BASIC CLINICAL NURSING SKILLS FINAL TEST
PAPER QUESTIONS AND SOLUTIONS 2026
GRADED A+ RESOURCE
▶A patient arrives with complaints of shortness of breath and a history of
asthma. The assessment reveals mild tachypnea, biphasic (expiratory and
inspiratory) wheezing, and use of accessory muscles. Peak expiratory flow
is 48% of personal best. What is the severity of this asthma exacerbation?
Severe
Moderate
Slight
Mild . Answer: Moderate
▶A hazard vulnerability analysis (HVA) was completed for a rural area ED.
One finding was that the electrical system was antiquated and could not
handle power outages with generator back-up. The director of emergency
preparedness acknowledged this issue and initiated a plan to ensure that
the electrical system received the necessary upgrades. What phase of
disaster preparedness is this related to?
Mitigation
Preparedness
Response
Recovery . Answer: Mitigation
▶A patient presents to the ED with complaints of right arm weakness, and
difficulty speaking. The symptoms started about 40 minutes ago and are
now improving. She said this happened yesterday too, but went away.
What is she experiencing?
Hemorrhagic stroke
Ischemic stroke
Bell's palsy
Transient ischemic attacks . Answer: Transient ischemic attacks
▶A 37-year-old female walks into the ED holding her abdomen. She is
writhing in pain. Her history includes vaginal bleeding for the past 6 days.
,She soaked 5 sanitary pads in 2 hours. What is the most likely cause of the
heavy bleeding?
Uterine fibroids
Mittelschmerz
Pelvic inflammatory disease
Bartholin cyst . Answer: Uterine fibroids
▶Wernicke-Korsakoff syndrome is characterized by which clinical
manifestations?
Ataxia, mental confusion, and ophthalmoplegia
Delirium tremens, hyperthermia, and disorientation
Tachycardia, tremors, and tachypnea
Hypothermia, muscle rigidity, and bradycardia . Answer: Ataxia, mental
confusion, and ophthalmoplegia
▶A 35-year-old man presents with complaints of stomach pain that comes
and goes for the past two weeks. The nurse asks additional questions
about the nature of this pain and finds that it is relieved with antacids and
he feels better after eating. The patient mentions that he had some similar
pain about two years ago, but it stopped after about a month and he never
sought care for it. This is most likely which type of gastrointestinal disorder?
Cholecystitis
Pancreatitis
Duodenal ulcer
Stress ulcer . Answer: Duodenal ulcer
▶Which immunoglobulin is responsible for Type 1 allergic responses?
IgA
IgE
IgG
IgM . Answer: IgE
▶A middle-aged male patient presents to the ED with complaint of fever.
He is awake, alert, and in no acute distress. On arrival, vital signs are BP
118/58 mm Hg, HR 112 beats/min, RR 20 breaths/min, SpO2 95%, T 38.8
C (101.9 F). His medical history includes human immunodeficiency virus
(HIV) and he is taking antiviral medications. Using a 5-level triage system,
this patient would be triaged as which acuity level?
Acuity Level 4 (non-urgent)
Acuity Level 2 (emergent)
, Acuity Level 1 (life-threatening situation)
Acuity Level 3 (urgent) . Answer: Acuity Level 2 (emergent)
▶An 84-year-old male with a decreased level of consciousness presents to
the emergency department from a nursing home. The patient has a history
of hypertension, gout, and chronic obstructive pulmonary disease. He is
allergic to penicillin. Current medications include docusate, albuterol
inhaler, colchicine, and metoprolol. Vital signs on arrival are BP 78/48 mm
Hg, HR 60 beats/min, RR 28 breaths/min, T 35.3 C (95.6 F), and SpO2
92% without supplemental oxygen. Which type of shock do these clinical
manifestations represent?
Obstructive
Septic
Anaphylactic
Hypovolemic . Answer: Septic
▶A 56-year-old female presents to the emergency department with
complaints of abdominal pain for 5 days. The patient was involved in a
motor vehicle crash, but did not feel that she needed to come to the
emergency department. Upon examination, the patient has no active bowel
sounds and the abdomen is rigid. The patient has which gastrointestinal
emergency?
Peritonitis
Diverticulitis
Intestinal obstruction
Esophageal obstruction . Answer: Peritonitis
▶A patient, who was successfully defibrillated, now has an irregular rhythm
at 86 beats/min. The patient remains unresponsive, with absent central
pulses. These findings are associated with which condition?
Ruptured aortic aneurysm
Pulseless electrical activity
Pericardial tamponade
Coarse ventricular fibrillation . Answer: Pulseless electrical activity
▶An adolescent playing basketball felt a pop in her heel after a jump shot,
and a sharp pain in her heel as she landed. She is unable to stand on the
ball of her foot. Which injury do these clinical manifestations most likely
represent?
