[NURS 5032 FINAL EXAM 2026] COMPLETE EXAM
QUESTIONS AND VERIFIED ANSWERS | 2026–2027 LATEST
UPDATE | GUARANTEED PASS | DETAILED RATIONALES |
FULL STUDY GUIDE | EXAM PREP | PRACTICE TEST |
CERTIFICATION PREPARATION
1. A nurse is caring for a postoperative patient who reports pain rated 8/10. What is the nurse's
priority action?
A. Notify the provider immediately
B. Assess the characteristics of the pain
C. Document the pain score
D. Encourage relaxation techniques
Correct Answer: B. Assess the characteristics of the pain
Rationale:
Comprehensive pain assessment is required before intervention. Understanding location, quality,
duration, and aggravating factors helps guide appropriate treatment.
2. Which finding most strongly suggests effective patient education regarding diabetes self-
management?
A. The patient states diabetes is a chronic disease
B. The patient identifies symptoms of hyperglycemia
C. The patient correctly demonstrates insulin administration
D. The patient attends follow-up appointments
Correct Answer: C. The patient correctly demonstrates insulin administration
Rationale:
Demonstration reflects application of knowledge and confirms competency in a critical self-care skill.
3. A nurse identifies a medication dosage discrepancy before administration. What should the
nurse do first?
A. Hold the medication and verify the order
B. Administer the medication as written
C. Ask another nurse to administer it
D. Document a medication error
Correct Answer: A. Hold the medication and verify the order
Rationale:
Patient safety requires clarification of questionable orders before medication administration.
4. Which action best supports infection prevention during urinary catheter insertion?
A. Wearing clean gloves
B. Using sterile technique
C. Applying extra lubricant
D. Irrigating the catheter routinely
Correct Answer: B. Using sterile technique
Rationale:
Sterile technique minimizes the introduction of microorganisms into the urinary tract.
,5. A patient suddenly develops shortness of breath and oxygen saturation drops to 84%. What is
the nurse's immediate priority?
A. Notify family members
B. Complete documentation
C. Apply oxygen and assess airway
D. Obtain a dietary history
Correct Answer: C. Apply oxygen and assess airway
Rationale:
Airway and breathing take priority according to ABC principles.
6. Which statement by a nurse demonstrates therapeutic communication?
A. "I know exactly how you feel."
B. "You should not worry about that."
C. "Tell me more about what concerns you."
D. "Everything will be fine."
Correct Answer: C. "Tell me more about what concerns you."
Rationale:
Open-ended questions encourage expression and exploration of feelings.
7. A nurse delegates vital sign collection to an assistive personnel. Which responsibility remains
with the nurse?
A. Equipment cleaning
B. Data interpretation
C. Recording findings
D. Taking blood pressure
Correct Answer: B. Data interpretation
Rationale:
Assessment and interpretation of patient data cannot be delegated.
8. Which patient is at greatest risk for pressure injury development?
A. Ambulatory adolescent
B. Middle-aged office worker
C. Bedridden older adult with limited mobility
D. Postpartum patient
Correct Answer: C. Bedridden older adult with limited mobility
Rationale:
Immobility significantly increases pressure injury risk.
9. What is the primary purpose of informed consent?
A. Protect hospital finances
B. Reduce nursing workload
C. Prevent malpractice claims
D. Support autonomous patient decision-making
Correct Answer: D. Support autonomous patient decision-making
Rationale:
Informed consent ensures patients understand risks, benefits, and alternatives before treatment.
10. A patient refuses a prescribed treatment. What is the nurse's best response?
A. Respect the decision and assess understanding
B. Inform the patient refusal is not allowed
, C. Document noncompliance only
D. Contact security
Correct Answer: A. Respect the decision and assess understanding
Rationale:
Competent adults have the right to refuse treatment after receiving adequate information.
11. Which laboratory value requires the most immediate follow-up?
A. Sodium 139 mEq/L
B. Potassium 2.8 mEq/L
C. Hemoglobin 13.5 g/dL
D. Platelets 250,000/mm³
Correct Answer: B. Potassium 2.8 mEq/L
Rationale:
Severe hypokalemia can cause life-threatening cardiac dysrhythmias.
12. A nurse is prioritizing care using Maslow's hierarchy. Which patient should be seen first?
A. Patient requesting discharge instructions
B. Patient expressing loneliness
C. Patient with oxygen saturation of 86%
D. Patient concerned about finances
Correct Answer: C. Patient with oxygen saturation of 86%
Rationale:
Physiological needs take priority over psychosocial concerns.
13. Which intervention is most appropriate to reduce fall risk?
A. Keep side rails raised at all times
B. Encourage independent ambulation without assistance
C. Place frequently used items within reach
D. Restrict fluid intake
Correct Answer: C. Place frequently used items within reach
Rationale:
Easy access to necessities reduces unnecessary movement and fall risk.
14. A nurse notices a colleague documenting assessments that were not performed. What is the
appropriate action?
A. Ignore the behavior
B. Confront the colleague publicly
C. Alter the documentation
D. Follow organizational reporting procedures
Correct Answer: D. Follow organizational reporting procedures
Rationale:
Falsification of records is an ethical and legal issue requiring appropriate reporting.
