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NUR 212 Final Exam: Questions and Answers for Nursing Students, Exams of Nursing

Wake Technical Community College Nursing

A comprehensive set of multiple-choice questions and verified answers for a nursing final exam. it covers various aspects of nursing practice, including patient assessment, medication administration, ethical considerations, and safety protocols. The questions are designed to test students' understanding of key concepts and their ability to apply them to real-world scenarios. This resource is valuable for nursing students preparing for their final exams.

Typology: Exams

2024/2025

Available from 05/08/2025

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NUR 212 FINAL EXAM||2025-2026||ACTUAL EXAM

QUESTIONS WITH CORRECT &VERIFIED

ANSWERS.A+ GRADE

A client has been diagnosed with disseminated herpes zoster. According to OSHA and CDC

guidelines, which PPE will you need t put on when preparing to assess the client? SATA

Gown and Gloves

A special protective air filter mask (N95 respirator)

During preceptorship, a senior student administers 1 ml of Regular insulin instead of 1 unit.

The error was discovered when the patient experienced severe hypoglycemia.

When questioned, the student admitted using a 3mL syringe, which was "the only one", she

could find to give the med on time. According to Just Culture what type of behavior did the

student exhibit?

Reckless behavior, because a conscious decision was made

A 32-year-old patient with sickle cell anemia is admitted to the hospital during an acute sickle

cell crisis. Which order prescribed by the health care provider should the prudent/competent

nurse implement first?

Administer 100% O2 using a nonrebreather mask

A client S/P CVA has an order for deep endotracheal suctioning prn to maintain a patent airway.

The new nurse's assigned preceptor is not available, what should she do?

Ask a seasoned nurse to assist with suctioning

The nurse has a pre-op order to administer Diazepam 10 mg and Promethazine 25 mg. The best

method of administering these medications is to:

Administer the medication separately

According to the NC NPA the "practice of nursing by a RN" consists of 10 components. In

particular the nurse must assume the role of

Collaborating

A 48-year-old married client and father of 3 sons has chosen to discontinue radiation

treatments. The client's wife is not supportive of the decision and asks you to speak with her

husband. How should you respond?

This client is of sound mind and capable of making an informed decision

The nurse in a maternity unit is caring for a client who has just delivered twins. The client

voices concern about her ability to manage when she gets home. Which of the following

statements BEST illustrates quality care delivery by the nurse? SATA

Partial preview of the text

Download NUR 212 Final Exam: Questions and Answers for Nursing Students and more Exams Nursing in PDF only on Docsity!

NUR 212 FINAL EXAM||2025-2026||ACTUAL EXAM

QUESTIONS WITH CORRECT &VERIFIED

ANSWERS.A+ GRADE

A client has been diagnosed with disseminated herpes zoster. According to OSHA and CDC guidelines, which PPE will you need t put on when preparing to assess the client?SATA Gown and Gloves A special protective air filter mask (N95 respirator) During preceptorship, a senior student administers 1 ml of Regular insulin instead of 1 unit. The error was discovered when the patient experienced severe hypoglycemia. When questioned, the student admitted using a 3mL syringe, which was "the only one", she could find to give the med on time. According to Just Culture what type of behavior did the student exhibit? Reckless behavior, because a conscious decision was made A 32 - year-old patient with sickle cell anemia is admitted to the hospital during an acutesickle cell crisis. Which order prescribed by the health care provider should the prudent/competent nurse implement first? Administer 100% O2 using a nonrebreather mask A client S/P CVA has an order for deep endotracheal suctioning prn to maintain a patentairway. The new nurse's assigned preceptor is not available, what should she do? Ask a seasoned nurse to assist with suctioning The nurse has a pre-op order to administer Diazepam 10 mg and Promethazine 25 mg.The best method of administering these medications is to: Administer the medication separately According to the NC NPA the "practice of nursing by a RN" consists of 10 components.In particular the nurse must assume the role of Collaborating A 48-year-old married client and father of 3 sons has chosen to discontinue radiation treatments. The client's wife is not supportive of the decision and asks you to speak withher husband. How should you respond? This client is of sound mind and capable of making an informed decision The nurse in a maternity unit is caring for a client who has just delivered twins. The client voices concern about her ability to manage when she gets home. Which of thefollowing statements BEST illustrates quality care delivery by the nurse? SATA

