200 NCLEX-Style Final Exam Questions
Covering Nursing Concepts and Skills
Where does health care take place? - ANSWER In various settings including hospitals, clinics,
and home health care.
What is the first priority when admitting a patient? - ANSWER Orienting patient to call light
and safety features.
What does HIPAA ensure? - ANSWER Patient privacy and confidentiality.
What is the role of the Joint Commission? - ANSWER Evaluating and accrediting healthcare
organizations.
What is the nursing process? - ANSWER A systematic approach including assessment,
diagnosis, planning, implementation, and evaluation.
What does ISBARR stand for? - ANSWER Introduction, Situation, Background, Assessment,
Recommendation, Read-back.
What is the focus of hospice care? - ANSWER Symptom relief and comfort at the end of life.
What is the safest alternative to restraints? - ANSWER Bed alarms.
What is the first sign of skin breakdown? - ANSWER Non-blanchable redness.
, What is the priority nursing intervention for narcotic administration? - ANSWER Assess
respiratory rate.
What should be done immediately for a medication emergency like anaphylaxis? - ANSWER
Administer epinephrine.
What is the best mobility device for a patient with poor balance? - ANSWER Walker.
What is the contraindication for heat therapy? - ANSWER Active bleeding.
What medication is commonly prescribed for constipation? - ANSWER Magnesium
hydroxide.
What is the purpose of documentation in nursing? - ANSWER To maintain accurate medical
records and ensure continuity of care.
What are the pros and cons of different types of nursing care? - ANSWER Each type has
unique benefits and challenges, impacting patient outcomes.
What is the importance of understanding medication administration? - ANSWER To ensure
safe and effective patient care.
What should a nurse do when giving G-tube medications? - ANSWER Flush before and after
each medication.
What is the role of a nurse in wound care? - ANSWER Assessment and implementation of
appropriate interventions.
, What is the significance of body mechanics in nursing? - ANSWER To prevent injury to both
the nurse and the patient.
What should be prioritized in a home safety evaluation? - ANSWER Assessing for loose rugs
and clutter.
What is the purpose of complementary and alternative medicine (CAM)? - ANSWER To
provide various methods of treatment with pros and cons.
What is the priority when a patient leaves the hospital AMA? - ANSWER The patient must
sign a form acknowledging risk.
What is the role of documentation in nursing? - ANSWER To ensure accurate and legal
medical records.
What is the first step in the nursing process? - ANSWER Assessment.
What does the 'R' in ISBARR stand for? - ANSWER Recommendation.
What is the significance of understanding medication orders? - ANSWER To clarify any
ambiguities and ensure patient safety.
What is tertiary care? - ANSWER Restorative care
Which factor most directly affects a client's access to health care services? - ANSWER
Insurance coverage
, What is the primary advantage of team nursing? - ANSWER Collaborative use of staff skills
improves efficiency
What should a nurse do if a competent adult wants to leave the hospital AMA? - ANSWER
Explain risks and ask the patient to sign AMA form
What is the nurse's first priority during admission? - ANSWER Orienting the client to room
and call light
Which statement indicates effective discharge teaching? - ANSWER I will bring all my
medicines to my follow-up appointment.
Which action violates HIPAA? - ANSWER Discussing a patient's diagnosis in a crowded
elevator
What does the Joint Commission primarily focus on? - ANSWER Accrediting health-care
organizations
What is the correct sequence of the nursing process? - ANSWER Assessment, Diagnosis,
Planning, Implementation, Evaluation
Which action is part of the assessment step? - ANSWER Performing a head-to-toe exam
Which is a correctly written nursing diagnosis? - ANSWER Impaired gas exchange related to
alveolar-capillary membrane changes
Which is the best outcome statement? - ANSWER Patient will maintain oxygen saturation ≥
95% on room air by end of shift.
Covering Nursing Concepts and Skills
Where does health care take place? - ANSWER In various settings including hospitals, clinics,
and home health care.
What is the first priority when admitting a patient? - ANSWER Orienting patient to call light
and safety features.
What does HIPAA ensure? - ANSWER Patient privacy and confidentiality.
What is the role of the Joint Commission? - ANSWER Evaluating and accrediting healthcare
organizations.
What is the nursing process? - ANSWER A systematic approach including assessment,
diagnosis, planning, implementation, and evaluation.
What does ISBARR stand for? - ANSWER Introduction, Situation, Background, Assessment,
Recommendation, Read-back.
What is the focus of hospice care? - ANSWER Symptom relief and comfort at the end of life.
What is the safest alternative to restraints? - ANSWER Bed alarms.
What is the first sign of skin breakdown? - ANSWER Non-blanchable redness.
, What is the priority nursing intervention for narcotic administration? - ANSWER Assess
respiratory rate.
What should be done immediately for a medication emergency like anaphylaxis? - ANSWER
Administer epinephrine.
What is the best mobility device for a patient with poor balance? - ANSWER Walker.
What is the contraindication for heat therapy? - ANSWER Active bleeding.
What medication is commonly prescribed for constipation? - ANSWER Magnesium
hydroxide.
What is the purpose of documentation in nursing? - ANSWER To maintain accurate medical
records and ensure continuity of care.
What are the pros and cons of different types of nursing care? - ANSWER Each type has
unique benefits and challenges, impacting patient outcomes.
What is the importance of understanding medication administration? - ANSWER To ensure
safe and effective patient care.
What should a nurse do when giving G-tube medications? - ANSWER Flush before and after
each medication.
What is the role of a nurse in wound care? - ANSWER Assessment and implementation of
appropriate interventions.
, What is the significance of body mechanics in nursing? - ANSWER To prevent injury to both
the nurse and the patient.
What should be prioritized in a home safety evaluation? - ANSWER Assessing for loose rugs
and clutter.
What is the purpose of complementary and alternative medicine (CAM)? - ANSWER To
provide various methods of treatment with pros and cons.
What is the priority when a patient leaves the hospital AMA? - ANSWER The patient must
sign a form acknowledging risk.
What is the role of documentation in nursing? - ANSWER To ensure accurate and legal
medical records.
What is the first step in the nursing process? - ANSWER Assessment.
What does the 'R' in ISBARR stand for? - ANSWER Recommendation.
What is the significance of understanding medication orders? - ANSWER To clarify any
ambiguities and ensure patient safety.
What is tertiary care? - ANSWER Restorative care
Which factor most directly affects a client's access to health care services? - ANSWER
Insurance coverage
, What is the primary advantage of team nursing? - ANSWER Collaborative use of staff skills
improves efficiency
What should a nurse do if a competent adult wants to leave the hospital AMA? - ANSWER
Explain risks and ask the patient to sign AMA form
What is the nurse's first priority during admission? - ANSWER Orienting the client to room
and call light
Which statement indicates effective discharge teaching? - ANSWER I will bring all my
medicines to my follow-up appointment.
Which action violates HIPAA? - ANSWER Discussing a patient's diagnosis in a crowded
elevator
What does the Joint Commission primarily focus on? - ANSWER Accrediting health-care
organizations
What is the correct sequence of the nursing process? - ANSWER Assessment, Diagnosis,
Planning, Implementation, Evaluation
Which action is part of the assessment step? - ANSWER Performing a head-to-toe exam
Which is a correctly written nursing diagnosis? - ANSWER Impaired gas exchange related to
alveolar-capillary membrane changes
Which is the best outcome statement? - ANSWER Patient will maintain oxygen saturation ≥
95% on room air by end of shift.
