EXAM
Exam Solution zm
Comprehensive Nursing Skills Exam 2026 A+ GRADE A zm zm zm zm zm zm zm
SSURED COMPLETE SOLUTIONS AND VERIFIED ANSWE zm zm zm zm zm
RS (7C3BE) zm
QUESTION 1 zm
1. A patient is admitted with a stroke. The outcome of this disorder is uncertain, but t
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he patient is unable to move the right arm and leg. The nurse starts passive range-of-
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motion (ROM) exercises. Which finding indicates successful goal achievement?
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a. Heart rate decreased.
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b. Contractures developed.
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c. Muscle strength improved.
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d. Joint mobility maintained.
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ANSWER
d. Joint mobility maintained. Rationale: When patients cannot participate in active ROM, maintain joi
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nt mobility and prevent contractures by implementing passive ROM into the plan of care. Exercise a
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nd active ROM can improve muscle strength. ROM is not performed for the heart but for the joints
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 2 zm
2. A nurse is preparing to move a patient who is able to assist. Which principles will t
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he nurse consider when planning for safe patient handling? (Select all that apply.)
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a. Keep the body's center of gravity high.
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b. Face the direction of the movement.
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c. Keep the base of support narrow.
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d. Use the under-axilla technique.
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e. Use proper body mechanics. f. Use arms and legs.
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ANSWER
b, e, f Rationale: When a patient is able to assist, remember the following principles: The wider the
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
base of support, the greater the stability of the nurse; the lower the center of gravity, the greater th
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
e stability of the nurse; facing the direction of movement prevents abnormal twisting of the spine. T
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
he use of assistive equipment and continued use of proper body mechanics significantly reduces the
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
risk of musculoskeletal injuries. Use arms and legs (not back) because the leg muscles are stronger,
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,larger muscles capable of greater work without injury. The under-
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axilla technique is physically stressful for nurses and uncomfortable for patients.
zm zm zm zm zm zm zm zm zm zm
QUESTION 3 zm
3. A nurse reviews the history of a newly admitted patient. Which finding will alert th
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e nurse that the patient is at risk for falls?
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a. 55 years old
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b. 20/20 vision
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c. Urinary continence
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d. Orthostatic hypotension
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ANSWER
d. Orthostatic hypotension Rationale: Numerous factors increase the risk of falls, including a history
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of falling, being age 65 or over, reduced vision, orthostatic hypotension, lower extremity weakness, g
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ait and balance problems, urinary incontinence, improper use of walking aids, and the effects of vari
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ous medications (e.g., anticonvulsants, hypnotics, sedatives, certain analgesics).
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QUESTION 4 zm
4. The nurse is caring for a patient who suddenly becomes confused and tries to remo
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ve an intravenous (IV) infusion. Which priority action will the nurse take?
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a. Assess the patient.
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b. Gather restraint supplies.
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c. Try alternatives to restraint.
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d. Call the health care provider for a restraint order.
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ANSWER
a. Assess the patient Rationale: When a patient becomes suddenly confused, the priority is to assess
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the patient, to identify the reason for the change in behavior, and to try to eliminate the cause. If in
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
terventions and alternatives are exhausted, the nurse working with the health care provider may det
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ermine the need for restraints.
zm zm zm zm
QUESTION 5 zm
6. A nurse is preparing to reposition a patient. Which task can the nurse delegate to t
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he nursing assistive personnel?
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a. Determining the level of comfort
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b. Changing the patient's position
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c. Identifying immobility hazards
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d. Assessing circulation
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ANSWER
b. Changing the patient's position
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,QUESTION 6 zm
7. The patient has been in bed for several days and needs to be ambulated. Which act
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ion will the nurse take first?
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a. Maintain a narrow base of support.
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b. Dangle the patient at the bedside.
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c. Encourage isometric exercises.
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d. Suggest a high-calcium diet.
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ANSWER
b. Dangle the patient at the bedside.
zm zm zm zm zm zm
QUESTION 7 zm
10. A nurse is using a guide that provides principles of right and wrong to provide ca
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re to patients. Which guide is the nurse using?
