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RN Fundamentals Exam 3 Versions NGN-Style
Actual Exam 2026/2027 – Complete Exam-Style
Questions with Detailed Rationales | 100%
Verified | Pass Guaranteed – A+ Graded
[VERSION 1: Nursing Fundamentals (NGN-Style) — Questions 1-50]
Q1: A nurse is completing the Morse Fall Scale assessment on a newly admitted patient who has
had two falls in the past 3 months. The patient uses a walker for ambulation and is occasionally
confused. Which of the following is the nurse's priority action based on this assessment?
A. Place the patient in a room near the nurses' station.
B. Implement fall risk precautions and place the patient on a bed alarm.
C. Request a prescription for a vest restraint to keep the patient in bed.
D. Instruct the patient to call for help before getting out of bed.
Correct Answer: B
Rationale: The Morse Fall Scale identifies high-risk patients; a history of falls, gait aids, and
confusion significantly increase risk. The priority is implementing safety precautions like bed
alarms and fall risk signage to prevent injury. Option A is a helpful support strategy but not a
direct preventive intervention. Option C violates the principle of using least restrictive restraints.
Option D is important but insufficient for a high-risk patient who may forget or be unable to act
on instructions.
Q2: The nurse is applying wrist restraints to a client who is pulling at the endotracheal tube.
Which of the following actions is the most critical for the nurse to perform?
A. Secure the restraint ties to the movable part of the bed frame.
B. Ensure the client can slide one finger under the restraint.
C. Assess the client's skin integrity and circulation every 15 minutes.
D. Obtain a verbal order from the provider for the restraints.
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Correct Answer: C
Rationale: Assessing skin integrity and circulation every 15 minutes is the most critical action to
prevent neurovascular compromise and tissue necrosis, which are immediate safety risks. While
securing ties to the movable frame (A) and checking fit (B) are important steps during
application, the ongoing assessment ensures patient safety. An order (D) is required, but the
physical assessment prevents injury.
Q3: A client is placed on Contact Precautions due to a Clostridioides difficile infection. Which of
the following actions by the nurse demonstrates correct understanding of transmission-based
precautions?
A. Donning a gown and gloves before entering the room.
B. Wearing an N95 respirator mask during client care.
C. Placing the client in a negative pressure room.
D. Using alcohol-based hand sanitizer before leaving the room.
Correct Answer: A
Rationale: Contact precautions require gloves and a gown to prevent direct contact with
infectious agents or contaminated surfaces in the client's environment. Option B (N95) is for
Airborne precautions. Option C (negative pressure) is for Airborne precautions. Option D is
incorrect because C. difficile spores are not killed by alcohol; soap and water are required.
Q4: The nurse is preparing to administer a scheduled medication to a client. The nurse scans the
medication barcode and the client's wristband, but the system alerts "Medication Mismatch."
Which of the following actions should the nurse take first?
A. Override the alert and administer the medication because it is scheduled time.
B. Re-scan the client's wristband and medication to rule out a scanning error.
C. Contact the pharmacy to verify the medication order.
D. Remove the medication from the room and document the error.
Correct Answer: B
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Rationale: The first action is to attempt to resolve the potential technical error by rescanning, as
scanning errors are common. If the alert persists, the nurse must then compare the medication
label to the MAR and verify the order (C). Overriding the alert (A) violates the "7 Rights of
Medication Administration" and patient safety. Documenting an error (D) is premature if no error
has occurred yet.
Q5: A nurse is delegating vital sign measurement to an unlicensed assistive personnel (UAP).
Which of the following instructions by the nurse ensures the UAP understands the assignment?
A. "Take the blood pressure and pulse on all clients in rooms 301 to 305."
B. "Let me know if any of the clients have abnormal vital signs."
C. "If the client in room 303 reports pain, tell me immediately."
D. "Assess the client in room 302 for any signs of distress."
Correct Answer: A
Rationale: Delegation requires clear, specific instructions regarding the task, method, and timing.
Option A provides a specific task and location. Option B is vague regarding "abnormal." Option
C adds assessment/triage (pain management) which is outside the general scope of measuring
vitals without specific parameters. Option D uses the verb "assess," which is a nursing action that
cannot be delegated to a UAP.
