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Core Domains
Legal and Ethical Nursing Practice
Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Basic Care and Comfort
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Introduction
The purpose of this assessment is to evaluate the
foundational knowledge and clinical judgment required for
entry-level nursing practice. This examination assesses a
broad range of skills including patient safety, physical
assessment, and the implementation of basic nursing
,interventions. The structure utilizes a mix of multiple-choice
and complex scenario-based questions designed to mirror
the challenges of a clinical environment. There is a strong
emphasis on real-world application, prioritizing patient needs,
and ethical decision-making. Candidates are expected to
demonstrate critical thinking skills while navigating legal
regulations and professional standards to ensure high-quality,
patient-centered care across various healthcare settings.
SECTION ONE: QUESTIONS 1–100
1. A nurse is preparing to administer an intramuscular
injection to an adult client. Which of the following
actions should the nurse take to ensure proper
technique?
A. Use a 1-inch needle for a client who is obese.
B. Massage the site firmly after withdrawing the needle.
C. Select the ventrogluteal site for a large volume injection.
D. Use the deltoid site for an injection volume of 4 mL.
🟢 C. Select the ventrogluteal site for a large volume
injection.
,🔴 Explanation: The ventrogluteal site is the safest and
preferred site for large volume (up to 3 mL) intramuscular
injections in adults because it lacks major nerves and blood
vessels.
2. A nurse is caring for a client who is at risk for falls.
Which of the following interventions should the nurse
include in the plan of care?
A. Keep the bed in the highest position.
B. Provide the client with non-skid footwear.
C. Keep all four side rails in the upright position.
D. Place a throw rug in the client’s bathroom.
🟢 B. Provide the client with non-skid footwear.
🔴 Explanation: Non-skid footwear provides better traction
and reduces the risk of slipping, which is a primary
intervention for fall prevention.
3. A nurse is assessing a client’s radial pulse and notes
that the rhythm is irregular. Which of the following
actions should the nurse take next?
, A. Document the finding and reassess in 4 hours.
B. Assess the apical pulse for one full minute.
C. Notify the provider immediately.
D. Administer a dose of digoxin.
🟢 B. Assess the apical pulse for one full minute.
🔴 Explanation: When a peripheral pulse is irregular, the
nurse must assess the apical pulse for 60 seconds to obtain
an accurate heart rate and rhythm.
4. A nurse is teaching a client about a low-sodium diet.
Which of the following food choices by the client
indicates an understanding of the teaching?
A. Canned tomato soup
B. Smoked ham
C. Fresh turkey breast
D. Pickled cucumbers
🟢 C. Fresh turkey breast
🔴 Explanation: Fresh meats are naturally lower in sodium
compared to processed, canned, or smoked foods, which
contain high levels of sodium as a preservative.