Calcaneous fracture
PAPER QUESTIONS AND SOLUTIONS 2026
GRADED A+ RESOURCE
▶A patient arrives with complaints of shortness of breath and a history of
asthma. The assessment reveals mild tachypnea, biphasic (expiratory and
inspiratory) wheezing, and use of accessory muscles. Peak expiratory flow
is 48% of personal best. What is the severity of this asthma exacerbation?
Severe
Moderate
Slight
Mild . Answer: Moderate
▶A hazard vulnerability analysis (HVA) was completed for a rural area ED.
One finding was that the electrical system was antiquated and could not
handle power outages with generator back-up. The director of emergency
preparedness acknowledged this issue and initiated a plan to ensure that
the electrical system received the necessary upgrades. What phase of
disaster preparedness is this related to?
Mitigation
Preparedness
Response
Recovery . Answer: Mitigation
▶A patient presents to the ED with complaints of right arm weakness, and
difficulty speaking. The symptoms started about 40 minutes ago and are
now improving. She said this happened yesterday too, but went away.
What is she experiencing?
Hemorrhagic stroke
Ischemic stroke
Bell's palsy
Transient ischemic attacks . Answer: Transient ischemic attacks
▶A 37-year-old female walks into the ED holding her abdomen. She is
writhing in pain. Her history includes vaginal bleeding for the past 6 days.
,She soaked 5 sanitary pads in 2 hours. What is the most likely cause of the
heavy bleeding?
Uterine fibroids
Mittelschmerz
Pelvic inflammatory disease
Bartholin cyst . Answer: Uterine fibroids
▶Wernicke-Korsakoff syndrome is characterized by which clinical
manifestations?
Ataxia, mental confusion, and ophthalmoplegia
Delirium tremens, hyperthermia, and disorientation
Tachycardia, tremors, and tachypnea
Hypothermia, muscle rigidity, and bradycardia . Answer: Ataxia, mental
confusion, and ophthalmoplegia
▶A 35-year-old man presents with complaints of stomach pain that comes
and goes for the past two weeks. The nurse asks additional questions
about the nature of this pain and finds that it is relieved with antacids and
he feels better after eating. The patient mentions that he had some similar
pain about two years ago, but it stopped after about a month and he never
sought care for it. This is most likely which type of gastrointestinal disorder?
Cholecystitis
Pancreatitis
Duodenal ulcer
Stress ulcer . Answer: Duodenal ulcer
▶Which immunoglobulin is responsible for Type 1 allergic responses?
IgA
IgE
IgG
IgM . Answer: IgE
▶A middle-aged male patient presents to the ED with complaint of fever.
He is awake, alert, and in no acute distress. On arrival, vital signs are BP
118/58 mm Hg, HR 112 beats/min, RR 20 breaths/min, SpO2 95%, T 38.8
C (101.9 F). His medical history includes human immunodeficiency virus
(HIV) and he is taking antiviral medications. Using a 5-level triage system,
this patient would be triaged as which acuity level?
Acuity Level 4 (non-urgent)
Acuity Level 2 (emergent)
, Acuity Level 1 (life-threatening situation)
Acuity Level 3 (urgent) . Answer: Acuity Level 2 (emergent)
▶An 84-year-old male with a decreased level of consciousness presents to
the emergency department from a nursing home. The patient has a history
of hypertension, gout, and chronic obstructive pulmonary disease. He is
allergic to penicillin. Current medications include docusate, albuterol
inhaler, colchicine, and metoprolol. Vital signs on arrival are BP 78/48 mm
Hg, HR 60 beats/min, RR 28 breaths/min, T 35.3 C (95.6 F), and SpO2
92% without supplemental oxygen. Which type of shock do these clinical
manifestations represent?
Obstructive
Septic
Anaphylactic
Hypovolemic . Answer: Septic
▶A 56-year-old female presents to the emergency department with
complaints of abdominal pain for 5 days. The patient was involved in a
motor vehicle crash, but did not feel that she needed to come to the
emergency department. Upon examination, the patient has no active bowel
sounds and the abdomen is rigid. The patient has which gastrointestinal
emergency?
Peritonitis
Diverticulitis
Intestinal obstruction
Esophageal obstruction . Answer: Peritonitis
▶A patient, who was successfully defibrillated, now has an irregular rhythm
at 86 beats/min. The patient remains unresponsive, with absent central
pulses. These findings are associated with which condition?
Ruptured aortic aneurysm
Pulseless electrical activity
Pericardial tamponade
Coarse ventricular fibrillation . Answer: Pulseless electrical activity
▶An adolescent playing basketball felt a pop in her heel after a jump shot,
and a sharp pain in her heel as she landed. She is unable to stand on the
ball of her foot. Which injury do these clinical manifestations most likely
represent?
Calcaneous fracture
