NEIEP 200 Final Exam | Actual Questions and
Answers | 2025 Update | 100% Correct
1. A nurse is preparing to administer the first dose of intravenous ceftriaxone to a
patient with a documented penicillin allergy. What is the priority nursing
action? A. Administer the medication slowly over 60 minutes B. Verify the
allergy history and consult the provider for an alternative antibiotic C.
Premedicate with diphenhydramine D. Monitor for signs of anaphylaxis after
administration Correct Answer: B. Verify the allergy history and consult the
provider for an alternative antibiotic Rationale: Cross-reactivity between
penicillins and cephalosporins exists, and administering a cephalosporin
without provider clarification risks a severe allergic reaction. Safety protocols
require verification and alternative selection before administration.
2. Which assessment finding in a postoperative patient indicates the highest risk
for venous thromboembolism? A. Temperature of 37.8°C B. Unilateral calf
swelling and warmth C. Mild incisional pain D. Heart rate of 88 beats per
minute Correct Answer: B. Unilateral calf swelling and warmth Rationale:
Unilateral leg swelling, warmth, and pain are classic signs of deep vein
thrombosis, a precursor to pulmonary embolism. Early recognition prevents
life-threatening complications through prompt diagnostic imaging and
anticoagulation.
3. A patient with chronic heart failure is prescribed furosemide 40 mg orally daily.
Which laboratory value requires immediate notification of the provider? A.
Sodium 138 mEq/L B. Potassium 3.0 mEq/L C. Blood urea nitrogen 22 mg/dL D.
Creatinine 1.1 mg/dL Correct Answer: B. Potassium 3.0 mEq/L Rationale: Loop
, diuretics like furosemide cause potassium wasting, and a level of 3.0 mEq/L
indicates hypokalemia, which increases the risk of cardiac arrhythmias. Prompt
replacement and dose adjustment are clinically indicated.
4. During a code blue, which team member is responsible for maintaining the
airway and providing ventilation? A. Team leader B. Medication nurse C.
Airway manager D. Compressor Correct Answer: C. Airway manager Rationale:
Role clarity during cardiac arrest improves resuscitation outcomes. The airway
manager focuses exclusively on bag-valve-mask ventilation, advanced airway
placement, and ensuring adequate oxygenation and CO2 clearance.
5. A nurse is teaching a patient about sublingual nitroglycerin for angina. Which
statement indicates a need for further teaching? A. I will sit down before
taking the medication B. I can take up to three tablets five minutes apart if
pain persists C. I will store the tablets in my bathroom medicine cabinet D. I
should call emergency services if pain does not resolve after three doses
Correct Answer: C. I will store the tablets in my bathroom medicine cabinet
Rationale: Nitroglycerin is highly sensitive to heat, moisture, and light, which
degrade its potency. It must be stored in its original dark glass container at
room temperature, away from humidity and sunlight.
6. Which intervention best demonstrates culturally competent care in a pediatric
oncology setting? A. Assuming all families prefer direct, factual communication
B. Asking the family about their beliefs regarding illness, treatment, and
decision-making C. Limiting visitor access to reduce infection risk regardless of
family structure D. Providing educational materials only in English Correct
Answer: B. Asking the family about their beliefs regarding illness, treatment,
and decision-making Rationale: Cultural competence requires active inquiry
, and respect for diverse health beliefs, family dynamics, and communication
preferences, which directly impacts treatment adherence and trust.
7. A patient receiving a continuous insulin infusion has a blood glucose of 52
mg/dL. What is the nurse’s immediate action? A. Decrease the infusion rate by
50% B. Administer 50 mL of 50% dextrose intravenously and hold the insulin C.
Recheck glucose in 15 minutes D. Notify the provider and continue monitoring
Correct Answer: B. Administer 50 mL of 50% dextrose intravenously and hold
the insulin Rationale: Severe hypoglycemia requires immediate glucose
replacement to prevent neuroglycopenic injury. Holding the insulin prevents
further glucose decline while dextrose rapidly restores normoglycemia.
8. Which documentation practice best supports legal protection and continuity of
care? A. Charting interventions before they are completed B. Using
abbreviations approved by the institution C. Documenting assessments in real
time with objective, factual language D. Writing narrative notes only at shift
end Correct Answer: C. Documenting assessments in real time with objective,
factual language Rationale: Timely, objective documentation creates an
accurate clinical record, reduces recall bias, and meets legal and accreditation
standards for patient safety and care coordination.
