RN Fundamentals Exam Practice Questions
2025/2026 | 100+ Questions with Answers &
Rationales – Guaranteed Pass!
1. Which of the following is the most appropriate way to identify a patient before
administering medication?
A. Ask the patient’s room number
B. Check the patient’s wristband and ask the patient to state their full name
C. Ask the patient’s nurse aide
D. Review the chart only
Answer: B. Check the patient’s wristband and ask the patient to state their full name
Rationale: Patient safety protocols require two identifiers (name and date of birth or medical
record number) before medication administration to prevent errors.
2. A nurse is caring for a patient with a nasogastric tube. Which action should
the nurse take first before administering enteral feeding?
A. Place the patient in a supine position
B. Check for tube placement
C. Flush the tube with water
D. Administer the feeding
Answer: B. Check for tube placement
Rationale: Ensuring correct tube placement (usually by pH testing or x-ray verification) is
critical to prevent aspiration and injury.
3. When performing hand hygiene, which of the following steps is correct?
A. Rub hands with alcohol-based sanitizer for 5 seconds
B. Wash hands for at least 20 seconds with soap and water
C. Only wash hands if they are visibly dirty
D. Use gloves instead of handwashing
Answer: B. Wash hands for at least 20 seconds with soap and water
,Rationale: Proper hand hygiene reduces the risk of healthcare-associated infections. Alcohol-
based sanitizers are effective unless hands are visibly soiled.
4. A patient reports pain of 8/10. Which nursing action is most appropriate first?
A. Assess the patient’s pain history and location
B. Administer the prescribed analgesic immediately
C. Tell the patient to wait until rounds
D. Document the pain report only
Answer: A. Assess the patient’s pain history and location
Rationale: Assessment is the first step in the nursing process. Administering medication
without assessment may be inappropriate or unsafe.
5. Which vital sign indicates a potential airway problem?
A. Blood pressure 120/80 mmHg
B. Respiratory rate 30/min and stridor
C. Heart rate 78 bpm
D. Temperature 36.8°C
Answer: B. Respiratory rate 30/min and stridor
Rationale: Stridor and tachypnea suggest airway obstruction and require immediate
intervention.
6. A nurse is caring for a postoperative patient. Which intervention helps prevent
deep vein thrombosis (DVT)?
A. Encourage ambulation as soon as possible
B. Apply a heating pad to the legs
C. Restrict fluids
D. Keep patient in bed
Answer: A. Encourage ambulation as soon as possible
Rationale: Early mobilization and leg exercises improve venous return and reduce DVT risk.
, 7. Which of the following is a sign of hypoglycemia?
A. Polyuria and polydipsia
B. Shakiness, sweating, and confusion
C. Warm, dry skin
D. Bradycardia
Answer: B. Shakiness, sweating, and confusion
Rationale: Hypoglycemia presents with adrenergic and neuroglycopenic symptoms, requiring
prompt glucose administration.
8. A patient refuses a blood transfusion due to religious beliefs. What is the
nurse’s best response?
A. Ignore the request
B. Explain the risks and document the refusal
C. Force the transfusion
D. Call security
Answer: B. Explain the risks and document the refusal
Rationale: Patient autonomy must be respected; nurses must educate, respect decisions, and
document refusals.
9. Which of the following is the best way to prevent pressure injuries in
bedridden patients?
A. Reposition every 2 hours
B. Keep the patient in one position
C. Use heat packs
D. Restrict fluids
Answer: A. Reposition every 2 hours
Rationale: Regular repositioning reduces pressure over bony prominences and prevents skin
breakdown.
2025/2026 | 100+ Questions with Answers &
Rationales – Guaranteed Pass!
1. Which of the following is the most appropriate way to identify a patient before
administering medication?
A. Ask the patient’s room number
B. Check the patient’s wristband and ask the patient to state their full name
C. Ask the patient’s nurse aide
D. Review the chart only
Answer: B. Check the patient’s wristband and ask the patient to state their full name
Rationale: Patient safety protocols require two identifiers (name and date of birth or medical
record number) before medication administration to prevent errors.
2. A nurse is caring for a patient with a nasogastric tube. Which action should
the nurse take first before administering enteral feeding?
A. Place the patient in a supine position
B. Check for tube placement
C. Flush the tube with water
D. Administer the feeding
Answer: B. Check for tube placement
Rationale: Ensuring correct tube placement (usually by pH testing or x-ray verification) is
critical to prevent aspiration and injury.
3. When performing hand hygiene, which of the following steps is correct?
A. Rub hands with alcohol-based sanitizer for 5 seconds
B. Wash hands for at least 20 seconds with soap and water
C. Only wash hands if they are visibly dirty
D. Use gloves instead of handwashing
Answer: B. Wash hands for at least 20 seconds with soap and water
,Rationale: Proper hand hygiene reduces the risk of healthcare-associated infections. Alcohol-
based sanitizers are effective unless hands are visibly soiled.
4. A patient reports pain of 8/10. Which nursing action is most appropriate first?
A. Assess the patient’s pain history and location
B. Administer the prescribed analgesic immediately
C. Tell the patient to wait until rounds
D. Document the pain report only
Answer: A. Assess the patient’s pain history and location
Rationale: Assessment is the first step in the nursing process. Administering medication
without assessment may be inappropriate or unsafe.
5. Which vital sign indicates a potential airway problem?
A. Blood pressure 120/80 mmHg
B. Respiratory rate 30/min and stridor
C. Heart rate 78 bpm
D. Temperature 36.8°C
Answer: B. Respiratory rate 30/min and stridor
Rationale: Stridor and tachypnea suggest airway obstruction and require immediate
intervention.
6. A nurse is caring for a postoperative patient. Which intervention helps prevent
deep vein thrombosis (DVT)?
A. Encourage ambulation as soon as possible
B. Apply a heating pad to the legs
C. Restrict fluids
D. Keep patient in bed
Answer: A. Encourage ambulation as soon as possible
Rationale: Early mobilization and leg exercises improve venous return and reduce DVT risk.
, 7. Which of the following is a sign of hypoglycemia?
A. Polyuria and polydipsia
B. Shakiness, sweating, and confusion
C. Warm, dry skin
D. Bradycardia
Answer: B. Shakiness, sweating, and confusion
Rationale: Hypoglycemia presents with adrenergic and neuroglycopenic symptoms, requiring
prompt glucose administration.
8. A patient refuses a blood transfusion due to religious beliefs. What is the
nurse’s best response?
A. Ignore the request
B. Explain the risks and document the refusal
C. Force the transfusion
D. Call security
Answer: B. Explain the risks and document the refusal
Rationale: Patient autonomy must be respected; nurses must educate, respect decisions, and
document refusals.
9. Which of the following is the best way to prevent pressure injuries in
bedridden patients?
A. Reposition every 2 hours
B. Keep the patient in one position
C. Use heat packs
D. Restrict fluids
Answer: A. Reposition every 2 hours
Rationale: Regular repositioning reduces pressure over bony prominences and prevents skin
breakdown.
