NUR390 ADULT FINAL EXAM II QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) Q&A
2027 |INSTANT DOWNLOAD PDF
1. A nurse is caring for a client who is at risk for falls. Which
intervention should the nurse implement first?
A. Place the client near the nurses’ station
B. Apply restraints to prevent movement
C. Keep the bed in the highest position
D. Encourage independent ambulation
Correct answer: A. Place the client near the nurses’ station
Rationale: Close observation reduces fall risk while maintaining
client safety and independence. Restraints are not used as a
first-line intervention.
2. A nurse is assessing a client’s pain. Which finding requires
immediate intervention?
A. Pain rating of 3/10 after medication
B. Client reports sudden chest pain
C. Mild headache after activity
D. Chronic joint pain
Correct answer: B. Client reports sudden chest pain
,Rationale: Sudden chest pain may indicate a life-threatening
cardiac event requiring rapid assessment.
3. Which action demonstrates correct hand hygiene
technique?
A. Washing hands only when visibly soiled
B. Using alcohol-based sanitizer before and after client contact
C. Wearing gloves instead of washing hands
D. Washing hands for 5 seconds
Correct answer: B. Using alcohol-based sanitizer before and
after client contact
Rationale: Alcohol-based hand sanitizer is appropriate when
hands are not visibly contaminated.
4. A nurse is preparing to administer medication. Which action
is most important?
A. Verify the medication expiration date
B. Ask another nurse to administer it
C. Identify the client using two identifiers
D. Give medications before assessment
Correct answer: C. Identify the client using two identifiers
Rationale: Using two identifiers prevents medication errors and
ensures correct patient identification.
,5. A nurse is caring for a client receiving oxygen therapy.
Which finding should the nurse report?
A. Oxygen saturation of 98%
B. Respiratory rate of 16/min
C. Increasing difficulty breathing
D. Warm skin temperature
Correct answer: C. Increasing difficulty breathing
Rationale: Increased respiratory distress may indicate
worsening oxygenation and requires immediate evaluation.
6. Which assessment finding indicates dehydration?
A. Moist mucous membranes
B. Increased urine output
C. Dry mouth and decreased skin turgor
D. Low heart rate
Correct answer: C. Dry mouth and decreased skin turgor
Rationale: Dry mucous membranes and poor skin elasticity are
common signs of fluid deficit.
7. A nurse is caring for a client with an infection. Which
intervention helps prevent transmission?
, A. Sharing equipment between clients
B. Performing hand hygiene
C. Limiting hydration
D. Keeping doors open
Correct answer: B. Performing hand hygiene
Rationale: Hand hygiene is the most effective method for
preventing spread of infection.
8. Which task can a nurse delegate to an assistive personnel
(AP)?
A. Assessing a client’s pain
B. Teaching medication administration
C. Obtaining vital signs
D. Developing a care plan
Correct answer: C. Obtaining vital signs
Rationale: APs may perform routine tasks such as obtaining
vital signs on stable clients.
9. A nurse should place a client with aspiration risk in which
position during meals?
A. Supine
B. High Fowler’s
C. Trendelenburg
D. Prone
CORRECT ANSWERS (VERIFIED ANSWERS) Q&A
2027 |INSTANT DOWNLOAD PDF
1. A nurse is caring for a client who is at risk for falls. Which
intervention should the nurse implement first?
A. Place the client near the nurses’ station
B. Apply restraints to prevent movement
C. Keep the bed in the highest position
D. Encourage independent ambulation
Correct answer: A. Place the client near the nurses’ station
Rationale: Close observation reduces fall risk while maintaining
client safety and independence. Restraints are not used as a
first-line intervention.
2. A nurse is assessing a client’s pain. Which finding requires
immediate intervention?
A. Pain rating of 3/10 after medication
B. Client reports sudden chest pain
C. Mild headache after activity
D. Chronic joint pain
Correct answer: B. Client reports sudden chest pain
,Rationale: Sudden chest pain may indicate a life-threatening
cardiac event requiring rapid assessment.
3. Which action demonstrates correct hand hygiene
technique?
A. Washing hands only when visibly soiled
B. Using alcohol-based sanitizer before and after client contact
C. Wearing gloves instead of washing hands
D. Washing hands for 5 seconds
Correct answer: B. Using alcohol-based sanitizer before and
after client contact
Rationale: Alcohol-based hand sanitizer is appropriate when
hands are not visibly contaminated.
4. A nurse is preparing to administer medication. Which action
is most important?
A. Verify the medication expiration date
B. Ask another nurse to administer it
C. Identify the client using two identifiers
D. Give medications before assessment
Correct answer: C. Identify the client using two identifiers
Rationale: Using two identifiers prevents medication errors and
ensures correct patient identification.
,5. A nurse is caring for a client receiving oxygen therapy.
Which finding should the nurse report?
A. Oxygen saturation of 98%
B. Respiratory rate of 16/min
C. Increasing difficulty breathing
D. Warm skin temperature
Correct answer: C. Increasing difficulty breathing
Rationale: Increased respiratory distress may indicate
worsening oxygenation and requires immediate evaluation.
6. Which assessment finding indicates dehydration?
A. Moist mucous membranes
B. Increased urine output
C. Dry mouth and decreased skin turgor
D. Low heart rate
Correct answer: C. Dry mouth and decreased skin turgor
Rationale: Dry mucous membranes and poor skin elasticity are
common signs of fluid deficit.
7. A nurse is caring for a client with an infection. Which
intervention helps prevent transmission?
, A. Sharing equipment between clients
B. Performing hand hygiene
C. Limiting hydration
D. Keeping doors open
Correct answer: B. Performing hand hygiene
Rationale: Hand hygiene is the most effective method for
preventing spread of infection.
8. Which task can a nurse delegate to an assistive personnel
(AP)?
A. Assessing a client’s pain
B. Teaching medication administration
C. Obtaining vital signs
D. Developing a care plan
Correct answer: C. Obtaining vital signs
Rationale: APs may perform routine tasks such as obtaining
vital signs on stable clients.
9. A nurse should place a client with aspiration risk in which
position during meals?
A. Supine
B. High Fowler’s
C. Trendelenburg
D. Prone