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a. Code of ethics
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b. Standards of practice
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c. Standards of professional performance
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d. Quality and safety education for nurses
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ANSWER
a. Code of Ethics Rationale: The code of ethics is the philosophical ideals of right and wrong that de
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
fine the principles you will use to provide care to your patients. The Standards of Practice describe
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
a competent level of nursing care. The ANA Standards of Professional Performance describe a compe
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
tent level of behavior in the professional role. Quality and safety education for nurses addresses the
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm z
mchallenge to prepare nurses with the competencies needed to continuously improve the quality of c
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
are in their work environments.
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QUESTION 8 zm
11. While providing care to a patient, the nurse is responsible, both professionally an
zm zm zm zm zm zm zm zm zm zm zm zm zm
d legally. Which concept does this describe?
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a. Autonomy
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b. Accountability
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c. Patient advocacy
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d. Patient education
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ANSWER
b. Accountability Rationale: Accountability means that the nurse is responsible, professionally and leg
zm zm zm zm zm zm zm zm zm zm zm zm
ally, for the type and quality of nursing care provided. Autonomy is an essential element of professi
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
onal nursing that involves the initiation of independent nursing interventions without medical orders
zm zm zm zm zm zm zm zm zm zm zm zm
. As a patient advocate, the nurse protects the patient's human and legal rights and provides assista
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
nce in asserting these rights if the need arises. As an educator, the nurse explains concepts and fact
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
s about health, describes the reasons for routine care activities, demonstrates procedures such as sel
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, f-
care activities, reinforces learning or patient behavior, and evaluates the patient's progress in learnin
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g.
QUESTION 9 zm
12. The nurse is caring for an older adult patient who has been diagnosed with a stro
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ke. Which intervention will the nurse add to the care plan?
zm zm zm zm zm zm zm zm zm zm
a. Encourage the patient to perform as many self-care activities as possible.
zm zm zm zm zm zm zm zm zm zm zm
b. Provide a complete bed bath to promote patient comfort.
zm zm zm zm zm zm zm zm zm
c. Coordinate with occupational therapy for gait training.
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d. Place the patient on bed rest to prevent fatigue.
zm zm zm zm zm zm zm zm zm
ANSWER
a. Encourage the patient to perform as many self-care activities as possible.
zm zm zm zm zm zm zm zm zm zm zm
QUESTION 10 zm
14. The nurse is caring for a group of patients. Which patient will the nurse see first?
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
a. A patient with Clostridium difficile in droplet precautions
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b. A patient with tuberculosis in airborne precautions
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c. A patient with MRSA infection in contact precautions
zm zm zm zm zm zm zm zm
d. A patient with a lung transplant in protective environment precautions
zm zm zm zm zm zm zm zm zm zm
ANSWER
a. A patient with Clostridium difficile in droplet precautions Rationale: A patient with Clostridium dif
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ficile should be on contact precautions, not droplet; therefore, the nurse will see this patient first to
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm z
mcorrect the precautions. All the rest are on correct precautions. Patients with tuberculosis belong in
zm zm zm zm zm zm zm zm zm zm zm zm zm zm z
mairborne precautions; patients with MRSA infection belong in contact precautions; and patients with
zm zm zm zm zm zm zm zm zm zm zm zm z
mlung transplants belong in protective environment precautions.
zm zm zm zm zm zm
QUESTION 11 zm
15. The nurse is caring for a patient who has cultured positive for Clostridium difficile
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
. Which action will the nurse take next?
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a. Instruct assistive personnel to use soap and water rather than sanitizer.
zm zm zm zm zm zm zm zm zm zm zm
b. Wear an N95 respirator when entering the patient room.
zm zm zm zm zm zm zm zm zm
c. Place the patient on droplet precautions.
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d. Teach the patient cough etiquette.
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ANSWER
a. Instruct assistive personnel to use soap and water rather than sanitizer. Rationale: Clostridium dif
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ficile is a spore-
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forming organism that can be transmitted through direct and indirect patient contact. Because Clostr
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idium difficile is a spore-
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Exam Solution zm
Comprehensive Nursing Skills Exam 2026 A+ GRADE A zm zm zm zm zm zm zm
SSURED COMPLETE SOLUTIONS AND VERIFIED ANSWE zm zm zm zm zm
RS (7C3BE) zm
QUESTION 1 zm
1. A patient is admitted with a stroke. The outcome of this disorder is uncertain, but t
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
he patient is unable to move the right arm and leg. The nurse starts passive range-of-
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
motion (ROM) exercises. Which finding indicates successful goal achievement?
zm zm zm zm zm zm zm zm
a. Heart rate decreased.
zm zm zm
b. Contractures developed.
