Review Actual Exam 2026/2027 | Detailed
Rationales | Complete Exam-Style Questions | Pass
Guaranteed – A+ Graded
Total Questions: 50 | Time: 90 min | Pass: 80%
TABLE OF CONTENTS
Section 1 | Safety, Infection Control & Standard Precautions | Q1 – Q10
Section 2 | Vital Signs, Physical Assessment & Documentation | Q11 – Q20
Section 3 | Mobility, Immobility & Body Mechanics | Q21 – Q30
Section 4 | Hygiene, Comfort, Sleep & Pain Management | Q31 – Q40
Section 5 | Nutrition, Elimination, Fluids & Basic Med Administration | Q41 – Q50
Instructions: Choose the single best answer. Pass: 80% in 90 minutes.
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SECTION 1: SAFETY, INFECTION CONTROL & STANDARD PRECAUTIONS Q1 – Q10
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Question 1 of 50
A nursing student is preparing to enter the room of a 72-year-old patient diagnosed with
Clostridioides difficile. The charge nurse observes the student donning a yellow
isolation gown and gloves. The student asks if a mask and eye protection are also
required for contact precautions.
A. A mask and eye protection are required for all contact precaution entries
B. Gown and gloves are sufficient unless splash risk is anticipated ✓ CORRECT
C. Only gloves are needed because C. diff is not spread by droplet
D. A respirator is required because C. diff spores are airborne
Correct Answer: B
,Rationale: Contact precautions for C. difficile require a gown and gloves; mask and eye
protection are added only when splashing is anticipated. Choice A is incorrect because
routine mask use is not required for contact precautions and can lead to unnecessary
supply waste. Nursing students often overuse PPE, so preceptors should reinforce CDC
guideline-specific requirements for each isolation category.
Question 2 of 50
A 45-year-old patient in a medical-surgical unit has a history of falls. The nurse is
performing a bed safety check before leaving the room. Which action best
demonstrates proper side rail use to prevent falls while maintaining patient dignity.
A. Raising all four side rails to maximum height while the patient is awake
B. Raising two side rails and keeping the bed in the lowest position ✓ CORRECT
C. Leaving all side rails down to promote patient independence
D. Raising only the foot side rails to prevent sliding
Correct Answer: B
Rationale: Raising two side rails and keeping the bed low protects the patient from
rolling out while still allowing safe self-exit and reducing entrapment risk. Choice A is
incorrect because raising all four rails can constitute restraint and increase climbing or
entrapment injuries. Bed alarms and low bed position are standard fall prevention
bundles in acute care settings.
Question 3 of 50
A nursing student is preparing to administer oral medications to a 58-year-old patient.
The student performs hand hygiene using an alcohol-based hand rub at the room
entrance. According to CDC guidelines, how long should the student rub their hands
together.
A. Until the hands feel dry, about 5 seconds
, B. For at least 10 seconds
C. For at least 20 seconds ✓ CORRECT
D. For 30 to 45 seconds
Correct Answer: C
Rationale: Alcohol-based hand rub requires at least 20 seconds of friction to ensure
adequate contact time for microbial reduction. Choice A is a common timing error that
leaves hands inadequately sanitized. Students should be taught to sing the alphabet
slowly or count to twenty to establish proper hand hygiene habits early in clinical
practice.
Question 4 of 50
A nurse is caring for a 34-year-old patient with active pulmonary tuberculosis. The
patient needs to be transported to radiology for a chest CT. Before leaving the unit, the
nurse must ensure which isolation measure is in place.
A. Place a surgical mask on the healthcare worker transporting the patient
B. Place an N95 respirator on the patient
C. No mask is needed if the transport is brief
D. Place a surgical mask on the patient ✓ CORRECT
Correct Answer: D
Rationale: Patients with active tuberculosis wear a surgical mask during transport to
prevent droplet nuclei from dispersing into the environment. Choice A is incorrect
because the healthcare worker requires an N95 respirator, not a surgical mask, for
airborne precautions. Transport teams should also notify receiving departments so
airborne isolation rooms are ready upon arrival.
Question 5 of 50