FUNDAMENTALS OF NURSING PRACTICE
EXAM 2026–2027 – UPDATED TEST BANK
WITH VERIFIED QUESTIONS, DETAILED
ANSWERS & RATIONALES (A+ GRADED)
Questions 1–20
1. Which is the primary purpose of hand hygiene in nursing practice?
A) Keep hands soft
B) Prevent cross-contamination
C) Reduce transmission of microorganisms
D) Save water
Rationale: Hand hygiene is the most effective way to reduce transmission of infection in
healthcare settings.
2. A nurse identifies the patient is at risk for falls. Which is the most appropriate
intervention?
A) Raise all four side rails
B) Use restraints
C) Keep call light within reach
D) Keep room dark at night
Rationale: Ensuring the call light is accessible empowers patients and prevents unsafe climbing
or wandering.
3. Which temperature method provides the most accurate core measurement?
A) Oral
B) Axillary
C) Rectal
D) Tympanic
Rationale: Rectal temperatures best reflect core body temperature.
4. The nurse should verify the patient’s identity using which method?
A) Ask family member
B) Check name and date of birth with ID band
C) Ask patient’s roommate
,D) Call patient by first name only
Rationale: Two identifiers (name and DOB) using ID band ensures patient safety.
5. When making an occupied bed, what is most important?
A) Fold sheets neatly
B) Maintain patient safety and privacy
C) Use hospital corners
D) Work quickly to save time
Rationale: Safety and dignity are the priority when providing basic care.
6. Which is the correct sequence for removing PPE?
A) Gloves → Gown → Goggles → Mask
B) Mask → Gloves → Gown → Goggles
C) Gloves → Goggles/Face shield → Gown → Mask
D) Gown → Gloves → Mask → Goggles
Rationale: Remove most contaminated first (gloves), ending with mask to reduce exposure.
7. A nurse documents “patient voided 500 mL.” This is an example of which type of data?
A) Subjective
B) Objective
C) Inferred
D) Secondary
Rationale: Objective data are measurable and observable, such as urine output.
8. The nurse is delegating vital signs to a nursing assistant. Which patient should NOT be
delegated?
A) Stable post-op patient
B) Patient on dopamine infusion
C) Stable patient with pneumonia
D) Postpartum mother
Rationale: Unstable patients on vasoactive drips require RN assessment, not delegation.
9. When washing hands, the nurse should scrub for at least:
A) 5 seconds
B) 10 seconds
C) 15 seconds
, D) 20 seconds
Rationale: CDC recommends scrubbing for at least 20 seconds.
10. The nurse finds a patient lying on the floor. First action?
A) Document incident
B) Call provider
C) Assess patient for injury
D) Ask what happened
Rationale: Assessment comes before documentation or notification.
11. A patient reports pain 8/10. The nurse administers prescribed morphine. What is the
priority follow-up?
A) Ask if pain is better
B) Assess respiratory status
C) Document administration
D) Offer relaxation techniques
Rationale: Morphine can cause respiratory depression; monitor breathing first.
12. Which nursing action best supports cultural sensitivity?
A) Avoid discussing patient’s beliefs
B) Assume all families are alike
C) Provide care based only on nurse’s values
D) Incorporate patient’s cultural practices when safe
Rationale: Culturally competent care respects and integrates patient beliefs.
13. Which is the correct sequence of the nursing process?
A) Assessment → Diagnosis → Planning → Implementation → Evaluation
B) Planning → Implementation → Evaluation → Assessment → Diagnosis
C) Assessment → Diagnosis → Planning → Implementation → Evaluation
D) Diagnosis → Planning → Evaluation → Implementation → Assessment
Rationale: ADPIE is the correct order of the nursing process.
14. A nurse measures an adult’s BP at 84/50 mmHg. What should the nurse do first?
A) Call the provider
B) Recheck in 2 hours
C) Reassess and confirm low BP
EXAM 2026–2027 – UPDATED TEST BANK
WITH VERIFIED QUESTIONS, DETAILED
ANSWERS & RATIONALES (A+ GRADED)
Questions 1–20
1. Which is the primary purpose of hand hygiene in nursing practice?
A) Keep hands soft
B) Prevent cross-contamination
C) Reduce transmission of microorganisms
D) Save water
Rationale: Hand hygiene is the most effective way to reduce transmission of infection in
healthcare settings.
2. A nurse identifies the patient is at risk for falls. Which is the most appropriate
intervention?
A) Raise all four side rails
B) Use restraints
C) Keep call light within reach
D) Keep room dark at night
Rationale: Ensuring the call light is accessible empowers patients and prevents unsafe climbing
or wandering.
3. Which temperature method provides the most accurate core measurement?
A) Oral
B) Axillary
C) Rectal
D) Tympanic
Rationale: Rectal temperatures best reflect core body temperature.
4. The nurse should verify the patient’s identity using which method?
A) Ask family member
B) Check name and date of birth with ID band
C) Ask patient’s roommate
,D) Call patient by first name only
Rationale: Two identifiers (name and DOB) using ID band ensures patient safety.
5. When making an occupied bed, what is most important?
A) Fold sheets neatly
B) Maintain patient safety and privacy
C) Use hospital corners
D) Work quickly to save time
Rationale: Safety and dignity are the priority when providing basic care.
6. Which is the correct sequence for removing PPE?
A) Gloves → Gown → Goggles → Mask
B) Mask → Gloves → Gown → Goggles
C) Gloves → Goggles/Face shield → Gown → Mask
D) Gown → Gloves → Mask → Goggles
Rationale: Remove most contaminated first (gloves), ending with mask to reduce exposure.
7. A nurse documents “patient voided 500 mL.” This is an example of which type of data?
A) Subjective
B) Objective
C) Inferred
D) Secondary
Rationale: Objective data are measurable and observable, such as urine output.
8. The nurse is delegating vital signs to a nursing assistant. Which patient should NOT be
delegated?
A) Stable post-op patient
B) Patient on dopamine infusion
C) Stable patient with pneumonia
D) Postpartum mother
Rationale: Unstable patients on vasoactive drips require RN assessment, not delegation.
9. When washing hands, the nurse should scrub for at least:
A) 5 seconds
B) 10 seconds
C) 15 seconds
, D) 20 seconds
Rationale: CDC recommends scrubbing for at least 20 seconds.
10. The nurse finds a patient lying on the floor. First action?
A) Document incident
B) Call provider
C) Assess patient for injury
D) Ask what happened
Rationale: Assessment comes before documentation or notification.
11. A patient reports pain 8/10. The nurse administers prescribed morphine. What is the
priority follow-up?
A) Ask if pain is better
B) Assess respiratory status
C) Document administration
D) Offer relaxation techniques
Rationale: Morphine can cause respiratory depression; monitor breathing first.
12. Which nursing action best supports cultural sensitivity?
A) Avoid discussing patient’s beliefs
B) Assume all families are alike
C) Provide care based only on nurse’s values
D) Incorporate patient’s cultural practices when safe
Rationale: Culturally competent care respects and integrates patient beliefs.
13. Which is the correct sequence of the nursing process?
A) Assessment → Diagnosis → Planning → Implementation → Evaluation
B) Planning → Implementation → Evaluation → Assessment → Diagnosis
C) Assessment → Diagnosis → Planning → Implementation → Evaluation
D) Diagnosis → Planning → Evaluation → Implementation → Assessment
Rationale: ADPIE is the correct order of the nursing process.
14. A nurse measures an adult’s BP at 84/50 mmHg. What should the nurse do first?
A) Call the provider
B) Recheck in 2 hours
C) Reassess and confirm low BP
