NR 224 Fundamentals Skills Midterms (Qns & Ans) 2026
1. Which of the following is the most appropriate nursing
intervention to prevent ventilator-associated pneumonia (VAP) in
a patient on mechanical ventilation?
a) Sedation vacation every other day
b) Elevate the head of the bed to 30-45 degrees
c) Administer antibiotic prophylaxis
d) Routine saline lavage of the airway
Correct ANS: b
Rationale: Elevating the head of the bed helps reduce the risk
of aspiration, which can lead to pneumonia.
2. A patient with chronic kidney disease shows hyperkalemia.
What is the first-line treatment to manage this condition?
a) Insulin and glucose
b) Sodium bicarbonate
c) Kayexalate
d) Calcium gluconate
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