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Nursing 220 – Final Exam Review 2026 Exam Questions and Verified Answers (Comprehensive Q&A Study Guide)

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This document provides a complete final exam review for Nursing 220, consisting of verified questions and answers covering key nursing concepts such as medication administration, nutrition, urinary care, documentation, leadership, ethics, cultural competence, and patient education. It includes NCLEX-style questions designed to reinforce clinical judgment, safety, and evidence-based nursing practice. According to the material on pages 1–10, the document begins with medication administration, including oral contraindications, patient identification, and routes of absorption, followed by nutrition, enteral feeding, and gastrointestinal care. Pages 10–30 expand into urinary elimination, catheter care, renal assessment, and documentation practices, while later sections (pages 30–60) cover leadership, delegation, health literacy, stress and coping, ethics, end-of-life care, and cultural competence. The final portion includes developmental stages, pediatric care, and patient-centered communication strategies. This study guide is comprehensive and aligns with core nursing curricula, making it ideal for final exam preparation and NCLEX review. It is especially useful for reinforcing both theoretical knowledge and practical clinical decision-making skills across multiple nursing domains. Keywords: medication administration patient safety oral medications intravenous therapy nutrition nursing enteral feeding urinary catheter care urinary tract infection renal assessment documentation nursing delegation nursing leadership nursing health literacy stress coping nursing ethics palliative care cultural competence pediatric nursing

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Nursing 220 Final Exam Review
2026 Exam Questions and
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the nurse is teaching a patient about how to take a sublingual nitroglycerin

tablet. Which statement by the patient best demonstrates understanding of

teaching? - 🧠 ANSWER ✔✔"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? - 🧠

ANSWER ✔✔Vomiting


Unconsciousness

The nurse is about to administer a new medication to a patient. Which

action best demonstrates awareness of safe, proficient nursing practice? -

🧠 ANSWER ✔✔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? - 🧠 ANSWER ✔✔Document herbs as

part of the medication history

Inform the health care provider of her findings

Identify possible adverse effects of the herbal medication

The health care provider prescribes a medication that is administered

transdermally. The nurse understands what feature of the transdermal

route? - 🧠 ANSWER ✔✔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? - 🧠 ANSWER

✔✔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? - 🧠 ANSWER ✔✔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? - 🧠 ANSWER ✔✔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? - 🧠

ANSWER ✔✔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? - 🧠 ANSWER ✔✔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

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, the patient to remember to take the medications as prescribed? - 🧠

ANSWER ✔✔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? - 🧠 ANSWER ✔✔Intravenous Injection


What action should the nurse take immediately after instilling the

prescribed eyedrops into the patient's eye? - 🧠 ANSWER ✔✔Press gently

on the inner cants area

Which statement by the patient about herbs and prescription medications

demonstrates understanding of education by the nurse? - 🧠 ANSWER ✔✔"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? - 🧠 ANSWER

✔✔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? - 🧠 ANSWER ✔✔Carrot sticks

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