NR 226 NEWEST 2025 ACTUAL FINAL Exam
NR 226 NEWEST 2025 ACTUAL FINAL Exam WITH 150
QUESTIONS AND ANSWERS 100% RATED CORRECT WITH 100%
SURE PASS|GRADED A+
A nurse is teaching a patient various techniques to promote sleep. Which internal
stimulus that most commonly interferes with sleep should the nurse include in the
teaching?
1. Ringing in the ears
2. Bladder fullness
3. Hunger
4. Thirst - ANSWER-2. Bladder fullness
Bladder fullness causes pressure in the pelvic area that interrupts sleep.
Awakening to void during the night is a common occurrence, particularly in older
adult men.
A nurse is giving a back rub. Which stroke is most effective in inducing relaxation
at the end of the procedure?
1. Percussion
2. Effleurage
3. Kneading
4. Circular - ANSWER-2. Effleurage
Effleurage involves long, smooth strokes sliding over the skin. When performed
slowly with light pressure at the end of a back rub it has a relaxing, sedative effect.
1|Page
, NR 226 NEWEST 2025 ACTUAL FINAL Exam
A patient states, "The pain moves from my chest down my left arm." Which
characteristic of pain is associated with this statement?
1. Pattern
2. Duration
3. Location
4. Constancy - ANSWER-3. Location
This is referred pain, which is pain felt in a part of the body that is at a distance
from the tissues causing the pain. Referred pain is related to location of pain.
A nurse is providing health teaching for a patient with the diagnosis of obstructive
sleep apnea. Which aspect of sleep should the nurse explain is most often
affected?
1. Amount
2. Quality
3. Depth
4. Onset - ANSWER-2. Quality
Sleep apnea is the periodic cessation of breathing during sleep. Episodes occur
during rapid-eye-movement (REM) sleep (interfering with dreaming) and non-
rapid-eye- movement (NREM) sleep (interfering with restorative sleep), both of
which reduce the quality of sleep.
A patient is being admitted to the hospital and the nurse is performing a complete
assessment. Which is the most therapeutic question the nurse can ask about the
quality of the patient's sleep?
1. "How would you describe your sleep?"
2. "Do you consider your sleep to be restless or restful?"
2|Page
, NR 226 NEWEST 2025 ACTUAL FINAL Exam
3. "Is the number of hours you sleep at night good for you?"
4. "Does your bed partner complain about your sleep behaviors?" - ANSWER-1.
"How would you describe your sleep?"
This open-ended question requires patients to explore the topic of sleep as it
relates specifically to their own experiences.
A nurse strains a back muscle when moving a patient up in bed. Which can the
nurse do at home that utilizes the gate-control theory of pain relief to minimize
the discomfort?
1. Use guided imagery.
2. Perform progressive muscle relaxation.
3. Apply a cold compress to the site for 20 minutes. 4. Take a nonsteroidal anti-
inflammatory medication every 6 hours. - ANSWER-3. Apply a cold compress to
the site for 20 minutes.
Thermal therapy (e.g., application of heat or cold) stimulates the large A-delta
fibers that close the gate that allows the transmission of pain impulses to the
central nervous system.
A patient is having difficulty sleeping and may be experiencing shortened non-
rapid- eye movement (NREM) sleep. Which patient assessments support this
conclusion? Select all that apply.
1. Decreased pain tolerance
2. Inability to concentrate
3. Excessive sleepiness
4. Irritability
5. Confusion - ANSWER-1. Decreased pain tolerance
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, NR 226 NEWEST 2025 ACTUAL FINAL Exam
An increased sensitivity to pain is associated with disturbed non-rapid- eye-
movement (NREM) sleep. During NREM sleep the body is engaged in restoring
physiological properties of the body.
3. Excessive sleepiness
During NREM sleep the parasympathetic nervous system dominates and the vital
signs and metabolic rate are low; also, growth hormone is consistently secreted,
which provides for anabolism. Shortened NREM sleep decreases these restorative
processes, resulting in fatigue, lethargy, and excessive sleepiness.
A primary health-care provider prescribes oxycodone oral solution 15 mg every 6
hours. The drug is supplied in a 500-mL bottle that indicates 5 mg/5 mL. How
much oral solution should the nurse administer? Record your answer using a
whole number. - ANSWER-Answer: 15 mL
A 12-year-old boy is experiencing nocturnal enuresis. Which strategies should the
nurse explore with the boy and his parents? Select all that apply.
1. Limiting fluid intake after dinner
2. Voiding immediately before going to bed
3. Eliminating caffeinated beverages from the diet
4. Thinking about waking up dry when going to bed at night
5. Having the boy change his own bed linens when he wets the bed - ANSWER-1.
Limiting fluid intake after dinner
Limiting fluid intake after dinner reduces the amount of urine production while
asleep.
2. Voiding immediately before going to bed
Voiding empties the bladder and makes room for urine produced during the night.