Q6: When using the SBAR (Situation, Background, Assessment, Recommendation)
communication tool, which component includes the patient's recent vital signs and history?
A. Situation
B. Background
C. Assessment
D. Recommendation
Correct Answer: B
Rationale: The "Background" section of SBAR provides the context of the patient's status,
including code status, current diagnoses, and relevant medical history or recent vital signs.
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Situation (A) is a brief statement of the problem. Assessment (C) is the nurse's current findings.
Recommendation (D) is what the nurse suggests.
Q7: A nurse is caring for a client who is 1 day postoperative following a hip arthroplasty. The
client reports pain of 8 on a scale of 0 to 10. Which of the following non-pharmacological
interventions should the nurse implement first?
A. Reposition the client and align pillows for support.
B. Apply a cold pack to the surgical site.
C. Encourage the client to listen to music.
D. Teach the client guided imagery techniques.
Correct Answer: A
Rationale: Repositioning and proper alignment address the physical cause of discomfort (muscle
tension, pressure) and are often the first-line independent nursing interventions to reduce pain
before applying heat/cold or distraction methods. Options B, C, and D are valid complementary
therapies but do not address the physical mechanical stress as directly as alignment.
Q8: The nurse is documenting care provided to a client. Which of the following entries is legally
and professionally appropriate?
A. "Client's incision is clean, dry, and intact. No redness noted."
B. "Client appears to be in less pain than earlier."
C. "Administered 2 mg Morphine IV for pain."
D. "Dr. Smith came in and was rude to the family."
Correct Answer: A
Rationale: Documentation must be objective, specific, and descriptive of the client's condition.
Option A uses specific observable findings. Option B uses vague subjective terms ("less pain,"
"earlier") without quantitative data. Option C lacks the time and route fully (IV is route, but
specific site or effect is missing context) though technically better than B, A is the gold standard
for assessment notes. Option D is subjective opinion and inappropriate for the legal record.
RN Fundamentals Exam 3 Versions NGN-Style
Actual Exam 2026/2027 – Complete Exam-Style
Questions with Detailed Rationales | 100%
Verified | Pass Guaranteed – A+ Graded
[VERSION 1: Nursing Fundamentals (NGN-Style) — Questions 1-50]
Q1: A nurse is completing the Morse Fall Scale assessment on a newly admitted patient who has
had two falls in the past 3 months. The patient uses a walker for ambulation and is occasionally
confused. Which of the following is the nurse's priority action based on this assessment?
A. Place the patient in a room near the nurses' station.
B. Implement fall risk precautions and place the patient on a bed alarm.
C. Request a prescription for a vest restraint to keep the patient in bed.
D. Instruct the patient to call for help before getting out of bed.
Correct Answer: B
Rationale: The Morse Fall Scale identifies high-risk patients; a history of falls, gait aids, and
confusion significantly increase risk. The priority is implementing safety precautions like bed
alarms and fall risk signage to prevent injury. Option A is a helpful support strategy but not a
direct preventive intervention. Option C violates the principle of using least restrictive restraints.
Option D is important but insufficient for a high-risk patient who may forget or be unable to act
on instructions.
Q2: The nurse is applying wrist restraints to a client who is pulling at the endotracheal tube.
Which of the following actions is the most critical for the nurse to perform?
A. Secure the restraint ties to the movable part of the bed frame.
B. Ensure the client can slide one finger under the restraint.
C. Assess the client's skin integrity and circulation every 15 minutes.
D. Obtain a verbal order from the provider for the restraints.
,2
Correct Answer: C
Rationale: Assessing skin integrity and circulation every 15 minutes is the most critical action to
prevent neurovascular compromise and tissue necrosis, which are immediate safety risks. While
securing ties to the movable frame (A) and checking fit (B) are important steps during
application, the ongoing assessment ensures patient safety. An order (D) is required, but the
physical assessment prevents injury.
Q3: A client is placed on Contact Precautions due to a Clostridioides difficile infection. Which of
the following actions by the nurse demonstrates correct understanding of transmission-based
precautions?
