1|Page
NR 224 Fundamentals of Nursing Final Exam Study
Guide, Chamberlain University||Verified Exam!!!||,
2026/2027 -Question NGN-Aligned Examination with
Verified Rationales||Newest Exam!!!
The patient is to receive phenytoin (Dilantin) at 0900. The
nurse knows that the ideal time to draw a trough level is -
Answer-0830.
A patient who has been receiving intermittent
chemotherapy through a peripheral IV site is ordered to
receive a high dose of vancomycin through the same vein.
Why does this concern the nurse? - Answer-
Chemotherapy is irritating to the vascular system and may
cause the vein to infiltrate.
A physician orders 1000 mL of normal saline to infuse at a
rate of 50 mL/hr. The nurse plans on hanging a new bag at
what time? - Answer-20 hours
The nurse is preparing to administer a 0.5-mL rabies
vaccine into the deltoid muscle of a patient. Which needle
size is best for the procedure? - Answer-25 gauge x 5/8
inch
,2|Page
The nurse knows that the purpose of aspiration on IM
injections is to - Answer-Ensure proper placement of the
needle.
The nurse is giving an IM injection. Upon aspiration, the
nurse notices blood return in the syringe. What should the
nurse do? - Answer-Withdraw the needle and prepare the
injection again.
The nurse is planning to administer a tuberculin test with a
27-gauge, 3/8-inch needle. The nurse should insert the
needle at an angle of _____ degrees. - Answer-15
The nurse knows to assess for signs of medication toxicity
within older adults because of which physiological
change? - Answer-Reduced glomerular filtration
A registered nurse interprets that a scribbled medication
order reads 25 mg. The nurse administers 25 mg of the
medication to a patient, and then discovers that the dose
was incorrectly interpreted and should have been 15 mg.
Who is ultimately responsible for the error? - Answer-
Nurse
,3|Page
A patient is to receive medication through a nasogastric
tube. What is the most important nursing action to ensure
effective absorption? - Answer-Clamp suction for 30 to 60
minutes after medication administration.
Aspirin is an analgesic, antipyretic, antiplatelet, and anti-
inflammatory agent. A physician writes for aspirin 650 mg
every 4 to 6 hours prn: febrile. For which patient would this
order be appropriate? - Answer-62-year-old female with
pneumonia
A patient is in need of immediate pain relief for a severe
headache. The nurse knows that which medication will be
absorbed the quickest? - Answer-Hydromorphone
(Dilaudid) 4 mg IV
A drug requires a low pH to be metabolized. Knowing this,
the nurse anticipates that the medication will be
administered by which route? - Answer-Oral
The nurse knows that an idiosyncratic event with the
stimulant pseudoephedrine (Sudafed) is occurring when
the patient - Answer-Falls asleep during daily activities.
, 4|Page
A nurse knows that patient education has been effective
when the patient states - Answer-"I will rotate the location
where I give myself injections."
Which statement by the patient is an indication to use the
Z-track method? - Answer-"The last shot like that turned
my skin colors."
A 2-year-old child is ordered to have ear irrigation
performed daily. The nurse correctly performs the
procedure by - Answer-Pulling the auricle down and back
to straighten the ear canal.
A patient has an order to receive 10 units of U-50 insulin.
The nurse is using a U-100 syringe. How many units
should the nurse draw up in the syringe and administer? -
Answer-20 units
A patient has an order to receive 20 units of U-50 insulin.
The nurse is using a U-100 syringe. How many units
should the nurse draw up in the syringe and administer? -
Answer-0.4 mL
NR 224 Fundamentals of Nursing Final Exam Study
Guide, Chamberlain University||Verified Exam!!!||,
2026/2027 -Question NGN-Aligned Examination with
Verified Rationales||Newest Exam!!!
The patient is to receive phenytoin (Dilantin) at 0900. The
nurse knows that the ideal time to draw a trough level is -
Answer-0830.
A patient who has been receiving intermittent
chemotherapy through a peripheral IV site is ordered to
receive a high dose of vancomycin through the same vein.
Why does this concern the nurse? - Answer-
Chemotherapy is irritating to the vascular system and may
cause the vein to infiltrate.
A physician orders 1000 mL of normal saline to infuse at a
rate of 50 mL/hr. The nurse plans on hanging a new bag at
what time? - Answer-20 hours
The nurse is preparing to administer a 0.5-mL rabies
vaccine into the deltoid muscle of a patient. Which needle
size is best for the procedure? - Answer-25 gauge x 5/8
inch
,2|Page
The nurse knows that the purpose of aspiration on IM
injections is to - Answer-Ensure proper placement of the
needle.
The nurse is giving an IM injection. Upon aspiration, the
nurse notices blood return in the syringe. What should the
nurse do? - Answer-Withdraw the needle and prepare the
injection again.
The nurse is planning to administer a tuberculin test with a
27-gauge, 3/8-inch needle. The nurse should insert the
needle at an angle of _____ degrees. - Answer-15
The nurse knows to assess for signs of medication toxicity
within older adults because of which physiological
change? - Answer-Reduced glomerular filtration
A registered nurse interprets that a scribbled medication
order reads 25 mg. The nurse administers 25 mg of the
medication to a patient, and then discovers that the dose
was incorrectly interpreted and should have been 15 mg.
Who is ultimately responsible for the error? - Answer-
Nurse
,3|Page
A patient is to receive medication through a nasogastric
tube. What is the most important nursing action to ensure
effective absorption? - Answer-Clamp suction for 30 to 60
minutes after medication administration.
Aspirin is an analgesic, antipyretic, antiplatelet, and anti-
inflammatory agent. A physician writes for aspirin 650 mg
every 4 to 6 hours prn: febrile. For which patient would this
order be appropriate? - Answer-62-year-old female with
pneumonia
A patient is in need of immediate pain relief for a severe
headache. The nurse knows that which medication will be
absorbed the quickest? - Answer-Hydromorphone
(Dilaudid) 4 mg IV
A drug requires a low pH to be metabolized. Knowing this,
the nurse anticipates that the medication will be
administered by which route? - Answer-Oral
The nurse knows that an idiosyncratic event with the
stimulant pseudoephedrine (Sudafed) is occurring when
the patient - Answer-Falls asleep during daily activities.
, 4|Page
A nurse knows that patient education has been effective
when the patient states - Answer-"I will rotate the location
where I give myself injections."
Which statement by the patient is an indication to use the
Z-track method? - Answer-"The last shot like that turned
my skin colors."
A 2-year-old child is ordered to have ear irrigation
performed daily. The nurse correctly performs the
procedure by - Answer-Pulling the auricle down and back
to straighten the ear canal.
A patient has an order to receive 10 units of U-50 insulin.
The nurse is using a U-100 syringe. How many units
should the nurse draw up in the syringe and administer? -
Answer-20 units
A patient has an order to receive 20 units of U-50 insulin.
The nurse is using a U-100 syringe. How many units
should the nurse draw up in the syringe and administer? -
Answer-0.4 mL