4|Page
NR 226 NEWEST 2025 ACTUAL FINAL Exam WITH 150
QUESTIONS AND ANSWERS 100% RATED CORRECT WITH 100%
SURE PASS|GRADED A+
A nurse is teaching a patient various techniques to promote sleep. Which internal
stimulus that most commonly interferes with sleep should the nurse include in the
teaching?
1. Ringing in the ears
2. Bladder fullness
3. Hunger
4. Thirst - ANSWER-2. Bladder fullness
Bladder fullness causes pressure in the pelvic area that interrupts sleep.
Awakening to void during the night is a common occurrence, particularly in older
adult men.
A nurse is giving a back rub. Which stroke is most effective in inducing relaxation
at the end of the procedure?
1. Percussion
2. Effleurage
3. Kneading
4. Circular - ANSWER-2. Effleurage
Effleurage involves long, smooth strokes sliding over the skin. When performed
slowly with light pressure at the end of a back rub it has a relaxing, sedative effect.
1|Page
, NR 226 NEWEST 2025 ACTUAL FINAL Exam
A patient states, "The pain moves from my chest down my left arm." Which
characteristic of pain is associated with this statement?
1. Pattern
2. Duration
3. Location
4. Constancy - ANSWER-3. Location
This is referred pain, which is pain felt in a part of the body that is at a distance
from the tissues causing the pain. Referred pain is related to location of pain.
A nurse is providing health teaching for a patient with the diagnosis of obstructive
sleep apnea. Which aspect of sleep should the nurse explain is most often
affected?
1. Amount
2. Quality
3. Depth
4. Onset - ANSWER-2. Quality
Sleep apnea is the periodic cessation of breathing during sleep. Episodes occur
during rapid-eye-movement (REM) sleep (interfering with dreaming) and non-
rapid-eye- movement (NREM) sleep (interfering with restorative sleep), both of
which reduce the quality of sleep.
A patient is being admitted to the hospital and the nurse is performing a complete
assessment. Which is the most therapeutic question the nurse can ask about the
quality of the patient's sleep?
1. "How would you describe your sleep?"
2. "Do you consider your sleep to be restless or restful?"
2|Page
, NR 226 NEWEST 2025 ACTUAL FINAL Exam
3. "Is the number of hours you sleep at night good for you?"
4. "Does your bed partner complain about your sleep behaviors?" - ANSWER-1.
"How would you describe your sleep?"
This open-ended question requires patients to explore the topic of sleep as it
relates specifically to their own experiences.
A nurse strains a back muscle when moving a patient up in bed. Which can the
nurse do at home that utilizes the gate-control theory of pain relief to minimize
the discomfort?
1. Use guided imagery.
2. Perform progressive muscle relaxation.
3. Apply a cold compress to the site for 20 minutes. 4. Take a nonsteroidal anti-
inflammatory medication every 6 hours. - ANSWER-3. Apply a cold compress to
the site for 20 minutes.
Thermal therapy (e.g., application of heat or cold) stimulates the large A-delta
fibers that close the gate that allows the transmission of pain impulses to the
central nervous system.
A patient is having difficulty sleeping and may be experiencing shortened non-
rapid- eye movement (NREM) sleep. Which patient assessments support this
conclusion? Select all that apply.
1. Decreased pain tolerance
2. Inability to concentrate
3. Excessive sleepiness
4. Irritability
5. Confusion - ANSWER-1. Decreased pain tolerance
3|Page
, NR 226 NEWEST 2025 ACTUAL FINAL Exam
An increased sensitivity to pain is associated with disturbed non-rapid- eye-
movement (NREM) sleep. During NREM sleep the body is engaged in restoring
physiological properties of the body.
3. Excessive sleepiness
During NREM sleep the parasympathetic nervous system dominates and the vital
signs and metabolic rate are low; also, growth hormone is consistently secreted,
which provides for anabolism. Shortened NREM sleep decreases these restorative
processes, resulting in fatigue, lethargy, and excessive sleepiness.
A primary health-care provider prescribes oxycodone oral solution 15 mg every 6
hours. The drug is supplied in a 500-mL bottle that indicates 5 mg/5 mL. How
much oral solution should the nurse administer? Record your answer using a
whole number. - ANSWER-Answer: 15 mL
A 12-year-old boy is experiencing nocturnal enuresis. Which strategies should the
nurse explore with the boy and his parents? Select all that apply.
1. Limiting fluid intake after dinner
2. Voiding immediately before going to bed
3. Eliminating caffeinated beverages from the diet
4. Thinking about waking up dry when going to bed at night
5. Having the boy change his own bed linens when he wets the bed - ANSWER-1.
Limiting fluid intake after dinner
Limiting fluid intake after dinner reduces the amount of urine production while
asleep.
2. Voiding immediately before going to bed
Voiding empties the bladder and makes room for urine produced during the night.
4|Page
