,NUR 221 Exam 1 Nursing II Questions And Answers 2026/2027 Jersey
College
Q1. Which nursing action best demonstrates evidence-based
practice?
A) Following a routine solely because the unit has always used it
B) Selecting care based only on personal clinical experience
C) Integrating current evidence, clinical expertise, and the patient's
preferences when planning care
D) Using the newest intervention regardless of its effectiveness
Correct Answer: C) Integrating current evidence, clinical expertise, and the
patient's preferences when planning care
Rationale: Evidence-based practice combines the best available research
evidence with clinical expertise and individual patient values and preferences
to guide safe, effective care.
Q2. A patient nods during medication teaching but appears
uncertain. Which action best evaluates whether learning occurred?
A) Repeat the same information more loudly
B) Ask whether the patient understands
C) Give the patient additional written material without discussion
D) Ask the patient to explain in their own words how and when the
medication will be taken
Correct Answer: D) Ask the patient to explain in their own words how and
when the medication will be taken
Rationale: Teach-back directly evaluates understanding by having the
patient explain or demonstrate the information rather than simply agreeing
that it was understood.
Q3. Which source defines the legal scope of registered nursing
practice within a state?
A) The hospital's marketing department
B) The state's nurse practice act
C) The patient's insurance policy
D) A medication manufacturer's recommendations
Correct Answer: B) The state's nurse practice act
,Rationale: A state's nurse practice act establishes the legal scope,
standards, responsibilities, and limitations of nursing practice within that
jurisdiction.
Q4. Which intervention is an example of primary prevention?
A) Providing smoking-cessation counseling to prevent future
cardiopulmonary disease
B) Rehabilitating a patient after a stroke
C) Screening a high-risk adult for colorectal cancer
D) Monitoring complications in established heart failure
Correct Answer: A) Providing smoking-cessation counseling to prevent future
cardiopulmonary disease
Rationale: Primary prevention aims to prevent disease before it develops
through measures such as health education, vaccination, risk reduction, and
healthy lifestyle promotion.
Q5. Which nursing action best supports culturally responsive patient
education?
A) Assess the patient's beliefs, preferred language, health practices, and
learning needs before teaching
B) Give every patient identical teaching regardless of background
C) Ask family members to interpret all medical information
D) Avoid discussing cultural preferences because they are unrelated to
health
Correct Answer: A) Assess the patient's beliefs, preferred language, health
practices, and learning needs before teaching
Rationale: Individualized education begins with assessment of the patient's
cultural context, communication needs, health beliefs, literacy, and
preferences.
Q6. A patient with limited English proficiency requires detailed
discharge teaching. Which approach is most appropriate?
A) Ask another patient to translate
B) Use a qualified medical interpreter and communicate directly with the
patient
C) Speak slowly in English until the patient agrees
D) Use a family member for all interpretation regardless of circumstance
, Correct Answer: B) Use a qualified medical interpreter and communicate
directly with the patient
Rationale: Qualified interpreters improve accuracy, confidentiality, and
informed decision-making. The nurse should continue addressing the patient
directly.
Q7. Which information belongs in the “Assessment” portion of an
SBAR communication?
A) The nurse's recommended next intervention only
B) The patient's room number and insurance information
C) A complete history of every previous hospitalization
D) The nurse's interpretation of the patient's current clinical condition
Correct Answer: D) The nurse's interpretation of the patient's current clinical
condition
Rationale: In SBAR, Assessment communicates what the nurse believes is
occurring based on current findings, while Recommendation states what
action is requested or suggested.
Q8. Which activity represents secondary prevention?
A) Teaching regular exercise to a healthy adult
B) Providing rehabilitation after myocardial infarction
C) Screening an asymptomatic adult for hypertension
D) Managing complications of chronic kidney disease
Correct Answer: C) Screening an asymptomatic adult for hypertension
Rationale: Secondary prevention identifies disease at an early stage
through screening and early intervention before significant complications
develop.
CHAPTER 2 — PAIN ASSESSMENT AND MANAGEMENT
Q9. Which characteristic makes pain assessment fundamentally
different from many other physical assessments?
A) The patient's report is the primary source for determining the presence
and intensity of pain
B) Vital signs provide an exact measure of pain severity
C) Pain can be confirmed only through imaging
D) Patients with severe pain always display obvious distress
College
Q1. Which nursing action best demonstrates evidence-based
practice?