Here is some info on support groups for patients of multiples We can arrange for follow-up visits with a home health nurse In addition to working with interprofessional teams, the nurse should consider which other QSEN/IOM Competency to ensure information is managed and/or charged in amanner to reduce errors and support clinical-decisions The Use of Informatics A nurse has been instructed to place an IV line in a patient that has active TB andsuspected HIV. According to OSHA guidelines, the nurse should wear which of the following PPE? Goggles, mask, gloves, and gown The department of Health and Human Services along with CMS regulates patient safety by monitoring health outcome measures. Which of the following is an inpatient measure a new nurse should follow to ensure quality pt. outcomes? Heart attack and HF guidelines and core measures A client asks the nurse not to tell his wife that his cancer has metastasized. He states hedoes not want to burden her. What are the primary Code of Ethics Provision statements the nurse should use to make a decision about a response to the request? Primary commitment to the patient (Provision 2) Inherent human dignity and worth (Provision 1) A 36 - year-old client with terminal cancer has signed an advance directive for no nutritionor hydration. The client becomes less responsive and the family member with the legal healthcare POA signs an informed consent for placement of a gastrostomy tube. What is the best action for the nurse to take? Respect and honor the healthcare POA decision The parents of a terminally ill 6 - year-old child with cancer collaborate with the physicianand decided to withhold further treatment. This decision has been met with opposition from the paternal grandparent. The primary nurse best advocated for the client by Showing respect for the parents' decision

A 56 yr. old client presents to the Emergency Department with clinical signs and symptoms of an acute MI. A code STEMI is called the client is rapidly triage. Which intervention should the nurse anticipate next in accordance with AMI core measures?Administer 81-325 mg Aspirin to prevent platelet aggregation. According to the IOM report, 44,000-98,000 deaths occur as a result of hospital errors and more than 50% are preventable. Which of the following are client safety issues thatcould be prevented? CAUTI Hospital acquired pneumonia Med errors The health care provider prescribes these actions for a client who was admitted withacute substernal chest pain. Which actions are appropriate to delegate to an experienced LPN/LVN who is working with you in the ED? SATA Attaching cardiac monitor leads Having the client chew and swallow aspirin 162 mg; Obtaining a 12 - lead ECG The home health nurse is making a safety visit to a client with autoimmune thrombocytopenic purpura (ATP). The client's platelet count currently is 80,000. Because the nurse is focused on quality care, it will be most important to teach theclient and family about: Bleeding precautions The physician orders a med that may terminate a client's pregnancy of 26 weeks. Thenurse questions this method as an actual abortion. What should the nurse do first? Become self-aware by clarifying personal values and beliefs The parents of a 19 - year-old MVA victim have signed for withdrawal of life support andorgan donation after cardiac death. The new nurse discusses her uneasiness with caring for the client with a senior nurse. What is the primary Code of Ethics provision the senior nurse should use to explain the ongoing and even post mortem care of this client? The inherent respect nurses have for human dignity

In conversation with the client's immediate next of kin, the nurse discovers that the client's DNR paperwork was not reinstated upon transfer from the nursing home. Theclient's condition has been stable during the shift. What action should the nurse take?Call the primary care provider to clarify or get the order reinstated A nursing professor is teaching students how professional organizations advocate fornurses. The professor goes on to encourage the students to join the professional organization because ANA: SATA Promotes the rights of nurse in the workplace; Lobbies Congress and regulatory agencies on health matters; Supports the advancement of the nursing profession A 50 yr. old blind and deaf patient with Medicare Parts A and B has been recently admitted. As the charge nurse what is your secondary prevention plan for this client?Ensure a safe and secure environment for the patient A nurse is caring for a patient who has recently been diagnosed with Fibromyalgia and COPD. Which of the following could the nurse safely delegate to the LPN and/or UAP? Transferring the patient to a lower level of care A client with mobility and speech impairment is being discharged from the hospital.What is the nurse's role with regards to making referrals for this client? Confirm the client understands the referrals made for the speech and occupationaltherapies The Charge Nurse is conducting HCAPPS surveys. A client with chronic pain reports the nurses have not been responding to requests for pain meds. What should be the charge nurse's initial action? Have a conference with the nurses responsible for the care of this client A nurse on the med surg unit inserts a Foley in a client with urinary retention. Immediately after insertion, the client complains of itchy eyes, difficulty breathing and chest tightness. The nurse notifies the physician, who immediately gives the following orders. Which order should the nurse carry out first? Admin Epi sub Q

