BASIC CLINICAL NURSING SKILLS CERTIFICATION
TEST QUESTIONS AND SOLUTIONS 2026 EXPERT
VERIFIED PACK
▶The nurse is providing discharge instructions to a patient with asthma.
Which of the following statements indicates understanding from the
patient?
I should avoid air conditioning if I begin having symptoms
I'm going to wash my bed linen once a week in hot water.
To get a baseline peak expiratory flow, I'll do it right before I use my
inhaler.
My son uses a spacer, but since I'm an adult and can coordinate the
inhaler, I don't need one. . Answer: I'm going to wash my bed linen once a
week in hot water.
▶Discharge instructions are given to a patient with a prescription for
phenazopyridine. Which statement by the patient indicates an
understanding of the medication's side effects?
My urine will have an orange discoloration.
I can continue to take it even if I develop a rash.
This medication does not have any side effects.
I may gain weight while taking this medication. . Answer: My urine will
have an orange discoloration.
▶A patient presents to the ED stating he had been hit in the right eye with
a glass bottle two days ago. On assessment, the eye is reddened, tearing,
and there is an irregular pupil. Which ocular emergency is associated with
these assessment findings?
Retinal detachment
Hyphema
Foreign body
Iritis . Answer: Iritis
▶A patient presents to the ED with complaints of feeling guilty and sad. He
also has had decreased appetite and sleep disturbances for the past 3
weeks. What intervention is priority for this patient?
Performing a suicide risk assessment
, Placing patient in a low stimulus area
Administering antidepressants or anxiolytics
Providing a discharge referral for support services . Answer: Performing a
suicide risk assessment
▶An ED patient is being prepared for surgical intervention for a large bowel
obstruction. The surgeon needs to obtain a signature for informed consent.
The patient is unable to sign the consent form because of having been
heavily sedated. Which advanced directive allows for a family member to
sign the consent form?
Durable power of attorney for finance
Living will
Do not resuscitate order
Durable power of attorney for healthcare . Answer: Durable power of
attorney for healthcare
▶A male patient arrives following a motor vehicle collision. Emergency
medical services report vital signs: HR 92 beats/min, RR 20 breaths/min,
BP 128/74 mm Hg, SpO2 96% with a nonrebreather at 15 L/min. They
state that the airbag malfunctioned and he hit the steering wheel. The
nurse assesses the patient and finds bruising to the sternum, muffled heart
tones, and the following vital signs: HR 102 beats/min, RR 18 breaths/min,
BP 122/94 mm Hg, SpO2 92%. What pathophysiologic process does the
nurse recognize?
Low pulse pressure
Decrease in afterload
High pulse pressure
Cushing triad . Answer: Low pulse pressure
▶Which inherited bleeding disorder is the most common?
Von Willebrand
Classic hemophilia
Christmas disease
Rosenthal syndrome . Answer: Von Willebrand
▶Which complication is the most common risk for all puncture wounds?
Joint effusion
Osteomyelitis
Abscess
Hemorrhage . Answer: Abscess
, ▶79. A patient presents with vaginal bleeding and cramping. She tells the
emergency nurse, "I passed clots at home. I think I lost my baby." Pelvic
examination reveals that the cervical os is open. Which type of
spontaneous abortion most likely occurred?
Missed abortion
Septic abortion
Inevitable abortion
Threatened abortion . Answer: Inevitable abortion
▶The nurse practitioner ordered a procalcitonin to be drawn on a patient.
This will identify which condition?
Parathyroid disease
Hyperosmolar hyperglycemic syndrome (HHS)
Tuberculosis
Sepsis . Answer: Sepsis
▶A patient presents with a sore throat and difficulty swallowing.
Assessment reveals fever, muffled voice, and cervical lymphadenitis. What
is the highest priority?
Airway protection
Pain management
Preparation for incision and drainage
Intravenous access for fluid resuscitation . Answer: Airway protection
▶A 42-year-old female patient presents to the emergency department with
complaints of having right upper quadrant cramping pain that radiates to
the right scapula and shoulder areas. She also complains of being "bloated
and passing gas." With her history, which gastrointestinal disorder is she at
risk for?
Cholecystitis
Hepatitis
Pancreatitis
Diverticulitis . Answer: Cholecystitis
▶A patient presents to the ED with chest pain. The nurse assesses the
pain and determines that rest relieves the pain. What does the nurse
determine this indicates?
