TEST BANK
FULL TESTBANK | RATED GRADE A|MULTICHOICES | DETAILED
RATIONALES|LATEST UPDATE| GUARANTEED PASS| 100% PASS
Chamberlain College of Nursing NR 224
Fundamentals of Nursing Exam Bundle
FINAL FULL EXAM | + 200 FREQUENTLY
TESTED QUESTIONS WITH CORRECT
ANSWERS | BRAND NEW(2025/2026)
The nurse is planning to teach a patient about the importance of exercise. When
is the best time for teaching to occur?
a. When there are visitors in the room.
b. When the patient's pain medications are working
c. Just before lunch, when the patient is most awake and alert
d. When the patient is talking about current stressors in his or her life
B. When the patient's pain medications are working.
Correct answer: B
,Expert rationale:
Effective patient teaching depends on optimal attention, comfort, and cognitive
readiness. Pain is a major distraction that reduces concentration, memory
retention, and willingness to engage in learning. When analgesics are effective,
the patient is more comfortable, alert, and able to process and retain new
information. Teaching should be avoided during interruptions (visitors), periods of
emotional distress, or routine times that do not guarantee comfort or readiness.
To which of the following patients would the nurse be most likely to administer
a PRN medication?
a. a patient who is experiencing severe and unprecedented chest pain.
b. a patient whose asthma is treated with inhaled corticosteroids.
c. a patient who is complaining of pain near her surgical site.
d. a patient who requires daily medication to control hypertension.
Correct answer: C
Expert rationale:
PRN (“as needed”) medications are given in response to fluctuating or intermittent
symptoms. Postoperative pain, especially “breakthrough pain,” is expected to vary
and therefore requires PRN analgesics. New, severe chest pain is an emergency
requiring immediate evaluation and likely stat intervention, not routine PRN
administration. Hypertension and asthma maintenance therapies are typically
scheduled (standing orders), not PRN.
Which of the following patients receives a drug that requires parenteral route?
a. a woman who takes diuretic pill each morning.
b. a man who has an antifungal ointment applied to his skin rash daily.
c. a man with emphysema who uses nebulized bronchodilators.
d. a woman who has been ordered intravenous antibiotics.
D. a woman who has been ordered intravenous antibiotics.
Correct answer: D
,Expert rationale:
Parenteral administration refers to medications given by injection or infusion,
bypassing the gastrointestinal tract. Intravenous (IV) antibiotics are administered
directly into the bloodstream, making them a classic example of parenteral
therapy. Oral tablets, topical ointments, and inhaled/nebulized medications are
non-parenteral routes.
The nurse is preparing to administer meperidine (Demerol) as an intramuscular
injection in an adult patient's deltoid site. Which of the following needles should
the nurse select for this injection?
a. 2"; 18 gauge
b. 1 1/2"; 18 gauge
c. 5/8"; 24 gauge
d. 1"; 22 gauge
D. 1";22 gauge
Correct answer: D
Expert rationale:
For intramuscular injections in the deltoid muscle, a needle length of about 1–1.5
inches and a gauge of 20–25 is typically used in adults, depending on body
habitus. A 22-gauge, 1-inch needle is appropriate for most average adult patients
in the deltoid site. Thicker (lower gauge) needles like 18 gauge are too large and
unnecessary for IM medication administration, while shorter needles (5/8") are
generally insufficient for intramuscular delivery.
A post-surgical patient's MAR provides for PRN administration of a number of
analgesics by various routes. Which of the following routes will likely provide
the most rapid pain relief for the patient?
a. oral
b. intravenous
c.intramuscular
, d. subcutaneous
B. intravenous
Correct answer: B
Expert rationale:
Intravenous administration provides the fastest onset of action because the
medication is delivered directly into systemic circulation without absorption
barriers. Oral medications require GI absorption, IM and subcutaneous routes
require tissue absorption, all of which delay onset compared to IV therapy.
Therefore, IV analgesics are preferred for rapid postoperative pain control.
When administering oral medications, which of the following practices should
the nurse follow? Select all that apply.
a. dispense multiple liquid medications into a single cup to reduce the number of
containers the patient must handle.
b. perform hand hygiene before and after medication administration.
c. stay at the bedside until the patient has swallowed all the medications.
d. keep the patient's MAR at the bedside at all times to ensure safe identification.
e. verify the patient's response to the medication 30 minutes after administration,
or as appropriate for the drug.
Correct answer: B, C, E
Expert rationale:
Safe oral medication administration includes strict infection control, patient
verification, and monitoring effectiveness. Hand hygiene before and after reduces
transmission of pathogens. Staying with the patient ensures the medication is
actually swallowed (reducing “cheeking” or refusal errors). Follow-up assessment
evaluates therapeutic response and adverse effects. Mixing liquid medications is
unsafe due to incompatibility risks and dosing errors, and the MAR should never
be left at the bedside due to confidentiality and medication safety risks.
