NR 224: FINAL EXAM 300 ACTUAL QUESTIONS AND
CORRECT ANSWERS ALREADY GRADED A+
NEW!!!!!!!!!!!!!!!!!!!!
This 301-question NR 224 Final Exam practice bank provides comprehensive
nursing fundamentals review. Each question covers essential topics including
the nursing process (ADPIE), infection control and aseptic technique,
medication administration (oral, IM, subcut, intradermal, sublingual, otic),
wound care and pressure ulcer staging, oxygen therapy and respiratory
interventions, urinary catheterization and elimination, enteral nutrition and
tube feeding, blood transfusion reactions and monitoring, mobility and
immobility complications, vital signs assessment, and patient safety. Each
question includes four answer choices, a correct answer, and a detailed
rationale explaining the underlying nursing principles and clinical reasoning.
No questions are repeated, ensuring thorough, non-redundant exam
preparation.
1. A nurse is using the nursing process to care for a patient. In which phase would
the nurse collect subjective and objective data about the patient?
A) Planning
B) Assessment
C) Implementation
D) Evaluation
Correct Answer: B
Rationale: The nursing process consists of five steps: Assessment, Diagnosis,
Planning, Implementation, and Evaluation (ADPIE). Assessment is the first step
and involves collecting subjective and objective data about the patient's health
status .
2. A nurse documents "Patient states, 'I am having pain in my right knee.'" This is
an example of which type of data?
A) Objective data
B) Subjective data
C) Assessment data
D) Evaluation data
,Correct Answer: B
Rationale: Subjective data are data that the patient reports, including symptoms,
feelings, perceptions, and history. Objective data are observable and measurable
(e.g., vital signs, physical examination findings) .
3. The nurse is formulating a nursing diagnosis. Which statement represents a
correctly written nursing diagnosis?
A) Pneumonia related to infection
B) Risk for infection related to surgical incision
C) Impaired gas exchange related to pneumonia as evidenced by oxygen saturation
of 88%
D) Diabetes mellitus
Correct Answer: C
Rationale: A correctly written nursing diagnosis includes the problem, the etiology,
and the defining characteristics. A medical diagnosis is not a nursing diagnosis,
and risk for diagnoses do not have evidence since the problem has not yet occurred
.
4. A nurse is evaluating whether a patient has met the goal of "Patient will
ambulate 50 feet with assistance by the end of the shift." This is an example of
which phase of the nursing process?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
Correct Answer: D
Rationale: Evaluation involves determining the effectiveness of interventions by
comparing the patient's actual outcomes to the expected goals. Assessment is data
collection, diagnosis identifies the problem, implementation is the action phase .
5. A nurse has seen many cancer patients struggle with pain management because
they are afraid of becoming addicted to the medicine. By helping patients focus on
their values and beliefs about pain control, a nurse can best make clinical
decisions. This is an example of:
,A) Creativity
B) Fairness
C) Clinical reasoning
D) Applying ethical criteria
Correct Answer: C
Rationale: Clinical reasoning is the process of analyzing information and making
decisions based on patient values, clinical knowledge, and evidence .
6. A nurse is preparing medications for a patient. The nurse checks the name of the
medication on the label with the name of the medication on the doctor's order. At
the bedside, the nurse checks the patient's name against the medication order as
well. The nurse is following which critical thinking attitude?
A) Responsibility
B) Humility
C) Accuracy
D) Fairness
Correct Answer: A
Rationale: Responsibility is a critical thinking attitude that involves following
through on obligations and ensuring accuracy in practice. Checking the medication
label and patient identification demonstrates accountability .
7. In which order will the nurse use the nursing process steps during clinical
decision-making?
