COMPREHENSIVE LICENSING
EXAM PREP 2026/2027 :Questions
And Answer With Rationales
/Graded A+ Update 100% Correct
Domain 1: Safe & Effective Care Environment (15
Questions)
1. A nurse is caring for a client who is at risk for falls. Which intervention is
most effective?
A. Keep the bed in the highest position
B. Use a fall risk alert sign on the door
C. Place the call light within reach and respond promptly
D. Apply wrist restraints at night
Rationale: C is correct because prompt response to call lights reduces fall risk. High
bed (A) increases injury risk. Sign (B) is passive. Restraints (D) are a last resort.
2. A client newly diagnosed with tuberculosis is placed in which type of room?
A. Standard medical-surgical room
B. Airborne Infection Isolation Room (negative pressure)
C. Positive pressure room
D. Reverse isolation room
Rationale: TB requires airborne precautions + negative pressure. Positive pressure
(C) is for immunocompromised.
3. Which task can a UAP delegate to a licensed nurse?
A. Measure intake and output
B. Ambulate a stable post-op patient
,C. Assess a patient’s lung sounds
D. Feed a patient with dysphagia
Rationale: Delegation: UAP cannot assess – that is the nurse’s responsibility. I&O,
ambulation, feeding may be delegated with proper training.
4. A hospital is implementing a new electronic health record. The nurse
manager should first:
A. Provide all staff with passwords
B. Conduct a needs assessment and workflow analysis
C. Schedule mandatory overtime for training
D. Discontinue paper charting immediately
Rationale: Needs assessment ensures smooth transition. Skipping it (D) leads to
errors.
5. The Joint Commission’s 2026 National Patient Safety Goal includes:
A. Use of herbal supplements for all patients
B. Identify patients correctly using two identifiers
C. Eliminate all sedation
D. Restrain all confused patients
Rationale: Two patient identifiers (name + DOB or MRN) is a core safety goal.
6. A nurse receives a telephone order for morphine 4 mg IV. What is essential?
A. Give the medication before reading back
B. Read back the order to the prescribing provider
C. Document after 24 hours
D. Ask another nurse to verify verbally
Rationale: Read-back is required for verbal/telephone orders to prevent errors.
7. During a code blue, a nurse finds a physician writing an order without using
the medication reconciliation form. The nurse should:
A. Ignore the form
B. Remind the physician to complete medication reconciliation after the code
C. Refuse all orders
D. Document the physician’s name only
Rationale: Med rec is critical but may be deferred briefly during emergency; must be
done ASAP.
8. Which finding indicates a need for immediate incident reporting?
A. Patient complains of mild nausea
, B. A fall with a laceration requiring sutures
C. IV site slightly red
D. Blood pressure 130/80 mmHg
Rationale: Patient harm from fall requires incident report. Minor redness (C) needs
monitoring but not immediate report.
9. A nurse is disposing of a used needle. Which action is correct?
A. Recap the needle gently
B. Place it in a sharps container without recapping
C. Break the needle before disposal
D. Throw it in a regular trash bag
Rationale: OSHA mandates no recapping; immediate disposal in sharps container.
10. A patient is on contact precautions for MRSA. Which PPE is required when
entering the room?
A. Surgical mask only
B. Gown and gloves
C. N95 respirator
D. Eye shield only
Rationale: Contact precautions = gown + gloves. Mask (A) droplet/airborne. N95 (C)
airborne.
11. A charge nurse is making assignments. Which patient should be assigned to
an LPN?
A. Newly admitted stroke with unstable vitals
B. Stable diabetic requiring insulin and wound care
C. Patient on a continuous IV heparin drip
D. Post-cardiac arrest with hypothermia protocol
Rationale: LPN can perform stable wound care and insulin. Unstable/complex (A,C,D)
need RN.
12. A patient’s family requests to see the medical record. The nurse should:
A. Allow immediate access
B. Explain that the patient must sign a release unless they are the legal guardian
C. Show only the progress notes
D. Refuse all family requests
Rationale: HIPAA requires patient or legal guardian authorization unless patient is
minor or incapacitated.
