NUR 215 – COMPREHENSIVE QUESTIONS AND ANSWERS | VERIFIED AND WELLDETAILED
ANSWERS | DETAILED EXPLANATIONS AND RATIONALES | COMPLETE EXAM PREPARATION
STUDY GUIDE | PRACTICE QUESTIONS | LATEST EXAM UPDATE
CORE DOMAINS
*
1. Nursing assessment, clinical judgment, and prioritization
2. Fundamentals of nursing care and patient safety
3. Pharmacology, medication administration, and medication safety
4. Adult health and management of common acute and chronic conditions
5. Infection prevention and control
6. Fluid, electrolyte, nutrition, and elimination management
7. Cardiovascular, respiratory, neurological, and endocrine concepts
8. Communication, ethics, professionalism, and patient education
9. Psychosocial health and therapeutic nursing interventions
10. Evidence-based practice and health promotion
*
INTRODUCTION
*
This comprehensive NUR 215 assessment is designed to reinforce the knowledge, clinical
reasoning, and practical nursing skills expected in examination settings. The questions assess
foundational concepts, terminology, assessment findings, patient safety, pharmacologic
principles, disease processes, nursing interventions, communication, prioritization, and
professional responsibilities. Multiple-choice questions are used to develop the ability to
distinguish closely related concepts and select the most appropriate nursing response.
Emphasis is placed not only on recall but also on application, interpretation, clinical
judgment, and decision-making. The explanations following each answer provide focused
rationales to strengthen understanding and support effective examination preparation.
SECTION ONE: QUESTIONS 1–100
Question 1. Which nursing action best demonstrates the assessment phase of the nursing
process?
A. Administering prescribed analgesics
B. Collecting the patient's vital signs and health history
C. Developing goals for discharge
D. Evaluating whether pain decreased after treatment
Correct Answer: B. Collecting the patient's vital signs and health history
,Explanation: Assessment involves systematic collection of subjective and objective
information about the patient's health status. Diagnosis, planning, implementation, and
evaluation occur after relevant assessment data have been obtained.
Question 2. A nurse is caring for four patients. Which patient should the nurse assess first?
A. A patient requesting assistance with bathing
B. A patient reporting pain of 6/10 after surgery
C. A patient with new-onset shortness of breath and oxygen saturation of 86%
D. A patient awaiting routine discharge instructions
Correct Answer: C. A patient with new-onset shortness of breath and oxygen saturation of
86%
Explanation: Airway and breathing problems take priority because impaired oxygenation can
rapidly become life-threatening. The other needs are important but are less urgent than
acute respiratory compromise.
Question 3. Which finding is an example of subjective data?
A. Blood pressure of 148/88 mmHg
B. Temperature of 38.2°C
C. Patient reports feeling nauseated
D. Respiratory rate of 24/min
Correct Answer: C. Patient reports feeling nauseated
Explanation: Subjective data are symptoms or experiences reported by the patient that
cannot be directly measured by the nurse. Vital signs are objective data because they can be
observed or measured.
Question 4. Which intervention most effectively reduces the risk of healthcare-associated
infection?
A. Wearing gloves for every patient interaction
B. Performing hand hygiene at appropriate moments
C. Keeping all patients on isolation precautions
D. Using antibiotics prophylactically for hospitalized patients
Correct Answer: B. Performing hand hygiene at appropriate moments
Explanation: Hand hygiene is one of the most important measures for preventing
transmission of microorganisms in healthcare settings. Gloves do not replace hand hygiene.
Question 5. A nurse is preparing to administer medication. Which action is most appropriate
before giving the medication?
, A. Ask another patient to confirm the patient's identity
B. Compare the medication with the medication administration record
C. Administer the medication if the package looks familiar
D. Ask the patient's roommate whether the medication is correct
Correct Answer: B. Compare the medication with the medication administration record
Explanation: Medication administration requires verification of the prescribed medication
against the medication administration record and appropriate patient identifiers. Familiarity
with a medication is not sufficient evidence that it is correct.
Question 6. Which patient statement indicates correct understanding of incentive
spirometer use?
A. "I should breathe rapidly through the device."
B. "I should inhale slowly and deeply through the mouthpiece."
C. "I should use it only when I feel short of breath."
D. "I should exhale forcefully into the device."
Correct Answer: B. "I should inhale slowly and deeply through the mouthpiece."
Explanation: Incentive spirometry promotes sustained deep inhalation and helps prevent
postoperative atelectasis. The patient should inhale slowly through the mouthpiece and
follow the device's prescribed technique.
Question 7. Which nursing intervention is most appropriate for preventing pressure injuries
in an immobile patient?
A. Massage reddened areas vigorously
B. Reposition the patient regularly and manage moisture and pressure
C. Restrict protein intake
D. Keep the head of the bed elevated continuously
Correct Answer: B. Reposition the patient regularly and manage moisture and pressure
Explanation: Pressure-injury prevention includes repositioning, pressure redistribution, skin
assessment, moisture management, nutrition, and mobility as appropriate. Massage over
reddened or injured tissue can cause additional damage.
Question 8. Which assessment finding is most concerning in a patient receiving opioid
analgesia?
