VERIFIED QUESTIONS, ACCURATE ANSWERS & DETAILED
RATIONALES, FULL-LENGTH PRACTICE TESTS, NCLEX
READINESS & PASS-FOCUSED REVIEW
Question 1
What is the primary purpose of the nursing process?
A) To establish a diagnosis
B) To provide a framework for patient care
C) To evaluate insurance claims
D) To administer medication
Correct Option: B) To provide a framework for patient care
Rationale: The nursing process is a systematic, patient-centered method used by nurses to plan
and provide care. This approach allows for thorough assessment, diagnosis, planning,
implementation, and evaluation.
Question 2
Which of the following is a sign of anaphylactic shock?
A) Bradycardia
B) Hypotension
C) Hyperglycemia
D) Increased appetite
Correct Option: B) Hypotension
Rationale: Anaphylactic shock is characterized by severe hypotension due to vasodilation and
relative hypovolemia caused by a systemic allergic reaction. Immediate intervention is crucial in
this scenario.
Question 3
What is the first action a nurse should take when a patient is in respiratory distress?
A) Administer oxygen
B) Call for help
C) Assess lung sounds
D) Place the patient in supine position
Correct Option: A) Administer oxygen
, Rationale: Administering oxygen is the first priority in respiratory distress to improve
oxygenation, while other assessments and interventions can follow afterward.
Question 4
A nurse is teaching a patient with diabetes about foot care. Which statement by the patient
indicates a need for further teaching?
A) "I will examine my feet daily."
B) "I should always wear sandals to let my feet breathe."
C) "I need to keep my feet clean and dry."
D) "I should see a podiatrist regularly."
Correct Option: B) "I should always wear sandals to let my feet breathe."
Rationale: While keeping feet dry and clean is essential, wearing sandals may increase the risk
of injury, particularly for patients with diabetes. Proper footwear is crucial to prevent foot
complications.
Question 5
Which of the following lab results indicates liver dysfunction?
A) Elevated blood urea nitrogen (BUN)
B) Increased alanine aminotransferase (ALT)
C) Decreased white blood cell (WBC) count
D) Elevated potassium
Correct Option: B) Increased alanine aminotransferase (ALT)
Rationale: Elevated ALT levels indicate liver cell injury, making it a key marker for liver
dysfunction.
Question 6
In which position should a patient be placed after a lumbar puncture?
A) Supine
B) Sitting up
C) Trendelenburg
D) Lateral recumbent
Correct Option: A) Supine