NR 222 Exam 1, Exam 2, Exam 3, Midterm & Final
Exam Bundle 2026/2027 FULL MOST TESTED
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+||NEWEST VERSION
Contents
NR 222 Exam 1 ............................................................................... 1
NR 222 Exam 2 ...................................................................................... 53
NR 222 Exam 3 ...................................................................................... 87
NR 222 midterm ................................................................................. 119
NR 22 FINAL EXAM ............................................................................. 166
NR 222 Exam 1
Question 1
A nurse is performing hand hygiene before entering a client’s room. Which action
is most appropriate?
A. Remove jewelry and wash hands with soap and water for at least 10 seconds
B. Use an alcohol-based hand rub when hands are visibly soiled
C. Wash hands with soap and water for at least 20 seconds
D. Put on gloves instead of washing hands
Correct Answer: C. Wash hands with soap and water for at least 20 seconds
Rationale:
Handwashing with soap and water for at least 20 seconds is the standard to
,effectively remove microorganisms, especially before and after client contact and
when hands are soiled. Using an alcohol-based rub is appropriate when hands are
not visibly soiled but does not replace proper washing in all situations. Gloves do
not replace hand hygiene and must be used in addition to washing. Removing
jewelry is recommended, but 10 seconds is too short to be effective.
Question 2
A client is on contact precautions for methicillin-resistant Staphylococcus aureus
(MRSA). Which action indicates correct implementation of contact precautions?
A. Nurse wears a surgical mask only when close to the client
B. Nurse uses gown and gloves when entering the room
C. Visitors are not allowed to enter the room
D. Nurse uses an N95 respirator for all care
Correct Answer: B. Nurse uses gown and gloves when entering the room
Rationale:
Contact precautions require gown and gloves for any entry into the room or
contact with the client or their environment to prevent transmission via direct or
indirect contact. Surgical masks and N95 respirators are needed for droplet or
airborne precautions, not routine contact precautions. Visitors are generally
allowed but should follow gown and glove instructions as well.
Question 3
A nurse is assessing vital signs on an adult client. Which finding should be
reported immediately?
A. Respiratory rate 18 breaths/min
B. Oral temperature 37.8°C (100°F)
C. Blood pressure 88/54 mmHg
D. Pulse 90 beats/min, regular
Correct Answer: C. Blood pressure 88/54 mmHg
,Rationale:
A blood pressure of 88/54 mmHg is hypotensive and may indicate decreased
perfusion, shock, or acute deterioration; it requires prompt evaluation and
intervention. The other vital signs are within or near normal limits for most adults
and do not demand immediate reporting in the absence of other symptoms.
Question 4
When taking a radial pulse on an adult, the nurse should:
A. Count the pulse for 15 seconds and multiply by 4
B. Apply very firm pressure with the fingertips
C. Use the pads of two to three fingers and count for 30–60 seconds
D. Use the thumb to feel the pulse
Correct Answer: C. Use the pads of two to three fingers and count for 30–60
seconds
Rationale:
The radial pulse is best assessed using the pads of two to three fingers with gentle
pressure, counted for at least 30 seconds (60 seconds if irregular) to ensure
accuracy. The thumb has its own pulse and can lead to inaccurate readings, and
excessive pressure can occlude the vessel. Counting only 15 seconds increases
error, especially if the rhythm is not perfectly regular.
Question 5
A nurse is preparing to take an oral temperature on a client. Which condition
would make this route inappropriate?
A. The client received cold fluids 30 minutes ago
B. The client is on oxygen via nasal cannula
C. The client is confused and frequently bites the thermometer
D. The client has mild nausea
Correct Answer: C. The client is confused and frequently bites the thermometer
, Rationale:
Oral temperature requires the client to be able to cooperate, not bite or dislodge
the thermometer; confusion and biting make the oral route unsafe. Cold fluids
may slightly alter readings but can be managed by waiting 15–30 minutes. Nasal
cannula oxygen and mild nausea do not contraindicate oral temperature unless
more severe symptoms are present.
Question 6
A nurse is delegating tasks to a nursing assistive personnel (NAP). Which task is
appropriate to delegate?
A. Teaching a client how to use an incentive spirometer
B. Assessing lung sounds after a nebulizer treatment
C. Assisting a stable client with a bed bath
D. Evaluating a client’s pain relief after medication
Correct Answer: C. Assisting a stable client with a bed bath
Rationale:
NAPs can safely perform non-invasive, routine tasks such as bathing stable clients.
Teaching, assessing, and evaluating are components of the nursing process and
require an RN’s clinical judgment, so they cannot be delegated to unlicensed
assistive personnel.
