NR 224
Fundamentals Skills
Midterms (Qns & Ans)
2025
General Instructions
1. Read All Questions Carefully: Make sure you understand each question.
2. Time Management: You have a specific amount of time to complete the exam.
Keep an eye on the clock and pace yourself.
3. Allowed Materials: Only use materials that are explicitly allowed. Unauthorized
materials can lead to disqualification.
4. ANS Format: Follow the required format for your ANS. For example, multiple-
choice questions might need you to select the best ANS, while essay questions
require detailed responses.
5. Academic Integrity: Adhere to the university's honor code. Any form of cheating or
plagiarism is strictly prohibited.
6. Technical Requirements: Ensure your computer and internet connection are
stable. For online exams, you might need a webcam and microphone for proctoring
purposes.
7. Submission: Submit your ANS before the time expires. Late submissions might
not be accepted.
©2024/2025
,1. Which of the following is the most appropriate nursing
intervention to prevent ventilator-associated pneumonia (VAP) in
a patient on mechanical ventilation?
a) Sedation vacation every other day
b) Elevate the head of the bed to 30-45 degrees
c) Administer antibiotic prophylaxis
d) Routine saline lavage of the airway
Correct ANS: b
Rationale: Elevating the head of the bed helps reduce the risk
of aspiration, which can lead to pneumonia.
2. A patient with chronic kidney disease shows hyperkalemia.
What is the first-line treatment to manage this condition?
a) Insulin and glucose
b) Sodium bicarbonate
c) Kayexalate
d) Calcium gluconate
©2024/2025
, Correct ANS: a
Rationale: Insulin and glucose rapidly lower serum potassium
levels by shifting potassium into cells.
3. During a blood transfusion, a patient presents with chills,
fever, and back pain. What is the nurse's immediate action?
a) Slow down the transfusion
b) Administer antipyretics
c) Stop the transfusion
d) Notify the physician
Correct ANS: c
Rationale: These symptoms suggest a transfusion reaction.
Stopping the transfusion immediately prevents further
complications.
4. What is the priority nursing diagnosis for a patient
experiencing a severe asthma attack?
a) Anxiety related to breathing difficulty
©2024/2025
Fundamentals Skills
Midterms (Qns & Ans)
2025
General Instructions
1. Read All Questions Carefully: Make sure you understand each question.
2. Time Management: You have a specific amount of time to complete the exam.
Keep an eye on the clock and pace yourself.
3. Allowed Materials: Only use materials that are explicitly allowed. Unauthorized
materials can lead to disqualification.
4. ANS Format: Follow the required format for your ANS. For example, multiple-
choice questions might need you to select the best ANS, while essay questions
require detailed responses.
5. Academic Integrity: Adhere to the university's honor code. Any form of cheating or
plagiarism is strictly prohibited.
6. Technical Requirements: Ensure your computer and internet connection are
stable. For online exams, you might need a webcam and microphone for proctoring
purposes.
7. Submission: Submit your ANS before the time expires. Late submissions might
not be accepted.
©2024/2025
,1. Which of the following is the most appropriate nursing
intervention to prevent ventilator-associated pneumonia (VAP) in
a patient on mechanical ventilation?
a) Sedation vacation every other day
b) Elevate the head of the bed to 30-45 degrees
c) Administer antibiotic prophylaxis
d) Routine saline lavage of the airway
Correct ANS: b
Rationale: Elevating the head of the bed helps reduce the risk
of aspiration, which can lead to pneumonia.
2. A patient with chronic kidney disease shows hyperkalemia.
What is the first-line treatment to manage this condition?
a) Insulin and glucose
b) Sodium bicarbonate
c) Kayexalate
d) Calcium gluconate
©2024/2025
, Correct ANS: a
Rationale: Insulin and glucose rapidly lower serum potassium
levels by shifting potassium into cells.
3. During a blood transfusion, a patient presents with chills,
fever, and back pain. What is the nurse's immediate action?
a) Slow down the transfusion
b) Administer antipyretics
c) Stop the transfusion
d) Notify the physician
Correct ANS: c
Rationale: These symptoms suggest a transfusion reaction.
Stopping the transfusion immediately prevents further
complications.
4. What is the priority nursing diagnosis for a patient
experiencing a severe asthma attack?
a) Anxiety related to breathing difficulty
©2024/2025
