NR302 Final Comprehensive Exam
Questions and Answers / NR 302 Final
Exam Latest Chamberlain College of
Nursing |100% Correct Q & A
1. While making rounds, the nurse finds a patient on the floor in the hall. Which
should be the nurse's initial response?
a. Transfer the patient back to bed
b. Move the patient to the closest chair
c. Report the patient's condition to the nurse manager
d. Inspect the patient for injury
Correct ,,,answer,,,,: d. Inspect the patient for injury
Rationale: Before moving the patient or calling for help, the nurse's first priority is
to assess the patient for any injuries sustained during the fall. Moving the patient
without an assessment could worsen a potential spinal injury or other trauma.
2. Which should the nurse do to avoid patient accidents?
a. Provide a cane for walking if the patient is weak
b. Apply a vest restraint when a patient is using the wheelchair
c. Keep the overbed table in front of a patient sitting in a chair
d. Determine the strength of a patient before walking
Correct ,,,answer,,,,: d. Determine the strength of a patient before walking
,Rationale: Assessing a patient's muscle strength and ability to bear weight before
ambulation is a critical safety measure. This allows the nurse to determine the
appropriate level of assistance needed and select the correct mobility device, if
any, thereby preventing falls.
3. Which assessment by the nurse most likely indicates that a patient is having
difficulty breathing?
a. 18 breaths per minute and inhaled through the mouth
b. 20 breaths per minute and shallow in character
c. 16 breaths per minute and deep in character
d. 28 breaths per minute and noisy
Correct ,,,answer,,,,: d. 28 breaths per minute and noisy
Rationale: A respiratory rate of 28 is tachypneic (abnormally fast) and indicates
respiratory distress. Noisy breathing, such as stridor or audible wheezing, suggests
an airway obstruction. The combination of tachypnea and noisy breathing are clear,
objective signs that a patient is struggling to breathe effectively.
4. Which should a nurse always do when taking a rectal temperature?
a. Allow self-insertion of the thermometer
b. Position the patient on the left side
c. Use an electronic thermometer
d. Lubricate the thermometer
Correct ,,,answer,,,,: d. Lubricate the thermometer
,Rationale: Lubrication of the thermometer is mandatory for rectal temperature
measurement to prevent trauma to the rectal mucosa and to facilitate comfortable
insertion. Failing to lubricate can cause pain, bleeding, and a vagal response.
5. A nurse is assessing a patient's ideal body weight. Which significant factor
should be taken into consideration when performing this assessment?
a. Daily intake
b. Clothing size
c. Food preferences
d. Body height
Correct ,,,answer,,,,: d. Body height
Rationale: Ideal body weight (IBW) is calculated using a person's height and
frame size. Height is the most significant factor, as standard IBW formulas (like
the Hamwi method) are based on a baseline weight for a given height, with
adjustments for gender and body frame.
6. A nurse asks a patient's wife specific questions about the patient's health status
before admission. When collecting this information, the nurse is seeking
information from a:
a. Primary source
b. Tertiary sources
c. Subjective source
d. Secondary source
Correct ,,,answer,,,,: d. Secondary source
, Rationale: The patient is the primary source of information. A secondary source is
anyone else who provides information about the patient, such as a family member
(the wife), a friend, or another healthcare provider. This is especially useful if the
patient is unable to provide their own history.
7. A nurse is performing a physical assessment of a newly admitted patient. Which
patient statement communicates subjective data?
a. "I have sores between my toes."
b. "I dye my hair but it is really gray."
c. "My left leg drags on the floor when I am walking."
d. "My joints hurt when I get up in the morning."
Correct ,,,answer,,,,: d. "My joints hurt when I get up in the morning."
Rationale: Subjective data consists of information that is reported by the patient
and cannot be directly observed or verified by the nurse. It is the patient's
perception and feeling. "My joints hurt" is a symptom only the patient can feel and
report, making it subjective data.
