[NUR 2500 PROFESSIONAL NURSING FINAL EXAM (2026-
2027)] COMPLETE EXAM QUESTIONS AND VERIFIED
ANSWERS | 2026–2027 LATEST UPDATE | GUARANTEED
PASS | DETAILED RATIONALES | FULL STUDY GUIDE | EXAM
PREP | PRACTICE TEST | CERTIFICATION PREPARATION
1. A nurse is caring for a postoperative patient. Which assessment finding requires immediate
intervention?
A. Pain rated 4/10
B. Temperature of 99.1°F (37.3°C)
C. Oxygen saturation of 88% on room air
D. Mild nausea
Correct Answer: C. Oxygen saturation of 88% on room air
Rationale:
An oxygen saturation of 88% indicates inadequate oxygenation and requires immediate assessment
and intervention. The other findings are common postoperative observations that generally do not
pose an immediate threat to life.
2. Which action best demonstrates patient advocacy?
A. Following all provider orders without question
B. Reporting a medication concern before administration
C. Delegating all patient teaching
D. Limiting family involvement
Correct Answer: B. Reporting a medication concern before administration
Rationale:
Patient advocacy includes protecting patients from potential harm and questioning orders that may
be unsafe. The nurse has a professional duty to clarify concerns before administering medications.
3. A nurse is using therapeutic communication. Which statement is most appropriate?
A. "Everything will be fine."
B. "Why are you upset?"
C. "Tell me more about how you are feeling."
D. "You should not worry."
Correct Answer: C. "Tell me more about how you are feeling."
Rationale:
Open-ended questions encourage patients to express concerns and feelings. The other responses
minimize emotions or may sound judgmental.
4. Which patient should the nurse assess first?
A. Stable patient awaiting discharge
B. Patient requesting a blanket
C. Patient with new onset chest pain
D. Patient asking about medications
,Correct Answer: C. Patient with new onset chest pain
Rationale:
Chest pain may indicate a life-threatening cardiovascular event and requires immediate assessment
according to prioritization principles.
5. A nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which task is
appropriate to delegate?
A. Initial patient assessment
B. Care plan development
C. Ambulation of a stable patient
D. Patient education
Correct Answer: C. Ambulation of a stable patient
Rationale:
Stable, routine tasks such as ambulation may be delegated to UAP. Assessment, teaching, and care
planning remain nursing responsibilities.
6. Which principle is essential when maintaining patient confidentiality?
A. Discussing patient information in elevators
B. Sharing information with friends
C. Accessing only necessary records
D. Posting patient updates online
Correct Answer: C. Accessing only necessary records
Rationale:
Confidentiality requires accessing information only for legitimate patient care purposes. The other
actions violate privacy standards.
7. A nurse notes redness over a patient's sacrum. What is the priority nursing action?
A. Apply pressure to the area
B. Reposition the patient
C. Document and ignore
D. Restrict fluid intake
Correct Answer: B. Reposition the patient
Rationale:
Redness may indicate early pressure injury development. Repositioning relieves pressure and helps
prevent tissue damage.
8. Which laboratory value should concern the nurse most?
A. Sodium 140 mEq/L
B. Potassium 2.9 mEq/L
C. Hemoglobin 13 g/dL
D. Glucose 100 mg/dL
Correct Answer: B. Potassium 2.9 mEq/L
Rationale:
Hypokalemia can lead to dangerous cardiac dysrhythmias and requires prompt attention. The other
values are within normal or acceptable ranges.
, 9. A patient refuses treatment. What should the nurse do first?
A. Force compliance
B. Notify security
C. Document refusal only
D. Assess the patient's understanding
Correct Answer: D. Assess the patient's understanding
Rationale:
Patients have the right to refuse treatment. The nurse should first ensure the patient understands the
risks and benefits before further action.
10. Which infection-control practice is most effective in preventing healthcare-associated
infections?
A. Wearing gloves continuously
B. Hand hygiene
C. Limiting visitors
D. Wearing a mask at all times
Correct Answer: B. Hand hygiene
Rationale:
Hand hygiene remains the most effective strategy for reducing transmission of infectious organisms
in healthcare settings.
11. A nurse is caring for a patient with diabetes. Which finding requires immediate action?
A. Blood glucose 55 mg/dL
B. Blood glucose 140 mg/dL
C. Hunger before lunch
D. Mild fatigue
Correct Answer: A. Blood glucose 55 mg/dL
Rationale:
Severe hypoglycemia can rapidly progress to seizures or loss of consciousness and requires prompt
treatment.
12. Which patient statement indicates effective learning about hypertension management?
A. "I will stop medication when I feel better."
B. "I will monitor my blood pressure regularly."
C. "Salt intake does not matter."
D. "Exercise is unnecessary."
Correct Answer: B. "I will monitor my blood pressure regularly."
Rationale:
Regular monitoring supports long-term management. The other statements demonstrate
misunderstandings about hypertension care.
