NUR 212(NUR212) FINAL EXAM
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF.
Core Domains
• Health Assessment and Physical Examination
• Fundamentals of Nursing Practice
• Pharmacology and Medication Administration
• Medical-Surgical Nursing
• Maternal and Newborn Care
• Pediatric Nursing
• Mental Health Nursing
• Nursing Ethics and Legal Principles
Introduction
This examination assesses the comprehensive knowledge and clinical judgment
of nursing students preparing for professional practice. It evaluates proficiency
in foundational nursing theory, applied patient care skills, and adherence to
regulatory and ethical standards. The test employs multiple-choice and
scenario-based questions to simulate real-world clinical challenges. Emphasis
is placed on critical thinking, prioritization, and safe decision-making to
ensure readiness for entry-level nursing roles. This assessment serves as a
crucial tool for verifying competency across diverse patient populations and
healthcare settings.
,Section One: Questions 1–100
1. A nurse is assessing a client who has been taking furosemide. Which of
the following findings should the nurse identify as an adverse effect of
this medication?
A. Hypertension
B. Hyperkalemia
C. Hypokalemia
D. Bradycardia
C. Hypokalemia
RATIONALE: Furosemide is a loop diuretic that promotes the excretion of
water and electrolytes, particularly potassium. A common and significant
adverse effect is hypokalemia, which can lead to dysrhythmias.
2. A nurse is caring for a client who has a new prescription for enoxaparin.
Which of the following laboratory values should the nurse monitor to
evaluate the effectiveness of this medication?
A. Prothrombin time (PT)
B. International normalized ratio (INR)
C. Activated partial thromboplastin time (aPTT)
D. Platelet count
D. Platelet count
RATIONALE: Enoxaparin is a low molecular weight heparin (LMWH).
While aPTT is used to monitor unfractionated heparin, LMWH effectiveness
is generally monitored by assessing for clinical signs of bleeding and
monitoring platelet counts for heparin-induced thrombocytopenia (HIT).
3. A nurse is performing a mental status examination on a client. Which
of the following questions should the nurse ask to assess the client's
judgment?
,A. "Can you tell me what year it is?"
B. "What would you do if you found a stamped, addressed envelope on the
sidewalk?"
C. "Can you repeat these three words: apple, table, penny?"
D. "Who is the current president of the United States?"
B. "What would you do if you found a stamped, addressed envelope on the
sidewalk?"
RATIONALE: Assessing judgment involves evaluating a client's ability to
make reasonable decisions and solve problems. Asking a hypothetical
scenario question tests this ability. The other options assess orientation,
memory, and general knowledge, respectively.
4. A nurse is preparing to administer an intramuscular (IM) injection to
an adult client. Which of the following sites is the preferred location for
this injection?
A. Deltoid muscle
B. Ventrogluteal muscle
C. Dorsogluteal muscle
D. Vastus lateralis muscle
B. Ventrogluteal muscle
RATIONALE: The ventrogluteal site is the preferred site for IM injections
in adults because it is free of major blood vessels and nerves, and it has a well-
developed muscle mass. The dorsogluteal site is no longer recommended due
to the risk of sciatic nerve injury.
5. A nurse is teaching a client who is at 10 weeks of gestation about
common discomforts of pregnancy. Which of the following statements
by the client indicates an understanding of the teaching?
A. "I should expect to feel fetal movement soon."
B. "I will likely experience heartburn and should avoid spicy foods."
, C. "My blood pressure will normally increase during this time."
D. "I need to double my caloric intake immediately."
B. "I will likely experience heartburn and should avoid spicy foods."
RATIONALE: Heartburn (pyrosis) is a common discomfort in early
pregnancy due to the relaxing effect of progesterone on the lower esophageal
sphincter. Advising the client to avoid spicy foods is an appropriate
intervention. Fetal movement is not typically felt until 16-20 weeks.
6. A nurse is caring for a pediatric client who is postoperative following a
tonsillectomy. Which of the following findings should the nurse report
to the provider immediately?
A. A report of mild throat pain
B. Frequent swallowing and clearing of the throat
C. A temperature of 37.8° C (100° F)
D. Refusal to eat cold foods
B. Frequent swallowing and clearing of the throat
RATIONALE: Frequent swallowing and clearing of the throat are signs of
bleeding following a tonsillectomy. This is a medical emergency that requires
immediate intervention by the provider. Other findings are expected
postoperatively.
7. A nurse is reviewing the medical record of a client who has a
prescription for lithium carbonate. Which of the following findings
should the nurse identify as a contraindication to the administration of
this medication?
A. A history of hypothyroidism
B. A history of severe renal impairment
C. A history of hypertension
D. A history of diabetes mellitus
B. A history of severe renal impairment
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF.