A) Evaluating goals, assessing patient needs, planning priorities of care,
determining nursing diagnosis, implementing nursing interventions
B) Assessing patient needs, determining nursing diagnosis, planning priorities of
care, implementing nursing interventions, evaluating goals
C) Planning priorities of care, assessing patient needs, implementing nursing
interventions, evaluating goals, determining nursing diagnosis
D) Determining nursing diagnosis, assessing patient needs, planning priorities of
care, evaluating goals, implementing nursing interventions
Correct Answer: B
, Rationale: The nursing process follows a specific order: Assessment, Diagnosis,
Planning, Implementation, and Evaluation. This systematic approach guides
clinical decision-making .
8. The nurse is caring for a school-aged child who has injured the right leg after a
bicycle accident. Which signs and symptoms will the nurse assess for to determine
if the child is experiencing a localized inflammatory response?
A) Malaise, anorexia, enlarged lymph nodes, and increased white blood cells
B) Dizziness and disorientation to time, date, and place
C) Edema, redness, tenderness, and loss of function
D) Chest pain, shortness of breath, and nausea and vomiting
Correct Answer: C
Rationale: Localized inflammatory response signs include edema, redness,
tenderness, and loss of function. Malaise, fever, and enlarged lymph nodes are
systemic signs .
9. The nurse is dressed and is preparing to care for a patient in the perioperative
area. The nurse has scrubbed hands and has donned a sterile gown and gloves.
Which action will indicate a break in sterile technique?
A) Staying with the sterile table once it is open
B) Standing with hands above the waist area
C) Touching clean protective eyewear
D) Accepting sterile supplies from the surgeon
Correct Answer: C
Rationale: Touching clean protective eyewear breaks sterile technique because the
gown and gloves are sterile and should only touch sterile objects. The area of
sterility is from the waist up to the shoulders .
10. The nurse is caring for a patient with an incision. Which actions will best
indicate an understanding of medical and surgical asepsis for a sterile dressing
change?
A) Utilizing clean gloves to remove the dressing and clean supplies for the new
dressing
B) Donning sterile gown and gloves to remove the wound dressing
C) Utilizing clean gloves to remove the dressing and sterile supplies for the new
dressing
CORRECT ANSWERS ALREADY GRADED A+
NEW!!!!!!!!!!!!!!!!!!!!
This 301-question NR 224 Final Exam practice bank provides comprehensive
nursing fundamentals review. Each question covers essential topics including
the nursing process (ADPIE), infection control and aseptic technique,
medication administration (oral, IM, subcut, intradermal, sublingual, otic),
wound care and pressure ulcer staging, oxygen therapy and respiratory
interventions, urinary catheterization and elimination, enteral nutrition and
tube feeding, blood transfusion reactions and monitoring, mobility and
immobility complications, vital signs assessment, and patient safety. Each
question includes four answer choices, a correct answer, and a detailed
rationale explaining the underlying nursing principles and clinical reasoning.
No questions are repeated, ensuring thorough, non-redundant exam
preparation.
1. A nurse is using the nursing process to care for a patient. In which phase would
the nurse collect subjective and objective data about the patient?
A) Planning
B) Assessment
C) Implementation
D) Evaluation
Correct Answer: B
Rationale: The nursing process consists of five steps: Assessment, Diagnosis,
Planning, Implementation, and Evaluation (ADPIE). Assessment is the first step
and involves collecting subjective and objective data about the patient's health
status .
2. A nurse documents "Patient states, 'I am having pain in my right knee.'" This is
an example of which type of data?
A) Objective data
B) Subjective data
C) Assessment data
D) Evaluation data
,Correct Answer: B
Rationale: Subjective data are data that the patient reports, including symptoms,
feelings, perceptions, and history. Objective data are observable and measurable
(e.g., vital signs, physical examination findings) .
3. The nurse is formulating a nursing diagnosis. Which statement represents a
correctly written nursing diagnosis?
