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NURS 2214 Exam 3 Nursing Fundamentals 2026/2027
Actual Exam Version 1 Verified Answers & Detailed
Rationales NGN Grade A Study Guide
1. The parents of a 4-year-old boy who has sickle cell anemia ask the nurse what the
best action is they can take to prevent him from having a sickle cell crisis. How should
the nurse respond?
A. Prevent outdoor activities
B. Try to avoid social interactions
C. Try to avoid stressful situations
D. Try not to wear too many layers of clothing on a chilly day
Correct Answer: Try to avoid stressful situations
Rationale: Stress is a common trigger for sickle cell crises. Avoiding stressful situations,
along with maintaining hydration and preventing infection, helps reduce crisis
frequency.
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2. A nurse realizes a 22-year-old female patient was readmitted to the hospital. The
woman was previously admitted because she suffered from interpersonal violence.
What should the nurse establish before asking if the woman is still suffering from
physical abuse?
A. Conduct a physical assessment before asking if the patient has experienced any
physical abuse
B. Determine if there is enough trust established between them and the patient before
investigating further
C. Determine if the patient still lives with their abuser
D. Ensure the authorities have already been involved
Correct Answer: Determine if there is enough trust established between them and
the patient before investigating further
Rationale: Establishing trust is essential before asking about interpersonal violence to
ensure the patient feels safe and supported in disclosing information.
3. A male patient who has a history of anaphylaxis is instructed to inject his EpiPen
every time he suffers a severe allergic reaction. What action should he take after
successfully injecting the EpiPen?
A. The patient should immediately lie down and rest
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B. The patient should continue to ambulate
C. The patient should seek follow-up care even if his symptoms subside
D. The patient should inject his second EpiPen about 12 hours later
Correct Answer: The patient should seek follow-up care even if his symptoms
subside
Rationale: After EpiPen administration, the patient must seek emergency medical care
immediately, as symptoms may recur once the epinephrine wears off.
4. A patient receives a blood transfusion and appears to be having a reaction. What
type of hypersensitivity reaction has the patient suffered from?
A. Type 1
B. Type 2
C. Type 3
D. Type 4
Correct Answer: Type 2
Rationale: Transfusion reactions are Type 2 hypersensitivity reactions involving
antibody-mediated destruction of incompatible red blood cells.
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5. A pediatric patient appears to have stomatitis and is slightly underweight. What
teaching should the nurse include when educating the parents?
A. Make the child only eat foods that are hot
B. Do not force the child to eat food
C. Try to trick the child into eating vegetables
D. Recommend the child only eat cold foods
Correct Answer: Do not force the child to eat food
Rationale: Forcing a child with stomatitis to eat can cause pain, anxiety, and further
aversion to food. The focus should be on providing soft, non-irritating foods and
encouraging intake without pressure.
6. A patient's lab results reveal his platelets are less than 150,000. Which medication is
the healthcare provider most likely to administer?
A. Neumega
B. Epogen
C. Mesnex
D. Neupogen
NURS 2214 Exam 3 Nursing Fundamentals 2026/2027
Actual Exam Version 1 Verified Answers & Detailed
Rationales NGN Grade A Study Guide
1. The parents of a 4-year-old boy who has sickle cell anemia ask the nurse what the
best action is they can take to prevent him from having a sickle cell crisis. How should
the nurse respond?
A. Prevent outdoor activities
B. Try to avoid social interactions
C. Try to avoid stressful situations
D. Try not to wear too many layers of clothing on a chilly day
Correct Answer: Try to avoid stressful situations
Rationale: Stress is a common trigger for sickle cell crises. Avoiding stressful situations,
along with maintaining hydration and preventing infection, helps reduce crisis
frequency.
,2|Page
2. A nurse realizes a 22-year-old female patient was readmitted to the hospital. The
woman was previously admitted because she suffered from interpersonal violence.
What should the nurse establish before asking if the woman is still suffering from
physical abuse?
A. Conduct a physical assessment before asking if the patient has experienced any
physical abuse
B. Determine if there is enough trust established between them and the patient before
investigating further
C. Determine if the patient still lives with their abuser
D. Ensure the authorities have already been involved
Correct Answer: Determine if there is enough trust established between them and
the patient before investigating further
Rationale: Establishing trust is essential before asking about interpersonal violence to
ensure the patient feels safe and supported in disclosing information.
3. A male patient who has a history of anaphylaxis is instructed to inject his EpiPen
every time he suffers a severe allergic reaction. What action should he take after
successfully injecting the EpiPen?
A. The patient should immediately lie down and rest
,3|Page
B. The patient should continue to ambulate
C. The patient should seek follow-up care even if his symptoms subside
D. The patient should inject his second EpiPen about 12 hours later
Correct Answer: The patient should seek follow-up care even if his symptoms
subside
Rationale: After EpiPen administration, the patient must seek emergency medical care
immediately, as symptoms may recur once the epinephrine wears off.
4. A patient receives a blood transfusion and appears to be having a reaction. What
type of hypersensitivity reaction has the patient suffered from?
A. Type 1
B. Type 2
C. Type 3
D. Type 4
Correct Answer: Type 2
Rationale: Transfusion reactions are Type 2 hypersensitivity reactions involving
antibody-mediated destruction of incompatible red blood cells.
, 4|Page
5. A pediatric patient appears to have stomatitis and is slightly underweight. What
teaching should the nurse include when educating the parents?
A. Make the child only eat foods that are hot
B. Do not force the child to eat food
C. Try to trick the child into eating vegetables
D. Recommend the child only eat cold foods
Correct Answer: Do not force the child to eat food
Rationale: Forcing a child with stomatitis to eat can cause pain, anxiety, and further
aversion to food. The focus should be on providing soft, non-irritating foods and
encouraging intake without pressure.
6. A patient's lab results reveal his platelets are less than 150,000. Which medication is
the healthcare provider most likely to administer?
A. Neumega
B. Epogen
C. Mesnex
D. Neupogen