Stable angina
Unstable angina
TEST QUESTIONS AND SOLUTIONS 2026 EXPERT
VERIFIED PACK
▶The nurse is providing discharge instructions to a patient with asthma.
Which of the following statements indicates understanding from the
patient?
I should avoid air conditioning if I begin having symptoms
I'm going to wash my bed linen once a week in hot water.
To get a baseline peak expiratory flow, I'll do it right before I use my
inhaler.
My son uses a spacer, but since I'm an adult and can coordinate the
inhaler, I don't need one. . Answer: I'm going to wash my bed linen once a
week in hot water.
▶Discharge instructions are given to a patient with a prescription for
phenazopyridine. Which statement by the patient indicates an
understanding of the medication's side effects?
My urine will have an orange discoloration.
I can continue to take it even if I develop a rash.
This medication does not have any side effects.
I may gain weight while taking this medication. . Answer: My urine will
have an orange discoloration.
▶A patient presents to the ED stating he had been hit in the right eye with
a glass bottle two days ago. On assessment, the eye is reddened, tearing,
and there is an irregular pupil. Which ocular emergency is associated with
these assessment findings?
Retinal detachment
Hyphema
Foreign body
Iritis . Answer: Iritis
▶A patient presents to the ED with complaints of feeling guilty and sad. He
also has had decreased appetite and sleep disturbances for the past 3
weeks. What intervention is priority for this patient?
Performing a suicide risk assessment
, Placing patient in a low stimulus area
Administering antidepressants or anxiolytics
Providing a discharge referral for support services . Answer: Performing a
suicide risk assessment
▶An ED patient is being prepared for surgical intervention for a large bowel
obstruction. The surgeon needs to obtain a signature for informed consent.
The patient is unable to sign the consent form because of having been
heavily sedated. Which advanced directive allows for a family member to
sign the consent form?
Durable power of attorney for finance
Living will
Do not resuscitate order
Durable power of attorney for healthcare . Answer: Durable power of
attorney for healthcare
▶A male patient arrives following a motor vehicle collision. Emergency
medical services report vital signs: HR 92 beats/min, RR 20 breaths/min,
BP 128/74 mm Hg, SpO2 96% with a nonrebreather at 15 L/min. They
state that the airbag malfunctioned and he hit the steering wheel. The
nurse assesses the patient and finds bruising to the sternum, muffled heart
tones, and the following vital signs: HR 102 beats/min, RR 18 breaths/min,
BP 122/94 mm Hg, SpO2 92%. What pathophysiologic process does the
nurse recognize?
Low pulse pressure
Decrease in afterload
High pulse pressure
Cushing triad . Answer: Low pulse pressure
▶Which inherited bleeding disorder is the most common?
Von Willebrand
Classic hemophilia
Christmas disease
Rosenthal syndrome . Answer: Von Willebrand
▶Which complication is the most common risk for all puncture wounds?
Joint effusion
Osteomyelitis
Abscess
Hemorrhage . Answer: Abscess
, ▶79. A patient presents with vaginal bleeding and cramping. She tells the
emergency nurse, "I passed clots at home. I think I lost my baby." Pelvic
examination reveals that the cervical os is open. Which type of
spontaneous abortion most likely occurred?
Missed abortion
Septic abortion
Inevitable abortion
Threatened abortion . Answer: Inevitable abortion
▶The nurse practitioner ordered a procalcitonin to be drawn on a patient.
This will identify which condition?
Parathyroid disease
Hyperosmolar hyperglycemic syndrome (HHS)
Tuberculosis
Sepsis . Answer: Sepsis
▶A patient presents with a sore throat and difficulty swallowing.
Assessment reveals fever, muffled voice, and cervical lymphadenitis. What
is the highest priority?
Airway protection
Pain management
Preparation for incision and drainage
Intravenous access for fluid resuscitation . Answer: Airway protection
▶A 42-year-old female patient presents to the emergency department with
complaints of having right upper quadrant cramping pain that radiates to
the right scapula and shoulder areas. She also complains of being "bloated
and passing gas." With her history, which gastrointestinal disorder is she at
risk for?
Cholecystitis
Hepatitis
Pancreatitis
Diverticulitis . Answer: Cholecystitis
▶A patient presents to the ED with chest pain. The nurse assesses the
pain and determines that rest relieves the pain. What does the nurse
determine this indicates?
Stable angina
Unstable angina