EXAM PREP 2026/2027 :Questions
And Answer With Rationales
/Graded A+ Update 100% Correct
Domain 1: Safe & Effective Care Environment (15
Questions)
1. A nurse is caring for a client who is at risk for falls. Which intervention is
most effective?
A. Keep the bed in the highest position
B. Use a fall risk alert sign on the door
C. Place the call light within reach and respond promptly
D. Apply wrist restraints at night
Rationale: C is correct because prompt response to call lights reduces fall risk. High
bed (A) increases injury risk. Sign (B) is passive. Restraints (D) are a last resort.
2. A client newly diagnosed with tuberculosis is placed in which type of room?
A. Standard medical-surgical room
B. Airborne Infection Isolation Room (negative pressure)
C. Positive pressure room
D. Reverse isolation room
Rationale: TB requires airborne precautions + negative pressure. Positive pressure
(C) is for immunocompromised.
3. Which task can a UAP delegate to a licensed nurse?
A. Measure intake and output
B. Ambulate a stable post-op patient
,C. Assess a patient’s lung sounds
D. Feed a patient with dysphagia
Rationale: Delegation: UAP cannot assess – that is the nurse’s responsibility. I&O,
ambulation, feeding may be delegated with proper training.
4. A hospital is implementing a new electronic health record. The nurse
manager should first:
A. Provide all staff with passwords
B. Conduct a needs assessment and workflow analysis
C. Schedule mandatory overtime for training
D. Discontinue paper charting immediately
Rationale: Needs assessment ensures smooth transition. Skipping it (D) leads to
errors.
5. The Joint Commission’s 2026 National Patient Safety Goal includes:
A. Use of herbal supplements for all patients
B. Identify patients correctly using two identifiers
C. Eliminate all sedation
D. Restrain all confused patients
Rationale: Two patient identifiers (name + DOB or MRN) is a core safety goal.
6. A nurse receives a telephone order for morphine 4 mg IV. What is essential?
A. Give the medication before reading back
B. Read back the order to the prescribing provider
C. Document after 24 hours
D. Ask another nurse to verify verbally
Rationale: Read-back is required for verbal/telephone orders to prevent errors.
7. During a code blue, a nurse finds a physician writing an order without using
the medication reconciliation form. The nurse should:
A. Ignore the form
B. Remind the physician to complete medication reconciliation after the code
C. Refuse all orders
D. Document the physician’s name only
Rationale: Med rec is critical but may be deferred briefly during emergency; must be
done ASAP.
8. Which finding indicates a need for immediate incident reporting?
A. Patient complains of mild nausea
, B. A fall with a laceration requiring sutures
C. IV site slightly red
D. Blood pressure 130/80 mmHg
Rationale: Patient harm from fall requires incident report. Minor redness (C) needs
monitoring but not immediate report.
9. A nurse is disposing of a used needle. Which action is correct?
A. Recap the needle gently
B. Place it in a sharps container without recapping
C. Break the needle before disposal
D. Throw it in a regular trash bag
Rationale: OSHA mandates no recapping; immediate disposal in sharps container.
10. A patient is on contact precautions for MRSA. Which PPE is required when
entering the room?
A. Surgical mask only
B. Gown and gloves
C. N95 respirator
D. Eye shield only
Rationale: Contact precautions = gown + gloves. Mask (A) droplet/airborne. N95 (C)
airborne.
11. A charge nurse is making assignments. Which patient should be assigned to
an LPN?
A. Newly admitted stroke with unstable vitals
B. Stable diabetic requiring insulin and wound care
C. Patient on a continuous IV heparin drip
D. Post-cardiac arrest with hypothermia protocol
Rationale: LPN can perform stable wound care and insulin. Unstable/complex (A,C,D)
need RN.
12. A patient’s family requests to see the medical record. The nurse should:
A. Allow immediate access
B. Explain that the patient must sign a release unless they are the legal guardian
C. Show only the progress notes
D. Refuse all family requests
Rationale: HIPAA requires patient or legal guardian authorization unless patient is
minor or incapacitated.
