1|Page
NURS 2214 Nursing Exam 1 2026/2027 Actual
Exam Verified Answers & Detailed Rationales
NGN Grade A Study Guide
1. A nurse is educating a community group about immunization prevention. Which
type of prevention does immunization represent?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: Primary prevention
Rationale: Immunizations are a primary prevention strategy, as they prevent the initial
occurrence of disease before it develops.
2. A nurse is explaining herd immunity to a group of new parents. Which statement
accurately describes the purpose of herd immunity?
A. It provides immunity to individuals who refuse vaccination
,2|Page
B. It protects vulnerable populations who cannot be vaccinated
C. It eliminates the need for individual vaccinations
D. It guarantees complete eradication of infectious diseases
Correct Answer: It protects vulnerable populations who cannot be vaccinated
Rationale: Herd immunity occurs when a sufficient proportion of a population is
immune to a disease, protecting those who are vulnerable and cannot be vaccinated.
3. A parent expresses doubt about vaccinating their child. What is the nurse's best
response based on evidence-based practice?
A. "You should vaccinate your child because it is the law."
B. "Let me provide you with evidence-based information and resources about vaccines."
C. "Your child will be fine without vaccines."
D. "I cannot discuss this with you unless you agree to vaccinate."
Correct Answer: "Let me provide you with evidence-based information and
resources about vaccines."
Rationale: Evidence-based practice involves providing patients and families with
accurate information and resources to support informed decision-making.
,3|Page
4. A nurse is explaining why screenings are linked to specific risk factors. Which
statement best explains this relationship?
A. Screenings are required by law for all patients regardless of risk
B. Early detection through risk-based screening improves patient outcomes
C. Screenings are only performed when patients request them
D. Risk factors determine the cost of screening procedures
Correct Answer: Early detection through risk-based screening improves patient
outcomes
Rationale: Screenings are dictated by specific risk factors because early detection of
disease improves patient outcomes and allows for timely intervention.
5. A nurse encounters an ethical dilemma involving a patient. What is the nurse's first
action?
A. Consult the hospital ethics committee
B. Notify the healthcare provider
C. Complete an assessment to determine the problem at hand
D. Document the dilemma in the patient's chart
Correct Answer: Complete an assessment to determine the problem at hand
Rationale: The first step in addressing an ethical issue is to complete a thorough
, 4|Page
assessment to identify and understand the problem before determining appropriate
actions.
6. A nurse reports a coworker who is diverting patient medications. Which ethical
principle is the nurse demonstrating?
A. Autonomy
B. Beneficence
C. Veracity
D. Nonmaleficence
Correct Answer: Veracity
Rationale: Veracity refers to truthfulness and honesty. Reporting a coworker who is
diverting medications demonstrates commitment to truthfulness and professional
integrity.
7. A nurse manager is developing critical thinking skills in staff following an adverse
event. After identifying the problem, what is the next step?
A. Discipline the staff member involved
B. Review what happened
NURS 2214 Nursing Exam 1 2026/2027 Actual
Exam Verified Answers & Detailed Rationales
NGN Grade A Study Guide
1. A nurse is educating a community group about immunization prevention. Which
type of prevention does immunization represent?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: Primary prevention
Rationale: Immunizations are a primary prevention strategy, as they prevent the initial
occurrence of disease before it develops.
2. A nurse is explaining herd immunity to a group of new parents. Which statement
accurately describes the purpose of herd immunity?
A. It provides immunity to individuals who refuse vaccination
,2|Page
B. It protects vulnerable populations who cannot be vaccinated
C. It eliminates the need for individual vaccinations
D. It guarantees complete eradication of infectious diseases
Correct Answer: It protects vulnerable populations who cannot be vaccinated
Rationale: Herd immunity occurs when a sufficient proportion of a population is
immune to a disease, protecting those who are vulnerable and cannot be vaccinated.
3. A parent expresses doubt about vaccinating their child. What is the nurse's best
response based on evidence-based practice?
A. "You should vaccinate your child because it is the law."
B. "Let me provide you with evidence-based information and resources about vaccines."
C. "Your child will be fine without vaccines."
D. "I cannot discuss this with you unless you agree to vaccinate."
Correct Answer: "Let me provide you with evidence-based information and
resources about vaccines."
Rationale: Evidence-based practice involves providing patients and families with
accurate information and resources to support informed decision-making.
,3|Page
4. A nurse is explaining why screenings are linked to specific risk factors. Which
statement best explains this relationship?
A. Screenings are required by law for all patients regardless of risk
B. Early detection through risk-based screening improves patient outcomes
C. Screenings are only performed when patients request them
D. Risk factors determine the cost of screening procedures
Correct Answer: Early detection through risk-based screening improves patient
outcomes
Rationale: Screenings are dictated by specific risk factors because early detection of
disease improves patient outcomes and allows for timely intervention.
5. A nurse encounters an ethical dilemma involving a patient. What is the nurse's first
action?
A. Consult the hospital ethics committee
B. Notify the healthcare provider
C. Complete an assessment to determine the problem at hand
D. Document the dilemma in the patient's chart
Correct Answer: Complete an assessment to determine the problem at hand
Rationale: The first step in addressing an ethical issue is to complete a thorough
, 4|Page
assessment to identify and understand the problem before determining appropriate
actions.
6. A nurse reports a coworker who is diverting patient medications. Which ethical
principle is the nurse demonstrating?
A. Autonomy
B. Beneficence
C. Veracity
D. Nonmaleficence
Correct Answer: Veracity
Rationale: Veracity refers to truthfulness and honesty. Reporting a coworker who is
diverting medications demonstrates commitment to truthfulness and professional
integrity.
7. A nurse manager is developing critical thinking skills in staff following an adverse
event. After identifying the problem, what is the next step?
A. Discipline the staff member involved
B. Review what happened