A) Pneumonia related to infection
B) Risk for infection related to surgical incision
C) Impaired gas exchange related to pneumonia as evidenced by oxygen saturation
of 88%
D) Diabetes mellitus
Correct Answer: C
Rationale: A correctly written nursing diagnosis includes the problem, the etiology,
and the defining characteristics. A medical diagnosis is not a nursing diagnosis,
and risk for diagnoses do not have evidence since the problem has not yet occurred
.
4. A nurse is evaluating whether a patient has met the goal of "Patient will
ambulate 50 feet with assistance by the end of the shift." This is an example of
which phase of the nursing process?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
Correct Answer: D
Rationale: Evaluation involves determining the effectiveness of interventions by
comparing the patient's actual outcomes to the expected goals. Assessment is data
collection, diagnosis identifies the problem, implementation is the action phase .
5. A nurse has seen many cancer patients struggle with pain management because
they are afraid of becoming addicted to the medicine. By helping patients focus on
their values and beliefs about pain control, a nurse can best make clinical
decisions. This is an example of:
,A) Creativity
B) Fairness
C) Clinical reasoning
D) Applying ethical criteria
Correct Answer: C
Rationale: Clinical reasoning is the process of analyzing information and making
decisions based on patient values, clinical knowledge, and evidence .
6. A nurse is preparing medications for a patient. The nurse checks the name of the
medication on the label with the name of the medication on the doctor's order. At
the bedside, the nurse checks the patient's name against the medication order as
well. The nurse is following which critical thinking attitude?
A) Responsibility
B) Humility
C) Accuracy
D) Fairness
Correct Answer: A
Rationale: Responsibility is a critical thinking attitude that involves following
through on obligations and ensuring accuracy in practice. Checking the medication
label and patient identification demonstrates accountability .
7. In which order will the nurse use the nursing process steps during clinical
decision-making?
A) Evaluating goals, assessing patient needs, planning priorities of care,
determining nursing diagnosis, implementing nursing interventions
B) Assessing patient needs, determining nursing diagnosis, planning priorities of
care, implementing nursing interventions, evaluating goals
C) Planning priorities of care, assessing patient needs, implementing nursing
interventions, evaluating goals, determining nursing diagnosis
D) Determining nursing diagnosis, assessing patient needs, planning priorities of
care, evaluating goals, implementing nursing interventions
Correct Answer: B
, Rationale: The nursing process follows a specific order: Assessment, Diagnosis,
Planning, Implementation, and Evaluation. This systematic approach guides
clinical decision-making .
8. The nurse is caring for a school-aged child who has injured the right leg after a
bicycle accident. Which signs and symptoms will the nurse assess for to determine
if the child is experiencing a localized inflammatory response?
A) Malaise, anorexia, enlarged lymph nodes, and increased white blood cells
B) Dizziness and disorientation to time, date, and place
C) Edema, redness, tenderness, and loss of function
D) Chest pain, shortness of breath, and nausea and vomiting
Correct Answer: C
Rationale: Localized inflammatory response signs include edema, redness,
tenderness, and loss of function. Malaise, fever, and enlarged lymph nodes are
systemic signs .
9. The nurse is dressed and is preparing to care for a patient in the perioperative
area. The nurse has scrubbed hands and has donned a sterile gown and gloves.
Which action will indicate a break in sterile technique?
A) Staying with the sterile table once it is open
B) Standing with hands above the waist area
C) Touching clean protective eyewear
D) Accepting sterile supplies from the surgeon
Correct Answer: C
Rationale: Touching clean protective eyewear breaks sterile technique because the
gown and gloves are sterile and should only touch sterile objects. The area of
sterility is from the waist up to the shoulders .
10. The nurse is caring for a patient with an incision. Which actions will best
indicate an understanding of medical and surgical asepsis for a sterile dressing
change?
A) Utilizing clean gloves to remove the dressing and clean supplies for the new
dressing
B) Donning sterile gown and gloves to remove the wound dressing
C) Utilizing clean gloves to remove the dressing and sterile supplies for the new
dressing
