NU 131 EXAM 4: NURSING AND HEALTHCARE – ACTUAL EXAM PRACTICE QUESTIONS
AND 100% VERIFIED CORRECT ANSWERS | COMPLETE EXAM PREP TESTBANK |
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CORE DOMAINS
1. Patient Safety and Quality Care
2. Nursing Ethics and Legal Responsibilities
3. Health Assessment and Clinical Judgment
4. Pharmacology and Medication Administration
5. Infection Control and Prevention
6. Communication and Interprofessional Collaboration
7. Chronic and Acute Disease Management
8. Cultural Competence and Patient Education
9. Healthcare Systems and Policy
TABLE OF CONTENTS
1. Introduction ............................................. Page 1
2. Patient Safety and Quality Care .............. Page 2
, 3. Nursing Ethics and Legal Responsibilities .... Page 3
4. Health Assessment and Clinical Judgment .... Page 4
5. Pharmacology and Medication Administration ... Page 5
6. Infection Control and Prevention ............... Page 6
7. Communication and Collaboration ............. Page 7
8. Chronic and Acute Disease Management .... Page 8
9. Cultural Competence and Education ........... Page 9
10. Healthcare Systems and Policy ............... Page 10
11. Answer Key Summary ............................. Page 11
INTRODUCTION
This comprehensive exam is designed to assess essential nursing knowledge and clinical
decision-making skills required in healthcare practice. It evaluates understanding across
patient safety, ethical standards, pharmacology, infection control, and patient-centered
care. The exam uses multiple-choice and scenario-based questions to simulate real-world
clinical situations. Emphasis is placed on applying theoretical knowledge to practice,
ensuring safe, effective, and ethical care delivery. This testbank supports preparation for
academic and professional nursing assessments by reinforcing critical thinking,
prioritization, and evidence-based nursing interventions.
,SECTION 1: QUESTIONS 1–35
1. A nurse identifies a patient at high risk for falls. What is the priority intervention?
A. Document the risk
🔴 B. Implement fall precautions
C. Notify the physician
D. Provide patient education
🔵 Explanation: Implementing fall precautions is the immediate action to prevent
injury and ensure patient safety.
2. Which principle is most important when administering medications?
A. Patient comfort
🔴 B. Rights of medication administration
C. Physician preference
D. Cost effectiveness
🔵 Explanation: The rights of medication administration ensure safe and accurate
drug delivery.
3. A nurse must maintain patient confidentiality under which law?
A. OSHA
🔴 B. HIPAA
, C. CDC guidelines
D. Medicare Act
🔵 Explanation: HIPAA protects patient health information and privacy.
4. A patient refuses treatment. What should the nurse do first?
A. Notify family
🔴 B. Assess patient competence
C. Document refusal
D. Call security
🔵 Explanation: Determining competence ensures the patient can legally refuse care.
5. Which vital sign change requires immediate attention?
A. BP 130/80
B. HR 88
🔴 C. RR 8
D. Temp 37°C
🔵 Explanation: A respiratory rate of 8 indicates potential respiratory depression.
AND 100% VERIFIED CORRECT ANSWERS | COMPLETE EXAM PREP TESTBANK |
GUARANTEED PASS | INSTANT DOWNLOAD PDF
CORE DOMAINS
1. Patient Safety and Quality Care
2. Nursing Ethics and Legal Responsibilities
3. Health Assessment and Clinical Judgment
4. Pharmacology and Medication Administration
5. Infection Control and Prevention
6. Communication and Interprofessional Collaboration
7. Chronic and Acute Disease Management
8. Cultural Competence and Patient Education
9. Healthcare Systems and Policy
TABLE OF CONTENTS
1. Introduction ............................................. Page 1
2. Patient Safety and Quality Care .............. Page 2
, 3. Nursing Ethics and Legal Responsibilities .... Page 3
4. Health Assessment and Clinical Judgment .... Page 4
5. Pharmacology and Medication Administration ... Page 5
6. Infection Control and Prevention ............... Page 6
7. Communication and Collaboration ............. Page 7
8. Chronic and Acute Disease Management .... Page 8
9. Cultural Competence and Education ........... Page 9
10. Healthcare Systems and Policy ............... Page 10
11. Answer Key Summary ............................. Page 11
INTRODUCTION
This comprehensive exam is designed to assess essential nursing knowledge and clinical
decision-making skills required in healthcare practice. It evaluates understanding across
patient safety, ethical standards, pharmacology, infection control, and patient-centered
care. The exam uses multiple-choice and scenario-based questions to simulate real-world
clinical situations. Emphasis is placed on applying theoretical knowledge to practice,
ensuring safe, effective, and ethical care delivery. This testbank supports preparation for
academic and professional nursing assessments by reinforcing critical thinking,
prioritization, and evidence-based nursing interventions.
,SECTION 1: QUESTIONS 1–35
1. A nurse identifies a patient at high risk for falls. What is the priority intervention?
A. Document the risk
🔴 B. Implement fall precautions
C. Notify the physician
D. Provide patient education
🔵 Explanation: Implementing fall precautions is the immediate action to prevent
injury and ensure patient safety.
2. Which principle is most important when administering medications?
A. Patient comfort
🔴 B. Rights of medication administration
C. Physician preference
D. Cost effectiveness
🔵 Explanation: The rights of medication administration ensure safe and accurate
drug delivery.
3. A nurse must maintain patient confidentiality under which law?
A. OSHA
🔴 B. HIPAA
, C. CDC guidelines
D. Medicare Act
🔵 Explanation: HIPAA protects patient health information and privacy.
4. A patient refuses treatment. What should the nurse do first?
A. Notify family
🔴 B. Assess patient competence
C. Document refusal
D. Call security
🔵 Explanation: Determining competence ensures the patient can legally refuse care.
5. Which vital sign change requires immediate attention?
A. BP 130/80
B. HR 88
🔴 C. RR 8
D. Temp 37°C
🔵 Explanation: A respiratory rate of 8 indicates potential respiratory depression.