13. What is the primary purpose of informed consent?
A. Protect the hospital
B. Reduce costs
2027)] COMPLETE EXAM QUESTIONS AND VERIFIED
ANSWERS | 2026–2027 LATEST UPDATE | GUARANTEED
PASS | DETAILED RATIONALES | FULL STUDY GUIDE | EXAM
PREP | PRACTICE TEST | CERTIFICATION PREPARATION
1. A nurse is caring for a postoperative patient. Which assessment finding requires immediate
intervention?
A. Pain rated 4/10
B. Temperature of 99.1°F (37.3°C)
C. Oxygen saturation of 88% on room air
D. Mild nausea
Correct Answer: C. Oxygen saturation of 88% on room air
Rationale:
An oxygen saturation of 88% indicates inadequate oxygenation and requires immediate assessment
and intervention. The other findings are common postoperative observations that generally do not
pose an immediate threat to life.
2. Which action best demonstrates patient advocacy?
A. Following all provider orders without question
B. Reporting a medication concern before administration
C. Delegating all patient teaching
D. Limiting family involvement
Correct Answer: B. Reporting a medication concern before administration
Rationale:
Patient advocacy includes protecting patients from potential harm and questioning orders that may
be unsafe. The nurse has a professional duty to clarify concerns before administering medications.
3. A nurse is using therapeutic communication. Which statement is most appropriate?
A. "Everything will be fine."
B. "Why are you upset?"
C. "Tell me more about how you are feeling."
D. "You should not worry."
Correct Answer: C. "Tell me more about how you are feeling."
Rationale:
Open-ended questions encourage patients to express concerns and feelings. The other responses
minimize emotions or may sound judgmental.
4. Which patient should the nurse assess first?
A. Stable patient awaiting discharge
B. Patient requesting a blanket
C. Patient with new onset chest pain
D. Patient asking about medications
,Correct Answer: C. Patient with new onset chest pain
Rationale:
Chest pain may indicate a life-threatening cardiovascular event and requires immediate assessment
according to prioritization principles.
5. A nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which task is
appropriate to delegate?
A. Initial patient assessment
B. Care plan development
C. Ambulation of a stable patient
D. Patient education
Correct Answer: C. Ambulation of a stable patient
Rationale:
Stable, routine tasks such as ambulation may be delegated to UAP. Assessment, teaching, and care
planning remain nursing responsibilities.
6. Which principle is essential when maintaining patient confidentiality?
A. Discussing patient information in elevators
B. Sharing information with friends
C. Accessing only necessary records
D. Posting patient updates online
Correct Answer: C. Accessing only necessary records
Rationale:
Confidentiality requires accessing information only for legitimate patient care purposes. The other
actions violate privacy standards.
7. A nurse notes redness over a patient's sacrum. What is the priority nursing action?
A. Apply pressure to the area
B. Reposition the patient
C. Document and ignore
D. Restrict fluid intake
Correct Answer: B. Reposition the patient
Rationale:
Redness may indicate early pressure injury development. Repositioning relieves pressure and helps
prevent tissue damage.
8. Which laboratory value should concern the nurse most?
A. Sodium 140 mEq/L
B. Potassium 2.9 mEq/L
C. Hemoglobin 13 g/dL
D. Glucose 100 mg/dL
Correct Answer: B. Potassium 2.9 mEq/L
Rationale:
Hypokalemia can lead to dangerous cardiac dysrhythmias and requires prompt attention. The other
values are within normal or acceptable ranges.
, 9. A patient refuses treatment. What should the nurse do first?
A. Force compliance
B. Notify security
C. Document refusal only
D. Assess the patient's understanding
Correct Answer: D. Assess the patient's understanding
Rationale:
Patients have the right to refuse treatment. The nurse should first ensure the patient understands the
risks and benefits before further action.
10. Which infection-control practice is most effective in preventing healthcare-associated
infections?
A. Wearing gloves continuously
B. Hand hygiene
C. Limiting visitors
D. Wearing a mask at all times
Correct Answer: B. Hand hygiene
Rationale:
Hand hygiene remains the most effective strategy for reducing transmission of infectious organisms
in healthcare settings.
11. A nurse is caring for a patient with diabetes. Which finding requires immediate action?
A. Blood glucose 55 mg/dL
B. Blood glucose 140 mg/dL
C. Hunger before lunch
D. Mild fatigue
Correct Answer: A. Blood glucose 55 mg/dL
Rationale:
Severe hypoglycemia can rapidly progress to seizures or loss of consciousness and requires prompt
treatment.
12. Which patient statement indicates effective learning about hypertension management?
A. "I will stop medication when I feel better."
B. "I will monitor my blood pressure regularly."
C. "Salt intake does not matter."
D. "Exercise is unnecessary."
Correct Answer: B. "I will monitor my blood pressure regularly."
Rationale:
Regular monitoring supports long-term management. The other statements demonstrate
misunderstandings about hypertension care.
13. What is the primary purpose of informed consent?
A. Protect the hospital
B. Reduce costs
