NSHC EXAM 2026/2027 TEST BANK – COMPREHENSIVE QUESTIONS
WITH VERIFIED ANSWERS 100% CORRECT, ALREADY GRADED A+
Question 1
A nurse is providing care for an elderly patient who has multiple chronic illnesses
and limited mobility. Which nursing action best reflects the principle of holistic
care?
A. Focusing only on medication administration and lab results
B. Addressing physical needs while also considering emotional and social support
C. Delegating all care to nursing assistants to ensure efficiency
D. Limiting patient-family involvement to avoid confusion
Correct Answer: B
Rationale: Holistic care requires attention to the patient’s physical, emotional,
psychological, and social needs rather than focusing only on disease management.
Reference: Potter & Perry, Fundamentals of Nursing, 10th edition, Holistic Care
Principles.
Question 2
During discharge teaching, a patient with newly diagnosed hypertension asks why
lifestyle changes are important if they are already prescribed antihypertensive
medication. Which response is most appropriate?
A. Lifestyle changes only matter if your medications stop working
B. Healthy lifestyle habits can reduce your need for medication and improve
outcomes
C. Since you have medication, lifestyle changes are optional
D. Lifestyle changes only prevent side effects of medication
Correct Answer: B
Rationale: Lifestyle modifications such as diet, exercise, and stress management
complement medication therapy and can lower blood pressure, potentially reducing
,the need for higher dosages.
Reference: American Heart Association (AHA) Hypertension Guidelines, 2022.
Question 3
A patient with diabetes reports skipping insulin doses to avoid weight gain. What is
the nurse’s best initial response?
A. You must always follow doctor’s orders even if you dislike the effects
B. Tell me more about your concerns regarding weight gain and insulin
C. Missing insulin is not dangerous as long as your diet is controlled
D. You should stop worrying because insulin will not cause weight gain
Correct Answer: B
Rationale: The nurse should use therapeutic communication to explore the
patient’s concerns and provide accurate education. This encourages adherence and
builds trust.
Reference: American Diabetes Association Standards of Care, 2025.
Question 4
A nurse is caring for a patient experiencing shortness of breath. What is the priority
action?
A. Provide reassurance and encourage slow breathing
B. Place the patient in high Fowler’s position and assess oxygen saturation
C. Call the physician immediately without any intervention
D. Restrict oral fluids to prevent aspiration
Correct Answer: B
Rationale: Elevating the patient improves lung expansion, and assessing oxygen
saturation helps guide urgent interventions. This addresses airway and breathing
priorities.
Reference: Lewis, Medical-Surgical Nursing, 11th edition, Respiratory Care.
Question 5
A patient receiving chemotherapy expresses feelings of hopelessness and says, “I
,don’t see the point in continuing treatment.” What is the most therapeutic nursing
response?
A. You should not feel that way because treatment can still help you
B. Why do you feel hopeless when your family is supporting you
C. It sounds like you are feeling discouraged. Can you tell me more about what
worries you
D. If you stop treatment, your condition will worsen
Correct Answer: C
Rationale: Reflective listening acknowledges the patient’s emotions and
encourages further expression, which is a core therapeutic communication strategy.
Reference: Townsend, Psychiatric Mental Health Nursing, 10th edition.
Question 6
A nurse is preparing to administer a medication to a patient who questions the
dosage, saying it looks different from their home prescription. What should the
nurse do first?
A. Reassure the patient that the hospital dose is always correct
B. Check the original prescription and verify with the provider and pharmacy
C. Ignore the concern and proceed with the administration
D. Tell the patient not to worry because medications vary in appearance
Correct Answer: B
Rationale: Patient concerns about medication safety should be validated. Verifying
the prescription prevents medication errors and promotes safety.
Reference: Joint Commission National Patient Safety Goals, 2024.
Question 7
A patient with chronic obstructive pulmonary disease (COPD) is receiving oxygen
at 4 L/min via nasal cannula. Which observation requires immediate intervention?
, A. The patient’s oxygen saturation is 90%
B. The patient is drowsy and difficult to arouse
C. The patient has pursed-lip breathing during activity
D. The patient requests rest periods during care
Correct Answer: B
Rationale: Drowsiness and difficulty to arouse can indicate CO₂ retention or
oxygen toxicity in COPD patients. This is a priority finding.
Reference: Lewis, Medical-Surgical Nursing, 11th edition, Respiratory Disorders.
Question 8
During a community health teaching session, the nurse emphasizes the importance
of vaccination. Which statement by a participant indicates effective learning?
A. Vaccines are only necessary for children and not adults
B. Vaccines reduce the body’s natural immunity
C. Vaccines protect individuals and communities by reducing disease spread
D. Vaccines are optional unless required by law
Correct Answer: C
Rationale: Vaccines provide herd immunity and protect both the individual and the
wider community.
Reference: CDC Immunization Guidelines, 2025.
Question 9
A nurse is caring for a patient with heart failure who has 3+ pitting edema and
shortness of breath. What is the priority action?