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c. Muscle strength improved.
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d. Joint mobility maintained.
zm zm zm
ANSWER
d. Joint mobility maintained. Rationale: When patients cannot participate in active ROM, maintain joi
zm zm zm zm zm zm zm zm zm zm zm zm zm
nt mobility and prevent contractures by implementing passive ROM into the plan of care. Exercise a
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
nd active ROM can improve muscle strength. ROM is not performed for the heart but for the joints
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 2 zm
2. A nurse is preparing to move a patient who is able to assist. Which principles will t
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
he nurse consider when planning for safe patient handling? (Select all that apply.)
zm zm zm zm zm zm zm zm zm zm zm zm
a. Keep the body's center of gravity high.
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b. Face the direction of the movement.
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c. Keep the base of support narrow.
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d. Use the under-axilla technique.
zm zm zm zm
e. Use proper body mechanics. f. Use arms and legs.
zm zm zm zm zm zm zm zm zm
ANSWER
b, e, f Rationale: When a patient is able to assist, remember the following principles: The wider the
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
base of support, the greater the stability of the nurse; the lower the center of gravity, the greater th
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
e stability of the nurse; facing the direction of movement prevents abnormal twisting of the spine. T
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
he use of assistive equipment and continued use of proper body mechanics significantly reduces the
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
risk of musculoskeletal injuries. Use arms and legs (not back) because the leg muscles are stronger,
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
,larger muscles capable of greater work without injury. The under-
zm zm zm zm zm zm zm zm zm
axilla technique is physically stressful for nurses and uncomfortable for patients.
zm zm zm zm zm zm zm zm zm zm
QUESTION 3 zm
3. A nurse reviews the history of a newly admitted patient. Which finding will alert th
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
e nurse that the patient is at risk for falls?
zm zm zm zm zm zm zm zm zm
a. 55 years old
zm zm zm
b. 20/20 vision
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c. Urinary continence
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d. Orthostatic hypotension
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ANSWER
d. Orthostatic hypotension Rationale: Numerous factors increase the risk of falls, including a history
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
of falling, being age 65 or over, reduced vision, orthostatic hypotension, lower extremity weakness, g
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ait and balance problems, urinary incontinence, improper use of walking aids, and the effects of vari
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ous medications (e.g., anticonvulsants, hypnotics, sedatives, certain analgesics).
zm zm zm zm zm zm zm
QUESTION 4 zm
4. The nurse is caring for a patient who suddenly becomes confused and tries to remo
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ve an intravenous (IV) infusion. Which priority action will the nurse take?
zm zm zm zm zm zm zm zm zm zm zm
a. Assess the patient.
zm zm zm
b. Gather restraint supplies.
zm zm zm
c. Try alternatives to restraint.
zm zm zm zm
d. Call the health care provider for a restraint order.
zm zm zm zm zm zm zm zm zm
ANSWER
a. Assess the patient Rationale: When a patient becomes suddenly confused, the priority is to assess
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
the patient, to identify the reason for the change in behavior, and to try to eliminate the cause. If in
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
terventions and alternatives are exhausted, the nurse working with the health care provider may det
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ermine the need for restraints.
zm zm zm zm
QUESTION 5 zm
6. A nurse is preparing to reposition a patient. Which task can the nurse delegate to t
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
he nursing assistive personnel?
zm zm zm
a. Determining the level of comfort
zm zm zm zm zm
b. Changing the patient's position
zm zm zm zm
c. Identifying immobility hazards
zm zm zm
d. Assessing circulation
zm zm
ANSWER
b. Changing the patient's position
zm zm zm zm
,QUESTION 6 zm
7. The patient has been in bed for several days and needs to be ambulated. Which act
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ion will the nurse take first?
zm zm zm zm zm
a. Maintain a narrow base of support.
zm zm zm zm zm zm
b. Dangle the patient at the bedside.
zm zm zm zm zm zm
c. Encourage isometric exercises.
zm zm zm
d. Suggest a high-calcium diet.
zm zm zm zm
ANSWER
b. Dangle the patient at the bedside.
zm zm zm zm zm zm
QUESTION 7 zm
10. A nurse is using a guide that provides principles of right and wrong to provide ca
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
re to patients. Which guide is the nurse using?
