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VATI OWEN STATE COMMUNITY COLLEGE
NURSING REVIEW 2026-2027 | 200+ PRACTICE
QUESTIONS & RATIONALES | NCLEX-STYLE |
HIGH-YIELD | PASS FIRST ATTEMPT
Table of Contents
1. **Safe & Effective Care Environment – Management of Care** (Q1–Q25)
2. **Safe & Effective Care Environment – Safety & Infection Control** (Q26–
Q50)
3. **Health Promotion & Maintenance** (Q51–Q75)
4. **Psychosocial Integrity** (Q76–Q95)
5. **Physiological Integrity – Basic Care & Comfort** (Q96–Q115)
6. **Physiological Integrity – Pharmacological & Parenteral Therapies** (Q116–
Q140)
7. **Physiological Integrity – Reduction of Risk Potential** (Q141–Q160)
8. **Physiological Integrity – Physiological Adaptation** (Q161–Q185)
9. **Maternal-Newborn Nursing** (Q186–Q200)
10. **Pediatric Nursing** (Q201–Q215)
11. **Mental Health Nursing** (Q216–Q230)
12. **High-Yield NGN Case Scenarios** (Q231–Q240)
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# Section 1: Safe & Effective Care Environment – Management of Care
(Q1–Q25)
**Q1.** A nurse is preparing to delegate tasks to an LPN and a UAP.
Which task is appropriate to delegate to the LPN?
A. Administering a stable client’s oral medications
B. Performing the initial admission assessment
C. Creating the nursing care plan
D. Teaching a client about a new diagnosis
**Correct Answer: A – Administering a stable client’s oral
medications**
*Rationale: LPNs can administer medications to stable clients.
Assessment, planning, and teaching are RN responsibilities.*
**Q2.** A nurse is caring for a client who refuses a blood transfusion
due to religious beliefs. The nurse should:
A. Respect the client’s decision and notify the provider
B. Administer the transfusion anyway
C. Obtain a court order
D. Ask the family to override the decision
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**Correct Answer: A – Respect the client’s decision and notify the
provider**
*Rationale: Competent adults have the right to refuse treatment, even if
life-threatening.*
**Q3.** A nurse is preparing to give change-of-shift report. Which
method is most effective?
A. SBAR (Situation, Background, Assessment, Recommendation)
B. Read the chart aloud
C. Give report in the hallway
D. Only give written report
**Correct Answer: A – SBAR**
*Rationale: SBAR improves communication and reduces errors during
handoff.*
**Q4.** A nurse is caring for a client who is being discharged against
medical advice (AMA). The nurse should:
A. Discuss the risks, document the conversation, and have the client sign
an AMA form
B. Restrain the client
C. Call security
D. Ignore the client’s request
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**Correct Answer: A – Discuss the risks, document the conversation,
and have the client sign an AMA form**
*Rationale: The client has the right to leave; documentation protects the
provider.*
**Q5.** A nurse is preparing to report a sentinel event. The purpose of
the root cause analysis is to:
A. Identify system factors contributing to the error
B. Assign blame to an individual
C. Punish the staff
D. Avoid reporting
**Correct Answer: A – Identify system factors contributing to the
error**
*Rationale: RCA focuses on systems, not individuals.*
**Q6.** A nurse is caring for a client who is confused and attempting to
pull out their IV. Which intervention should the nurse try first?
A. Use a mitt restraint after attempting less restrictive measures
B. Apply wrist restraints
C. Sedate the client
D. Ignore the behavior
VATI OWEN STATE COMMUNITY COLLEGE
NURSING REVIEW 2026-2027 | 200+ PRACTICE
QUESTIONS & RATIONALES | NCLEX-STYLE |
HIGH-YIELD | PASS FIRST ATTEMPT
Table of Contents
1. **Safe & Effective Care Environment – Management of Care** (Q1–Q25)
2. **Safe & Effective Care Environment – Safety & Infection Control** (Q26–
Q50)
3. **Health Promotion & Maintenance** (Q51–Q75)
4. **Psychosocial Integrity** (Q76–Q95)
5. **Physiological Integrity – Basic Care & Comfort** (Q96–Q115)
6. **Physiological Integrity – Pharmacological & Parenteral Therapies** (Q116–
Q140)
7. **Physiological Integrity – Reduction of Risk Potential** (Q141–Q160)
8. **Physiological Integrity – Physiological Adaptation** (Q161–Q185)
9. **Maternal-Newborn Nursing** (Q186–Q200)
10. **Pediatric Nursing** (Q201–Q215)
11. **Mental Health Nursing** (Q216–Q230)
12. **High-Yield NGN Case Scenarios** (Q231–Q240)
---
,2|Page
# Section 1: Safe & Effective Care Environment – Management of Care
(Q1–Q25)
**Q1.** A nurse is preparing to delegate tasks to an LPN and a UAP.
Which task is appropriate to delegate to the LPN?
A. Administering a stable client’s oral medications
B. Performing the initial admission assessment
C. Creating the nursing care plan
D. Teaching a client about a new diagnosis
**Correct Answer: A – Administering a stable client’s oral
medications**
*Rationale: LPNs can administer medications to stable clients.
Assessment, planning, and teaching are RN responsibilities.*
**Q2.** A nurse is caring for a client who refuses a blood transfusion
due to religious beliefs. The nurse should:
A. Respect the client’s decision and notify the provider
B. Administer the transfusion anyway
C. Obtain a court order
D. Ask the family to override the decision
,3|Page
**Correct Answer: A – Respect the client’s decision and notify the
provider**
*Rationale: Competent adults have the right to refuse treatment, even if
life-threatening.*
**Q3.** A nurse is preparing to give change-of-shift report. Which
method is most effective?
A. SBAR (Situation, Background, Assessment, Recommendation)
B. Read the chart aloud
C. Give report in the hallway
D. Only give written report
**Correct Answer: A – SBAR**
*Rationale: SBAR improves communication and reduces errors during
handoff.*
**Q4.** A nurse is caring for a client who is being discharged against
medical advice (AMA). The nurse should:
A. Discuss the risks, document the conversation, and have the client sign
an AMA form
B. Restrain the client
C. Call security
D. Ignore the client’s request
, 4|Page
**Correct Answer: A – Discuss the risks, document the conversation,
and have the client sign an AMA form**
*Rationale: The client has the right to leave; documentation protects the
provider.*
**Q5.** A nurse is preparing to report a sentinel event. The purpose of
the root cause analysis is to:
A. Identify system factors contributing to the error
B. Assign blame to an individual
C. Punish the staff
D. Avoid reporting
**Correct Answer: A – Identify system factors contributing to the
error**
*Rationale: RCA focuses on systems, not individuals.*
**Q6.** A nurse is caring for a client who is confused and attempting to
pull out their IV. Which intervention should the nurse try first?
A. Use a mitt restraint after attempting less restrictive measures
B. Apply wrist restraints
C. Sedate the client
D. Ignore the behavior
