NCLEX Fundamentals of Nursing Test Bank Exam
Verified Questions, Correct Answers, and Detailed
Explanations for Students||Already Graded A+
1. A nurse is caring for a patient who has difficulty swallowing. Which
position is safest for feeding?
A. Supine
B. Prone
C. High Fowler’s
D. Side-lying
Rationale: High Fowler’s position (sitting upright) promotes safe swallowing
and reduces the risk of aspiration.
2. Which action demonstrates proper hand hygiene?
A. Rinsing hands under water only
B. Using hand sanitizer before glove use when visibly soiled
C. Washing hands with soap and water for at least 20 seconds
D. Wearing gloves instead of washing hands
Rationale: Soap and water for 20 seconds is the most effective method to
remove microorganisms, especially when hands are visibly soiled.
3. The nurse is assessing a patient’s vital signs. Which reading requires
immediate intervention?
A. Temperature 37°C
B. Blood pressure 120/80 mmHg
C. Pulse 72 bpm
D. Respiratory rate 30/min
Rationale: A respiratory rate of 30/min indicates tachypnea, which may signal
respiratory distress.
4. Which of the following is an example of a subjective assessment?
,A. Heart rate 88 bpm
B. Blood pressure 140/90 mmHg
C. Patient reports pain of 7/10
D. Temperature 38°C
Rationale: Subjective data is based on patient’s self-report, such as pain or
feelings.
5. A nurse instructs a patient to perform deep-breathing exercises. What is
the main purpose?
A. Reduce heart rate
B. Prevent atelectasis
C. Improve appetite
D. Increase muscle strength
Rationale: Deep-breathing exercises help expand the lungs fully, preventing
alveolar collapse (atelectasis).
6. Which of the following demonstrates proper body mechanics for lifting a
heavy object?
A. Bending at the waist
B. Bending at the knees, keeping the back straight
C. Twisting the torso while lifting
D. Holding the object away from the body
Rationale: Bending at the knees and keeping the back straight reduces the risk
of back injury.
7. A nurse is teaching a patient with diabetes about foot care. Which
statement indicates understanding?
A. Wash feet only when they are dirty
B. Inspect feet daily for cuts or redness
C. Apply lotion between the toes
D. Wear sandals at all times
, Rationale: Daily inspection prevents complications like ulcers and infections in
diabetic patients.
8. Which action should the nurse take first for a patient experiencing
hypoglycemia?
A. Call the provider
B. Give a fast-acting carbohydrate
C. Administer insulin
D. Provide a full meal
Rationale: Hypoglycemia requires immediate correction with fast-acting
carbohydrates to prevent further complications.
9. A patient is scheduled for surgery and asks about NPO status. The nurse
should explain that:
A. Food can be eaten until midnight
B. Water can be taken anytime
C. Nothing by mouth is allowed to prevent aspiration
D. Only snacks are permitted
Rationale: NPO status prevents aspiration during anesthesia.
10. Which intervention promotes wound healing?
A. Keeping the wound dry at all times
B. Maintaining a clean, moist environment
C. Rubbing the wound vigorously
D. Avoiding dressing changes
Rationale: A clean, moist wound environment promotes epithelialization and
faster healing.
11. The nurse is monitoring a patient on oxygen therapy. Which observation
requires immediate action?
Verified Questions, Correct Answers, and Detailed
Explanations for Students||Already Graded A+
1. A nurse is caring for a patient who has difficulty swallowing. Which
position is safest for feeding?
A. Supine
B. Prone
C. High Fowler’s
D. Side-lying
Rationale: High Fowler’s position (sitting upright) promotes safe swallowing
and reduces the risk of aspiration.
2. Which action demonstrates proper hand hygiene?
A. Rinsing hands under water only
B. Using hand sanitizer before glove use when visibly soiled
C. Washing hands with soap and water for at least 20 seconds
D. Wearing gloves instead of washing hands
Rationale: Soap and water for 20 seconds is the most effective method to
remove microorganisms, especially when hands are visibly soiled.
3. The nurse is assessing a patient’s vital signs. Which reading requires
immediate intervention?
A. Temperature 37°C
B. Blood pressure 120/80 mmHg
C. Pulse 72 bpm
D. Respiratory rate 30/min
Rationale: A respiratory rate of 30/min indicates tachypnea, which may signal
respiratory distress.
4. Which of the following is an example of a subjective assessment?
,A. Heart rate 88 bpm
B. Blood pressure 140/90 mmHg
C. Patient reports pain of 7/10
D. Temperature 38°C
Rationale: Subjective data is based on patient’s self-report, such as pain or
feelings.
5. A nurse instructs a patient to perform deep-breathing exercises. What is
the main purpose?
A. Reduce heart rate
B. Prevent atelectasis
C. Improve appetite
D. Increase muscle strength
Rationale: Deep-breathing exercises help expand the lungs fully, preventing
alveolar collapse (atelectasis).
6. Which of the following demonstrates proper body mechanics for lifting a
heavy object?
A. Bending at the waist
B. Bending at the knees, keeping the back straight
C. Twisting the torso while lifting
D. Holding the object away from the body
Rationale: Bending at the knees and keeping the back straight reduces the risk
of back injury.
7. A nurse is teaching a patient with diabetes about foot care. Which
statement indicates understanding?
A. Wash feet only when they are dirty
B. Inspect feet daily for cuts or redness
C. Apply lotion between the toes
D. Wear sandals at all times
, Rationale: Daily inspection prevents complications like ulcers and infections in
diabetic patients.
8. Which action should the nurse take first for a patient experiencing
hypoglycemia?
A. Call the provider
B. Give a fast-acting carbohydrate
C. Administer insulin
D. Provide a full meal
Rationale: Hypoglycemia requires immediate correction with fast-acting
carbohydrates to prevent further complications.
9. A patient is scheduled for surgery and asks about NPO status. The nurse
should explain that:
A. Food can be eaten until midnight
B. Water can be taken anytime
C. Nothing by mouth is allowed to prevent aspiration
D. Only snacks are permitted
Rationale: NPO status prevents aspiration during anesthesia.
10. Which intervention promotes wound healing?
A. Keeping the wound dry at all times
B. Maintaining a clean, moist environment
C. Rubbing the wound vigorously
D. Avoiding dressing changes
Rationale: A clean, moist wound environment promotes epithelialization and
faster healing.
11. The nurse is monitoring a patient on oxygen therapy. Which observation
requires immediate action?
