NURS 6121 ACTUAL EXAM QUESTIONS AND
VERIFIED ANSWERS 2026
▶ A nurse asks a nurse manager why staff nurses on the unit cannot
document in a separate record (instead of the client record) to make it
easier to find information on nursing-specific actions. What is the best
response by the nurse?
A. "Legal policy requires nursing practice to be permanently integrated into
the client record."
B. "The facility requires us to document client care this way because of the
computer application used."
C. "It would be easier to do it that way. You could develop a tool to use."
D. "The electronic health record we use does not allow us to use different
formats.". Answer: A. "Legal policy requires nursing practice to be
permanently integrated into the client record."
▶ A nurse has administered 1 unit of glucose to the client as per order.
What is the correct documentation of this information?
A. One U of glucose
B. 1U of glucose
C. 1 bottle of glucose
D. 1 Unit of glucose. Answer: D. 1 Unit of glucose
▶ The nurse is assessing a client's postoperative pain. Which statement
demonstrates accurate documentation of subjective pain assessment?
A. "Client rates pain 4 on a scale of 0 to 10."
B. "Client does not appear to be in pain."
C. "Client seems irritated but states pain is around a level 5."
D. "Client is smiling and talking with visitors—pain scale not used.".
Answer: A. "Client rates pain 4 on a scale of 0 to 10."
▶ The health care provider is in a hurry to leave the unit and tells the nurse
to give morphine 2 mg IV every 4 hours as needed for pain. What action by
the nurse is appropriate?
A. Call the pharmacy to have the order entered in the electronic record.
,B. Add the new order to the medication administration record.
C. Write the order in the client's record.
D. Inform the health care provider that a written order is needed.. Answer:
D. Inform the health care provider that a written order is needed.
▶ Which are appropriate actions for protecting clients' identities? Select all
that apply.
A. Have conversations about clients in private places where they cannot be
overheard.
B. Orient computer screens toward the public view.
C. Document all personnel who have accessed a client's record.
D. Ensure that clients' names on charts are visible to the public.
E. Place light boxes for examining X-rays with the client's name in private
areas.. Answer: A. Have conversations about clients in private places
where they cannot be overheard.
C. Document all personnel who have accessed a client's record.
E. Place light boxes for examining X-rays with the client's name in private
areas.
▶ Which are examples of breaches of client confidentiality? Select all that
apply.
A. A nurse checks the health record of a client to see who is the contact
person for an emergency.
B. A nurse updates the employer of a client regarding the client's date of
return to work.
C. A nurse discusses information about a client with a coworker in the
elevator.
D. A nurse uses a computer to document a client's response to pain
medication.
E. A nurse shares his or her computer password with another nurse who
was unable to log in to the system.. Answer: B. A nurse updates the
employer of a client regarding the client's date of return to work.
C. A nurse discusses information about a client with a coworker in the
elevator.
E. A nurse shares his or her computer password with another nurse who
was unable to log in to the system.
▶ The nurse should utilize ISBARR communication (Introduction, Situation,
Background, Assessment, Recommendation, Read Back) during which
clinical situation?
, A. When preparing to discharge the client home
B. When documenting the care that was provided to a client whose
condition recently deteriorated
C. When reporting to a client's family member or significant other
D. When transferring a client from the emergency department to the acute
care unit. Answer: D. When transferring a client from the emergency
department to the acute care unit
▶ A client reports itching and shortness of breath 15 minutes after
receiving ceftriaxone 500 mg intravenously. The nurse recognizes that the
client is experiencing which type of reaction?
A. allergic reaction
B. toxic effect
C. idiosyncratic effect
D. synergistic reaction. Answer: A. allergic reaction
▶ A nurse needs to administer a prescribed dose of an opioid medication
to a client with acute neck pain. These medications should be stored in a:
A. single container.
B. double-locked drawer.
C. self-contained packet.
D. disguised container.. Answer: B. double-locked drawer.
▶ Which component of a syringe's needle does the nurse recognize that
refers to width?
A. shaft
B. gauge
C. lumen
D. bevel. Answer: B. gauge
▶ A client with allergies has been advised to have an allergy test. The
nurse needs to administer an injection to the client for allergy testing.
Which injection route is most suitable for allergy testing?
A. subcutaneous
B. intravenous
C. intradermal
D. intramuscular. Answer: C. intradermal
▶ What is the best explanation from the nurse as to why a client must
return to the unit in 48 hours after having a tuberculin skin test intradermal?
