VERIFIED ANSWERS | 2026–2027 LATEST UPDATE |
GUARANTEED PASS | DETAILED RATIONALES | FULL STUDY
GUIDE | EXAM PREP | PRACTICE TEST | CERTIFICATION
PREPARATION
1. A nurse is preparing to administer a prescribed medication. Which action best reflects safe
medication administration practice?
A. Administer the medication immediately after receiving it
B. Verify the medication against the medication administration record three times
C. Ask another patient to confirm the medication
D. Skip identification if the patient is familiar to the nurse
Correct Answer: B. Verify the medication against the medication administration record three times
Rationale:
Following the medication rights and performing multiple checks helps reduce medication errors.
Familiarity with a patient does not replace proper identification procedures.
2. A patient reports pain rated 8/10 one hour after surgery. What is the nurse's priority action?
A. Assess the pain characteristics and review prescribed interventions
B. Inform the family immediately
C. Delay intervention until the next assessment
D. Document the complaint without further action
Correct Answer: A. Assess the pain characteristics and review prescribed interventions
Rationale:
Assessment is the first step in managing pain effectively. Understanding location, intensity, and
quality guides appropriate treatment decisions.
3. Which finding indicates effective hand hygiene compliance?
A. Wearing gloves for all patient interactions
B. Using sanitizer only after patient contact
C. Performing hand hygiene before and after patient contact
D. Washing hands only when visibly soiled
Correct Answer: C. Performing hand hygiene before and after patient contact
Rationale:
Evidence-based infection control requires hand hygiene before and after patient contact to reduce
transmission of microorganisms.
4. A nurse notes redness over a patient's sacral area. Which intervention is most appropriate?
A. Massage the reddened area
B. Apply heat
,C. Reposition the patient and reduce pressure
D. Cover with a tight dressing
Correct Answer: C. Reposition the patient and reduce pressure
Rationale:
Early pressure injury prevention includes relieving pressure and frequent repositioning. Massaging
reddened skin may worsen tissue damage.
5. Which patient statement demonstrates understanding of hypertension management?
A. "I can stop my medication when I feel better."
B. "I should take my medication only when my blood pressure is high."
C. "Lifestyle changes and medication help control my condition."
D. "Hypertension is cured after a few months of treatment."
Correct Answer: C. "Lifestyle changes and medication help control my condition."
Rationale:
Hypertension is typically a chronic condition requiring ongoing management through medication
adherence and lifestyle modification.
6. A nurse identifies an error in a previously documented note. What is the correct action?
A. Erase the entry
B. Delete the documentation completely
C. Use correction fluid
D. Draw a single line through the error, initial it, and document correctly
Correct Answer: D. Draw a single line through the error, initial it, and document correctly
Rationale:
Accurate correction methods preserve the legal integrity of the health record while ensuring
transparency.
7. Which laboratory value requires immediate nursing attention?
A. Potassium 6.2 mEq/L
B. Sodium 138 mEq/L
C. Hemoglobin 13 g/dL
D. White blood cell count 8,000/mm³
Correct Answer: A. Potassium 6.2 mEq/L
Rationale:
Severe hyperkalemia may cause life-threatening cardiac dysrhythmias and requires prompt
intervention.
8. A patient is at risk for falls. Which intervention is most appropriate?
A. Raise all four side rails continuously
B. Place the call light within reach
C. Restrict fluid intake
D. Encourage independent ambulation without assistance
Correct Answer: B. Place the call light within reach
, Rationale:
Fall prevention strategies include ensuring access to assistance and maintaining a safe environment.
9. Which assessment finding suggests dehydration?
A. Moist mucous membranes
B. Increased urine output
C. Bounding pulse
D. Dry mucous membranes and poor skin turgor
Correct Answer: D. Dry mucous membranes and poor skin turgor
Rationale:
Classic dehydration findings include dry mucous membranes, decreased skin elasticity, and
concentrated urine.
10. A nurse is caring for a patient with diabetes. Which finding indicates hypoglycemia?
A. Warm dry skin
B. Bradycardia
C. Excessive thirst
D. Sweating and shakiness
Correct Answer: D. Sweating and shakiness
Rationale:
Hypoglycemia commonly presents with diaphoresis, tremors, hunger, and confusion due to low blood
glucose levels.
11. Which action best promotes therapeutic communication?
A. Offering unsolicited advice
B. Changing the subject when emotions arise
C. Using open-ended questions
D. Providing false reassurance
Correct Answer: C. Using open-ended questions
Rationale:
Open-ended questions encourage patients to express concerns and provide meaningful information.
12. A patient refuses treatment. What should the nurse do first?
A. Notify security
B. Assess the patient's understanding of the situation
C. Force compliance
D. Immediately discharge the patient
Correct Answer: B. Assess the patient's understanding of the situation
Rationale:
Patients have the right to refuse treatment. Understanding their reasoning and ensuring informed
decision-making is essential.
13. Which patient is the highest priority?
A. Stable patient awaiting discharge
B. Patient requesting pain medication rated 3/10