Electronic medical record training A pregnant woman at 15 weeks gestation is scheduled for amniocentesis. As the client is being prepped for the procedure, it becomes clear to the nurse that the client doesn'tfully understand the risks and benefits associated with the procedure. Which of the following describe the nurse's role in obtaining informed consent? SATA Advocate for the client by ensuring she is making an informed decision; Witness theclient's signature on the consent form When care assignments are being made for patients with alterations r/t GI cancer, which patient would be the most appropriate to assign to an LPN/LVN under the supervision of the RN team leader? A patient who needs preoperative teaching for bowel resection surgery A student nurse admins Lexapro for anxiety at 9:00 AM rather than 9:00 PM. When thestudent recognizes the error, the student self-reports to the instructor. In terms of Quality, Safety and Just Culture, what type of behavior is the student exhibiting? Simple human error A nurse admins morphine sulfate 4mg through the client's hemodialysis perm or vas catheter instead of the client's port-a-cath. After assessing/reassessing the client and notifying the Dr., What action should the nurse take first? Complete a variance or incident report Marvis is a 15 year old with acute leukemia is out of his second remission. He states hedoes not want to be resuscitated and placed back on life support. His parents on the other hand want everything done. As a client advocate, what action should the nurse take? Make an ethics committee referral A client asks the nurse if a lot of mistakes are made by the staff in the agency, sincethere are so many posters and signs about NPSGs. The best response To implement CQI processes to prevent safety issues before they occur A 73 year old with a history of Alzheimer's disease is being admitted to a long term carefacility. The patient is exhibiting signs of increasing confusion, incontinence and an increased risk for falls. Which of the following is the best action?

Recommend the family bring in familiar items for the patient's room According to the NCBON NPA the "practice of nursing by a LPN" consists of 7 components. In particular, LPNs engage in Participating The nurse is caring for a client newly diagnosed with DM, and performs the followingtasks. Place the tasks the nurse would perform in the appropriate order. Assess knowledge; diagnosis of knowledge deficit; goal of self-administration; evaluate You are the new grad nurse assigned to care for a restraint patient. Which of the following would you consider within your scope of practice? SATA Following requirements for restraint use, such as least restrictive Evaluate the client's response at least Q1- 2 hours while restraints are in use Assessing the appropriateness of the type of restraint/safety device used Nurses are challenged to improve quality and provide safe/effective care. Therefore, you are "the nurse" preparing to admin TPN through a central line. Place in correct order Confirm order Check solution for cloudiness or turbidity Select and flush the correct tubing and filter Thread the IV tubing through an infusion cap; Use aseptic technique when handling the injection cap Connect the tubing to the central line Set the pump at prescribed rate

A new nurse is aware of Hospital Core Measures is assessing a diabetic client admittedwith a BNP level of 10,409 pg/mL. The client's chief complaint on admission was weakness, SOB, nausea and loss of appetite. Which action should the nurse expect to find listed on the standardized care plan and subsequently take first? Encourage the client to check his/her vital signs and weight at least daily The quality assurance staff of a hospital is conducting a study to determine infection rates in post op clients. This is an example of which quality assurance program? Outcome evaluation A Charge nurse in a busy ED triages multiple clients. Which client would meet therequirement for mandatory reporting? A man with a gunshot wound to the abdomen The nurse preparing to admin PRBCs to a client. Arrange the following steps in theorder the nurse should perform them? Verify order Assess for blood bank ID armband Explain procedure Obtain the clients VS Prime the transfusion tubing with a 0.9% Na+ solution Obtain PRBCs from the blood bank according to hospital policy and perform a visualcheck of the blood Perform a bedside ID and blood product verification by two licensed individuals The nurse is supervising a UAP and overhears the UAP reprimand a client for not using the urinal properly. The UAP threatens to put a diaper on the client. She's violating what legal principle? Assault without battery Which task can the new nurse safely assign to the NA Feeding the client with dementia

Client with clotting disorder has an order to continue Enoxaparin injections afterdischarge. Teach? Inject the med into the lower abdomen Carolyn, 35, met cancer to right lung. Refuses treatment, but husband wants everything done. Best response to husband? As the patient, she has the right to self-determination A client's wife is irate of the treatment her husband has been receiving at the hospital.The wife is a physician and demands to see her husband's med record. Best action? Instruct wife only those directly involved in care can view the record The nurse is performing an admission assessment on a 34 - year-old client admitted forCrohn's disease. The nurse knows that according to the Patient's Bill of Rights, this client is responsible for which of the following? SATA Providing info about meds Providing info about past illnesses You are the nurse evaluating a HIV positive patient who is receiving IV pentamidine as a treatment for PCP. Which s/s would a prudent/competent nurse consider most important to communicate to the physician? Blood glucose level is 50 mg/dL after med admin A charge nurse notices that the 66 - year-old nurse who works the shift has come to workwith a black eye. The charge nurse is aware that the nurse lives with an adult grandson who has caused problems in the past. The charge nurse should: Discuss your observations with the nurse in private A nurse is serving as a preceptor for a new nurse and is explaining the role of the nurseadvocate. Which of the following illustrates the nurse advocacy role? SATA Informing the health team of a clients DNR or AND orders; Reporting a health teammember's lack of care from a previous shift; Verifying clients understand a cardiac catheterization procedure