Question 7
A client falls in the hallway. The first action the nurse should take is to:
A. Complete an incident report
B. Help the client back to bed
C. Assess the client’s level of consciousness and injuries
D. Notify the healthcare provider immediately
Correct Answer: C. Assess the client’s level of consciousness and injuries
Exam Bundle 2026/2027 FULL MOST TESTED
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+||NEWEST VERSION
Contents
NR 222 Exam 1 ............................................................................... 1
NR 222 Exam 2 ...................................................................................... 53
NR 222 Exam 3 ...................................................................................... 87
NR 222 midterm ................................................................................. 119
NR 22 FINAL EXAM ............................................................................. 166
NR 222 Exam 1
Question 1
A nurse is performing hand hygiene before entering a client’s room. Which action
is most appropriate?
A. Remove jewelry and wash hands with soap and water for at least 10 seconds
B. Use an alcohol-based hand rub when hands are visibly soiled
C. Wash hands with soap and water for at least 20 seconds
D. Put on gloves instead of washing hands
Correct Answer: C. Wash hands with soap and water for at least 20 seconds
Rationale:
Handwashing with soap and water for at least 20 seconds is the standard to
,effectively remove microorganisms, especially before and after client contact and
when hands are soiled. Using an alcohol-based rub is appropriate when hands are
not visibly soiled but does not replace proper washing in all situations. Gloves do
not replace hand hygiene and must be used in addition to washing. Removing
jewelry is recommended, but 10 seconds is too short to be effective.
Question 2
A client is on contact precautions for methicillin-resistant Staphylococcus aureus
(MRSA). Which action indicates correct implementation of contact precautions?
A. Nurse wears a surgical mask only when close to the client
B. Nurse uses gown and gloves when entering the room
C. Visitors are not allowed to enter the room
D. Nurse uses an N95 respirator for all care
Correct Answer: B. Nurse uses gown and gloves when entering the room
Rationale:
Contact precautions require gown and gloves for any entry into the room or
contact with the client or their environment to prevent transmission via direct or
indirect contact. Surgical masks and N95 respirators are needed for droplet or
airborne precautions, not routine contact precautions. Visitors are generally
allowed but should follow gown and glove instructions as well.
Question 3
A nurse is assessing vital signs on an adult client. Which finding should be
reported immediately?
A. Respiratory rate 18 breaths/min
B. Oral temperature 37.8°C (100°F)
C. Blood pressure 88/54 mmHg
D. Pulse 90 beats/min, regular
Correct Answer: C. Blood pressure 88/54 mmHg
,Rationale:
A blood pressure of 88/54 mmHg is hypotensive and may indicate decreased
perfusion, shock, or acute deterioration; it requires prompt evaluation and
intervention. The other vital signs are within or near normal limits for most adults
and do not demand immediate reporting in the absence of other symptoms.
Question 4
When taking a radial pulse on an adult, the nurse should:
A. Count the pulse for 15 seconds and multiply by 4
B. Apply very firm pressure with the fingertips
C. Use the pads of two to three fingers and count for 30–60 seconds
D. Use the thumb to feel the pulse
Correct Answer: C. Use the pads of two to three fingers and count for 30–60
seconds
Rationale:
The radial pulse is best assessed using the pads of two to three fingers with gentle
pressure, counted for at least 30 seconds (60 seconds if irregular) to ensure
accuracy. The thumb has its own pulse and can lead to inaccurate readings, and
excessive pressure can occlude the vessel. Counting only 15 seconds increases
error, especially if the rhythm is not perfectly regular.
Question 5
A nurse is preparing to take an oral temperature on a client. Which condition
would make this route inappropriate?
A. The client received cold fluids 30 minutes ago
B. The client is on oxygen via nasal cannula
C. The client is confused and frequently bites the thermometer
D. The client has mild nausea
Correct Answer: C. The client is confused and frequently bites the thermometer
, Rationale:
Oral temperature requires the client to be able to cooperate, not bite or dislodge
the thermometer; confusion and biting make the oral route unsafe. Cold fluids
may slightly alter readings but can be managed by waiting 15–30 minutes. Nasal
cannula oxygen and mild nausea do not contraindicate oral temperature unless
more severe symptoms are present.
Question 6
A nurse is delegating tasks to a nursing assistive personnel (NAP). Which task is
appropriate to delegate?
A. Teaching a client how to use an incentive spirometer
B. Assessing lung sounds after a nebulizer treatment
C. Assisting a stable client with a bed bath
D. Evaluating a client’s pain relief after medication
Correct Answer: C. Assisting a stable client with a bed bath
Rationale:
NAPs can safely perform non-invasive, routine tasks such as bathing stable clients.
Teaching, assessing, and evaluating are components of the nursing process and
require an RN’s clinical judgment, so they cannot be delegated to unlicensed
assistive personnel.
Question 7
A client falls in the hallway. The first action the nurse should take is to:
A. Complete an incident report
B. Help the client back to bed
C. Assess the client’s level of consciousness and injuries
D. Notify the healthcare provider immediately
Correct Answer: C. Assess the client’s level of consciousness and injuries
