Professional Nursing Mastery: 300
Comprehensive Exam Questions with
Verified Answers for Guaranteed
EXAM
1. A nurse is delegating tasks to an LPN/LVN and an unlicensed assistive personnel
(UAP). Which task is most appropriate for the LPN/LVN?
A. Ambulating a patient who is post-operative day 1
B. Administering a tube feeding to a patient with a gastrostomy tube
C. Bathing a patient with dementia
D. Emptying a patient’s indwelling urinary catheter bag
Answer: B. LPNs/LVNs can perform stable, predictable tasks such as tube feedings,
sterile procedures, and administering medications. UAPs handle ambulation, bathing,
and emptying catheter bags.
2. A charge nurse is making patient assignments. Which patient should be
assigned to the RN instead of the LPN?
A. A 65-year-old with stable diabetes mellitus type 2
B. A 40-year-old with a fractured tibia in Buck’s traction
C. A 72-year-old with pneumonia who requires IV antibiotics every 8 hours
D. A 55-year-old 4 hours post-cardiac catheterization with a femoral sheath still in place
Answer: D. A patient with a femoral sheath in place is at high risk for bleeding and
vascular complications, requiring assessment skills and critical thinking of an RN.
3. A nurse is caring for a client who refuses a blood transfusion due to religious
beliefs. The client’s family asks the nurse to persuade the client. What is the
nurse’s priority action?
A. Respect the client’s decision and document the refusal
B. Contact the hospital ethics committee
C. Ask the provider to speak with the family
,D. Explain to the family that the client has the right to refuse
Answer: A. The nurse’s primary duty is to respect the client’s autonomy. The client has
the legal right to refuse treatment. Documentation is essential.
4. A nurse manager is implementing a new fall-prevention protocol. Which
strategy demonstrates the use of evidence-based practice (EBP)?
A. Using the same protocol that the previous manager used
B. Implementing a protocol recommended by a vendor
C. Reviewing current research literature on fall prevention before implementation
D. Asking staff for their opinion on fall prevention
Answer: C. EBP integrates the best current evidence with clinical expertise and patient
values.
5. A nurse is preparing to discharge a patient who speaks a different language
than the nurse. What is the most appropriate method for obtaining informed
consent for a home health referral?
A. Ask the patient’s adult child to translate
B. Use a certified medical interpreter
C. Use a translation app on a hospital tablet
D. Provide written instructions in the patient’s language
Answer: B. Certified medical interpreters ensure accuracy, confidentiality, and legal
compliance. Family members may misinterpret or omit critical information.
Domain 2: Safe & Effective Care Environment (Safety &
Infection Control)
6. A nurse is caring for a patient with active pulmonary tuberculosis. Which type of
precautions should the nurse implement?
A. Contact precautions
, B. Droplet precautions
C. Airborne precautions
D. Protective environment
Answer: C. Tuberculosis requires airborne precautions: negative pressure room, N95
respirator.
7. A nurse is preparing to administer a medication via a peripheral IV line. The site
is red, swollen, and warm to the touch. What is the priority action?
A. Slow the infusion rate
B. Apply a warm compress
C. Discontinue the IV line
D. Notify the provider
Answer: C. Signs of phlebitis or infiltration require immediate removal of the IV to
prevent further tissue damage or infection.
8. A nurse is performing hand hygiene. Which action is correct?
A. Using alcohol-based hand rub after caring for a patient with C. difficile
B. Washing hands with soap and water for at least 15 seconds
C. Keeping rings on while washing hands
D. Using hot water to kill bacteria
Answer: B. Soap and water for at least 15-20 seconds is required. Alcohol-based rub is
ineffective against C. difficile spores.
9. A patient is on contact precautions for methicillin-resistant Staphylococcus
aureus (MRSA). Which personal protective equipment (PPE) must the nurse wear
when providing direct care?
A. Gloves and gown
B. Gloves and mask
C. Gown and N95 respirator
D. Gloves and goggles
Answer: A. Contact precautions require gloves and a gown. Mask is for
droplet/airborne.
