NR 226/ NR226 (LATEST 2025/
2026 UPDATE) FUNDAMENTALS:
PATIENT CARE GUIDE | EXAM 1
QUESTIONS WITH VERIFIED
ANSWERS
1. SMART goals stand for:
A. Simple, Measurable, Attainable, Realistic, Timely
B. Specific, Measurable, Attainable, Realistic, Timely ✅
C. Standard, Measurable, Attainable, Relevant, Timely
D. Specific, Manageable, Attainable, Reasonable, Timed
Answer Explanation:
SMART goals help nurses set clear objectives for patient outcomes. Each
component ensures that goals are actionable, measurable, and achievable
within a set time frame, enhancing care planning and evaluation.
2. Which of the following is a nurse-initiated intervention?
A. Administering a prescribed antibiotic
B. Teaching a patient about proper hand hygiene ✅
C. Ordering a diagnostic test
D. Collaborating with a dietitian
Answer Explanation:
Nurse-initiated interventions are independent actions taken by the nurse
without requiring a healthcare provider’s order. Teaching patients,
repositioning them, or providing emotional support are examples.
3. A healthcare-provider-initiated intervention is also known as:
A. Independent intervention
B. Collaborative intervention
C. Dependent intervention ✅
D. Planned intervention
Answer Explanation:
Dependent interventions require a physician or healthcare provider’s order.
Administering medications or performing procedures prescribed by a doctor
,falls under this category.
4. Collaborative interventions are:
A. Actions initiated solely by the nurse
B. Activities performed without supervision
C. Interventions involving multiple health professionals ✅
D. Always independent nursing tasks
Answer Explanation:
Collaborative (interdependent) interventions require input and coordination
with a multidisciplinary healthcare team, combining expertise to achieve
optimal patient outcomes.
5. When selecting nursing interventions, which factor is NOT
considered?
A. Expected outcomes
B. Nursing diagnosis
C. Popularity among staff ✅
D. Evidence supporting the intervention
Answer Explanation:
Interventions must be evidence-based and tailored to the client’s needs.
Popularity or convenience does not justify an intervention in professional
nursing practice.
6. What does the “E” in evaluating the evidence supporting an
intervention stand for?
A. Efficiency
B. Evidence ✅
C. Effectiveness
D. Education
Answer Explanation:
Nurses must select interventions backed by evidence-based practice,
guidelines, and standardized care plans to ensure safe and effective patient
care.
7. Which question should be asked regarding the abilities of
colleagues providing care?
A. Do colleagues like the patient?
B. Are they available and competent to perform the intervention? ✅
,C. Can they complete paperwork quickly?
D. Will they follow the nurse’s personal preference?
Answer Explanation:
Team members’ skills, availability, and competencies are essential to safely
execute interventions. Ensuring proper resources reduces errors and
improves patient outcomes.
8. Involving the client in care planning ensures:
A. Faster task completion
B. Higher patient satisfaction and adherence ✅
C. Reduced nursing workload
D. Standardization of care
Answer Explanation:
Including clients in planning respects their values, beliefs, and culture. It also
improves understanding and compliance with interventions, leading to better
outcomes.
9. Logistics in performing nursing interventions include:
A. Time, personnel, cost, and equipment ✅
B. Patient’s favorite color
C. Staff personal preferences
D. Office aesthetics
Answer Explanation:
Practical considerations like staffing, time, cost, and availability of equipment
are vital to successfully implementing interventions without negatively
impacting other planned care.
10. Which is an example of a nurse-initiated intervention to prevent
pressure ulcers?
A. Administering an antibiotic
B. Repositioning the patient every 2 hours ✅
C. Ordering a wound culture
D. Consulting a wound care specialist
Answer Explanation:
Independent nursing interventions aim to prevent or treat patient problems.
Regular repositioning is evidence-based and can be implemented without a
physician’s order.
, 11. The primary purpose of a nursing diagnosis statement is to:
A. Replace a medical diagnosis
B. Guide nursing interventions ✅
C. Document patient complaints only
D. Assign blame for errors
Answer Explanation:
The nursing diagnosis identifies client problems that nurses can address
independently, guiding interventions to improve patient outcomes.
12. Which is an example of a dependent nursing intervention?
A. Teaching stress management techniques
B. Administering insulin as ordered ✅
C. Assisting with ambulation
D. Providing emotional support
Answer Explanation:
Dependent interventions rely on healthcare provider orders, such as
medications or treatments, which nurses carry out following protocols.
13. A nurse teaching a diabetic patient how to monitor blood
glucose is performing:
A. Independent intervention ✅
B. Dependent intervention
C. Collaborative intervention
D. None of the above
Answer Explanation:
Education about self-care falls under nurse-initiated interventions. It is
performed independently to help patients manage their conditions.
