Nursing Practice Exam 1 Quiz Bank –
Rasmussen College 2025/2026 | Verified
Questions & Answers | Rated A
Instructions: This quiz bank contains 50 multiple-choice questions covering foundational
nursing concepts, including professional roles, legal/ethical issues, communication, patient
safety, and the nursing process. Each question includes four answer choices, the correct answer
in RED, and a detailed rationale with clinical implications for nursing practice.
Question 1
What is the primary role of the registered nurse in the healthcare team?
A. Performing surgery
B. Assessing and planning patient care
C. Diagnosing diseases
D. Prescribing medications
Correct Answer: B. Assessing and planning patient care
Rationale: RNs use the nursing process (ADPIE) to assess, diagnose nursing problems, plan,
implement, and evaluate care. Surgery (A) surgeons, diagnosis (C) physicians, prescribing (D)
APRNs. Focus on holistic, patient-centered care.
Question 2
According to the ANA Code of Ethics, which principle emphasizes doing good and preventing
harm?
A. Autonomy
B. Beneficence
C. Justice
D. Fidelity
Correct Answer: B. Beneficence
Rationale: Beneficence requires promoting well-being and avoiding harm. Autonomy (A) self-
determination, justice (C) fairness, fidelity (D) loyalty. Ethical dilemmas resolved using these
principles.
Question 3
The nurse is documenting a patient's response to medication. What is the most appropriate entry?
A. "Patient seems happy"
, B. "Patient reports pain decreased to 2/10"
C. "Patient is fine"
D. "Patient looks better"
Correct Answer: B. "Patient reports pain decreased to 2/10"
Rationale: Documentation must be objective, specific, and factual using SBAR or SOAP.
Subjective (A, C, D) vague; use quotes for patient statements, quantifiable data.
Question 4
What is the first step in the nursing process?
A. Implementation
B. Evaluation
C. Planning
D. Assessment
Correct Answer: D. Assessment
Rationale: Assessment gathers data (subjective/objective) to identify needs. Planning (C)
follows, implementation (A) execution, evaluation (B) outcomes.
Question 5
A nurse is delegating vital signs to a CNA. What is the RN's ongoing responsibility?
A. None after delegation
B. Perform the task
C. Supervise and evaluate
D. Document only
Correct Answer: C. Supervise and evaluate
Rationale: RN retains accountability for delegation (ANA); assess CNA competence, verify
accuracy.
Question 6
Which legal document allows a surrogate to make decisions when the patient is incapacitated?
A. Living will
B. Durable power of attorney
C. DNR order
D. Advance directive
Correct Answer: B. Durable power of attorney
Rationale: Durable POA designates healthcare proxy. Living will (A) end-of-life, DNR (C)
resuscitation, directive (D) broad.