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NCLEX-RN FUNDAMENTALS OF NURSING
2026/2027 COMPREHENSIVE TEST BANK –
150+ QUESTIONS WITH RATIONALES
HIGH-YIELD CONTENT FOR EXAM
SUCCESS**
---
## Table of Contents
| **Section** | **Topic** | **Question Count** |
|-------------|-----------|--------------------|
| 1 | Safe and Effective Care Environment | 25 |
| 2 | Health Promotion and Maintenance | 25 |
| 3 | Psychosocial Integrity | 20 |
| 4 | Physiological Integrity – Basic Care & Comfort | 25 |
| 5 | Physiological Integrity – Pharmacological & Parenteral Therapies |
20 |
| 6 | Physiological Integrity – Reduction of Risk Potential | 20 |
| 7 | Physiological Integrity – Physiological Adaptation | 20 |
| **Total** | | **155** |
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---
## Section 1: Safe and Effective Care Environment (25 Questions)
**Question 1**
A nurse is preparing to insert an indwelling urinary catheter for a female
patient. Which action demonstrates proper sterile technique?
A) Opening the sterile kit and placing the sterile field on a wet surface
B) Using clean gloves to handle the catheter after opening the sterile
package
C) Maintaining the dominant hand as sterile and the non-dominant hand
as clean
D) Placing the sterile drape with the shiny side facing down
**Answer:** C
**Rationale:** In sterile procedures, the dominant hand is kept sterile
(touches sterile items) while the non-dominant hand is considered clean
(touches non-sterile items but not sterile supplies). Option A is incorrect
because sterile fields must be placed on dry surfaces; moisture can wick
bacteria through the drape. Option B is incorrect because sterile gloves
must be worn to handle sterile equipment. Option D is incorrect because
the shiny side of a sterile drape is typically the fluid-resistant side and
should face up to prevent strike-through contamination.
---
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**Question 2** (Select All That Apply)
A charge nurse is observing a new graduate nurse perform hand hygiene.
Which actions indicate proper handwashing technique? (Select all that
apply)
A) Wearing artificial nails
B) Washing for at least 15 seconds
C) Using hot water to remove more bacteria
D) Keeping hands lower than elbows during rinsing
E) Using a paper towel to turn off the faucet
**Answers:** B, D, E
**Rationale:**
- B: Handwashing should last at least 15-20 seconds (CDC
recommendation).
- D: Keeping hands lower than elbows allows water to flow from cleaner
to dirtier areas.
- E: Using a paper towel to turn off the faucet prevents recontamination
of clean hands.
- A: Artificial nails harbor bacteria and are not recommended for
healthcare workers (especially in OR or high-risk areas).
- C: Hot water can damage skin, increasing infection risk; warm water is
recommended.
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---
**Question 3**
A nurse is caring for a patient on fall precautions. Which intervention
should the nurse implement FIRST?
A) Place the bed in the lowest position
B) Apply a yellow fall risk wristband
C) Ensure the call light is within reach
D) Assess the patient's current mental status
**Answer:** D
**Rationale:** The first step is assessment. The nurse must assess the
patient's current mental status, mobility, and specific fall risk factors to
determine individualized interventions. While options A, B, and C are
important fall prevention measures, they should be implemented after
assessment.
---
**Question 4** (Ordered Response)
Place the following steps for applying a restraint in the correct order:
1. Assess patient's behavior and need for restraint
2. Obtain a physician's order
NCLEX-RN FUNDAMENTALS OF NURSING
2026/2027 COMPREHENSIVE TEST BANK –
150+ QUESTIONS WITH RATIONALES
HIGH-YIELD CONTENT FOR EXAM
SUCCESS**
---
## Table of Contents
| **Section** | **Topic** | **Question Count** |
|-------------|-----------|--------------------|
| 1 | Safe and Effective Care Environment | 25 |
| 2 | Health Promotion and Maintenance | 25 |
| 3 | Psychosocial Integrity | 20 |
| 4 | Physiological Integrity – Basic Care & Comfort | 25 |
| 5 | Physiological Integrity – Pharmacological & Parenteral Therapies |
20 |
| 6 | Physiological Integrity – Reduction of Risk Potential | 20 |
| 7 | Physiological Integrity – Physiological Adaptation | 20 |
| **Total** | | **155** |
,2|Page
---
## Section 1: Safe and Effective Care Environment (25 Questions)
**Question 1**
A nurse is preparing to insert an indwelling urinary catheter for a female
patient. Which action demonstrates proper sterile technique?
A) Opening the sterile kit and placing the sterile field on a wet surface
B) Using clean gloves to handle the catheter after opening the sterile
package
C) Maintaining the dominant hand as sterile and the non-dominant hand
as clean
D) Placing the sterile drape with the shiny side facing down
**Answer:** C
**Rationale:** In sterile procedures, the dominant hand is kept sterile
(touches sterile items) while the non-dominant hand is considered clean
(touches non-sterile items but not sterile supplies). Option A is incorrect
because sterile fields must be placed on dry surfaces; moisture can wick
bacteria through the drape. Option B is incorrect because sterile gloves
must be worn to handle sterile equipment. Option D is incorrect because
the shiny side of a sterile drape is typically the fluid-resistant side and
should face up to prevent strike-through contamination.
---
,3|Page
**Question 2** (Select All That Apply)
A charge nurse is observing a new graduate nurse perform hand hygiene.
Which actions indicate proper handwashing technique? (Select all that
apply)
A) Wearing artificial nails
B) Washing for at least 15 seconds
C) Using hot water to remove more bacteria
D) Keeping hands lower than elbows during rinsing
E) Using a paper towel to turn off the faucet
**Answers:** B, D, E
**Rationale:**
- B: Handwashing should last at least 15-20 seconds (CDC
recommendation).
- D: Keeping hands lower than elbows allows water to flow from cleaner
to dirtier areas.
- E: Using a paper towel to turn off the faucet prevents recontamination
of clean hands.
- A: Artificial nails harbor bacteria and are not recommended for
healthcare workers (especially in OR or high-risk areas).
- C: Hot water can damage skin, increasing infection risk; warm water is
recommended.
, 4|Page
---
**Question 3**
A nurse is caring for a patient on fall precautions. Which intervention
should the nurse implement FIRST?
A) Place the bed in the lowest position
B) Apply a yellow fall risk wristband
C) Ensure the call light is within reach
D) Assess the patient's current mental status
**Answer:** D
**Rationale:** The first step is assessment. The nurse must assess the
patient's current mental status, mobility, and specific fall risk factors to
determine individualized interventions. While options A, B, and C are
important fall prevention measures, they should be implemented after
assessment.
---
**Question 4** (Ordered Response)
Place the following steps for applying a restraint in the correct order:
1. Assess patient's behavior and need for restraint
2. Obtain a physician's order
