1|P a ge
,Welcome to Your Ultimate Nursing Foundations Test Bank
This is your all-in-one study weapon — built for the modern nursing student grinding with
purpose and stepping into a legacy bigger than themselves. It mixes timeless nursing wisdom
with today’s practical reality, giving you the exact kind of mastery your exams demand.
No fluff. No outdated noise. Just clean, original questions with rationales that actually teach you
how to think like a nurse, not just memorize one.
You’ll also find a few 100% free test bank links inside — handpicked gems to boost your prep
even further. No paywalls, no sign-ups, just extra ammo for your study journey.
The entire document is fully searchable — hit Ctrl + F (Windows) or Command + F (Mac) and
type whatever you need. Every chapter, topic, and question is optimized to show up instantly.
Step in bold. Study smart. Let’s get you exam-ready.
CHAPTER 1 — High-Yield Nursing Fundamentals: Must-Know Questions
1.- A 65-year-old patient presents with confusion, fever 39°C, HR 128, BP 85/50, RR 28, SpO₂
91% on room air. What is the priority nursing action?
A. Administer acetaminophen
B. Initiate sepsis protocol
C. Notify the physician
D. Draw blood cultures
Answer: B — Initiate sepsis protocol
⭐ Rational:
This patient meets SIRS criteria and shows early severe sepsis signs (hypotension +
confusion = organ hypoperfusion).
Immediate initiation of sepsis protocol (IV fluids, oxygen, labs, prepare antibiotics) is
priority to prevent multi-organ failure.
Option Analysis:
o A ✗ Reduces fever but does not treat underlying infection.
o B ✓ Correct — addresses ABCs and sepsis management immediately.
o C ✗ Notify physician important but protocol begins immediately.
o D ✗ Blood cultures necessary but after initiating fluids/oxygen.
Step Action Rationale
1 Assess ABC Ensure airway, breathing, circulation
2 Start sepsis protocol Fluids, labs, antibiotics
3 Oxygen therapy Correct hypoxia
4 Notify physician Collaborative care
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, 5 Draw cultures After initial interventions
Clinical Pearl: Confusion in sepsis often precedes hypotension — early recognition saves
lives.
2.- A nurse identifies a patient is at risk for falls. Priority nursing action?
A. Encourage independence
B. Raise all side rails
C. Keep frequently used items within reach
D. Restrain the patient
Answer: C — Keep frequently used items within reach
⭐ Rational:
Reduces unnecessary movement while maintaining safety and dignity.
A ✗ Independence unsafe if patient is unstable.
B ✗ Side rails may cause climbing and injury.
D ✗ Restraints = last resort, strict legal/ethical limits.
3.- SATA: Interventions to reduce fall risk:
A. Non-slip socks
B. Keep call light within reach
C. Dim lighting at night
D. Encourage rapid ambulation
E. Bed alarms
Answer: A, B, E
Rational:
Non-slip socks and bed alarms prevent falls.
Dim lighting helps vision, but patient still needs supervision.
Rapid ambulation is unsafe in high-risk patients.
4.- Adult patient with RR 28/min. Breathing pattern?
A. Eupnea
B. Bradypnea
C. Tachypnea
D. Hyperventilation
Answer: C — Tachypnea
⭐ Rational:
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, Tachypnea = fast breathing >20/min.
Causes: fever, pain, anxiety, hypoxia.
Hyperventilation = fast + deep; bradypnea = <12/min; eupnea = 12–20/min.
Pattern Rate (breaths/min) Notes
Eupnea 12–20 Normal breathing
Bradypnea <12 Slow breathing
Tachypnea >20 Rapid breathing
Hyperventilation >20 + deep Excessive ventilation
5.- After administering antihypertensive medication, BP normalized. Nursing process step?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
Answer: D — Evaluation
⭐ Rational:
Evaluation = measures effectiveness of interventions.
Assessment = data collection; Diagnosis = problem identification; Planning = goal
setting.
Page 4 — Infection Control & PPE
6.- Patient on droplet precautions requires which primary PPE?
A. N95 respirator
B. Surgical mask
C. Gown only
D. Gloves only
Answer: B — Surgical mask
⭐ Rational:
Droplet infections = large particles traveling short distances.
N95 = airborne (TB, measles).
Gown/gloves = situational.
