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NURS 2214 Final Exam Nursing Fundamentals 2026/2027
Actual Exam Comprehensive Review Verified Answers &
Detailed Rationales NGN Grade A Study Guide
1. A patient describes their pain as burning, sharp, and shooting. The nurse recognizes
this as which type of pain?
A. Nociceptive pain
B. Somatic pain
C. Visceral pain
D. Neuropathic pain
Correct Answer: Neuropathic pain
Rationale: Neuropathic pain results from damage to the nervous system and is often
described as burning, sharp, shooting, or electric shock-like.
2. A nurse is educating a patient on nonpharmacological methods for pain
management. Which therapies are commonly used in Chinese traditional medicine?
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A. Opioids and NSAIDs
B. Herbs, vitamins, and tai chi
C. Acupuncture and cupping only
D. Meditation and prayer only
Correct Answer: Herbs, vitamins, and tai chi
Rationale: Chinese traditional medicine commonly uses biologically based therapies
such as herbs and vitamins, along with mind-body practices such as tai chi.
3. A patient receiving morphine via patient-controlled analgesia (PCA) is found
sleeping and unresponsive. What is the nurse's priority action?
A. Administer naloxone immediately
B. Stop the PCA infusion
C. Increase the PCA dose
D. Notify the healthcare provider
Correct Answer: Stop the PCA infusion
Rationale: The priority action is to stop the PCA infusion to prevent further opioid
administration. Naloxone may be indicated after assessment, but stopping the infusion
is the first step.
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4. A nurse is explaining palliative care to a patient with a serious illness. Which
statement accurately describes palliative care?
A. Palliative care promotes a cure for chronic disease
B. Palliative care manages symptoms and improves quality of life
C. Palliative care is only for patients with cancer
D. Palliative care is the same as hospice care
Correct Answer: Palliative care manages symptoms and improves quality of life
Rationale: Palliative care focuses on managing symptoms, providing psychosocial
support, and coordinating care to relieve suffering and improve quality of life for
patients with serious illnesses. It does not promote a cure.
5. A nurse is assessing pain in a pediatric patient. What should the nurse understand
about pain assessment in children?
A. Pain assessment has high value as the sole indicator of pain
B. Pain assessment has limited value as a sole indicator of pain
C. Children cannot reliably report their pain
D. Physiological signs are the only reliable pain indicator in children
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Correct Answer: Pain assessment has limited value as a sole indicator of pain
Rationale: Pain assessment in children should include both self-report tools and
observation of physiological signs, as neither method alone is sufficient.
6. How do nonpharmacological pain management strategies help with pain control?
A. They eliminate the need for pharmacological interventions
B. They may reduce pain perception
C. They work only for acute pain
D. They are less effective than placebo
Correct Answer: They may reduce pain perception
Rationale: Nonpharmacological methods such as distraction, relaxation, and imagery
help alter the patient's perception of pain.
7. A nurse suspects a patient has an alteration in intracranial regulation. What is the
earliest sign the nurse should assess for?
A. Decerebrate posturing
B. Changes in level of consciousness
C. Cushing's triad
D. Pupillary changes
NURS 2214 Final Exam Nursing Fundamentals 2026/2027
Actual Exam Comprehensive Review Verified Answers &
Detailed Rationales NGN Grade A Study Guide
1. A patient describes their pain as burning, sharp, and shooting. The nurse recognizes
this as which type of pain?
A. Nociceptive pain
B. Somatic pain
C. Visceral pain
D. Neuropathic pain
Correct Answer: Neuropathic pain
Rationale: Neuropathic pain results from damage to the nervous system and is often
described as burning, sharp, shooting, or electric shock-like.
2. A nurse is educating a patient on nonpharmacological methods for pain
management. Which therapies are commonly used in Chinese traditional medicine?
,2|Page
A. Opioids and NSAIDs
B. Herbs, vitamins, and tai chi
C. Acupuncture and cupping only
D. Meditation and prayer only
Correct Answer: Herbs, vitamins, and tai chi
Rationale: Chinese traditional medicine commonly uses biologically based therapies
such as herbs and vitamins, along with mind-body practices such as tai chi.
3. A patient receiving morphine via patient-controlled analgesia (PCA) is found
sleeping and unresponsive. What is the nurse's priority action?
A. Administer naloxone immediately
B. Stop the PCA infusion
C. Increase the PCA dose
D. Notify the healthcare provider
Correct Answer: Stop the PCA infusion
Rationale: The priority action is to stop the PCA infusion to prevent further opioid
administration. Naloxone may be indicated after assessment, but stopping the infusion
is the first step.
,3|Page
4. A nurse is explaining palliative care to a patient with a serious illness. Which
statement accurately describes palliative care?
A. Palliative care promotes a cure for chronic disease
B. Palliative care manages symptoms and improves quality of life
C. Palliative care is only for patients with cancer
D. Palliative care is the same as hospice care
Correct Answer: Palliative care manages symptoms and improves quality of life
Rationale: Palliative care focuses on managing symptoms, providing psychosocial
support, and coordinating care to relieve suffering and improve quality of life for
patients with serious illnesses. It does not promote a cure.
5. A nurse is assessing pain in a pediatric patient. What should the nurse understand
about pain assessment in children?
A. Pain assessment has high value as the sole indicator of pain
B. Pain assessment has limited value as a sole indicator of pain
C. Children cannot reliably report their pain
D. Physiological signs are the only reliable pain indicator in children
, 4|Page
Correct Answer: Pain assessment has limited value as a sole indicator of pain
Rationale: Pain assessment in children should include both self-report tools and
observation of physiological signs, as neither method alone is sufficient.
6. How do nonpharmacological pain management strategies help with pain control?
A. They eliminate the need for pharmacological interventions
B. They may reduce pain perception
C. They work only for acute pain
D. They are less effective than placebo
Correct Answer: They may reduce pain perception
Rationale: Nonpharmacological methods such as distraction, relaxation, and imagery
help alter the patient's perception of pain.
7. A nurse suspects a patient has an alteration in intracranial regulation. What is the
earliest sign the nurse should assess for?
A. Decerebrate posturing
B. Changes in level of consciousness
C. Cushing's triad
D. Pupillary changes
