1
NCLEX-RN Hurst Review Test Bank –
Chamberlain School of Nursing | 2026/2027
500 Questions with Complete Solutions
DOMAIN 1: FUNDAMENTALS OF NURSING & SAFETY (60 Questions)
\Question 1 (Multiple Choice)
A nurse receives shift report on four patients. Which patient requires assessment first?
A. Patient with stable vital signs awaiting discharge
B. Patient reporting chest pain rated 8/10
C. Patient requesting assistance to the bathroom
D. Patient asking for a sleeping medication
Answer: B [CORRECT]
Chest pain (8/10) indicates potential cardiac compromise. Using ABC prioritization,
airway/breathing/circulation concerns take precedence over stable or comfort needs.
Question 2 (Multiple Choice)
During the evaluation phase of the nursing process, the nurse determines that a patient goal
has been partially met. What is the nurse's next action?
A. Terminate the care plan
B. Modify the interventions or timeline
C. Reassess the patient immediately
D. Document goal achievement
Answer: B [CORRECT]
Partial goal achievement indicates interventions need adjustment or the timeline extended.
Evaluation leads back to revising the plan, not terminating it.
, 2
Question 3 (SATA)
Which actions are part of the assessment phase of the nursing process? (Select all that apply.)
A. Collecting vital signs
B. Reviewing laboratory results
C. Documenting nursing interventions
D. Identifying patient strengths
E. Establishing measurable outcomes
Answer: A, B, D [CORRECT]
Assessment involves data collection including vital signs, lab review, and identifying patient
strengths. Documenting interventions is implementation; establishing outcomes is planning.
Question 4 (Multiple Choice)
A nurse is caring for a postoperative patient with a nursing diagnosis of "Acute Pain." Which
outcome statement is correctly written?
A. Patient will feel better soon
B. Patient will report pain ≤3/10 within 2 hours of analgesic administration
C. Patient will receive pain medication every 4 hours
D. Nurse will assess pain q2h
Answer: B [CORRECT]
SMART outcomes are Specific, Measurable, Achievable, Relevant, Time-bound. Only option B
includes a measurable target (≤3/10) and timeframe (within 2 hours).
Question 5 (Ordered Response)
Place the nursing process steps in the correct order.
Planning
Evaluation
Assessment
, 3
Implementation
Diagnosis
Answer: 3, 5, 1, 4, 2 [CORRECT]
ADPIE sequence: Assessment → Diagnosis → Planning → Implementation → Evaluation.
Question 6 (Multiple Choice)
Which finding represents objective data?
A. Patient states, "I feel nauseated"
B. Patient reports pain level of 5/10
C. Nurse observes 3 cm erythema on sacrum
D. Patient says, "I'm anxious about surgery"
Answer: C [CORRECT]
Objective data are observable and measurable (erythema, vital signs, lab values). Subjective
data are patient-reported symptoms.
Question 7 (Multiple Choice)
A nurse identifies that a patient with heart failure has decreased urine output and weight gain
of 2 kg in 24 hours. This represents which type of nursing diagnosis?
A. Problem-focused
B. Risk diagnosis
C. Health promotion
D. Syndrome diagnosis
Answer: A [CORRECT]
Problem-focused diagnoses address existing problems with defining characteristics
(decreased urine output, weight gain = Excess Fluid Volume).
Question 8 (Multiple Choice)
, 4
Which critical thinking attitude is demonstrated when a nurse verifies a questionable
medication order with the prescriber?
A. Confidence
B. Intellectual courage
C. Risk-taking
D. Integrity
Answer: D [CORRECT]
Integrity involves following standards and questioning orders that may harm the patient. It
reflects honesty and adherence to ethical practice.
Sub-topic: Infection Control and Standard/Transmission-Based Precautions (8 questions)
Question 9 (Multiple Choice)
A patient is admitted with suspected pulmonary tuberculosis. Which precaution is required?
A. Contact
B. Droplet
C. Airborne
D. Protective environment
Answer: C [CORRECT]
TB is transmitted via airborne particles (<5 microns). Airborne precautions require N95
respirator, negative pressure room, and door closed.
Question 10 (SATA)
Which interventions are appropriate for a patient on Contact Precautions for MRSA? (Select
all that apply.)