zm zm zm zm zm zm zm zm
a. Code of ethics
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b. Standards of practice
zm zm zm
c. Standards of professional performance
zm zm zm zm
d. Quality and safety education for nurses
zm zm zm zm zm zm
ANSWER
a. Code of Ethics Rationale: The code of ethics is the philosophical ideals of right and wrong that de
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
fine the principles you will use to provide care to your patients. The Standards of Practice describe
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
a competent level of nursing care. The ANA Standards of Professional Performance describe a compe
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
tent level of behavior in the professional role. Quality and safety education for nurses addresses the
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm z
mchallenge to prepare nurses with the competencies needed to continuously improve the quality of c
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
are in their work environments.
zm zm zm zm
QUESTION 8 zm
11. While providing care to a patient, the nurse is responsible, both professionally an
zm zm zm zm zm zm zm zm zm zm zm zm zm
d legally. Which concept does this describe?
zm zm zm zm zm zm
a. Autonomy
zm
b. Accountability
zm
c. Patient advocacy
zm zm
d. Patient education
zm zm
ANSWER
b. Accountability Rationale: Accountability means that the nurse is responsible, professionally and leg
zm zm zm zm zm zm zm zm zm zm zm zm
ally, for the type and quality of nursing care provided. Autonomy is an essential element of professi
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
onal nursing that involves the initiation of independent nursing interventions without medical orders
zm zm zm zm zm zm zm zm zm zm zm zm
. As a patient advocate, the nurse protects the patient's human and legal rights and provides assista
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
nce in asserting these rights if the need arises. As an educator, the nurse explains concepts and fact
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
s about health, describes the reasons for routine care activities, demonstrates procedures such as sel
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
, f-
care activities, reinforces learning or patient behavior, and evaluates the patient's progress in learnin
zm zm zm zm zm zm zm zm zm zm zm zm zm
g.
QUESTION 9 zm
12. The nurse is caring for an older adult patient who has been diagnosed with a stro
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ke. Which intervention will the nurse add to the care plan?
zm zm zm zm zm zm zm zm zm zm
a. Encourage the patient to perform as many self-care activities as possible.
zm zm zm zm zm zm zm zm zm zm zm
b. Provide a complete bed bath to promote patient comfort.
zm zm zm zm zm zm zm zm zm
c. Coordinate with occupational therapy for gait training.
zm zm zm zm zm zm zm
d. Place the patient on bed rest to prevent fatigue.
zm zm zm zm zm zm zm zm zm
ANSWER
a. Encourage the patient to perform as many self-care activities as possible.
zm zm zm zm zm zm zm zm zm zm zm
QUESTION 10 zm
14. The nurse is caring for a group of patients. Which patient will the nurse see first?
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
a. A patient with Clostridium difficile in droplet precautions
zm zm zm zm zm zm zm zm
b. A patient with tuberculosis in airborne precautions
zm zm zm zm zm zm zm
c. A patient with MRSA infection in contact precautions
zm zm zm zm zm zm zm zm
d. A patient with a lung transplant in protective environment precautions
zm zm zm zm zm zm zm zm zm zm
ANSWER
a. A patient with Clostridium difficile in droplet precautions Rationale: A patient with Clostridium dif
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ficile should be on contact precautions, not droplet; therefore, the nurse will see this patient first to
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm z
mcorrect the precautions. All the rest are on correct precautions. Patients with tuberculosis belong in
zm zm zm zm zm zm zm zm zm zm zm zm zm zm z
mairborne precautions; patients with MRSA infection belong in contact precautions; and patients with
zm zm zm zm zm zm zm zm zm zm zm zm z
mlung transplants belong in protective environment precautions.
zm zm zm zm zm zm
QUESTION 11 zm
15. The nurse is caring for a patient who has cultured positive for Clostridium difficile
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
. Which action will the nurse take next?
zm zm zm zm zm zm zm
a. Instruct assistive personnel to use soap and water rather than sanitizer.
zm zm zm zm zm zm zm zm zm zm zm
b. Wear an N95 respirator when entering the patient room.
zm zm zm zm zm zm zm zm zm
c. Place the patient on droplet precautions.
zm zm zm zm zm zm
d. Teach the patient cough etiquette.
zm zm zm zm zm
ANSWER
a. Instruct assistive personnel to use soap and water rather than sanitizer. Rationale: Clostridium dif
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ficile is a spore-
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forming organism that can be transmitted through direct and indirect patient contact. Because Clostr
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idium difficile is a spore-
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