8. Which is an example of nonverbal communication?
a. Letter
b. Noise in the room
c. Telephone message
d. Holding hands
Correct ,,,answer,,,,: d. Holding hands
Questions and Answers / NR 302 Final
Exam Latest Chamberlain College of
Nursing |100% Correct Q & A
1. While making rounds, the nurse finds a patient on the floor in the hall. Which
should be the nurse's initial response?
a. Transfer the patient back to bed
b. Move the patient to the closest chair
c. Report the patient's condition to the nurse manager
d. Inspect the patient for injury
Correct ,,,answer,,,,: d. Inspect the patient for injury
Rationale: Before moving the patient or calling for help, the nurse's first priority is
to assess the patient for any injuries sustained during the fall. Moving the patient
without an assessment could worsen a potential spinal injury or other trauma.
2. Which should the nurse do to avoid patient accidents?
a. Provide a cane for walking if the patient is weak
b. Apply a vest restraint when a patient is using the wheelchair
c. Keep the overbed table in front of a patient sitting in a chair
d. Determine the strength of a patient before walking
Correct ,,,answer,,,,: d. Determine the strength of a patient before walking
,Rationale: Assessing a patient's muscle strength and ability to bear weight before
ambulation is a critical safety measure. This allows the nurse to determine the
appropriate level of assistance needed and select the correct mobility device, if
any, thereby preventing falls.
3. Which assessment by the nurse most likely indicates that a patient is having
difficulty breathing?
a. 18 breaths per minute and inhaled through the mouth
b. 20 breaths per minute and shallow in character
c. 16 breaths per minute and deep in character
d. 28 breaths per minute and noisy
Correct ,,,answer,,,,: d. 28 breaths per minute and noisy
Rationale: A respiratory rate of 28 is tachypneic (abnormally fast) and indicates
respiratory distress. Noisy breathing, such as stridor or audible wheezing, suggests
an airway obstruction. The combination of tachypnea and noisy breathing are clear,
objective signs that a patient is struggling to breathe effectively.
4. Which should a nurse always do when taking a rectal temperature?
a. Allow self-insertion of the thermometer
b. Position the patient on the left side
c. Use an electronic thermometer
d. Lubricate the thermometer
Correct ,,,answer,,,,: d. Lubricate the thermometer
,Rationale: Lubrication of the thermometer is mandatory for rectal temperature
measurement to prevent trauma to the rectal mucosa and to facilitate comfortable
insertion. Failing to lubricate can cause pain, bleeding, and a vagal response.
5. A nurse is assessing a patient's ideal body weight. Which significant factor
should be taken into consideration when performing this assessment?
a. Daily intake
b. Clothing size
c. Food preferences
d. Body height
Correct ,,,answer,,,,: d. Body height
Rationale: Ideal body weight (IBW) is calculated using a person's height and
frame size. Height is the most significant factor, as standard IBW formulas (like
the Hamwi method) are based on a baseline weight for a given height, with
adjustments for gender and body frame.
6. A nurse asks a patient's wife specific questions about the patient's health status
before admission. When collecting this information, the nurse is seeking
information from a:
a. Primary source
b. Tertiary sources
c. Subjective source
d. Secondary source
Correct ,,,answer,,,,: d. Secondary source
, Rationale: The patient is the primary source of information. A secondary source is
anyone else who provides information about the patient, such as a family member
(the wife), a friend, or another healthcare provider. This is especially useful if the
patient is unable to provide their own history.
7. A nurse is performing a physical assessment of a newly admitted patient. Which
patient statement communicates subjective data?
a. "I have sores between my toes."
b. "I dye my hair but it is really gray."
c. "My left leg drags on the floor when I am walking."
d. "My joints hurt when I get up in the morning."
Correct ,,,answer,,,,: d. "My joints hurt when I get up in the morning."
Rationale: Subjective data consists of information that is reported by the patient
and cannot be directly observed or verified by the nurse. It is the patient's
perception and feeling. "My joints hurt" is a symptom only the patient can feel and
report, making it subjective data.
8. Which is an example of nonverbal communication?
a. Letter
b. Noise in the room
c. Telephone message
d. Holding hands
Correct ,,,answer,,,,: d. Holding hands
