NUR 185 Exam 2 2026/2027 Hondros
Nursing Actual Questions & Verified
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Section 1: Delegation, Scope of Practice, & Safety
1. An RN is delegating tasks to an LPN. Which task would be within the LPN's
scope of practice?
A. Insert an IV in a 45-year-old patient rating pain 10/10 who is about to go to the Cath
lab
B. Administer IV push medications
C. Perform the initial patient assessment
D. Develop the nursing care plan
Correct Answer: A. Insert an IV in a 45-year-old patient rating pain 10/10 who is
about to go to the Cath lab
Rationale: LPNs are permitted to insert IVs in adult patients under supervision, but they
cannot administer IV push medications, perform initial comprehensive assessments, or
develop care plans. The RN must perform these tasks .
2. During a code blue, epinephrine is administered IV push. After using the vial,
where should the nurse place it?
A. Biohazard bag
B. Regular trash
,C. Sharps container
D. Medication disposal bin
Correct Answer: C. Sharps container
Rationale: Used glass vials are considered sharps due to the risk of laceration. They
must be disposed of in a designated sharps container to prevent injury and
contamination .
3. Which patient is at the highest risk for falls?
A. Young adult
B. Post-op elderly patient
C. Teen athlete
D. Healthy adult
Correct Answer: B. Post-op elderly patient
Rationale: The combination of advanced age and the effects of recent surgery (e.g.,
anesthesia, pain, mobility issues) significantly increases the risk of falls .
4. What is the most important step before administering any medication?
A. Documenting administration
B. Checking allergies
C. Giving water
D. Calling the provider
Correct Answer: B. Checking allergies
Rationale: The priority is always to verify the patient's allergies to prevent a potentially
life-threatening allergic reaction .
Section 2: Burn Management
, 5. A nurse is caring for a male patient with burns over 50% of his body. The patient
has been in the ER for 20 minutes. Which action should the nurse take first?
A. Apply a sterile dressing
B. Begin pain management
C. Hang Lactated Ringer's
D. Insert a Foley catheter
Correct Answer: C. Hang Lactated Ringer's
Rationale: Fluid resuscitation is the priority for burn patients with >20% Total Body
Surface Area (TBSA) burns. Lactated Ringer's is the preferred fluid for burn resuscitation
(e.g., Parkland formula: 4 mL × kg × % TBSA burned). The "emergency" phase is focused
on maintaining perfusion to prevent hypovolemic shock .
6. Which patient requires a tetanus toxoid injection?
A. The patient with 10% burns who had a tetanus shot 8 years ago
B. The patient who has 10% burns and has not had a tetanus shot in 10 years
C. The patient with 5% burns who had a tetanus shot 6 months ago
D. The patient with 20% burns who had a tetanus shot 12 months ago
Correct Answer: B. The patient who has 10% burns and has not had a tetanus shot
in 10 years
Rationale: Tetanus toxoid is indicated for patients with burns if their last booster was
more than 5-10 years ago, depending on the wound severity .
7. A patient with a burn is receiving topical mafenide (Sulfamylon). What teaching
should the nurse provide?
A. Apply the medication thickly to create a barrier
B. It is normal to experience local discomfort and burning after application
C. This medication is painless and has no side effects
D. The dressing should be changed once weekly
Correct Answer: B. It is normal to experience local discomfort and burning after
application
Nursing Actual Questions & Verified
Answers – Complete Solutions Instant
Download
Section 1: Delegation, Scope of Practice, & Safety
1. An RN is delegating tasks to an LPN. Which task would be within the LPN's
scope of practice?
A. Insert an IV in a 45-year-old patient rating pain 10/10 who is about to go to the Cath
lab
B. Administer IV push medications
C. Perform the initial patient assessment
D. Develop the nursing care plan
Correct Answer: A. Insert an IV in a 45-year-old patient rating pain 10/10 who is
about to go to the Cath lab
Rationale: LPNs are permitted to insert IVs in adult patients under supervision, but they
cannot administer IV push medications, perform initial comprehensive assessments, or
develop care plans. The RN must perform these tasks .
2. During a code blue, epinephrine is administered IV push. After using the vial,
where should the nurse place it?
A. Biohazard bag
B. Regular trash
,C. Sharps container
D. Medication disposal bin
Correct Answer: C. Sharps container
Rationale: Used glass vials are considered sharps due to the risk of laceration. They
must be disposed of in a designated sharps container to prevent injury and
contamination .
3. Which patient is at the highest risk for falls?
A. Young adult
B. Post-op elderly patient
C. Teen athlete
D. Healthy adult
Correct Answer: B. Post-op elderly patient
Rationale: The combination of advanced age and the effects of recent surgery (e.g.,
anesthesia, pain, mobility issues) significantly increases the risk of falls .
4. What is the most important step before administering any medication?
A. Documenting administration
B. Checking allergies
C. Giving water
D. Calling the provider
Correct Answer: B. Checking allergies
Rationale: The priority is always to verify the patient's allergies to prevent a potentially
life-threatening allergic reaction .
Section 2: Burn Management
, 5. A nurse is caring for a male patient with burns over 50% of his body. The patient
has been in the ER for 20 minutes. Which action should the nurse take first?
A. Apply a sterile dressing
B. Begin pain management
C. Hang Lactated Ringer's
D. Insert a Foley catheter
Correct Answer: C. Hang Lactated Ringer's
Rationale: Fluid resuscitation is the priority for burn patients with >20% Total Body
Surface Area (TBSA) burns. Lactated Ringer's is the preferred fluid for burn resuscitation
(e.g., Parkland formula: 4 mL × kg × % TBSA burned). The "emergency" phase is focused
on maintaining perfusion to prevent hypovolemic shock .
6. Which patient requires a tetanus toxoid injection?
A. The patient with 10% burns who had a tetanus shot 8 years ago
B. The patient who has 10% burns and has not had a tetanus shot in 10 years
C. The patient with 5% burns who had a tetanus shot 6 months ago
D. The patient with 20% burns who had a tetanus shot 12 months ago
Correct Answer: B. The patient who has 10% burns and has not had a tetanus shot
in 10 years
Rationale: Tetanus toxoid is indicated for patients with burns if their last booster was
more than 5-10 years ago, depending on the wound severity .
7. A patient with a burn is receiving topical mafenide (Sulfamylon). What teaching
should the nurse provide?
A. Apply the medication thickly to create a barrier
B. It is normal to experience local discomfort and burning after application
C. This medication is painless and has no side effects
D. The dressing should be changed once weekly
Correct Answer: B. It is normal to experience local discomfort and burning after
application
