nr-222-exam-1-practice-questions-and-answersactual--en-asalrea
dy-graded-a — 200 Questions and Answers Already Graded A+
Premium Exam Tested And Verified
Subject Area Fundamentals of Nursing: Health Promotion, Safety, and Clinical Reasoning
Description This exam covers core concepts in nursing fundamentals including the nursing
process, health promotion, safety, infection control, medication administration,
and clinical decision-making. Questions integrate evidence-based practice and
patient-centered care.
Expected Grade A+
Total Questions 200
Duration 3 hours
Learning Outcomes 1. Apply the nursing process to prioritize care for diverse patient populations.
2. Analyze risk factors and implement evidence-based interventions for safety and
infection control.
3. Evaluate medication orders and calculate dosages accurately.
4. Integrate health promotion strategies across the lifespan.
Accreditation Meets AACN Baccalaureate Essentials and CCNE accreditation standards for US
nursing programs.
Page 1
,1. A 72-year-old patient with atrial fibrillation is admitted with acute confusion. The
nurse notes that the patient has been on warfarin for 5 years. Laboratory results
show an INR of 6.8. Which intervention should the nurse prioritize?
A. Hold warfarin and administer vitamin K as prescribed.
B. Administer fresh frozen plasma immediately.
C. Increase the dose of warfarin to achieve therapeutic INR.
D. Monitor for signs of bleeding and repeat INR in 12 hours.
Answer: A. Hold warfarin and administer vitamin K as prescribed.
An INR of 6.8 indicates high risk of bleeding. The priority is to reverse anticoagulation
by holding warfarin and administering vitamin K. Fresh frozen plasma is reserved for
life-threatening bleeding. Increasing warfarin is contraindicated. Monitoring alone is
insufficient.
2. Which of the following best describes the primary purpose of a concept map in
nursing education?
A. To provide a visual representation of a patient's medical history.
B. To illustrate the relationships between nursing diagnoses and interventions.
C. To replace the traditional nursing care plan.
D. To document medication administration and patient responses.
Answer: B. To illustrate the relationships between nursing diagnoses and
interventions.
Concept maps help students organize and integrate complex information, showing how
nursing diagnoses, interventions, and outcomes are interconnected. They are not solely
for medical history, do not replace care plans, and are not used for medication
documentation.
Page 2
,3. A nurse is caring for a patient with a central venous catheter. Which action best
reduces the risk of catheter-related bloodstream infection?
A. Changing the transparent dressing every 7 days.
B. Using sterile technique for all catheter access.
C. Flushing the catheter with heparin daily.
D. Replacing the administration set every 96 hours.
Answer: B. Using sterile technique for all catheter access.
Strict sterile technique during catheter access is the most effective measure to prevent
bloodstream infections. Dressing changes every 7 days are standard but not the
primary preventive action. Heparin flushing prevents occlusion, not infection.
Administration sets are changed every 96 hours but contamination during access is a
greater risk.
4. A patient with chronic kidney disease is prescribed 0.9% sodium chloride at 100
mL/hour. The nurse notes that the patient's urine output has been 20 mL/hour for
the past 4 hours. Which action should the nurse take first?
A. Increase the IV rate to 150 mL/hour.
B. Notify the healthcare provider of possible fluid overload.
C. Administer a bolus of 500 mL normal saline.
D. Continue the current infusion and reassess in 2 hours.
Answer: B. Notify the healthcare provider of possible fluid overload.
Low urine output despite adequate hydration may indicate worsening renal function or
fluid overload. The nurse should report findings to the provider before adjusting rates.
Increasing fluids or giving a bolus could cause fluid overload. Waiting 2 hours delays
intervention.
Page 3
, 5. A nurse is calculating the safe dosage range for a child weighing 20 kg. The
medication order reads: 'Amoxicillin 500 mg PO every 8 hours.' The safe range is
20-40 mg/kg/day. Which of the following is correct?
A. The ordered dose is within the safe range.
B. The ordered dose is below the safe range.
C. The ordered dose exceeds the safe range.
D. The safe range cannot be determined without the child's height.
Answer: C. The ordered dose exceeds the safe range.
The safe daily dose is 20-40 mg/kg/day: for 20 kg, 400-800 mg/day. The ordered dose is
500 mg every 8 hours = 1500 mg/day, which exceeds 800 mg. Thus, it is above the safe
range. Height is irrelevant for weight-based dosing.
6. A nurse is assessing a patient who has been on bed rest for 3 days. Which finding
most indicates the need for increased mobility?
A. Heart rate increases from 72 to 88 bpm when sitting up.
B. Patient reports mild fatigue after repositioning.
C. Bilateral +1 pitting edema in lower extremities.
D. Oxygen saturation of 96% on room air.
Answer: A. Heart rate increases from 72 to 88 bpm when sitting up.
An increase in heart rate of 16 bpm upon sitting up suggests orthostatic intolerance due
to deconditioning. This indicates the need for gradual mobility. Mild fatigue is expected.
+1 edema is common with bed rest but less critical. Oxygen saturation is normal.