A. Private room or cohorting
B. Gloves and gown for room entry
C. Surgical mask for all patient contact
NCLEX-RN Hurst Review Test Bank –
Chamberlain School of Nursing | 2026/2027
500 Questions with Complete Solutions
DOMAIN 1: FUNDAMENTALS OF NURSING & SAFETY (60 Questions)
\Question 1 (Multiple Choice)
A nurse receives shift report on four patients. Which patient requires assessment first?
A. Patient with stable vital signs awaiting discharge
B. Patient reporting chest pain rated 8/10
C. Patient requesting assistance to the bathroom
D. Patient asking for a sleeping medication
Answer: B [CORRECT]
Chest pain (8/10) indicates potential cardiac compromise. Using ABC prioritization,
airway/breathing/circulation concerns take precedence over stable or comfort needs.
Question 2 (Multiple Choice)
During the evaluation phase of the nursing process, the nurse determines that a patient goal
has been partially met. What is the nurse's next action?
A. Terminate the care plan
B. Modify the interventions or timeline
C. Reassess the patient immediately
D. Document goal achievement
Answer: B [CORRECT]
Partial goal achievement indicates interventions need adjustment or the timeline extended.
Evaluation leads back to revising the plan, not terminating it.
, 2
Question 3 (SATA)
Which actions are part of the assessment phase of the nursing process? (Select all that apply.)
A. Collecting vital signs
B. Reviewing laboratory results
C. Documenting nursing interventions
D. Identifying patient strengths
E. Establishing measurable outcomes
Answer: A, B, D [CORRECT]
Assessment involves data collection including vital signs, lab review, and identifying patient
strengths. Documenting interventions is implementation; establishing outcomes is planning.
Question 4 (Multiple Choice)
A nurse is caring for a postoperative patient with a nursing diagnosis of "Acute Pain." Which
outcome statement is correctly written?
A. Patient will feel better soon
B. Patient will report pain ≤3/10 within 2 hours of analgesic administration
C. Patient will receive pain medication every 4 hours
D. Nurse will assess pain q2h
Answer: B [CORRECT]
SMART outcomes are Specific, Measurable, Achievable, Relevant, Time-bound. Only option B
includes a measurable target (≤3/10) and timeframe (within 2 hours).
Question 5 (Ordered Response)
Place the nursing process steps in the correct order.
Planning
Evaluation
Assessment
, 3
Implementation
Diagnosis
Answer: 3, 5, 1, 4, 2 [CORRECT]
ADPIE sequence: Assessment → Diagnosis → Planning → Implementation → Evaluation.
Question 6 (Multiple Choice)
Which finding represents objective data?
A. Patient states, "I feel nauseated"
B. Patient reports pain level of 5/10
C. Nurse observes 3 cm erythema on sacrum
D. Patient says, "I'm anxious about surgery"
Answer: C [CORRECT]
Objective data are observable and measurable (erythema, vital signs, lab values). Subjective
data are patient-reported symptoms.
Question 7 (Multiple Choice)
A nurse identifies that a patient with heart failure has decreased urine output and weight gain
of 2 kg in 24 hours. This represents which type of nursing diagnosis?
A. Problem-focused
B. Risk diagnosis
C. Health promotion
D. Syndrome diagnosis
Answer: A [CORRECT]
Problem-focused diagnoses address existing problems with defining characteristics
(decreased urine output, weight gain = Excess Fluid Volume).
Question 8 (Multiple Choice)
, 4
Which critical thinking attitude is demonstrated when a nurse verifies a questionable
medication order with the prescriber?
A. Confidence
B. Intellectual courage
C. Risk-taking
D. Integrity
Answer: D [CORRECT]
Integrity involves following standards and questioning orders that may harm the patient. It
reflects honesty and adherence to ethical practice.
Sub-topic: Infection Control and Standard/Transmission-Based Precautions (8 questions)
Question 9 (Multiple Choice)
A patient is admitted with suspected pulmonary tuberculosis. Which precaution is required?
A. Contact
B. Droplet
C. Airborne
D. Protective environment
Answer: C [CORRECT]
TB is transmitted via airborne particles (<5 microns). Airborne precautions require N95
respirator, negative pressure room, and door closed.
Question 10 (SATA)
Which interventions are appropriate for a patient on Contact Precautions for MRSA? (Select
all that apply.)
A. Private room or cohorting
B. Gloves and gown for room entry
C. Surgical mask for all patient contact