9. A patient with a nasogastric tube requires medication administration. Which
action ensures safety? A. Crush all medications and mix them together B. Flush
with 10 mL of water before and after each medication C. Verify tube
placement by auscultating air insufflation D. Administer extended-release
tablets crushed in sterile water Correct Answer: B. Flush with 10 mL of water
before and after each medication Rationale: Flushing maintains tube patency
, and prevents drug interactions or clogging. Auscultation alone is unreliable for
placement verification; radiographic confirmation or pH testing is required.
10.Which finding in a patient with pneumonia indicates clinical improvement? A.
Increased respiratory rate from 24 to 28 breaths per minute B. Oxygen
saturation improving from 89% to 94% on room air C. Persistent crackles
bilaterally D. Elevated white blood cell count Correct Answer: B. Oxygen
saturation improving from 89% to 94% on room air Rationale: Improved
oxygenation reflects resolving alveolar consolidation and adequate gas
exchange, signaling therapeutic response to antibiotics and supportive care.
11.A nurse is caring for a patient with a suspected opioid overdose. Which
intervention takes priority? A. Administer naloxone intravenously B. Obtain a
urine toxicology screen C. Place the patient in a supine position D. Start
intravenous fluid resuscitation Correct Answer: A. Administer naloxone
intravenously Rationale: Reversing respiratory depression is the immediate
priority in opioid overdose. Naloxone rapidly restores airway patency and
ventilation while other assessments can follow.
12.Which principle of infection control is most effective in preventing healthcare-
associated infections? A. Wearing gowns for all patient contact B. Performing
hand hygiene before and after every patient interaction C. Using alcohol-based
hand rubs only when gloves are worn D. Isolating patients with fever Correct
Answer: B. Performing hand hygiene before and after every patient
interaction Rationale: Hand hygiene is the single most evidence-based
intervention for reducing pathogen transmission. It breaks the chain of
infection regardless of visible contamination or glove use.
Answers | 2025 Update | 100% Correct
1. A nurse is preparing to administer the first dose of intravenous ceftriaxone to a
patient with a documented penicillin allergy. What is the priority nursing
action? A. Administer the medication slowly over 60 minutes B. Verify the
allergy history and consult the provider for an alternative antibiotic C.
Premedicate with diphenhydramine D. Monitor for signs of anaphylaxis after
administration Correct Answer: B. Verify the allergy history and consult the
provider for an alternative antibiotic Rationale: Cross-reactivity between
penicillins and cephalosporins exists, and administering a cephalosporin
without provider clarification risks a severe allergic reaction. Safety protocols
require verification and alternative selection before administration.
2. Which assessment finding in a postoperative patient indicates the highest risk
for venous thromboembolism? A. Temperature of 37.8°C B. Unilateral calf
swelling and warmth C. Mild incisional pain D. Heart rate of 88 beats per
minute Correct Answer: B. Unilateral calf swelling and warmth Rationale:
Unilateral leg swelling, warmth, and pain are classic signs of deep vein
thrombosis, a precursor to pulmonary embolism. Early recognition prevents
life-threatening complications through prompt diagnostic imaging and
anticoagulation.
3. A patient with chronic heart failure is prescribed furosemide 40 mg orally daily.
Which laboratory value requires immediate notification of the provider? A.
Sodium 138 mEq/L B. Potassium 3.0 mEq/L C. Blood urea nitrogen 22 mg/dL D.
Creatinine 1.1 mg/dL Correct Answer: B. Potassium 3.0 mEq/L Rationale: Loop
, diuretics like furosemide cause potassium wasting, and a level of 3.0 mEq/L
indicates hypokalemia, which increases the risk of cardiac arrhythmias. Prompt
replacement and dose adjustment are clinically indicated.
4. During a code blue, which team member is responsible for maintaining the
airway and providing ventilation? A. Team leader B. Medication nurse C.
Airway manager D. Compressor Correct Answer: C. Airway manager Rationale:
Role clarity during cardiac arrest improves resuscitation outcomes. The airway
manager focuses exclusively on bag-valve-mask ventilation, advanced airway
placement, and ensuring adequate oxygenation and CO2 clearance.
