Nursing 3305 - FOUNDATIONS FINAL EXAM 2026-2027
LATEST UPDATED VERSION QUESTIONS AND ANSWERS
You are assessing a patient reporting nausea, vomiting and abdominal pain over the past 24 hours.
During a focused assessment, you understand that the best sequence to perform assessment techniques for this
patient is:
A) Inspection, palpation, auscultation
B) Palpation, inspection, auscultation
C) Inspection, auscultation, palpation
D) Auscultation, inspection, palpation - answer>>C) Inspection, auscultation, palpation
In planning care for a patient that recently had a brain attack (CVA/stroke), you've determined it's important to do
neuro checks q 2 hours (not cranial nerve checks).
Name three (3) specific assessments you will complete and compare every 2 hours.
Note: No partial points for this question, you must come up with three valid neuro assessments in order to earn
points. - answer>>I will grab the patient's right hand and ask him to pull it and have him grab my left hand and ask
him to pull it. This will asses his grip and strength of the sides of his body.
I will also put my hands on his feet and ask him to pull his feet towards him and then to put my hands on the back
of his feet and ask him to push on them.
I will also ask the alert and oriented questions x 4 (person, place, reason, and date/time)
I will also be using my pen light to see if his pupils dilate and are reactive using the PERRLA score.
You are assessing a patient after a surgical procedure on the left leg. IV fluids are infusing.
What is a priority assessment for this patient?
A) Taking an oral temperature with an electronic thermometer
B) Checking blood pressure in the arm without an IV
C) Comparing the left pedal pulse with the right pedal pulse
D) Counting the client's respiratory rate for 1 full minute - answer>>C) Comparing the left pedal pulse with the
right pedal pulse
,A healthcare provider ordered Ampicillin 100 mg IV every six hours for an infant weighing 15 pounds.
The suggested dose for infants is 25-50mg/kg/day in equally divided doses.
As the nurse caring for this patient, you should:
A) GIve the medication as ordered.
B) Give half the amount ordered.
C) Check the order with the healthcare provider.
D) Give the ordered amount q12 hours. - answer>>C) Check the order with the healthcare provider.
(the order was too much for the infants weight)
You are caring for a newly admitted patient who has emphysema and is very short of breath.
You should assist this patient to which of the following positions to promote more effective breathing?
A) Semi-Fowler's position with pillows supporting both arms.
B) Supine position with the head of the bed elevated to 15 degrees.
C) Lateral position with a pillow at the back and over the chest to support arms.
D) High-Fowler's position with the arms supported on the overbed table. - answer>>D) High-Fowler's position with
the arms supported on the overbed table.
SBAR stands for - answer>>Situation
Background
Assessment
Recommendation
Phillip Jackson has been admitted to Room 3 in the intensive care unit for heart failure. His RN, Sarah, needs to
report change in condition to the health care provider.
Match SBAR components with the correct example of each component.
S= - answer>>Situation= This Sarah in the ICU I am calling about our patient Phillip Jackson I am very concerned
about his respiratory status.
Phillip Jackson has been admitted to Room 3 in the intensive care unit for heart failure. His RN, Sarah, needs to
report change in condition to the health care provider.
, Match SBAR components with the correct example of each component.
B= - answer>>Background= Mr. Jackson was admitted two days ago and has been receiving furosemide (lasix) IV
But his urine output remains borderline at 30 mL an hour.
Phillip Jackson has been admitted to Room 3 in the intensive care unit for heart failure. His RN, Sarah, needs to
report change in condition to the health care provider.
Match SBAR components with the correct example of each component.
A= - answer>>Assessment= Mr. Jackson has crackles in all lung fields and his saturation is 89% on 10L per non-
rebreather, he has edema in all extremities
Phillip Jackson has been admitted to Room 3 in the intensive care unit for heart failure. His RN, Sarah, needs to
report change in condition to the health care provider.
Match SBAR components with the correct example of each component.
R= - answer>>Recommendation= I think Mr. jackson needs to be evaluated immediately and may need intubation
and medical ventilation.
You are caring for a patient who has been admitted for an "open" (not laparoscopic) cholecystectomy (removal of
gall bladder). Pre-op teaching includes how to correctly use an incentive spirometer.
Which response by the patient lets you know that she needs more education?
A) "It might hurt to do this after surgery, so I should ask for pain medication when I need it."
B) "The reason I need to use this thing is so I don't get pneumonia."
C) "I will take a deep breath, put this in my mouth and blow as hard as I can."
D) "I will need to use this several times every hour after surgery." - answer>>A) "It might hurt to do this after
surgery, so I should ask for pain medication when I need it."
You have administered two blood pressure (BP) medications to a patient and ask the certified nurse assistant
(CNA) to obtain a BP reading in 30 minutes.
The CNA states, "I just took his BP."
What is the most appropriate response?
A) "If his BP drops too much, I may need to discontinue one of the medications."
B)"Take it again so we can be sure nothing else is wrong with him."