15. Which assessment finding suggests dehydration?
A. Moist mucous membranes
B. Bounding pulse
C. Increased urine output
D. Poor skin turgor
Correct Answer: D. Poor skin turgor
QUESTIONS AND VERIFIED ANSWERS | 2026–2027 LATEST
UPDATE | GUARANTEED PASS | DETAILED RATIONALES |
FULL STUDY GUIDE | EXAM PREP | PRACTICE TEST |
CERTIFICATION PREPARATION
1. A nurse is caring for a postoperative patient who reports pain rated 8/10. What is the nurse's
priority action?
A. Notify the provider immediately
B. Assess the characteristics of the pain
C. Document the pain score
D. Encourage relaxation techniques
Correct Answer: B. Assess the characteristics of the pain
Rationale:
Comprehensive pain assessment is required before intervention. Understanding location, quality,
duration, and aggravating factors helps guide appropriate treatment.
2. Which finding most strongly suggests effective patient education regarding diabetes self-
management?
A. The patient states diabetes is a chronic disease
B. The patient identifies symptoms of hyperglycemia
C. The patient correctly demonstrates insulin administration
D. The patient attends follow-up appointments
Correct Answer: C. The patient correctly demonstrates insulin administration
Rationale:
Demonstration reflects application of knowledge and confirms competency in a critical self-care skill.
3. A nurse identifies a medication dosage discrepancy before administration. What should the
nurse do first?
A. Hold the medication and verify the order
B. Administer the medication as written
C. Ask another nurse to administer it
D. Document a medication error
Correct Answer: A. Hold the medication and verify the order
Rationale:
Patient safety requires clarification of questionable orders before medication administration.
4. Which action best supports infection prevention during urinary catheter insertion?
A. Wearing clean gloves
B. Using sterile technique
C. Applying extra lubricant
D. Irrigating the catheter routinely
Correct Answer: B. Using sterile technique
Rationale:
Sterile technique minimizes the introduction of microorganisms into the urinary tract.
,5. A patient suddenly develops shortness of breath and oxygen saturation drops to 84%. What is
the nurse's immediate priority?
A. Notify family members
B. Complete documentation
C. Apply oxygen and assess airway
D. Obtain a dietary history
Correct Answer: C. Apply oxygen and assess airway
Rationale:
Airway and breathing take priority according to ABC principles.
6. Which statement by a nurse demonstrates therapeutic communication?
A. "I know exactly how you feel."
B. "You should not worry about that."
C. "Tell me more about what concerns you."
D. "Everything will be fine."
Correct Answer: C. "Tell me more about what concerns you."
Rationale:
Open-ended questions encourage expression and exploration of feelings.
7. A nurse delegates vital sign collection to an assistive personnel. Which responsibility remains
with the nurse?
A. Equipment cleaning
B. Data interpretation
C. Recording findings
D. Taking blood pressure
Correct Answer: B. Data interpretation
Rationale:
Assessment and interpretation of patient data cannot be delegated.
8. Which patient is at greatest risk for pressure injury development?
A. Ambulatory adolescent
B. Middle-aged office worker
C. Bedridden older adult with limited mobility
D. Postpartum patient
Correct Answer: C. Bedridden older adult with limited mobility
Rationale:
Immobility significantly increases pressure injury risk.
9. What is the primary purpose of informed consent?
A. Protect hospital finances
B. Reduce nursing workload
C. Prevent malpractice claims
D. Support autonomous patient decision-making
Correct Answer: D. Support autonomous patient decision-making
Rationale:
Informed consent ensures patients understand risks, benefits, and alternatives before treatment.
10. A patient refuses a prescribed treatment. What is the nurse's best response?
A. Respect the decision and assess understanding
B. Inform the patient refusal is not allowed
, C. Document noncompliance only
D. Contact security
Correct Answer: A. Respect the decision and assess understanding
Rationale:
Competent adults have the right to refuse treatment after receiving adequate information.
11. Which laboratory value requires the most immediate follow-up?
A. Sodium 139 mEq/L
B. Potassium 2.8 mEq/L
C. Hemoglobin 13.5 g/dL
D. Platelets 250,000/mm³
Correct Answer: B. Potassium 2.8 mEq/L
Rationale:
Severe hypokalemia can cause life-threatening cardiac dysrhythmias.
12. A nurse is prioritizing care using Maslow's hierarchy. Which patient should be seen first?
A. Patient requesting discharge instructions
B. Patient expressing loneliness
C. Patient with oxygen saturation of 86%
D. Patient concerned about finances
Correct Answer: C. Patient with oxygen saturation of 86%
Rationale:
Physiological needs take priority over psychosocial concerns.
13. Which intervention is most appropriate to reduce fall risk?
A. Keep side rails raised at all times
B. Encourage independent ambulation without assistance
C. Place frequently used items within reach
D. Restrict fluid intake
Correct Answer: C. Place frequently used items within reach
Rationale:
Easy access to necessities reduces unnecessary movement and fall risk.
14. A nurse notices a colleague documenting assessments that were not performed. What is the
appropriate action?
A. Ignore the behavior
B. Confront the colleague publicly
C. Alter the documentation
D. Follow organizational reporting procedures
Correct Answer: D. Follow organizational reporting procedures
Rationale:
Falsification of records is an ethical and legal issue requiring appropriate reporting.
15. Which assessment finding suggests dehydration?
A. Moist mucous membranes
B. Bounding pulse
C. Increased urine output
D. Poor skin turgor
Correct Answer: D. Poor skin turgor