VERIFIED ANSWERS 2026
▶ A nurse asks a nurse manager why staff nurses on the unit cannot
document in a separate record (instead of the client record) to make it
easier to find information on nursing-specific actions. What is the best
response by the nurse?
A. "Legal policy requires nursing practice to be permanently integrated into
the client record."
B. "The facility requires us to document client care this way because of the
computer application used."
C. "It would be easier to do it that way. You could develop a tool to use."
D. "The electronic health record we use does not allow us to use different
formats.". Answer: A. "Legal policy requires nursing practice to be
permanently integrated into the client record."
▶ A nurse has administered 1 unit of glucose to the client as per order.
What is the correct documentation of this information?
A. One U of glucose
B. 1U of glucose
C. 1 bottle of glucose
D. 1 Unit of glucose. Answer: D. 1 Unit of glucose
▶ The nurse is assessing a client's postoperative pain. Which statement
demonstrates accurate documentation of subjective pain assessment?
A. "Client rates pain 4 on a scale of 0 to 10."
B. "Client does not appear to be in pain."
C. "Client seems irritated but states pain is around a level 5."
D. "Client is smiling and talking with visitors—pain scale not used.".
Answer: A. "Client rates pain 4 on a scale of 0 to 10."
▶ The health care provider is in a hurry to leave the unit and tells the nurse
to give morphine 2 mg IV every 4 hours as needed for pain. What action by
the nurse is appropriate?
A. Call the pharmacy to have the order entered in the electronic record.
,B. Add the new order to the medication administration record.
C. Write the order in the client's record.
D. Inform the health care provider that a written order is needed.. Answer:
D. Inform the health care provider that a written order is needed.
▶ Which are appropriate actions for protecting clients' identities? Select all
that apply.
A. Have conversations about clients in private places where they cannot be
overheard.
B. Orient computer screens toward the public view.
C. Document all personnel who have accessed a client's record.
D. Ensure that clients' names on charts are visible to the public.
E. Place light boxes for examining X-rays with the client's name in private
areas.. Answer: A. Have conversations about clients in private places
where they cannot be overheard.
C. Document all personnel who have accessed a client's record.
E. Place light boxes for examining X-rays with the client's name in private
areas.
▶ Which are examples of breaches of client confidentiality? Select all that
apply.
A. A nurse checks the health record of a client to see who is the contact
person for an emergency.
B. A nurse updates the employer of a client regarding the client's date of
return to work.
C. A nurse discusses information about a client with a coworker in the
elevator.
D. A nurse uses a computer to document a client's response to pain
medication.
E. A nurse shares his or her computer password with another nurse who
was unable to log in to the system.. Answer: B. A nurse updates the
employer of a client regarding the client's date of return to work.
C. A nurse discusses information about a client with a coworker in the
elevator.
E. A nurse shares his or her computer password with another nurse who
was unable to log in to the system.
▶ The nurse should utilize ISBARR communication (Introduction, Situation,
Background, Assessment, Recommendation, Read Back) during which
clinical situation?
, A. When preparing to discharge the client home
B. When documenting the care that was provided to a client whose
condition recently deteriorated
C. When reporting to a client's family member or significant other
D. When transferring a client from the emergency department to the acute
care unit. Answer: D. When transferring a client from the emergency
department to the acute care unit
▶ A client reports itching and shortness of breath 15 minutes after
receiving ceftriaxone 500 mg intravenously. The nurse recognizes that the
client is experiencing which type of reaction?
A. allergic reaction
B. toxic effect
C. idiosyncratic effect
D. synergistic reaction. Answer: A. allergic reaction
▶ A nurse needs to administer a prescribed dose of an opioid medication
to a client with acute neck pain. These medications should be stored in a:
A. single container.
B. double-locked drawer.
C. self-contained packet.
D. disguised container.. Answer: B. double-locked drawer.
▶ Which component of a syringe's needle does the nurse recognize that
refers to width?
A. shaft
B. gauge
C. lumen
D. bevel. Answer: B. gauge
▶ A client with allergies has been advised to have an allergy test. The
nurse needs to administer an injection to the client for allergy testing.
Which injection route is most suitable for allergy testing?
A. subcutaneous
B. intravenous
C. intradermal
D. intramuscular. Answer: C. intradermal
▶ What is the best explanation from the nurse as to why a client must
return to the unit in 48 hours after having a tuberculin skin test intradermal?