A. Donning a gown and gloves before entering the room.
B. Wearing an N95 respirator mask during client care.
C. Placing the client in a negative pressure room.
D. Using alcohol-based hand sanitizer before leaving the room.
Correct Answer: A
Rationale: Contact precautions require gloves and a gown to prevent direct contact with
infectious agents or contaminated surfaces in the client's environment. Option B (N95) is for
Airborne precautions. Option C (negative pressure) is for Airborne precautions. Option D is
incorrect because C. difficile spores are not killed by alcohol; soap and water are required.
Q4: The nurse is preparing to administer a scheduled medication to a client. The nurse scans the
medication barcode and the client's wristband, but the system alerts "Medication Mismatch."
Which of the following actions should the nurse take first?
A. Override the alert and administer the medication because it is scheduled time.
B. Re-scan the client's wristband and medication to rule out a scanning error.
C. Contact the pharmacy to verify the medication order.
D. Remove the medication from the room and document the error.
Correct Answer: B
,3
Rationale: The first action is to attempt to resolve the potential technical error by rescanning, as
scanning errors are common. If the alert persists, the nurse must then compare the medication
label to the MAR and verify the order (C). Overriding the alert (A) violates the "7 Rights of
Medication Administration" and patient safety. Documenting an error (D) is premature if no error
has occurred yet.
Q5: A nurse is delegating vital sign measurement to an unlicensed assistive personnel (UAP).
Which of the following instructions by the nurse ensures the UAP understands the assignment?
A. "Take the blood pressure and pulse on all clients in rooms 301 to 305."
B. "Let me know if any of the clients have abnormal vital signs."
C. "If the client in room 303 reports pain, tell me immediately."
D. "Assess the client in room 302 for any signs of distress."
Correct Answer: A
Rationale: Delegation requires clear, specific instructions regarding the task, method, and timing.
Option A provides a specific task and location. Option B is vague regarding "abnormal." Option
C adds assessment/triage (pain management) which is outside the general scope of measuring
vitals without specific parameters. Option D uses the verb "assess," which is a nursing action that
cannot be delegated to a UAP.
Q6: When using the SBAR (Situation, Background, Assessment, Recommendation)
communication tool, which component includes the patient's recent vital signs and history?
A. Situation
B. Background
C. Assessment
D. Recommendation
Correct Answer: B
Rationale: The "Background" section of SBAR provides the context of the patient's status,
including code status, current diagnoses, and relevant medical history or recent vital signs.
, 4
Situation (A) is a brief statement of the problem. Assessment (C) is the nurse's current findings.
Recommendation (D) is what the nurse suggests.
Q7: A nurse is caring for a client who is 1 day postoperative following a hip arthroplasty. The
client reports pain of 8 on a scale of 0 to 10. Which of the following non-pharmacological
interventions should the nurse implement first?
A. Reposition the client and align pillows for support.
B. Apply a cold pack to the surgical site.
C. Encourage the client to listen to music.
D. Teach the client guided imagery techniques.
Correct Answer: A
Rationale: Repositioning and proper alignment address the physical cause of discomfort (muscle
tension, pressure) and are often the first-line independent nursing interventions to reduce pain
before applying heat/cold or distraction methods. Options B, C, and D are valid complementary
therapies but do not address the physical mechanical stress as directly as alignment.
Q8: The nurse is documenting care provided to a client. Which of the following entries is legally
and professionally appropriate?
A. "Client's incision is clean, dry, and intact. No redness noted."
B. "Client appears to be in less pain than earlier."
C. "Administered 2 mg Morphine IV for pain."
D. "Dr. Smith came in and was rude to the family."
Correct Answer: A
Rationale: Documentation must be objective, specific, and descriptive of the client's condition.
Option A uses specific observable findings. Option B uses vague subjective terms ("less pain,"
"earlier") without quantitative data. Option C lacks the time and route fully (IV is route, but
specific site or effect is missing context) though technically better than B, A is the gold standard
for assessment notes. Option D is subjective opinion and inappropriate for the legal record.