Core Domains
• Health Assessment and Physical Examination
• Fundamentals of Nursing Practice
• Pharmacology and Medication Administration
• Medical-Surgical Nursing
• Maternal and Newborn Care
• Pediatric Nursing
• Mental Health Nursing
• Nursing Ethics and Legal Principles
Introduction
This examination assesses the comprehensive knowledge and clinical judgment
of nursing students preparing for professional practice. It evaluates proficiency
in foundational nursing theory, applied patient care skills, and adherence to
regulatory and ethical standards. The test employs multiple-choice and
scenario-based questions to simulate real-world clinical challenges. Emphasis
is placed on critical thinking, prioritization, and safe decision-making to
ensure readiness for entry-level nursing roles. This assessment serves as a
crucial tool for verifying competency across diverse patient populations and
healthcare settings.
,Section One: Questions 1–100
1. A nurse is assessing a client who has been taking furosemide. Which of
the following findings should the nurse identify as an adverse effect of
this medication?
A. Hypertension
B. Hyperkalemia
C. Hypokalemia
D. Bradycardia
C. Hypokalemia
RATIONALE: Furosemide is a loop diuretic that promotes the excretion of
water and electrolytes, particularly potassium. A common and significant
adverse effect is hypokalemia, which can lead to dysrhythmias.
2. A nurse is caring for a client who has a new prescription for enoxaparin.
Which of the following laboratory values should the nurse monitor to
evaluate the effectiveness of this medication?
A. Prothrombin time (PT)
B. International normalized ratio (INR)
C. Activated partial thromboplastin time (aPTT)
D. Platelet count
D. Platelet count
RATIONALE: Enoxaparin is a low molecular weight heparin (LMWH).
While aPTT is used to monitor unfractionated heparin, LMWH effectiveness
is generally monitored by assessing for clinical signs of bleeding and
monitoring platelet counts for heparin-induced thrombocytopenia (HIT).
3. A nurse is performing a mental status examination on a client. Which
of the following questions should the nurse ask to assess the client's
judgment?
,A. "Can you tell me what year it is?"
B. "What would you do if you found a stamped, addressed envelope on the
sidewalk?"
C. "Can you repeat these three words: apple, table, penny?"
D. "Who is the current president of the United States?"
B. "What would you do if you found a stamped, addressed envelope on the
sidewalk?"
RATIONALE: Assessing judgment involves evaluating a client's ability to
make reasonable decisions and solve problems. Asking a hypothetical
scenario question tests this ability. The other options assess orientation,
memory, and general knowledge, respectively.
4. A nurse is preparing to administer an intramuscular (IM) injection to
an adult client. Which of the following sites is the preferred location for
this injection?
A. Deltoid muscle
B. Ventrogluteal muscle
C. Dorsogluteal muscle
D. Vastus lateralis muscle
B. Ventrogluteal muscle
RATIONALE: The ventrogluteal site is the preferred site for IM injections
in adults because it is free of major blood vessels and nerves, and it has a well-
developed muscle mass. The dorsogluteal site is no longer recommended due
to the risk of sciatic nerve injury.
5. A nurse is teaching a client who is at 10 weeks of gestation about
common discomforts of pregnancy. Which of the following statements
by the client indicates an understanding of the teaching?
A. "I should expect to feel fetal movement soon."
B. "I will likely experience heartburn and should avoid spicy foods."
, C. "My blood pressure will normally increase during this time."
D. "I need to double my caloric intake immediately."
B. "I will likely experience heartburn and should avoid spicy foods."
RATIONALE: Heartburn (pyrosis) is a common discomfort in early
pregnancy due to the relaxing effect of progesterone on the lower esophageal
sphincter. Advising the client to avoid spicy foods is an appropriate
intervention. Fetal movement is not typically felt until 16-20 weeks.
6. A nurse is caring for a pediatric client who is postoperative following a
tonsillectomy. Which of the following findings should the nurse report
to the provider immediately?
A. A report of mild throat pain
B. Frequent swallowing and clearing of the throat
C. A temperature of 37.8° C (100° F)
D. Refusal to eat cold foods
B. Frequent swallowing and clearing of the throat
RATIONALE: Frequent swallowing and clearing of the throat are signs of
bleeding following a tonsillectomy. This is a medical emergency that requires
immediate intervention by the provider. Other findings are expected
postoperatively.
7. A nurse is reviewing the medical record of a client who has a
prescription for lithium carbonate. Which of the following findings
should the nurse identify as a contraindication to the administration of
this medication?
A. A history of hypothyroidism
B. A history of severe renal impairment
C. A history of hypertension
D. A history of diabetes mellitus
B. A history of severe renal impairment