C) "If you just took his BP, then recheck it in 2 hours instead."
LATEST UPDATED VERSION QUESTIONS AND ANSWERS
You are assessing a patient reporting nausea, vomiting and abdominal pain over the past 24 hours.
During a focused assessment, you understand that the best sequence to perform assessment techniques for this
patient is:
A) Inspection, palpation, auscultation
B) Palpation, inspection, auscultation
C) Inspection, auscultation, palpation
D) Auscultation, inspection, palpation - answer>>C) Inspection, auscultation, palpation
In planning care for a patient that recently had a brain attack (CVA/stroke), you've determined it's important to do
neuro checks q 2 hours (not cranial nerve checks).
Name three (3) specific assessments you will complete and compare every 2 hours.
Note: No partial points for this question, you must come up with three valid neuro assessments in order to earn
points. - answer>>I will grab the patient's right hand and ask him to pull it and have him grab my left hand and ask
him to pull it. This will asses his grip and strength of the sides of his body.
I will also put my hands on his feet and ask him to pull his feet towards him and then to put my hands on the back
of his feet and ask him to push on them.
I will also ask the alert and oriented questions x 4 (person, place, reason, and date/time)
I will also be using my pen light to see if his pupils dilate and are reactive using the PERRLA score.
You are assessing a patient after a surgical procedure on the left leg. IV fluids are infusing.
What is a priority assessment for this patient?
A) Taking an oral temperature with an electronic thermometer
B) Checking blood pressure in the arm without an IV
C) Comparing the left pedal pulse with the right pedal pulse
D) Counting the client's respiratory rate for 1 full minute - answer>>C) Comparing the left pedal pulse with the
right pedal pulse
,A healthcare provider ordered Ampicillin 100 mg IV every six hours for an infant weighing 15 pounds.
The suggested dose for infants is 25-50mg/kg/day in equally divided doses.
As the nurse caring for this patient, you should:
A) GIve the medication as ordered.
B) Give half the amount ordered.
C) Check the order with the healthcare provider.
D) Give the ordered amount q12 hours. - answer>>C) Check the order with the healthcare provider.
(the order was too much for the infants weight)
You are caring for a newly admitted patient who has emphysema and is very short of breath.
You should assist this patient to which of the following positions to promote more effective breathing?
A) Semi-Fowler's position with pillows supporting both arms.
B) Supine position with the head of the bed elevated to 15 degrees.
C) Lateral position with a pillow at the back and over the chest to support arms.
D) High-Fowler's position with the arms supported on the overbed table. - answer>>D) High-Fowler's position with
the arms supported on the overbed table.
SBAR stands for - answer>>Situation
Background
Assessment
Recommendation
Phillip Jackson has been admitted to Room 3 in the intensive care unit for heart failure. His RN, Sarah, needs to
report change in condition to the health care provider.
Match SBAR components with the correct example of each component.
S= - answer>>Situation= This Sarah in the ICU I am calling about our patient Phillip Jackson I am very concerned
about his respiratory status.
Phillip Jackson has been admitted to Room 3 in the intensive care unit for heart failure. His RN, Sarah, needs to
report change in condition to the health care provider.
, Match SBAR components with the correct example of each component.
B= - answer>>Background= Mr. Jackson was admitted two days ago and has been receiving furosemide (lasix) IV
But his urine output remains borderline at 30 mL an hour.
Phillip Jackson has been admitted to Room 3 in the intensive care unit for heart failure. His RN, Sarah, needs to
report change in condition to the health care provider.
Match SBAR components with the correct example of each component.
A= - answer>>Assessment= Mr. Jackson has crackles in all lung fields and his saturation is 89% on 10L per non-
rebreather, he has edema in all extremities
Phillip Jackson has been admitted to Room 3 in the intensive care unit for heart failure. His RN, Sarah, needs to
report change in condition to the health care provider.
Match SBAR components with the correct example of each component.
R= - answer>>Recommendation= I think Mr. jackson needs to be evaluated immediately and may need intubation
and medical ventilation.
You are caring for a patient who has been admitted for an "open" (not laparoscopic) cholecystectomy (removal of
gall bladder). Pre-op teaching includes how to correctly use an incentive spirometer.
Which response by the patient lets you know that she needs more education?
A) "It might hurt to do this after surgery, so I should ask for pain medication when I need it."
B) "The reason I need to use this thing is so I don't get pneumonia."
C) "I will take a deep breath, put this in my mouth and blow as hard as I can."
D) "I will need to use this several times every hour after surgery." - answer>>A) "It might hurt to do this after
surgery, so I should ask for pain medication when I need it."
You have administered two blood pressure (BP) medications to a patient and ask the certified nurse assistant
(CNA) to obtain a BP reading in 30 minutes.
The CNA states, "I just took his BP."
What is the most appropriate response?
A) "If his BP drops too much, I may need to discontinue one of the medications."
B)"Take it again so we can be sure nothing else is wrong with him."
C) "If you just took his BP, then recheck it in 2 hours instead."
