1
RN FUNDAMENTALS EXAM Actual Exam
2026/2027 3 Versions Complete Questions
and Verified Answers NGN Style Pass
Guaranteed - A+ Graded
VERSION 1 (60 Questions)
Question 1
A nurse is reviewing the Nurse Practice Act in their state. Which statement best describes the
primary purpose of this legislation?
A. To define the educational requirements for nursing licensure B. To establish the legal scope of
nursing practice and protect the public C. To determine salary standards for registered nurses D.
To regulate the number of nursing schools in the state
Correct Answer: B
Rationale: The Nurse Practice Act is state legislation that defines and regulates the practice of
nursing to protect public health, safety, and welfare. It establishes the scope of practice, licensure
requirements, and grounds for disciplinary action. While educational requirements (A) are
addressed, the primary purpose is public protection through regulation of practice scope.
Question 2
A nursing student is learning about the nursing process. Which action demonstrates the
"Planning" phase of ADPIE?
A. Collecting data about a patient's pain level B. Setting measurable goals with the patient C.
Administering prescribed pain medication D. Evaluating whether pain relief was achieved
Correct Answer: B
Rationale: ADPIE stands for Assessment, Diagnosis, Planning, Implementation, and Evaluation.
The Planning phase (P) involves establishing measurable patient goals and expected outcomes.
Assessment (A) involves data collection, Implementation (I) involves nursing actions, and
Evaluation (E) involves determining goal achievement.
,2
Question 3 [NGN-Style: Select All That Apply]
A nurse is caring for a patient who speaks limited English. Which actions by the nurse
demonstrate culturally competent care? Select all that apply.
☐ A. Using a professional medical interpreter for health teaching ☐ B. Asking the patient's
teenage child to interpret during the admission assessment ☐ C. Speaking loudly and slowly in
English to improve understanding ☐ D. Assessing the patient's cultural beliefs about illness and
healing ☐ E. Providing written materials in the patient's primary language ☐ F. Making eye
contact continuously to show attentiveness
Correct Answers: A, D, E
Rationale: Culturally competent care requires professional interpretation services (A),
assessment of cultural beliefs (D), and translated materials (E). Family members, especially
minors, should not be used as interpreters due to confidentiality and accuracy concerns (B).
Speaking loudly doesn't improve comprehension (C). Eye contact norms vary by culture;
continuous eye contact may be disrespectful in some cultures (F).
Question 4
Which ethical principle is demonstrated when a nurse respects a competent patient's decision to
refuse blood transfusions based on religious beliefs?
A. Beneficence B. Nonmaleficence C. Autonomy D. Justice
Correct Answer: C
Rationale: Autonomy refers to the right of individuals to make their own decisions about their
healthcare. Respecting a patient's informed refusal demonstrates autonomy. Beneficence (doing
good), nonmaleficence (doing no harm), and justice (fairness) are also ethical principles but do
not specifically address the right to self-determination.
Question 5
A nurse is documenting using the SOAP format. Where would the nurse document "Patient
reports pain level decreased from 8/10 to 3/10 after medication"?
A. Subjective B. Objective C. Assessment D. Plan
Correct Answer: A
,3
Rationale: In SOAP documentation, Subjective data includes information reported by the
patient, such as pain ratings, symptoms, and feelings. "Patient reports" indicates subjective data.
Objective (B) includes observable/measurable data, Assessment (C) includes clinical judgments,
and Plan (D) includes intended interventions.
Question 6 [NGN-Style: Matrix/Grid]
A nurse is caring for patients on a medical-surgical unit. Match the type of isolation precaution to
the appropriate patient condition.
