Chamberlain College of Nursing NR
224 Exam
1. Which of the following is the primary purpose of the nursing process?
A. To provide a structured approach to patient care
B. To implement standardized procedures
C. To ensure compliance with hospital policies
D. To facilitate communication between different healthcare providers
Answer: A. To provide a structured approach to patient care
2. A nurse is preparing to administer medication to a patient. Which step of the
medication administration process is being performed when the nurse verifies the
medication order with the patient's MAR (Medication Administration Record)?
A. Assessment
B. Implementation
C. Evaluation
D. Planning
Answer: B. Implementation
3. When assessing a patient's vital signs, the nurse notes that the patient's blood
pressure is 180/110 mmHg. This finding is classified as:
A. Normal
B. Elevated
,C. Hypertension Stage 1
D. Hypertension Stage 2
Answer: D. Hypertension Stage 2
4. A nurse is teaching a patient about dietary changes to manage diabetes. Which of
the following should be included in the teaching plan?
A. Increase intake of sugary snacks for quick energy
B. Limit the intake of high-fiber foods
C. Eat small, frequent meals to maintain stable blood sugar levels
D. Avoid all fruits as they contain sugar
Answer: C. Eat small, frequent meals to maintain stable blood sugar levels
5. In which situation should the nurse use sterile technique?
A. Changing a bed linen
B. Administering oral medication
C. Inserting a Foley catheter
D. Providing patient hygiene
Answer: C. Inserting a Foley catheter
6. Which of the following is a priority nursing intervention for a patient experiencing
chest pain?
,A. Administering an antipyretic
B. Providing a warm blanket
C. Performing a thorough pain assessment
D. Encouraging the patient to ambulate
Answer: C. Performing a thorough pain assessment
7. A patient has been prescribed a diuretic. Which of the following assessments is
most important for the nurse to perform?
A. Daily weight
B. Blood glucose level
C. Respiratory rate
D. Skin turgor
Answer: A. Daily weight
8. The nurse is planning care for a patient with a new colostomy. Which of the
following interventions is appropriate?
A. Teach the patient to irrigate the colostomy daily
B. Instruct the patient to avoid all foods high in fiber
C. Encourage the patient to participate in colostomy care
D. Apply an adhesive dressing over the colostomy site
, Answer: C. Encourage the patient to participate in colostomy care
9. During a routine physical examination, the nurse notes that the patient has a rapid
heart rate. What is the appropriate initial action?
A. Administer a prescribed antiarrhythmic medication
B. Perform a focused cardiovascular assessment
C. Schedule a consultation with a cardiologist
D. Request an electrocardiogram (ECG)
Answer: B. Perform a focused cardiovascular assessment
10. A patient is scheduled for a diagnostic test that requires fasting. Which
instruction should the nurse provide to the patient?
A. Eat a light snack 1 hour before the test
B. Drink plenty of fluids before the test
C. Avoid food and fluids for a specified period before the test
D. Take all medications with a small amount of food
Answer: C. Avoid food and fluids for a specified period before the test
11. What is the primary purpose of conducting a nursing assessment?
A. To determine the patient's treatment plan
B. To identify patient problems and health needs
C. To document the patient's history and physical examination
224 Exam
1. Which of the following is the primary purpose of the nursing process?
A. To provide a structured approach to patient care
B. To implement standardized procedures
C. To ensure compliance with hospital policies
D. To facilitate communication between different healthcare providers
Answer: A. To provide a structured approach to patient care
2. A nurse is preparing to administer medication to a patient. Which step of the
medication administration process is being performed when the nurse verifies the
medication order with the patient's MAR (Medication Administration Record)?
A. Assessment
B. Implementation
C. Evaluation
D. Planning
Answer: B. Implementation
3. When assessing a patient's vital signs, the nurse notes that the patient's blood
pressure is 180/110 mmHg. This finding is classified as:
A. Normal
B. Elevated
,C. Hypertension Stage 1
D. Hypertension Stage 2
Answer: D. Hypertension Stage 2
4. A nurse is teaching a patient about dietary changes to manage diabetes. Which of
the following should be included in the teaching plan?
A. Increase intake of sugary snacks for quick energy
B. Limit the intake of high-fiber foods
C. Eat small, frequent meals to maintain stable blood sugar levels
D. Avoid all fruits as they contain sugar
Answer: C. Eat small, frequent meals to maintain stable blood sugar levels
5. In which situation should the nurse use sterile technique?
A. Changing a bed linen
B. Administering oral medication
C. Inserting a Foley catheter
D. Providing patient hygiene
Answer: C. Inserting a Foley catheter
6. Which of the following is a priority nursing intervention for a patient experiencing
chest pain?
,A. Administering an antipyretic
B. Providing a warm blanket
C. Performing a thorough pain assessment
D. Encouraging the patient to ambulate
Answer: C. Performing a thorough pain assessment
7. A patient has been prescribed a diuretic. Which of the following assessments is
most important for the nurse to perform?
A. Daily weight
B. Blood glucose level
C. Respiratory rate
D. Skin turgor
Answer: A. Daily weight
8. The nurse is planning care for a patient with a new colostomy. Which of the
following interventions is appropriate?
A. Teach the patient to irrigate the colostomy daily
B. Instruct the patient to avoid all foods high in fiber
C. Encourage the patient to participate in colostomy care
D. Apply an adhesive dressing over the colostomy site
, Answer: C. Encourage the patient to participate in colostomy care
9. During a routine physical examination, the nurse notes that the patient has a rapid
heart rate. What is the appropriate initial action?
A. Administer a prescribed antiarrhythmic medication
B. Perform a focused cardiovascular assessment
C. Schedule a consultation with a cardiologist
D. Request an electrocardiogram (ECG)
Answer: B. Perform a focused cardiovascular assessment
10. A patient is scheduled for a diagnostic test that requires fasting. Which
instruction should the nurse provide to the patient?
A. Eat a light snack 1 hour before the test
B. Drink plenty of fluids before the test
C. Avoid food and fluids for a specified period before the test
D. Take all medications with a small amount of food
Answer: C. Avoid food and fluids for a specified period before the test
11. What is the primary purpose of conducting a nursing assessment?
A. To determine the patient's treatment plan
B. To identify patient problems and health needs
C. To document the patient's history and physical examination
