NURS 201 Adult Health Nursing Practice Exam | Verified
Questions & Detailed Rationales | 2026–2027 Nursing Exam
Prep | Grade A
1. A nurse is interviewing a veteran who served in Afghanistan. Which of the following
client characteristics would the nurse expect?
A. Difficulty trusting authority figures
B. Strong sense of and loyalty to community
C. Preference for individual decision-making
D. Reluctance to discuss personal experiences
CORRECT ANSWER: B
Rationale: Military veterans often develop a strong sense of community, camaraderie,
and loyalty based on their shared experiences and training. This is a common
characteristic that can influence their healthcare interactions and support systems.
2. A nurse adds a new infusion bag for a client receiving continuous IV fluids, and
realizes 4 hours later that the added solution is not what was ordered. The nurse
assesses the client and then reports the error to the nurse manager. What is the
manager's best response?
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A. "This will need to be documented in your personnel file."
B. "We need to review this error so we all can learn from it going forward."
C. "You need to be more careful when administering medications."
D. "I will report this to the risk management department."
CORRECT ANSWER: B
Rationale: A just culture approach focuses on system improvements rather than
individual blame. The manager's best response is to use the error as a learning
opportunity to prevent future occurrences, promoting a culture of safety.
3. A nurse has been leading a quality improvement project to decrease falls on the
nursing unit and is currently piloting new bed alarms. What step of the Plan-Do-Study-
Act (PDSA) model does this pilot represent?
A. Plan
B. Do
C. Study
D. Act
CORRECT ANSWER: B
Rationale: The "Do" phase of the PDSA model involves implementing the planned
intervention on a small scale (pilot) to test its effectiveness before broader
implementation.
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4. A nurse is caring for a client who has internal bleeding and is rapidly going into
hypovolemic shock. What action by the nurse is most appropriate at this time to
ensure client safety?
A. Stay with the client and monitor vital signs closely
B. Contact the Rapid Response Team
C. Call the provider for new orders
D. Move the client to a higher acuity unit
CORRECT ANSWER: B
Rationale: The Rapid Response Team (RRT) is a team of critical care experts who can be
called to the bedside to assess and intervene for a patient with rapidly deteriorating
condition. This is the most appropriate action to ensure client safety.
5. The nurse provides an SBAR report to the surgeon for a client whose pain is not
controlled following a total knee arthroplasty. In which step of the SBAR
communication would the nurse include this information?
A. Situation
B. Background
C. Assessment
D. Recommendation
CORRECT ANSWER: A
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Rationale: The Situation is the first step of SBAR and includes a concise statement of the
problem. "The client's pain is not controlled following a total knee arthroplasty" clearly
states the current situation.
6. A nurse posts misinformation about COVID-19 transmission and prevention on
social media. What ethical principle is the nurse violating?
A. Beneficence
B. Nonmaleficence
C. Veracity
D. Fidelity
CORRECT ANSWER: C
Rationale: Veracity is the ethical principle of truthfulness. Posting misinformation
violates the duty to be truthful and provide accurate information, especially as a trusted
professional.
7. A nurse is preparing to perform a new skill for a client and reviews how the
procedure should be done per agency policy. What ethical principle best represents
the nurse's action?
A. Beneficence
B. Nonmaleficence
C. Autonomy