A) Following a routine solely because the unit has always used it
B) Selecting care based only on personal clinical experience
C) Integrating current evidence, clinical expertise, and the patient's
preferences when planning care
D) Using the newest intervention regardless of its effectiveness
Correct Answer: C) Integrating current evidence, clinical expertise, and the
patient's preferences when planning care
Rationale: Evidence-based practice combines the best available research
evidence with clinical expertise and individual patient values and preferences
to guide safe, effective care.
Q2. A patient nods during medication teaching but appears
uncertain. Which action best evaluates whether learning occurred?
A) Repeat the same information more loudly
B) Ask whether the patient understands
C) Give the patient additional written material without discussion
D) Ask the patient to explain in their own words how and when the
medication will be taken
Correct Answer: D) Ask the patient to explain in their own words how and
when the medication will be taken
Rationale: Teach-back directly evaluates understanding by having the
patient explain or demonstrate the information rather than simply agreeing
that it was understood.
Q3. Which source defines the legal scope of registered nursing
practice within a state?
A) The hospital's marketing department
B) The state's nurse practice act
C) The patient's insurance policy
D) A medication manufacturer's recommendations
Correct Answer: B) The state's nurse practice act
,Rationale: A state's nurse practice act establishes the legal scope,
standards, responsibilities, and limitations of nursing practice within that
jurisdiction.
Q4. Which intervention is an example of primary prevention?
A) Providing smoking-cessation counseling to prevent future
cardiopulmonary disease
B) Rehabilitating a patient after a stroke
C) Screening a high-risk adult for colorectal cancer
D) Monitoring complications in established heart failure
Correct Answer: A) Providing smoking-cessation counseling to prevent future
cardiopulmonary disease
Rationale: Primary prevention aims to prevent disease before it develops
through measures such as health education, vaccination, risk reduction, and
healthy lifestyle promotion.
Q5. Which nursing action best supports culturally responsive patient
education?
A) Assess the patient's beliefs, preferred language, health practices, and
learning needs before teaching
B) Give every patient identical teaching regardless of background
C) Ask family members to interpret all medical information
D) Avoid discussing cultural preferences because they are unrelated to
health
Correct Answer: A) Assess the patient's beliefs, preferred language, health
practices, and learning needs before teaching
Rationale: Individualized education begins with assessment of the patient's
cultural context, communication needs, health beliefs, literacy, and
preferences.
Q6. A patient with limited English proficiency requires detailed
discharge teaching. Which approach is most appropriate?
A) Ask another patient to translate
B) Use a qualified medical interpreter and communicate directly with the
patient
C) Speak slowly in English until the patient agrees
D) Use a family member for all interpretation regardless of circumstance
, Correct Answer: B) Use a qualified medical interpreter and communicate
directly with the patient
Rationale: Qualified interpreters improve accuracy, confidentiality, and
informed decision-making. The nurse should continue addressing the patient
directly.
Q7. Which information belongs in the “Assessment” portion of an
SBAR communication?
A) The nurse's recommended next intervention only
B) The patient's room number and insurance information
C) A complete history of every previous hospitalization
D) The nurse's interpretation of the patient's current clinical condition
Correct Answer: D) The nurse's interpretation of the patient's current clinical
condition
Rationale: In SBAR, Assessment communicates what the nurse believes is
occurring based on current findings, while Recommendation states what
action is requested or suggested.
Q8. Which activity represents secondary prevention?
A) Teaching regular exercise to a healthy adult
B) Providing rehabilitation after myocardial infarction
C) Screening an asymptomatic adult for hypertension
D) Managing complications of chronic kidney disease
Correct Answer: C) Screening an asymptomatic adult for hypertension
Rationale: Secondary prevention identifies disease at an early stage
through screening and early intervention before significant complications
develop.
CHAPTER 2 — PAIN ASSESSMENT AND MANAGEMENT
Q9. Which characteristic makes pain assessment fundamentally
different from many other physical assessments?
A) The patient's report is the primary source for determining the presence
and intensity of pain
B) Vital signs provide an exact measure of pain severity
C) Pain can be confirmed only through imaging
D) Patients with severe pain always display obvious distress
