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NR 228 FINAL EXAM/NR 228 FINAL EXAM
PREPARATION/NR 228 FINAL EXAM PRACTICE REAL
EXAM 150 QUESTIONS AND CORRECT ANSWERS|
AGRADE|CHAMBERLAIN COLLEGE OF NURSING
Question 1
During a health history interview, which question is considered open-ended?
A. Do you have pain?
B. Have you had surgery?
C. Tell me what brought you to the clinic today.
D. Are you taking medications?
Answer: C. Tell me what brought you to the clinic today.
Rationale: Open-ended questions encourage detailed responses and facilitate
data collection.
Question 2
The nurse is assessing orientation. Which question evaluates orientation to
time?
A. What is your name?
B. Where are you now?
C. What day is it today?
D. Who is the president?
Answer: C. What day is it today?
Rationale: Orientation includes person, place, time, and situation.
Question 3
Which pulse site is most commonly used during cardiopulmonary resuscitation
in adults?
A. Radial
B. Brachial
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C. Carotid
D. Femoral
Answer: C. Carotid
Rationale: The carotid artery is the preferred pulse site during adult CPR
assessment.
Question 4
Normal adult respiratory rate is:
A. 8–12/min
B. 12–20/min
C. 22–28/min
D. 30–40/min
Answer: B. 12–20/min
Rationale: The normal respiratory rate for healthy adults is 12–20 breaths per
minute.
Question 5
Which assessment technique should be performed first?
A. Percussion
B. Auscultation
C. Inspection
D. Palpation
Answer: C. Inspection
Rationale: Inspection is the first step in a systematic physical examination.
Question 6
The nurse notes bluish discoloration of the lips. This finding is called:
A. Pallor
B. Jaundice
C. Cyanosis
D. Erythema
Answer: C. Cyanosis
Rationale: Cyanosis indicates inadequate oxygenation.
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Question 7
When assessing pain, the “P” in PQRST stands for:
A. Position
B. Provocation/Palliation
C. Pulse
D. Pattern
Answer: B. Provocation/Palliation
Rationale: It identifies factors that worsen or relieve pain.
Question 8
A body temperature of 38.5°C (101.3°F) indicates:
A. Hypothermia
B. Normal temperature
C. Fever
D. Hyperventilation
Answer: C. Fever
Rationale: Temperatures above 38°C generally indicate fever.
Question 9
Which cranial nerve is responsible for vision?
A. CN I
B. CN II
C. CN III
D. CN VIII
Answer: B. CN II
Rationale: The optic nerve (CN II) controls vision.
Question 10
The Glasgow Coma Scale evaluates:
A. Nutrition
B. Neurological status
C. Respiratory function
D. Skin integrity
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Answer: B. Neurological status
Rationale: GCS measures eye opening, verbal response, and motor response.
Question 11
A normal adult pulse rate is:
A. 20–40 bpm
B. 40–60 bpm
C. 60–100 bpm
D. 100–140 bpm
Answer: C. 60–100 bpm
Rationale: This is the accepted normal range for adults.
Question 12
The nurse uses the bell of the stethoscope to assess:
A. High-pitched sounds
B. Low-pitched sounds
C. Skin temperature
D. Reflexes
Answer: B. Low-pitched sounds
Rationale: The bell is best for low-frequency sounds such as murmurs.
Question 13
A patient reports pain rated 8/10. This represents:
A. Objective data
B. Subjective data
C. Diagnostic data
D. Historical data
Answer: B. Subjective data
Rationale: Pain is whatever the patient says it is.
Question 14
Which pulse deficit finding is abnormal?
A. Apical and radial pulses equal
NR 228 FINAL EXAM/NR 228 FINAL EXAM
PREPARATION/NR 228 FINAL EXAM PRACTICE REAL
EXAM 150 QUESTIONS AND CORRECT ANSWERS|
AGRADE|CHAMBERLAIN COLLEGE OF NURSING
Question 1
During a health history interview, which question is considered open-ended?
A. Do you have pain?
B. Have you had surgery?
C. Tell me what brought you to the clinic today.
D. Are you taking medications?
Answer: C. Tell me what brought you to the clinic today.
Rationale: Open-ended questions encourage detailed responses and facilitate
data collection.
Question 2
The nurse is assessing orientation. Which question evaluates orientation to
time?
A. What is your name?
B. Where are you now?
C. What day is it today?
D. Who is the president?
Answer: C. What day is it today?
Rationale: Orientation includes person, place, time, and situation.
Question 3
Which pulse site is most commonly used during cardiopulmonary resuscitation
in adults?
A. Radial
B. Brachial
,2|Page
C. Carotid
D. Femoral
Answer: C. Carotid
Rationale: The carotid artery is the preferred pulse site during adult CPR
assessment.
Question 4
Normal adult respiratory rate is:
A. 8–12/min
B. 12–20/min
C. 22–28/min
D. 30–40/min
Answer: B. 12–20/min
Rationale: The normal respiratory rate for healthy adults is 12–20 breaths per
minute.
Question 5
Which assessment technique should be performed first?
A. Percussion
B. Auscultation
C. Inspection
D. Palpation
Answer: C. Inspection
Rationale: Inspection is the first step in a systematic physical examination.
Question 6
The nurse notes bluish discoloration of the lips. This finding is called:
A. Pallor
B. Jaundice
C. Cyanosis
D. Erythema
Answer: C. Cyanosis
Rationale: Cyanosis indicates inadequate oxygenation.
,3|Page
Question 7
When assessing pain, the “P” in PQRST stands for:
A. Position
B. Provocation/Palliation
C. Pulse
D. Pattern
Answer: B. Provocation/Palliation
Rationale: It identifies factors that worsen or relieve pain.
Question 8
A body temperature of 38.5°C (101.3°F) indicates:
A. Hypothermia
B. Normal temperature
C. Fever
D. Hyperventilation
Answer: C. Fever
Rationale: Temperatures above 38°C generally indicate fever.
Question 9
Which cranial nerve is responsible for vision?
A. CN I
B. CN II
C. CN III
D. CN VIII
Answer: B. CN II
Rationale: The optic nerve (CN II) controls vision.
Question 10
The Glasgow Coma Scale evaluates:
A. Nutrition
B. Neurological status
C. Respiratory function
D. Skin integrity
, 4|Page
Answer: B. Neurological status
Rationale: GCS measures eye opening, verbal response, and motor response.
Question 11
A normal adult pulse rate is:
A. 20–40 bpm
B. 40–60 bpm
C. 60–100 bpm
D. 100–140 bpm
Answer: C. 60–100 bpm
Rationale: This is the accepted normal range for adults.
Question 12
The nurse uses the bell of the stethoscope to assess:
A. High-pitched sounds
B. Low-pitched sounds
C. Skin temperature
D. Reflexes
Answer: B. Low-pitched sounds
Rationale: The bell is best for low-frequency sounds such as murmurs.
Question 13
A patient reports pain rated 8/10. This represents:
A. Objective data
B. Subjective data
C. Diagnostic data
D. Historical data
Answer: B. Subjective data
Rationale: Pain is whatever the patient says it is.
Question 14
Which pulse deficit finding is abnormal?
A. Apical and radial pulses equal
