2026/2027 Actual Exam Complete Questions
and Answers Detailed Rationales Pass
Guaranteed - A+ Graded
TABLE OF CONTENTS
Section 1 | Foundations of Nursing Practice | Q1 – Q10
Section 2 | Patient Safety and Infection Control | Q11 – Q20
Section 3 | Basic Care and Comfort | Q21 – Q30
Section 4 | Health Assessment and Vital Signs | Q31 – Q40
Section 5 | Professional Communication and Documentation | Q41 – Q50
Instructions: Choose the single best answer. Pass: 80% in 90 minutes.
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SECTION 1: FOUNDATIONS OF NURSING PRACTICE Q1 – Q10
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Question 1 of 50
A 68-year-old patient admitted with heart failure mentions that his ankles swell every
afternoon and he feels short of breath walking to the bathroom. The nurse notes
bilateral edema and documents the statement. The nurse is performing which phase of
the nursing process?
A. Planning
B. Assessment ✓ CORRECT
C. Implementation
D. Evaluation
Correct Answer: B
Rationale: Assessment involves collecting subjective and objective patient data through
observation, interview, and physical examination to establish a baseline. Planning
,occurs after data collection and diagnosis, when goals and interventions are
established. Systematic assessment is the foundation upon which all subsequent
nursing process steps depend.
Question 2 of 50
A newly licensed RN working in a medical clinic is approached by a family member who
asks her to prescribe lorazepam for his anxiety. The nurse explains that her authority to
perform nursing actions and the boundaries of that authority are defined by:
A. The hospital's nursing policy manual exclusively
B. The American Nurses Association Code of Ethics
C. The Joint Commission accreditation standards
D. State nurse practice acts and licensing boards ✓ CORRECT
Correct Answer: D
Rationale: State nurse practice acts establish the legal scope of nursing practice,
including which actions require additional licensure or provider oversight. National
organizations and facility policies guide practice but do not supersede state law in
defining legal authority.
Question 3 of 50
An 82-year-old patient recovering from hip surgery tells the nurse that he feels more
comfortable taking a shower in the evening rather than the morning bed bath. The nurse
incorporates this preference into the care plan. This action demonstrates:
A. Respect for patient autonomy and preferences ✓ CORRECT
B. Delegation of hygiene tasks to the patient
C. Reduction of nursing workload through patient participation
D. Noncompliance with the unit's standard morning schedule
Correct Answer: A
, Rationale: Honoring patient preferences regarding the timing and method of care is a
core component of patient-centered practice that respects individual dignity. Viewing
preferences as noncompliance reflects a task-oriented rather than patient-centered
mindset that undermines therapeutic trust.
Question 4 of 50
A nurse manager on a surgical unit reviews several peer-reviewed studies on central
line-associated bloodstream infection reduction before revising the unit's dressing
change protocol. This approach best exemplifies:
A. Quality improvement auditing
B. Nursing intuition applied to policy
C. Evidence-based practice ✓ CORRECT
D. A cost-containment strategy
Correct Answer: C
Rationale: Evidence-based practice integrates the best current research evidence with
clinical expertise and patient values to guide decision-making and policy development.
Quality improvement focuses on measuring and refining existing processes rather than
synthesizing external literature.
Question 5 of 50
A 45-year-old postoperative patient needs vital signs monitored every four hours. The
RN delegates this task to an unlicensed assistive personnel. The RN must ensure the
UAP understands that an abnormal vital sign finding should be:
A. Documented and corrected on the next round
B. Reported immediately to the RN ✓ CORRECT
C. Shared with the patient before notifying anyone
D. Recorded only if the patient complains of symptoms
Correct Answer: B