Option Explanation
A Airborne only
B Correct — blocks droplets
C Optional if fluids expected
4|P a ge
,Welcome to Your Ultimate Nursing Foundations Test Bank
This is your all-in-one study weapon — built for the modern nursing student grinding with
purpose and stepping into a legacy bigger than themselves. It mixes timeless nursing wisdom
with today’s practical reality, giving you the exact kind of mastery your exams demand.
No fluff. No outdated noise. Just clean, original questions with rationales that actually teach you
how to think like a nurse, not just memorize one.
You’ll also find a few 100% free test bank links inside — handpicked gems to boost your prep
even further. No paywalls, no sign-ups, just extra ammo for your study journey.
The entire document is fully searchable — hit Ctrl + F (Windows) or Command + F (Mac) and
type whatever you need. Every chapter, topic, and question is optimized to show up instantly.
Step in bold. Study smart. Let’s get you exam-ready.
CHAPTER 1 — High-Yield Nursing Fundamentals: Must-Know Questions
1.- A 65-year-old patient presents with confusion, fever 39°C, HR 128, BP 85/50, RR 28, SpO₂
91% on room air. What is the priority nursing action?
A. Administer acetaminophen
B. Initiate sepsis protocol
C. Notify the physician
D. Draw blood cultures
Answer: B — Initiate sepsis protocol
⭐ Rational:
This patient meets SIRS criteria and shows early severe sepsis signs (hypotension +
confusion = organ hypoperfusion).
Immediate initiation of sepsis protocol (IV fluids, oxygen, labs, prepare antibiotics) is
priority to prevent multi-organ failure.
Option Analysis:
o A ✗ Reduces fever but does not treat underlying infection.
o B ✓ Correct — addresses ABCs and sepsis management immediately.
o C ✗ Notify physician important but protocol begins immediately.
o D ✗ Blood cultures necessary but after initiating fluids/oxygen.
Step Action Rationale
1 Assess ABC Ensure airway, breathing, circulation
2 Start sepsis protocol Fluids, labs, antibiotics
3 Oxygen therapy Correct hypoxia
4 Notify physician Collaborative care
2|P a ge
, 5 Draw cultures After initial interventions
Clinical Pearl: Confusion in sepsis often precedes hypotension — early recognition saves
lives.
2.- A nurse identifies a patient is at risk for falls. Priority nursing action?
A. Encourage independence
B. Raise all side rails
C. Keep frequently used items within reach
D. Restrain the patient
Answer: C — Keep frequently used items within reach
⭐ Rational:
Reduces unnecessary movement while maintaining safety and dignity.
A ✗ Independence unsafe if patient is unstable.
B ✗ Side rails may cause climbing and injury.
D ✗ Restraints = last resort, strict legal/ethical limits.
3.- SATA: Interventions to reduce fall risk:
A. Non-slip socks
B. Keep call light within reach
C. Dim lighting at night
D. Encourage rapid ambulation
E. Bed alarms
Answer: A, B, E
Rational:
Non-slip socks and bed alarms prevent falls.
Dim lighting helps vision, but patient still needs supervision.
Rapid ambulation is unsafe in high-risk patients.
4.- Adult patient with RR 28/min. Breathing pattern?
A. Eupnea
B. Bradypnea
C. Tachypnea
D. Hyperventilation
Answer: C — Tachypnea
⭐ Rational:
3|P a ge
, Tachypnea = fast breathing >20/min.
Causes: fever, pain, anxiety, hypoxia.
Hyperventilation = fast + deep; bradypnea = <12/min; eupnea = 12–20/min.
Pattern Rate (breaths/min) Notes
Eupnea 12–20 Normal breathing
Bradypnea <12 Slow breathing
Tachypnea >20 Rapid breathing
Hyperventilation >20 + deep Excessive ventilation
5.- After administering antihypertensive medication, BP normalized. Nursing process step?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
Answer: D — Evaluation
⭐ Rational:
Evaluation = measures effectiveness of interventions.
Assessment = data collection; Diagnosis = problem identification; Planning = goal
setting.
Page 4 — Infection Control & PPE
6.- Patient on droplet precautions requires which primary PPE?
A. N95 respirator
B. Surgical mask
C. Gown only
D. Gloves only
Answer: B — Surgical mask
⭐ Rational:
Droplet infections = large particles traveling short distances.
N95 = airborne (TB, measles).
Gown/gloves = situational.
Option Explanation
A Airborne only
B Correct — blocks droplets
C Optional if fluids expected
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