NURSING 220 FINAL EXAM REVIEW
QUESTIONS AND ANSWERS GRADED A+
2026
The nurse is teaching a patient about how to take a sublingual nitroglycerin tablet. Which
statement by the patient best demonstrates understanding of teaching? - ANS "I will put the
nitroglycerin tablet under my tongue"
The nurse is caring for a critically ill patient. What are the contraindications for administering
medications by the oral route for this patient? - ANS Vomiting
Unconsciousness
The nurse is about to administer a new medication to a patient. Which action best
demonstrates awareness of safe, proficient nursing practice? - ANS Identify the patient by
comparing her name and birthdate to the medication administration record (MAR).
A patient has been using herbal medication as part of her daily routine. Which actions should
the nurse take? - ANS Document herbs as part of the medication history
Inform the health care provider of her findings
Identify possible adverse effects of the herbal medication
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
1
,The health care provider prescribes a medication that is administered transdermally. The nurse
understands what feature of the transdermal route? - ANS It is absorbed through the skin
The nurse is caring for a patient who is unable to hold a cup or spoon. How should the nurse
administer oral medications to the patient? - ANS Use a small paper cup to put the pills into
the patients mouth
What should the nurse do first when preparing to administer medications to a patient? -
ANS Check the medication administration record (MAR).
The nurse is preparing to care for a patient. What is the most appropriate goal for a patient
related to medications? - ANS The patient will administer all medications correctly by
discharge.
The nurse reviews a physician's order and finds that the medication amount is greater than the
standard dose. What should the nurse do? - ANS Call the physician to discuss the order.
The nurse is selecting a site to administer a medication by the intramuscular route. The nurse
chooses to avoid which site due to a high risk for injury? - ANS Dorsogluteal
The home health nurse is called for a consult on a patient with memory problems who is having
difficulty remembering to take multiple medications prescribed to be taken throughout the day.
What can the nurse do to help the patient to remember to take the medications as prescribed?
- ANS Arrange for the medications to be put in a pill organizer by week.
The nurse understands that medication absorption is affected by the administration route.
Which route for medications has the fastest absorption rate? - ANS Intravenous Injection
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
2
,What action should the nurse take immediately after instilling the prescribed eyedrops into the
patient's eye? - ANS Press gently on the inner cants area
Which statement by the patient about herbs and prescription medications demonstrates
understanding of education by the nurse? - ANS "I should check with my physician before
beginning an herbal preparation"
Before administering the evening dose of a prescribed medication, the nurse on the evening
shift finds an unlabeled, filled syringe in the patient's medication drawer. What should the nurse
in charge do? - ANS Discard the syringe to avoid a medication error.
What snack choice would be the best suggestion by the nurse for a patient on a renal diet? -
ANS Carrot sticks
A patient recovering from major abdominal surgery is to be progressed from a clear liquid diet
to the next diet level. Which statement by the nurse would be most appropriate in this
circumstance? - ANS "If you can tolerate the clear liquid diet, your next meal will be full
liquid"
What nursing intervention would be most beneficial to implement in an effort to prevent
aspiration by a patient receiving tube feedings? - ANS Elevate the head of the patient's bed at
least 45 degrees
Which action should the nurse take when caring for a patient receiving a continuous enteral
feeding through a percutaneous endoscopic gastrostomy (PEG) tube if the feeding tube
becomes occluded? - ANS Try using cola if a 20- to 30- mL warm-water flush is ineffective.
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
3
, The nurse is caring for an elderly patient who has residual weakness on the right side as the
result of a cerebrovascular accident (stroke). The nurse is correct in reporting dysphagia when
the patient exhibits which symptoms? - ANS Incomplete lip closure
A change in voice quality after eating
Abnormal movements of the mouth, tongue, and lips
A young adult female is considering becoming pregnant and is not taking any multivitamins.
Which instruction would best help reduce the potential for development of neural tube defects
in the fetus? - ANS Recommend folic acid dietary supplements
A patient tells the nurse that he needs to increase his intake of potassium because he has been
taking large doses of diuretics. To minimize complications from hypokalemia, the nurse should
instruct the patient to include which of the following foods as part of his diet? -
ANS Tomatoes and spinach
A Jewish patient who adheres to a kosher diet is diagnosed with type 1 diabetes. What would
be the best response of the nurse when the patient refuses to take insulin, stating, "Insulin
contains pork and i do not eat pork." - ANS "All of the insulin used today is made
synthetically."
A female Muslim patient is admitted to the hospital and informs the nurse that it is the month
of Ramadan. What action by the nurse is most appropriate in caring for this patient? -
ANS Check on the potential effect fasting until sundown will have on the patient's condition.