Comprehensive Exam Questions with
Verified Answers for Guaranteed
EXAM
1. A nurse is delegating tasks to an LPN/LVN and an unlicensed assistive personnel
(UAP). Which task is most appropriate for the LPN/LVN?
A. Ambulating a patient who is post-operative day 1
B. Administering a tube feeding to a patient with a gastrostomy tube
C. Bathing a patient with dementia
D. Emptying a patient’s indwelling urinary catheter bag
Answer: B. LPNs/LVNs can perform stable, predictable tasks such as tube feedings,
sterile procedures, and administering medications. UAPs handle ambulation, bathing,
and emptying catheter bags.
2. A charge nurse is making patient assignments. Which patient should be
assigned to the RN instead of the LPN?
A. A 65-year-old with stable diabetes mellitus type 2
B. A 40-year-old with a fractured tibia in Buck’s traction
C. A 72-year-old with pneumonia who requires IV antibiotics every 8 hours
D. A 55-year-old 4 hours post-cardiac catheterization with a femoral sheath still in place
Answer: D. A patient with a femoral sheath in place is at high risk for bleeding and
vascular complications, requiring assessment skills and critical thinking of an RN.
3. A nurse is caring for a client who refuses a blood transfusion due to religious
beliefs. The client’s family asks the nurse to persuade the client. What is the
nurse’s priority action?
A. Respect the client’s decision and document the refusal
B. Contact the hospital ethics committee
C. Ask the provider to speak with the family
,D. Explain to the family that the client has the right to refuse
Answer: A. The nurse’s primary duty is to respect the client’s autonomy. The client has
the legal right to refuse treatment. Documentation is essential.
4. A nurse manager is implementing a new fall-prevention protocol. Which
strategy demonstrates the use of evidence-based practice (EBP)?
A. Using the same protocol that the previous manager used
B. Implementing a protocol recommended by a vendor
C. Reviewing current research literature on fall prevention before implementation
D. Asking staff for their opinion on fall prevention
Answer: C. EBP integrates the best current evidence with clinical expertise and patient
values.
5. A nurse is preparing to discharge a patient who speaks a different language
than the nurse. What is the most appropriate method for obtaining informed
consent for a home health referral?
A. Ask the patient’s adult child to translate
B. Use a certified medical interpreter
C. Use a translation app on a hospital tablet
D. Provide written instructions in the patient’s language
Answer: B. Certified medical interpreters ensure accuracy, confidentiality, and legal
compliance. Family members may misinterpret or omit critical information.
Domain 2: Safe & Effective Care Environment (Safety &
Infection Control)
6. A nurse is caring for a patient with active pulmonary tuberculosis. Which type of
precautions should the nurse implement?
A. Contact precautions
, B. Droplet precautions
C. Airborne precautions
D. Protective environment
Answer: C. Tuberculosis requires airborne precautions: negative pressure room, N95
respirator.
7. A nurse is preparing to administer a medication via a peripheral IV line. The site
is red, swollen, and warm to the touch. What is the priority action?
A. Slow the infusion rate
B. Apply a warm compress
C. Discontinue the IV line
D. Notify the provider
Answer: C. Signs of phlebitis or infiltration require immediate removal of the IV to
prevent further tissue damage or infection.
8. A nurse is performing hand hygiene. Which action is correct?
A. Using alcohol-based hand rub after caring for a patient with C. difficile
B. Washing hands with soap and water for at least 15 seconds
C. Keeping rings on while washing hands
D. Using hot water to kill bacteria
Answer: B. Soap and water for at least 15-20 seconds is required. Alcohol-based rub is
ineffective against C. difficile spores.
9. A patient is on contact precautions for methicillin-resistant Staphylococcus
aureus (MRSA). Which personal protective equipment (PPE) must the nurse wear
when providing direct care?
A. Gloves and gown
B. Gloves and mask
C. Gown and N95 respirator
D. Gloves and goggles
Answer: A. Contact precautions require gloves and a gown. Mask is for
droplet/airborne.