Page 4
dy-graded-a — 200 Questions and Answers Already Graded A+
Premium Exam Tested And Verified
Subject Area Fundamentals of Nursing: Health Promotion, Safety, and Clinical Reasoning
Description This exam covers core concepts in nursing fundamentals including the nursing
process, health promotion, safety, infection control, medication administration,
and clinical decision-making. Questions integrate evidence-based practice and
patient-centered care.
Expected Grade A+
Total Questions 200
Duration 3 hours
Learning Outcomes 1. Apply the nursing process to prioritize care for diverse patient populations.
2. Analyze risk factors and implement evidence-based interventions for safety and
infection control.
3. Evaluate medication orders and calculate dosages accurately.
4. Integrate health promotion strategies across the lifespan.
Accreditation Meets AACN Baccalaureate Essentials and CCNE accreditation standards for US
nursing programs.
Page 1
,1. A 72-year-old patient with atrial fibrillation is admitted with acute confusion. The
nurse notes that the patient has been on warfarin for 5 years. Laboratory results
show an INR of 6.8. Which intervention should the nurse prioritize?
A. Hold warfarin and administer vitamin K as prescribed.
B. Administer fresh frozen plasma immediately.
C. Increase the dose of warfarin to achieve therapeutic INR.
D. Monitor for signs of bleeding and repeat INR in 12 hours.
Answer: A. Hold warfarin and administer vitamin K as prescribed.
An INR of 6.8 indicates high risk of bleeding. The priority is to reverse anticoagulation
by holding warfarin and administering vitamin K. Fresh frozen plasma is reserved for
life-threatening bleeding. Increasing warfarin is contraindicated. Monitoring alone is
insufficient.
2. Which of the following best describes the primary purpose of a concept map in
nursing education?
A. To provide a visual representation of a patient's medical history.
B. To illustrate the relationships between nursing diagnoses and interventions.
C. To replace the traditional nursing care plan.
D. To document medication administration and patient responses.
Answer: B. To illustrate the relationships between nursing diagnoses and
interventions.
Concept maps help students organize and integrate complex information, showing how
nursing diagnoses, interventions, and outcomes are interconnected. They are not solely
for medical history, do not replace care plans, and are not used for medication
documentation.
Page 2
,3. A nurse is caring for a patient with a central venous catheter. Which action best
reduces the risk of catheter-related bloodstream infection?
A. Changing the transparent dressing every 7 days.
B. Using sterile technique for all catheter access.
C. Flushing the catheter with heparin daily.
D. Replacing the administration set every 96 hours.
Answer: B. Using sterile technique for all catheter access.
Strict sterile technique during catheter access is the most effective measure to prevent
bloodstream infections. Dressing changes every 7 days are standard but not the
primary preventive action. Heparin flushing prevents occlusion, not infection.
Administration sets are changed every 96 hours but contamination during access is a
greater risk.
4. A patient with chronic kidney disease is prescribed 0.9% sodium chloride at 100
mL/hour. The nurse notes that the patient's urine output has been 20 mL/hour for
the past 4 hours. Which action should the nurse take first?
A. Increase the IV rate to 150 mL/hour.
B. Notify the healthcare provider of possible fluid overload.
C. Administer a bolus of 500 mL normal saline.
D. Continue the current infusion and reassess in 2 hours.
Answer: B. Notify the healthcare provider of possible fluid overload.
Low urine output despite adequate hydration may indicate worsening renal function or
fluid overload. The nurse should report findings to the provider before adjusting rates.
Increasing fluids or giving a bolus could cause fluid overload. Waiting 2 hours delays
intervention.
Page 3
, 5. A nurse is calculating the safe dosage range for a child weighing 20 kg. The
medication order reads: 'Amoxicillin 500 mg PO every 8 hours.' The safe range is
20-40 mg/kg/day. Which of the following is correct?
A. The ordered dose is within the safe range.
B. The ordered dose is below the safe range.
C. The ordered dose exceeds the safe range.
D. The safe range cannot be determined without the child's height.
Answer: C. The ordered dose exceeds the safe range.
The safe daily dose is 20-40 mg/kg/day: for 20 kg, 400-800 mg/day. The ordered dose is
500 mg every 8 hours = 1500 mg/day, which exceeds 800 mg. Thus, it is above the safe
range. Height is irrelevant for weight-based dosing.
6. A nurse is assessing a patient who has been on bed rest for 3 days. Which finding
most indicates the need for increased mobility?
A. Heart rate increases from 72 to 88 bpm when sitting up.
B. Patient reports mild fatigue after repositioning.
C. Bilateral +1 pitting edema in lower extremities.
D. Oxygen saturation of 96% on room air.
Answer: A. Heart rate increases from 72 to 88 bpm when sitting up.
An increase in heart rate of 16 bpm upon sitting up suggests orthostatic intolerance due
to deconditioning. This indicates the need for gradual mobility. Mild fatigue is expected.
+1 edema is common with bed rest but less critical. Oxygen saturation is normal.
Page 4