A 15-year-old female gymnast is hospitalized with the diagnosis of bulimia nervosa. Which data
would the nurse anticipate finding in the patient's admission history and physical assessment? -
ANS Excessive food intake, self-induced vomiting, and use of laxatives
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
4
QUESTIONS AND ANSWERS GRADED A+
2026
The nurse is teaching a patient about how to take a sublingual nitroglycerin tablet. Which
statement by the patient best demonstrates understanding of teaching? - ANS "I will put the
nitroglycerin tablet under my tongue"
The nurse is caring for a critically ill patient. What are the contraindications for administering
medications by the oral route for this patient? - ANS Vomiting
Unconsciousness
The nurse is about to administer a new medication to a patient. Which action best
demonstrates awareness of safe, proficient nursing practice? - ANS Identify the patient by
comparing her name and birthdate to the medication administration record (MAR).
A patient has been using herbal medication as part of her daily routine. Which actions should
the nurse take? - ANS Document herbs as part of the medication history
Inform the health care provider of her findings
Identify possible adverse effects of the herbal medication
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
1
,The health care provider prescribes a medication that is administered transdermally. The nurse
understands what feature of the transdermal route? - ANS It is absorbed through the skin
The nurse is caring for a patient who is unable to hold a cup or spoon. How should the nurse
administer oral medications to the patient? - ANS Use a small paper cup to put the pills into
the patients mouth
What should the nurse do first when preparing to administer medications to a patient? -
ANS Check the medication administration record (MAR).
The nurse is preparing to care for a patient. What is the most appropriate goal for a patient
related to medications? - ANS The patient will administer all medications correctly by
discharge.
The nurse reviews a physician's order and finds that the medication amount is greater than the
standard dose. What should the nurse do? - ANS Call the physician to discuss the order.
The nurse is selecting a site to administer a medication by the intramuscular route. The nurse
chooses to avoid which site due to a high risk for injury? - ANS Dorsogluteal
The home health nurse is called for a consult on a patient with memory problems who is having
difficulty remembering to take multiple medications prescribed to be taken throughout the day.
What can the nurse do to help the patient to remember to take the medications as prescribed?
- ANS Arrange for the medications to be put in a pill organizer by week.
The nurse understands that medication absorption is affected by the administration route.
Which route for medications has the fastest absorption rate? - ANS Intravenous Injection
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
2
,What action should the nurse take immediately after instilling the prescribed eyedrops into the
patient's eye? - ANS Press gently on the inner cants area
Which statement by the patient about herbs and prescription medications demonstrates
understanding of education by the nurse? - ANS "I should check with my physician before
beginning an herbal preparation"
Before administering the evening dose of a prescribed medication, the nurse on the evening
shift finds an unlabeled, filled syringe in the patient's medication drawer. What should the nurse
in charge do? - ANS Discard the syringe to avoid a medication error.
What snack choice would be the best suggestion by the nurse for a patient on a renal diet? -
ANS Carrot sticks
A patient recovering from major abdominal surgery is to be progressed from a clear liquid diet
to the next diet level. Which statement by the nurse would be most appropriate in this
circumstance? - ANS "If you can tolerate the clear liquid diet, your next meal will be full
liquid"
What nursing intervention would be most beneficial to implement in an effort to prevent
aspiration by a patient receiving tube feedings? - ANS Elevate the head of the patient's bed at
least 45 degrees
Which action should the nurse take when caring for a patient receiving a continuous enteral
feeding through a percutaneous endoscopic gastrostomy (PEG) tube if the feeding tube
becomes occluded? - ANS Try using cola if a 20- to 30- mL warm-water flush is ineffective.
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
3
, The nurse is caring for an elderly patient who has residual weakness on the right side as the
result of a cerebrovascular accident (stroke). The nurse is correct in reporting dysphagia when
the patient exhibits which symptoms? - ANS Incomplete lip closure
A change in voice quality after eating
Abnormal movements of the mouth, tongue, and lips
A young adult female is considering becoming pregnant and is not taking any multivitamins.
Which instruction would best help reduce the potential for development of neural tube defects
in the fetus? - ANS Recommend folic acid dietary supplements
A patient tells the nurse that he needs to increase his intake of potassium because he has been
taking large doses of diuretics. To minimize complications from hypokalemia, the nurse should
instruct the patient to include which of the following foods as part of his diet? -
ANS Tomatoes and spinach
A Jewish patient who adheres to a kosher diet is diagnosed with type 1 diabetes. What would
be the best response of the nurse when the patient refuses to take insulin, stating, "Insulin
contains pork and i do not eat pork." - ANS "All of the insulin used today is made
synthetically."
A female Muslim patient is admitted to the hospital and informs the nurse that it is the month
of Ramadan. What action by the nurse is most appropriate in caring for this patient? -
ANS Check on the potential effect fasting until sundown will have on the patient's condition.
A 15-year-old female gymnast is hospitalized with the diagnosis of bulimia nervosa. Which data
would the nurse anticipate finding in the patient's admission history and physical assessment? -
ANS Excessive food intake, self-induced vomiting, and use of laxatives
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
4
