, NR 224 Fundamentals Skills Final Exam Prep Test Bank
2026 | 300 Real Past Exam Questions with Answers &
Detailed Rationales | Complete Final Exam Review Guide |
168 Updated Questions and Answers
TRUSTED SOURCE AND VERIFIED, GRADED A+
, Page 2
1. A nurse is preparing to administer a medication that has a narrow therapeutic index. Which of
the following actions should the nurse prioritize before administration?
A. Check the patient's blood pressure.
B. Review the patient's latest laboratory results.
C. Assess the patient's pain level.
D. Obtain the patient's medication history.
ANSWER ~B
2. When using the SBAR communication tool during a handoff, which of the following is the correct
order of information to present?
A. Situation, Background, Assessment, Recommendation
B. Background, Assessment, Recommendation, Situation
C. Assessment, Recommendation, Situation, Background
D. Recommendation, Situation, Background, Assessment
ANSWER ~A
3. A patient with diabetes is experiencing symptoms of hypoglycemia. Which nursing intervention
should be implemented first?
A. Administer glucagon as prescribed.
B. Provide the patient with a source of fast-acting carbohydrate.
C. Recheck blood glucose levels after 30 minutes.
D. Notify the healthcare provider immediately.
ANSWER ~B
4. In preparing a patient for discharge after knee surgery, which instruction is most important for
the nurse to include regarding pain management?
A. Encourage the use of non-pharmacological methods only.
B. Instruct the patient to take pain medication only when pain becomes severe.
C. Advise the patient to schedule a follow-up appointment for pain evaluation.
D. Educate the patient on the prescribed pain medication and its dosing schedule.
ANSWER ~D
, Page 3
5. During a routine assessment, the nurse notes that a patient’s skin is warm and dry with a
cherry-red color. What should the nurse suspect?
A. Hypovolemic shock
B. Sepsis
C. Heat stroke
D. Anaphylaxis
ANSWER ~C
6. A nurse is assessing a patient’s pulse oximetry reading. What reading would indicate the need for
further intervention?
A. 95% saturation
B. 88% saturation
C. 92% saturation
D. 99% saturation
ANSWER ~B
7. A patient receiving anticoagulant therapy is scheduled for a dental procedure. What is the most
critical nursing action prior to the procedure?
A. Administer an additional dose of anticoagulant.
B. Consult with the healthcare provider regarding medication adjustments.
C. Educate the patient on post-operative care.
D. Monitor the patient’s vital signs.
ANSWER ~B
8. When teaching a patient about self-administration of insulin, which statement by the patient
indicates a need for further education?
A. I should rotate injection sites to prevent lipodystrophy.
B. I can reuse needles if they are not damaged.
C. I need to store my insulin in the refrigerator.
D. I should always ensure my hands are clean before injecting.
ANSWER ~C
2026 | 300 Real Past Exam Questions with Answers &
Detailed Rationales | Complete Final Exam Review Guide |
168 Updated Questions and Answers
TRUSTED SOURCE AND VERIFIED, GRADED A+
, Page 2
1. A nurse is preparing to administer a medication that has a narrow therapeutic index. Which of
the following actions should the nurse prioritize before administration?
A. Check the patient's blood pressure.
B. Review the patient's latest laboratory results.
C. Assess the patient's pain level.
D. Obtain the patient's medication history.
ANSWER ~B
2. When using the SBAR communication tool during a handoff, which of the following is the correct
order of information to present?
A. Situation, Background, Assessment, Recommendation
B. Background, Assessment, Recommendation, Situation
C. Assessment, Recommendation, Situation, Background
D. Recommendation, Situation, Background, Assessment
ANSWER ~A
3. A patient with diabetes is experiencing symptoms of hypoglycemia. Which nursing intervention
should be implemented first?
A. Administer glucagon as prescribed.
B. Provide the patient with a source of fast-acting carbohydrate.
C. Recheck blood glucose levels after 30 minutes.
D. Notify the healthcare provider immediately.
ANSWER ~B
4. In preparing a patient for discharge after knee surgery, which instruction is most important for
the nurse to include regarding pain management?
A. Encourage the use of non-pharmacological methods only.
B. Instruct the patient to take pain medication only when pain becomes severe.
C. Advise the patient to schedule a follow-up appointment for pain evaluation.
D. Educate the patient on the prescribed pain medication and its dosing schedule.
ANSWER ~D
, Page 3
5. During a routine assessment, the nurse notes that a patient’s skin is warm and dry with a
cherry-red color. What should the nurse suspect?
A. Hypovolemic shock
B. Sepsis
C. Heat stroke
D. Anaphylaxis
ANSWER ~C
6. A nurse is assessing a patient’s pulse oximetry reading. What reading would indicate the need for
further intervention?
A. 95% saturation
B. 88% saturation
C. 92% saturation
D. 99% saturation
ANSWER ~B
7. A patient receiving anticoagulant therapy is scheduled for a dental procedure. What is the most
critical nursing action prior to the procedure?
A. Administer an additional dose of anticoagulant.
B. Consult with the healthcare provider regarding medication adjustments.
C. Educate the patient on post-operative care.
D. Monitor the patient’s vital signs.
ANSWER ~B
8. When teaching a patient about self-administration of insulin, which statement by the patient
indicates a need for further education?
A. I should rotate injection sites to prevent lipodystrophy.
B. I can reuse needles if they are not damaged.
C. I need to store my insulin in the refrigerator.
D. I should always ensure my hands are clean before injecting.
ANSWER ~C