Table
Standard Contact Droplet Airborne
Patient Condition Precautions Precautions Precautions Precautions
A. Patient with
influenza ☐ ☐ ☐ ☐
B. Patient with
MRSA wound
infection ☐ ☐ ☐ ☐
C. Patient with
tuberculosis ☐ ☐ ☐ ☐
D. Patient with C.
difficile diarrhea ☐ ☐ ☐ ☐
Correct Answers:
• A. Patient with influenza: Droplet Precautions
• B. Patient with MRSA wound infection: Contact Precautions
• C. Patient with tuberculosis: Airborne Precautions
• D. Patient with C. difficile diarrhea: Contact Precautions
Rationale: Influenza spreads via respiratory droplets (Droplet). MRSA and C. difficile spread by
contact with contaminated surfaces or skin (Contact). TB spreads via airborne particles smaller
, 4
than 5 microns (Airborne). Standard Precautions are used for all patients but are not specific
isolation categories for these conditions.
Question 7
What is the first step in the chain of infection that must be present for an infection to occur?
A. Portal of entry B. Mode of transmission C. Infectious agent D. Susceptible host
Correct Answer: C
Rationale: The chain of infection includes: Infectious agent (pathogen), Reservoir (source),
Portal of exit, Mode of transmission, Portal of entry, and Susceptible host. The infectious agent
(pathogen) must first be present for the chain to begin. Breaking any link prevents infection
transmission.
Question 8 [NGN-Style: Ordered Response]
Place the following steps for donning personal protective equipment (PPE) in the correct order
for entering an isolation room:
Drag and drop to sequence:
1. ___ Apply gown
2. ___ Perform hand hygiene
3. ___ Apply mask or respirator
4. ___ Apply goggles or face shield
5. ___ Apply gloves
Correct Order: 2, 1, 3, 4, 5
Rationale: Correct PPE donning sequence: (1) Perform hand hygiene first, (2) Apply gown (ties
at neck and waist), (3) Apply mask/respirator (secure ties), (4) Apply eye protection, (5) Apply
gloves (over gown cuffs). Gloves are always last when donning to ensure all skin is covered.
Question 9
A nurse discovers a fire in a patient's room. According to the RACE protocol, what is the first
action the nurse should take?
RN FUNDAMENTALS EXAM Actual Exam
2026/2027 3 Versions Complete Questions
and Verified Answers NGN Style Pass
Guaranteed - A+ Graded
VERSION 1 (60 Questions)
Question 1
A nurse is reviewing the Nurse Practice Act in their state. Which statement best describes the
primary purpose of this legislation?
A. To define the educational requirements for nursing licensure B. To establish the legal scope of
nursing practice and protect the public C. To determine salary standards for registered nurses D.
To regulate the number of nursing schools in the state
Correct Answer: B
Rationale: The Nurse Practice Act is state legislation that defines and regulates the practice of
nursing to protect public health, safety, and welfare. It establishes the scope of practice, licensure
requirements, and grounds for disciplinary action. While educational requirements (A) are
addressed, the primary purpose is public protection through regulation of practice scope.
Question 2
A nursing student is learning about the nursing process. Which action demonstrates the
"Planning" phase of ADPIE?
A. Collecting data about a patient's pain level B. Setting measurable goals with the patient C.
Administering prescribed pain medication D. Evaluating whether pain relief was achieved
Correct Answer: B
Rationale: ADPIE stands for Assessment, Diagnosis, Planning, Implementation, and Evaluation.
The Planning phase (P) involves establishing measurable patient goals and expected outcomes.
Assessment (A) involves data collection, Implementation (I) involves nursing actions, and
Evaluation (E) involves determining goal achievement.
,2
Question 3 [NGN-Style: Select All That Apply]
A nurse is caring for a patient who speaks limited English. Which actions by the nurse
demonstrate culturally competent care? Select all that apply.
☐ A. Using a professional medical interpreter for health teaching ☐ B. Asking the patient's
teenage child to interpret during the admission assessment ☐ C. Speaking loudly and slowly in
English to improve understanding ☐ D. Assessing the patient's cultural beliefs about illness and
healing ☐ E. Providing written materials in the patient's primary language ☐ F. Making eye
contact continuously to show attentiveness
Correct Answers: A, D, E
Rationale: Culturally competent care requires professional interpretation services (A),
assessment of cultural beliefs (D), and translated materials (E). Family members, especially
minors, should not be used as interpreters due to confidentiality and accuracy concerns (B).
