer: B) Constipation and generalized muscle weakness
Rationale: Hypokalemia (low potassium) often causes decreased
neuromuscular excitability, leading to muscle weakness, fatigue,
diminished deep tendon reflexes, and decreased GI motility
(constipation, paralytic ileus).
,Question 3
What is the primary purpose of the nursing process (ADPIE)?
A) To ensure all patient care is identical.
B) To provide a systematic, patient-centered method for delivering nursing
care.
C) To delegate nursing tasks efficiently.
D) To document all medical interventions.
E) To measure nurse performance.
Correct Answer: B) To provide a systematic, patient-centered method
for delivering nursing care.
Rationale: The nursing process (Assessment, Diagnosis, Planning,
Implementation, Evaluation) is a systematic, rational, and client-
centered method of planning and providing individualized nursing
care.
Question 4
A patient reports a pain level of 8 on a 0-10 scale. Which action should the
nurse prioritize?
A) Document the pain level and re-assess in 4 hours.
B) Administer prescribed analgesic medication and then re-assess.
C) Educate the patient on non-pharmacological pain relief methods.
D) Ask the patient to describe the pain using the OPQRST mnemonic.
E) Notify the physician immediately.
Correct Answer: B) Administer prescribed analgesic medication and
then re-assess.
Rationale: For severe pain (8/10), the priority is to provide rapid
relief. Administering a prescribed analgesic is the most direct
intervention, followed by re-assessment to evaluate its
effectiveness.
Question 5
Which isolation precaution requires the use of an N95 respirator mask for
,healthcare providers?
A) Standard precautions
B) Contact precautions
C) Droplet precautions
D) Airborne precautions
E) Protective environment
Correct Answer: D) Airborne precautions
Rationale: Airborne precautions are used for diseases transmitted by
small airborne droplets (e.g., tuberculosis, measles, varicella) and
require an N95 respirator or higher-level mask.
Question 6
When administering a subcutaneous injection, the nurse should insert the
needle at what angle for most patients?
A) 15 degrees
B) 30 degrees
C) 45 degrees
D) 60 degrees
E) 90 degrees
Correct Answer: C) 45 degrees
Rationale: For most subcutaneous injections, a 45-degree angle is
used. A 90-degree angle may be used for patients with sufficient
adipose tissue and a shorter needle.
Question 7
A nurse is assessing a patient's radial pulse. Which of the following
characteristics should the nurse evaluate?
A) Rate, rhythm, and depth.
B) Rate, rhythm, and quality (strength).
C) Depth, duration, and color.
D) Strength, temperature, and elasticity.
E) Only the rate.
, Correct Answer: B) Rate, rhythm, and quality (strength).
Rationale: When assessing a pulse, the nurse determines the rate
(beats per minute), rhythm (regular or irregular), and quality or
strength (e.g., bounding, strong, weak, thready).
Question 8
Which of the following ethical principles emphasizes telling the truth and
being honest with patients?
A) Autonomy
B) Beneficence
C) Nonmaleficence
D) Fidelity
E) Veracity
Correct Answer: E) Veracity
Rationale: Veracity is the ethical principle of telling the truth, which
is fundamental to building trust with patients.
Question 9
What is the primary role of the nurse in medication reconciliation?
A) To order all new medications for the patient.
B) To compare the medications a patient is currently taking with newly
ordered medications.
C) To administer all medications personally.
D) To educate patients about all possible side effects.
E) To ensure patients purchase their medications.
Correct Answer: B) To compare the medications a patient is currently
taking with newly ordered medications.
Rationale: Medication reconciliation is the process of comparing a
patient's medication orders to all of the medications that the
patient has been taking, with the goal of preventing medication
errors such as omissions, duplications, dosing errors, or drug
interactions.