A nurse knows that patient education has been effective when the patient states
FULL TESTBANK | RATED GRADE A|MULTICHOICES | DETAILED
RATIONALES|LATEST UPDATE| GUARANTEED PASS| 100% PASS
Chamberlain College of Nursing NR 224
Fundamentals of Nursing Exam Bundle
FINAL FULL EXAM | + 200 FREQUENTLY
TESTED QUESTIONS WITH CORRECT
ANSWERS | BRAND NEW(2025/2026)
The nurse is planning to teach a patient about the importance of exercise. When
is the best time for teaching to occur?
a. When there are visitors in the room.
b. When the patient's pain medications are working
c. Just before lunch, when the patient is most awake and alert
d. When the patient is talking about current stressors in his or her life
B. When the patient's pain medications are working.
Correct answer: B
,Expert rationale:
Effective patient teaching depends on optimal attention, comfort, and cognitive
readiness. Pain is a major distraction that reduces concentration, memory
retention, and willingness to engage in learning. When analgesics are effective,
the patient is more comfortable, alert, and able to process and retain new
information. Teaching should be avoided during interruptions (visitors), periods of
emotional distress, or routine times that do not guarantee comfort or readiness.
To which of the following patients would the nurse be most likely to administer
a PRN medication?
a. a patient who is experiencing severe and unprecedented chest pain.
b. a patient whose asthma is treated with inhaled corticosteroids.
c. a patient who is complaining of pain near her surgical site.
d. a patient who requires daily medication to control hypertension.
Correct answer: C
Expert rationale:
PRN (“as needed”) medications are given in response to fluctuating or intermittent
symptoms. Postoperative pain, especially “breakthrough pain,” is expected to vary
and therefore requires PRN analgesics. New, severe chest pain is an emergency
requiring immediate evaluation and likely stat intervention, not routine PRN
administration. Hypertension and asthma maintenance therapies are typically
scheduled (standing orders), not PRN.
Which of the following patients receives a drug that requires parenteral route?
a. a woman who takes diuretic pill each morning.
b. a man who has an antifungal ointment applied to his skin rash daily.
c. a man with emphysema who uses nebulized bronchodilators.
d. a woman who has been ordered intravenous antibiotics.
D. a woman who has been ordered intravenous antibiotics.
Correct answer: D
,Expert rationale:
Parenteral administration refers to medications given by injection or infusion,
bypassing the gastrointestinal tract. Intravenous (IV) antibiotics are administered
directly into the bloodstream, making them a classic example of parenteral
therapy. Oral tablets, topical ointments, and inhaled/nebulized medications are
non-parenteral routes.
The nurse is preparing to administer meperidine (Demerol) as an intramuscular
injection in an adult patient's deltoid site. Which of the following needles should
the nurse select for this injection?
a. 2"; 18 gauge
b. 1 1/2"; 18 gauge
c. 5/8"; 24 gauge
d. 1"; 22 gauge
D. 1";22 gauge
Correct answer: D
Expert rationale:
For intramuscular injections in the deltoid muscle, a needle length of about 1–1.5
inches and a gauge of 20–25 is typically used in adults, depending on body
habitus. A 22-gauge, 1-inch needle is appropriate for most average adult patients
in the deltoid site. Thicker (lower gauge) needles like 18 gauge are too large and
unnecessary for IM medication administration, while shorter needles (5/8") are
generally insufficient for intramuscular delivery.
A post-surgical patient's MAR provides for PRN administration of a number of
analgesics by various routes. Which of the following routes will likely provide
the most rapid pain relief for the patient?
a. oral
b. intravenous
c.intramuscular
, d. subcutaneous
B. intravenous
Correct answer: B
Expert rationale:
Intravenous administration provides the fastest onset of action because the
medication is delivered directly into systemic circulation without absorption
barriers. Oral medications require GI absorption, IM and subcutaneous routes
require tissue absorption, all of which delay onset compared to IV therapy.
Therefore, IV analgesics are preferred for rapid postoperative pain control.
When administering oral medications, which of the following practices should
the nurse follow? Select all that apply.
a. dispense multiple liquid medications into a single cup to reduce the number of
containers the patient must handle.
b. perform hand hygiene before and after medication administration.
c. stay at the bedside until the patient has swallowed all the medications.
d. keep the patient's MAR at the bedside at all times to ensure safe identification.
e. verify the patient's response to the medication 30 minutes after administration,
or as appropriate for the drug.
Correct answer: B, C, E
Expert rationale:
Safe oral medication administration includes strict infection control, patient
verification, and monitoring effectiveness. Hand hygiene before and after reduces
transmission of pathogens. Staying with the patient ensures the medication is
actually swallowed (reducing “cheeking” or refusal errors). Follow-up assessment
evaluates therapeutic response and adverse effects. Mixing liquid medications is
unsafe due to incompatibility risks and dosing errors, and the MAR should never
be left at the bedside due to confidentiality and medication safety risks.
A nurse knows that patient education has been effective when the patient states