A. Encourage the patient to drink more fluids to stay hydrated
B. Position the patient upright and administer prescribed diuretics
C. Restrict mobility until the edema resolves
D. Provide extra salt in meals to restore electrolyte balance
Correct Answer: B
Rationale: Upright positioning improves breathing, and diuretics reduce fluid
WITH VERIFIED ANSWERS 100% CORRECT, ALREADY GRADED A+
Question 1
A nurse is providing care for an elderly patient who has multiple chronic illnesses
and limited mobility. Which nursing action best reflects the principle of holistic
care?
A. Focusing only on medication administration and lab results
B. Addressing physical needs while also considering emotional and social support
C. Delegating all care to nursing assistants to ensure efficiency
D. Limiting patient-family involvement to avoid confusion
Correct Answer: B
Rationale: Holistic care requires attention to the patient’s physical, emotional,
psychological, and social needs rather than focusing only on disease management.
Reference: Potter & Perry, Fundamentals of Nursing, 10th edition, Holistic Care
Principles.
Question 2
During discharge teaching, a patient with newly diagnosed hypertension asks why
lifestyle changes are important if they are already prescribed antihypertensive
medication. Which response is most appropriate?
A. Lifestyle changes only matter if your medications stop working
B. Healthy lifestyle habits can reduce your need for medication and improve
outcomes
C. Since you have medication, lifestyle changes are optional
D. Lifestyle changes only prevent side effects of medication
Correct Answer: B
Rationale: Lifestyle modifications such as diet, exercise, and stress management
complement medication therapy and can lower blood pressure, potentially reducing
,the need for higher dosages.
Reference: American Heart Association (AHA) Hypertension Guidelines, 2022.
Question 3
A patient with diabetes reports skipping insulin doses to avoid weight gain. What is
the nurse’s best initial response?
A. You must always follow doctor’s orders even if you dislike the effects
B. Tell me more about your concerns regarding weight gain and insulin
C. Missing insulin is not dangerous as long as your diet is controlled
D. You should stop worrying because insulin will not cause weight gain
Correct Answer: B
Rationale: The nurse should use therapeutic communication to explore the
patient’s concerns and provide accurate education. This encourages adherence and
builds trust.
Reference: American Diabetes Association Standards of Care, 2025.
Question 4
A nurse is caring for a patient experiencing shortness of breath. What is the priority
action?
A. Provide reassurance and encourage slow breathing
B. Place the patient in high Fowler’s position and assess oxygen saturation
C. Call the physician immediately without any intervention
D. Restrict oral fluids to prevent aspiration
Correct Answer: B
Rationale: Elevating the patient improves lung expansion, and assessing oxygen
saturation helps guide urgent interventions. This addresses airway and breathing
priorities.
Reference: Lewis, Medical-Surgical Nursing, 11th edition, Respiratory Care.
Question 5
A patient receiving chemotherapy expresses feelings of hopelessness and says, “I
,don’t see the point in continuing treatment.” What is the most therapeutic nursing
response?
A. You should not feel that way because treatment can still help you
B. Why do you feel hopeless when your family is supporting you
C. It sounds like you are feeling discouraged. Can you tell me more about what
worries you
D. If you stop treatment, your condition will worsen
Correct Answer: C
Rationale: Reflective listening acknowledges the patient’s emotions and
encourages further expression, which is a core therapeutic communication strategy.
Reference: Townsend, Psychiatric Mental Health Nursing, 10th edition.
Question 6
A nurse is preparing to administer a medication to a patient who questions the
dosage, saying it looks different from their home prescription. What should the
nurse do first?
A. Reassure the patient that the hospital dose is always correct
B. Check the original prescription and verify with the provider and pharmacy
C. Ignore the concern and proceed with the administration
D. Tell the patient not to worry because medications vary in appearance
Correct Answer: B
Rationale: Patient concerns about medication safety should be validated. Verifying
the prescription prevents medication errors and promotes safety.
Reference: Joint Commission National Patient Safety Goals, 2024.
Question 7
A patient with chronic obstructive pulmonary disease (COPD) is receiving oxygen
at 4 L/min via nasal cannula. Which observation requires immediate intervention?
, A. The patient’s oxygen saturation is 90%
B. The patient is drowsy and difficult to arouse
C. The patient has pursed-lip breathing during activity
D. The patient requests rest periods during care
Correct Answer: B
Rationale: Drowsiness and difficulty to arouse can indicate CO₂ retention or
oxygen toxicity in COPD patients. This is a priority finding.
Reference: Lewis, Medical-Surgical Nursing, 11th edition, Respiratory Disorders.
Question 8
During a community health teaching session, the nurse emphasizes the importance
of vaccination. Which statement by a participant indicates effective learning?
A. Vaccines are only necessary for children and not adults
B. Vaccines reduce the body’s natural immunity
C. Vaccines protect individuals and communities by reducing disease spread
D. Vaccines are optional unless required by law
Correct Answer: C
Rationale: Vaccines provide herd immunity and protect both the individual and the
wider community.
Reference: CDC Immunization Guidelines, 2025.
Question 9
A nurse is caring for a patient with heart failure who has 3+ pitting edema and
shortness of breath. What is the priority action?
A. Encourage the patient to drink more fluids to stay hydrated
B. Position the patient upright and administer prescribed diuretics
C. Restrict mobility until the edema resolves
D. Provide extra salt in meals to restore electrolyte balance
Correct Answer: B
Rationale: Upright positioning improves breathing, and diuretics reduce fluid