Speaking loudly doesn't improve comprehension (C). Eye contact norms vary by culture;
continuous eye contact may be disrespectful in some cultures (F).
Question 4
Which ethical principle is demonstrated when a nurse respects a competent patient's decision to
refuse blood transfusions based on religious beliefs?
A. Beneficence B. Nonmaleficence C. Autonomy D. Justice
Correct Answer: C
Rationale: Autonomy refers to the right of individuals to make their own decisions about their
healthcare. Respecting a patient's informed refusal demonstrates autonomy. Beneficence (doing
good), nonmaleficence (doing no harm), and justice (fairness) are also ethical principles but do
not specifically address the right to self-determination.
Question 5
A nurse is documenting using the SOAP format. Where would the nurse document "Patient
reports pain level decreased from 8/10 to 3/10 after medication"?
A. Subjective B. Objective C. Assessment D. Plan
Correct Answer: A
,3
Rationale: In SOAP documentation, Subjective data includes information reported by the
patient, such as pain ratings, symptoms, and feelings. "Patient reports" indicates subjective data.
Objective (B) includes observable/measurable data, Assessment (C) includes clinical judgments,
and Plan (D) includes intended interventions.
Question 6 [NGN-Style: Matrix/Grid]
A nurse is caring for patients on a medical-surgical unit. Match the type of isolation precaution to
the appropriate patient condition.
Table
Standard Contact Droplet Airborne
Patient Condition Precautions Precautions Precautions Precautions
A. Patient with
influenza ☐ ☐ ☐ ☐
B. Patient with
MRSA wound
infection ☐ ☐ ☐ ☐
C. Patient with
tuberculosis ☐ ☐ ☐ ☐
D. Patient with C.
difficile diarrhea ☐ ☐ ☐ ☐
Correct Answers:
• A. Patient with influenza: Droplet Precautions
• B. Patient with MRSA wound infection: Contact Precautions
• C. Patient with tuberculosis: Airborne Precautions
• D. Patient with C. difficile diarrhea: Contact Precautions
Rationale: Influenza spreads via respiratory droplets (Droplet). MRSA and C. difficile spread by
contact with contaminated surfaces or skin (Contact). TB spreads via airborne particles smaller
, 4
than 5 microns (Airborne). Standard Precautions are used for all patients but are not specific
isolation categories for these conditions.
Question 7
What is the first step in the chain of infection that must be present for an infection to occur?
A. Portal of entry B. Mode of transmission C. Infectious agent D. Susceptible host
Correct Answer: C
Rationale: The chain of infection includes: Infectious agent (pathogen), Reservoir (source),
Portal of exit, Mode of transmission, Portal of entry, and Susceptible host. The infectious agent
(pathogen) must first be present for the chain to begin. Breaking any link prevents infection
transmission.
Question 8 [NGN-Style: Ordered Response]
Place the following steps for donning personal protective equipment (PPE) in the correct order
for entering an isolation room:
Drag and drop to sequence:
1. ___ Apply gown
2. ___ Perform hand hygiene
3. ___ Apply mask or respirator
4. ___ Apply goggles or face shield
5. ___ Apply gloves
Correct Order: 2, 1, 3, 4, 5
Rationale: Correct PPE donning sequence: (1) Perform hand hygiene first, (2) Apply gown (ties
at neck and waist), (3) Apply mask/respirator (secure ties), (4) Apply eye protection, (5) Apply
gloves (over gown cuffs). Gloves are always last when donning to ensure all skin is covered.
Question 9
A nurse discovers a fire in a patient's room. According to the RACE protocol, what is the first
action the nurse should take?