A. Mild constipation
B. Respiratory rate of 8/min
C. Mild nausea
D. Pain rating of 3/10
Correct Answer: B. Respiratory rate of 8/min
ANSWERS | DETAILED EXPLANATIONS AND RATIONALES | COMPLETE EXAM PREPARATION
STUDY GUIDE | PRACTICE QUESTIONS | LATEST EXAM UPDATE
CORE DOMAINS
*
1. Nursing assessment, clinical judgment, and prioritization
2. Fundamentals of nursing care and patient safety
3. Pharmacology, medication administration, and medication safety
4. Adult health and management of common acute and chronic conditions
5. Infection prevention and control
6. Fluid, electrolyte, nutrition, and elimination management
7. Cardiovascular, respiratory, neurological, and endocrine concepts
8. Communication, ethics, professionalism, and patient education
9. Psychosocial health and therapeutic nursing interventions
10. Evidence-based practice and health promotion
*
INTRODUCTION
*
This comprehensive NUR 215 assessment is designed to reinforce the knowledge, clinical
reasoning, and practical nursing skills expected in examination settings. The questions assess
foundational concepts, terminology, assessment findings, patient safety, pharmacologic
principles, disease processes, nursing interventions, communication, prioritization, and
professional responsibilities. Multiple-choice questions are used to develop the ability to
distinguish closely related concepts and select the most appropriate nursing response.
Emphasis is placed not only on recall but also on application, interpretation, clinical
judgment, and decision-making. The explanations following each answer provide focused
rationales to strengthen understanding and support effective examination preparation.
SECTION ONE: QUESTIONS 1–100
Question 1. Which nursing action best demonstrates the assessment phase of the nursing
process?
A. Administering prescribed analgesics
B. Collecting the patient's vital signs and health history
C. Developing goals for discharge
D. Evaluating whether pain decreased after treatment
Correct Answer: B. Collecting the patient's vital signs and health history
,Explanation: Assessment involves systematic collection of subjective and objective
information about the patient's health status. Diagnosis, planning, implementation, and
evaluation occur after relevant assessment data have been obtained.
Question 2. A nurse is caring for four patients. Which patient should the nurse assess first?
A. A patient requesting assistance with bathing
B. A patient reporting pain of 6/10 after surgery
C. A patient with new-onset shortness of breath and oxygen saturation of 86%
D. A patient awaiting routine discharge instructions
Correct Answer: C. A patient with new-onset shortness of breath and oxygen saturation of
86%
Explanation: Airway and breathing problems take priority because impaired oxygenation can
rapidly become life-threatening. The other needs are important but are less urgent than
acute respiratory compromise.
Question 3. Which finding is an example of subjective data?
A. Blood pressure of 148/88 mmHg
B. Temperature of 38.2°C
C. Patient reports feeling nauseated
D. Respiratory rate of 24/min
Correct Answer: C. Patient reports feeling nauseated
Explanation: Subjective data are symptoms or experiences reported by the patient that
cannot be directly measured by the nurse. Vital signs are objective data because they can be
observed or measured.
Question 4. Which intervention most effectively reduces the risk of healthcare-associated
infection?
A. Wearing gloves for every patient interaction
B. Performing hand hygiene at appropriate moments
C. Keeping all patients on isolation precautions
D. Using antibiotics prophylactically for hospitalized patients
Correct Answer: B. Performing hand hygiene at appropriate moments
Explanation: Hand hygiene is one of the most important measures for preventing
transmission of microorganisms in healthcare settings. Gloves do not replace hand hygiene.
Question 5. A nurse is preparing to administer medication. Which action is most appropriate
before giving the medication?
, A. Ask another patient to confirm the patient's identity
B. Compare the medication with the medication administration record
C. Administer the medication if the package looks familiar
D. Ask the patient's roommate whether the medication is correct
Correct Answer: B. Compare the medication with the medication administration record
Explanation: Medication administration requires verification of the prescribed medication
against the medication administration record and appropriate patient identifiers. Familiarity
with a medication is not sufficient evidence that it is correct.
Question 6. Which patient statement indicates correct understanding of incentive
spirometer use?
A. "I should breathe rapidly through the device."
B. "I should inhale slowly and deeply through the mouthpiece."
C. "I should use it only when I feel short of breath."
D. "I should exhale forcefully into the device."
Correct Answer: B. "I should inhale slowly and deeply through the mouthpiece."
Explanation: Incentive spirometry promotes sustained deep inhalation and helps prevent
postoperative atelectasis. The patient should inhale slowly through the mouthpiece and
follow the device's prescribed technique.
Question 7. Which nursing intervention is most appropriate for preventing pressure injuries
in an immobile patient?
A. Massage reddened areas vigorously
B. Reposition the patient regularly and manage moisture and pressure
C. Restrict protein intake
D. Keep the head of the bed elevated continuously
Correct Answer: B. Reposition the patient regularly and manage moisture and pressure
Explanation: Pressure-injury prevention includes repositioning, pressure redistribution, skin
assessment, moisture management, nutrition, and mobility as appropriate. Massage over
reddened or injured tissue can cause additional damage.
Question 8. Which assessment finding is most concerning in a patient receiving opioid
analgesia?
A. Mild constipation
B. Respiratory rate of 8/min
C. Mild nausea
D. Pain rating of 3/10
Correct Answer: B. Respiratory rate of 8/min