5. A nurse is teaching a patient about sublingual nitroglycerin for angina. Which
statement indicates a need for further teaching? A. I will sit down before
taking the medication B. I can take up to three tablets five minutes apart if
pain persists C. I will store the tablets in my bathroom medicine cabinet D. I
should call emergency services if pain does not resolve after three doses
Correct Answer: C. I will store the tablets in my bathroom medicine cabinet
Rationale: Nitroglycerin is highly sensitive to heat, moisture, and light, which
degrade its potency. It must be stored in its original dark glass container at
room temperature, away from humidity and sunlight.
6. Which intervention best demonstrates culturally competent care in a pediatric
oncology setting? A. Assuming all families prefer direct, factual communication
B. Asking the family about their beliefs regarding illness, treatment, and
decision-making C. Limiting visitor access to reduce infection risk regardless of
family structure D. Providing educational materials only in English Correct
Answer: B. Asking the family about their beliefs regarding illness, treatment,
and decision-making Rationale: Cultural competence requires active inquiry
, and respect for diverse health beliefs, family dynamics, and communication
preferences, which directly impacts treatment adherence and trust.
7. A patient receiving a continuous insulin infusion has a blood glucose of 52
mg/dL. What is the nurse’s immediate action? A. Decrease the infusion rate by
50% B. Administer 50 mL of 50% dextrose intravenously and hold the insulin C.
Recheck glucose in 15 minutes D. Notify the provider and continue monitoring
Correct Answer: B. Administer 50 mL of 50% dextrose intravenously and hold
the insulin Rationale: Severe hypoglycemia requires immediate glucose
replacement to prevent neuroglycopenic injury. Holding the insulin prevents
further glucose decline while dextrose rapidly restores normoglycemia.
8. Which documentation practice best supports legal protection and continuity of
care? A. Charting interventions before they are completed B. Using
abbreviations approved by the institution C. Documenting assessments in real
time with objective, factual language D. Writing narrative notes only at shift
end Correct Answer: C. Documenting assessments in real time with objective,
factual language Rationale: Timely, objective documentation creates an
accurate clinical record, reduces recall bias, and meets legal and accreditation
standards for patient safety and care coordination.
9. A patient with a nasogastric tube requires medication administration. Which
action ensures safety? A. Crush all medications and mix them together B. Flush
with 10 mL of water before and after each medication C. Verify tube
placement by auscultating air insufflation D. Administer extended-release
tablets crushed in sterile water Correct Answer: B. Flush with 10 mL of water
before and after each medication Rationale: Flushing maintains tube patency
, and prevents drug interactions or clogging. Auscultation alone is unreliable for
placement verification; radiographic confirmation or pH testing is required.
10.Which finding in a patient with pneumonia indicates clinical improvement? A.
Increased respiratory rate from 24 to 28 breaths per minute B. Oxygen
saturation improving from 89% to 94% on room air C. Persistent crackles
bilaterally D. Elevated white blood cell count Correct Answer: B. Oxygen
saturation improving from 89% to 94% on room air Rationale: Improved
oxygenation reflects resolving alveolar consolidation and adequate gas
exchange, signaling therapeutic response to antibiotics and supportive care.
11.A nurse is caring for a patient with a suspected opioid overdose. Which
intervention takes priority? A. Administer naloxone intravenously B. Obtain a
urine toxicology screen C. Place the patient in a supine position D. Start
intravenous fluid resuscitation Correct Answer: A. Administer naloxone
intravenously Rationale: Reversing respiratory depression is the immediate
priority in opioid overdose. Naloxone rapidly restores airway patency and
ventilation while other assessments can follow.
12.Which principle of infection control is most effective in preventing healthcare-
associated infections? A. Wearing gowns for all patient contact B. Performing
hand hygiene before and after every patient interaction C. Using alcohol-based
hand rubs only when gloves are worn D. Isolating patients with fever Correct
Answer: B. Performing hand hygiene before and after every patient
interaction Rationale: Hand hygiene is the single most evidence-based
intervention for reducing pathogen transmission. It breaks the chain of
infection regardless of visible contamination or glove use.