14. Evidence-based interventions are derived from:
A. Personal experience only
B. Research, clinical guidelines, and standards of care ✅
C. Staff preferences
D. Tradition
2026 UPDATE) FUNDAMENTALS:
PATIENT CARE GUIDE | EXAM 1
QUESTIONS WITH VERIFIED
ANSWERS
1. SMART goals stand for:
A. Simple, Measurable, Attainable, Realistic, Timely
B. Specific, Measurable, Attainable, Realistic, Timely ✅
C. Standard, Measurable, Attainable, Relevant, Timely
D. Specific, Manageable, Attainable, Reasonable, Timed
Answer Explanation:
SMART goals help nurses set clear objectives for patient outcomes. Each
component ensures that goals are actionable, measurable, and achievable
within a set time frame, enhancing care planning and evaluation.
2. Which of the following is a nurse-initiated intervention?
A. Administering a prescribed antibiotic
B. Teaching a patient about proper hand hygiene ✅
C. Ordering a diagnostic test
D. Collaborating with a dietitian
Answer Explanation:
Nurse-initiated interventions are independent actions taken by the nurse
without requiring a healthcare provider’s order. Teaching patients,
repositioning them, or providing emotional support are examples.
3. A healthcare-provider-initiated intervention is also known as:
A. Independent intervention
B. Collaborative intervention
C. Dependent intervention ✅
D. Planned intervention
Answer Explanation:
Dependent interventions require a physician or healthcare provider’s order.
Administering medications or performing procedures prescribed by a doctor
,falls under this category.
4. Collaborative interventions are:
A. Actions initiated solely by the nurse
B. Activities performed without supervision
C. Interventions involving multiple health professionals ✅
D. Always independent nursing tasks
Answer Explanation:
Collaborative (interdependent) interventions require input and coordination
with a multidisciplinary healthcare team, combining expertise to achieve
optimal patient outcomes.
5. When selecting nursing interventions, which factor is NOT
considered?
A. Expected outcomes
B. Nursing diagnosis
C. Popularity among staff ✅
D. Evidence supporting the intervention
Answer Explanation:
Interventions must be evidence-based and tailored to the client’s needs.
Popularity or convenience does not justify an intervention in professional
nursing practice.
6. What does the “E” in evaluating the evidence supporting an
intervention stand for?
A. Efficiency
B. Evidence ✅
C. Effectiveness
D. Education
Answer Explanation:
Nurses must select interventions backed by evidence-based practice,
guidelines, and standardized care plans to ensure safe and effective patient
care.
7. Which question should be asked regarding the abilities of
colleagues providing care?
A. Do colleagues like the patient?
B. Are they available and competent to perform the intervention? ✅
,C. Can they complete paperwork quickly?
D. Will they follow the nurse’s personal preference?
Answer Explanation:
Team members’ skills, availability, and competencies are essential to safely
execute interventions. Ensuring proper resources reduces errors and
improves patient outcomes.
8. Involving the client in care planning ensures:
A. Faster task completion
B. Higher patient satisfaction and adherence ✅
C. Reduced nursing workload
D. Standardization of care
Answer Explanation:
Including clients in planning respects their values, beliefs, and culture. It also
improves understanding and compliance with interventions, leading to better
outcomes.
9. Logistics in performing nursing interventions include:
A. Time, personnel, cost, and equipment ✅
B. Patient’s favorite color
C. Staff personal preferences
D. Office aesthetics
Answer Explanation:
Practical considerations like staffing, time, cost, and availability of equipment
are vital to successfully implementing interventions without negatively
impacting other planned care.
10. Which is an example of a nurse-initiated intervention to prevent
pressure ulcers?
A. Administering an antibiotic
B. Repositioning the patient every 2 hours ✅
C. Ordering a wound culture
D. Consulting a wound care specialist
Answer Explanation:
Independent nursing interventions aim to prevent or treat patient problems.
Regular repositioning is evidence-based and can be implemented without a
physician’s order.
, 11. The primary purpose of a nursing diagnosis statement is to:
A. Replace a medical diagnosis
B. Guide nursing interventions ✅
C. Document patient complaints only
D. Assign blame for errors
Answer Explanation:
The nursing diagnosis identifies client problems that nurses can address
independently, guiding interventions to improve patient outcomes.
12. Which is an example of a dependent nursing intervention?
A. Teaching stress management techniques
B. Administering insulin as ordered ✅
C. Assisting with ambulation
D. Providing emotional support
Answer Explanation:
Dependent interventions rely on healthcare provider orders, such as
medications or treatments, which nurses carry out following protocols.
13. A nurse teaching a diabetic patient how to monitor blood
glucose is performing:
A. Independent intervention ✅
B. Dependent intervention
C. Collaborative intervention
D. None of the above
Answer Explanation:
Education about self-care falls under nurse-initiated interventions. It is
performed independently to help patients manage their conditions.
14. Evidence-based interventions are derived from:
A. Personal experience only
B. Research, clinical guidelines, and standards of care ✅
C. Staff preferences
D. Tradition
