NRS 2026: EXAM 1 REVIEW PRACTICE EXAM PREP LATEST 2025/2026
ACTUAL EXAM COMPLETE 150 QUESTIONS AND CORRECT ANSWERS
GRADED A+ GUARANTEED PASS- ACE YOUR EXAM
A nurse is following a clinical pathway that guides the care of a client after knee
surgery. When the nurse observes the client vomiting, it creates a deviation from
the clinical pathway. What should the nurse identify this event as?
a. A never event
b. A variance
c. An audit
d. A sentinel event
b
A nurse accidentally gives a double dose of blood pressure medication. After
ensuring the safety of the client, the nurse would record the error in which
documents?
a. Client's record and occurrence report
b. Occurrence report and clinical pathway
c. Critical pathway and care plan
d. Care plan and client's record
a
Which statement by the nurse would indicate to the charge nurse that there is
need for further teaching on the purposes of medical records?
a. "The clients' medical records provide data for legal evidence."
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b. "I can share the clients' medical records with the health care team."
c. "The clients' medical records are an obstruction to research and education."
d. "The clients' health records should be used to promote reimbursement from
insurance companies"
c
The nurse documents that a client does not have pain prior to the administration
of pain medication. The client, however, requested medication for increasing
postsurgical pain.
What is the appropriate action to correct the pain assessment documented in the
client's paper medical record?
a. Scribble through the entry.
b. Obtain white-out to cover the entry.
c. Write over the entry in another color pen.
d. Place one line through the entry and initial it.
d
The nurse documents a progress note in the wrong client's electronic medical
record (EMR). Which action would the nurse take once realizing the error?
a. Immediately delete the incorrect documentation.
b. Create an addendum with a correction.
c. Contact information technology (IT) staff to make the correction.
d. Contact the health care provider.
b
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A nurse manager is discussing a nurse's social media post about an interesting
client situation. The nurse states, "I didn’t violate client privacy because I didn’t
use the client's name." What response by the nurse manager is most appropriate?
a. "Any information that can identify a person is considered a breach of client
privacy."
b. "You may continue to post about a client, as long as you do not use the client's
name."
c. "All aspects of clinical practice are confidential and should not be discussed."
d. "The information being posted on social media is inappropriate. Make sure to
discuss information about clients privately with friends and family."
a
The nurse is caring for a client whose spouse wishes to see the electronic health
record. What is the appropriate nursing response?
a. "Let me get that for you."
b. "Only authorized persons are allowed to access client records."
c. "The provider will need to give permission for you to review."
d. "I am sorry I can't access that information."
b
Which action by the nurse is compliant with the Health Insurance Portability and
Accountability Act (HIPAA)?
a. Disclosing client health information for research purposes after obtaining
permission from the client's health care provider
b. Releasing the client's entire health record when only portions of the
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information are needed
c. Submitting a written notice to all clients identifying the uses and disclosures of
their health information
d. Obtaining only the client's verbal acknowledgement of having been informed of
the disclosure of information
c
Which actions should the nurse perform to limit casual access to the identity of
clients? Select all that apply.
a. Posting information linking a client with diagnosis, treatment, and procedure on
whiteboards
b. Obscuring identifiable names of clients and private information about clients on
clipboards
c. Placing fax machines, filing cabinets, and medical records in areas that are off-
limits to the public
d. Keeping record of people who have access to clients' records
e. Making the names of clients on charts visible to the public
b, c, d
A nurse documents the following data in the client record according to the SOAP
format: Client reports unrelieved pain; client is seen clutching the side and
grimacing; client pain medication does not appear to be effective; Call in to
primary care provider to increase dosage of pain medication or change
prescription. This is an example of what charting method?
a. Source-oriented method
b. PIE charting method
c. Problem-oriented method
d. Focus charting method
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