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RNSG 1430| RN CONCEPT BASED ASSESSMENT LEVEL 1
NEWEST 2026 ACTUAL EXAM 160 QUESTIONS AND CORRECT
DETAILED
1 — Topic: Safety & Infection Control
Which action should the nurse take first when entering a client’s room under
airborne precautions?
A. Put on gloves
B. Wash hands
C. Apply an N95 respirator
D. Put on a gown
Correct Answer: B
Rationale: Hand hygiene is always the first step in infection prevention,
even before donning PPE. For airborne precautions, the N95 mask follows,
but clean hands are the priority.
2 — Topic: Patient Education
A nurse is teaching a client with hypertension about a low-sodium diet.
Which statement shows correct understanding?
A. “I will avoid canned soups and processed foods.”
B. “I can use soy sauce freely since it is healthy.”
C. “I will season food with salt substitutes that contain potassium.”
D. “I should drink electrolyte sports drinks daily.”
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Correct Answer: A
Rationale: Processed foods and canned soups are high in sodium. Soy sauce
also contains sodium, and salt substitutes with potassium must be used
cautiously in renal impairment.
3 — Topic: Delegation
Which task can the RN safely delegate to the UAP (unlicensed assistive
personnel)?
A. Administer oral medications
B. Provide oral hygiene to a stable client
C. Assess pain level after analgesic administration
D. Teach ambulation with a walker
Correct Answer: B
Rationale: UAPs can provide basic hygiene care. They cannot administer
medications, assess, or teach—these require RN-level skills.
4 — Topic: Vital Signs
A postoperative client’s blood pressure drops from 120/78 to 88/60 within
30 minutes. Which is the nurse’s first action?
A. Increase IV fluids
B. Notify the provider immediately
C. Reassess blood pressure to confirm accuracy
D. Place client in Trendelenburg position
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Correct Answer: C
Rationale: Always validate abnormal findings before intervening. If
confirmed, notify the provider and anticipate fluid resuscitation.
5 — Topic: Medication Administration
The nurse is about to give digoxin. Which assessment is most important
before administration?
A. Blood pressure
B. Heart rate
C. Respiratory rate
D. Oxygen saturation
Correct Answer: B
Rationale: Digoxin slows heart rate and increases contractility. The apical
pulse must be checked for one full minute; hold if <60 bpm in adults.
6 — Topic: Communication
A client refuses to take a medication, stating “I don’t like how it makes me
feel.” Which is the best response by the nurse?
A. “The provider prescribed it, so you need to take it.”
B. “Tell me more about how the medication makes you feel.”
C. “I will call the pharmacist to change the drug right now.”
D. “You will feel better after a few more doses.”
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Correct Answer: B
Rationale: Therapeutic communication involves exploring concerns, not
forcing compliance or dismissing fears.
7 — Topic: Safety
The nurse finds a client on the floor. What is the nurse’s first action?
A. Notify the provider
B. Assess the client for injury
C. Document the incident
D. Call for help
Correct Answer: B
Rationale: Assessment is always first after a fall. Ensuring client safety
takes priority before notification or documentation.
8 — Topic: Nutrition
Which food is best for a client with iron-deficiency anemia?
A. Cottage cheese
B. Spinach salad with orange slices
C. White bread and butter
D. Skim milk
RNSG 1430| RN CONCEPT BASED ASSESSMENT LEVEL 1
NEWEST 2026 ACTUAL EXAM 160 QUESTIONS AND CORRECT
DETAILED
1 — Topic: Safety & Infection Control
Which action should the nurse take first when entering a client’s room under
airborne precautions?
A. Put on gloves
B. Wash hands
C. Apply an N95 respirator
D. Put on a gown
Correct Answer: B
Rationale: Hand hygiene is always the first step in infection prevention,
even before donning PPE. For airborne precautions, the N95 mask follows,
but clean hands are the priority.
2 — Topic: Patient Education
A nurse is teaching a client with hypertension about a low-sodium diet.
Which statement shows correct understanding?
A. “I will avoid canned soups and processed foods.”
B. “I can use soy sauce freely since it is healthy.”
C. “I will season food with salt substitutes that contain potassium.”
D. “I should drink electrolyte sports drinks daily.”
,2|Page
Correct Answer: A
Rationale: Processed foods and canned soups are high in sodium. Soy sauce
also contains sodium, and salt substitutes with potassium must be used
cautiously in renal impairment.
3 — Topic: Delegation
Which task can the RN safely delegate to the UAP (unlicensed assistive
personnel)?
A. Administer oral medications
B. Provide oral hygiene to a stable client
C. Assess pain level after analgesic administration
D. Teach ambulation with a walker
Correct Answer: B
Rationale: UAPs can provide basic hygiene care. They cannot administer
medications, assess, or teach—these require RN-level skills.
4 — Topic: Vital Signs
A postoperative client’s blood pressure drops from 120/78 to 88/60 within
30 minutes. Which is the nurse’s first action?
A. Increase IV fluids
B. Notify the provider immediately
C. Reassess blood pressure to confirm accuracy
D. Place client in Trendelenburg position
,3|Page
Correct Answer: C
Rationale: Always validate abnormal findings before intervening. If
confirmed, notify the provider and anticipate fluid resuscitation.
5 — Topic: Medication Administration
The nurse is about to give digoxin. Which assessment is most important
before administration?
A. Blood pressure
B. Heart rate
C. Respiratory rate
D. Oxygen saturation
Correct Answer: B
Rationale: Digoxin slows heart rate and increases contractility. The apical
pulse must be checked for one full minute; hold if <60 bpm in adults.
6 — Topic: Communication
A client refuses to take a medication, stating “I don’t like how it makes me
feel.” Which is the best response by the nurse?
A. “The provider prescribed it, so you need to take it.”
B. “Tell me more about how the medication makes you feel.”
C. “I will call the pharmacist to change the drug right now.”
D. “You will feel better after a few more doses.”
, 4|Page
Correct Answer: B
Rationale: Therapeutic communication involves exploring concerns, not
forcing compliance or dismissing fears.
7 — Topic: Safety
The nurse finds a client on the floor. What is the nurse’s first action?
A. Notify the provider
B. Assess the client for injury
C. Document the incident
D. Call for help
Correct Answer: B
Rationale: Assessment is always first after a fall. Ensuring client safety
takes priority before notification or documentation.
8 — Topic: Nutrition
Which food is best for a client with iron-deficiency anemia?
A. Cottage cheese
B. Spinach salad with orange slices
C. White bread and butter
D. Skim milk
