Kaplan-Style Fundamentals Nursing
Practice Exam Questions and Correct
Answers 100%
1. A nurse is preparing to administer medication. Which action is part of the
"right patient" check?
A. Compare the medication label with the MAR
B. Ask the client to state their full name and date of birth
C. Check the medication expiration date
D. Document administration immediately
Correct Answer: B
Rationale: Using two patient identifiers (e.g., full name and DOB) helps ensure the medication
is given to the correct patient.
2. Which finding requires immediate nursing intervention?
A. BP 128/76 mm Hg
B. Temperature 37.2°C (99°F)
C. Respiratory rate 8/min
D. Pulse 82/min
Correct Answer: C
Rationale: A respiratory rate of 8/min indicates respiratory depression and requires immediate
assessment and intervention.
3. When performing hand hygiene with alcohol-based sanitizer, the nurse should
rub hands for at least:
A. 5 seconds
B. 10 seconds
C. 20 seconds
D. Until dry
,Correct Answer: D
Rationale: Alcohol-based hand rub should be rubbed over all hand surfaces until completely
dry.
4. A nurse is caring for a client at risk for falls. Which intervention is most
appropriate?
A. Raise all four side rails
B. Keep the bed in the lowest position
C. Apply wrist restraints
D. Limit fluid intake
Correct Answer: B
Rationale: Keeping the bed low reduces injury risk if the patient attempts to get out of bed.
5. Which action demonstrates proper sterile technique?
A. Reaching over a sterile field
B. Turning one's back on a sterile field
C. Keeping sterile items above waist level
D. Touching sterile gloves to uniform
Correct Answer: C
Rationale: Sterile objects must remain in sight and above waist level to maintain sterility.
6. A client reports pain rated 8/10. What is the nurse's priority?
A. Notify the provider
B. Obtain vital signs
C. Assess the pain characteristics
D. Administer medication immediately
Correct Answer: C
Rationale: Assessment precedes intervention. The nurse should evaluate location, quality,
duration, and factors affecting pain.
, 7. Which position is best for preventing aspiration during oral feeding?
A. Supine
B. Trendelenburg
C. High Fowler's
D. Prone
Correct Answer: C
Rationale: High Fowler's position promotes swallowing and reduces aspiration risk.
8. Which electrolyte is most important for cardiac conduction?
A. Sodium
B. Potassium
C. Chloride
D. Phosphorus
Correct Answer: B
Rationale: Potassium plays a critical role in cardiac electrical activity.
9. Which action by a UAP should the nurse intervene on?
A. Recording intake and output
B. Measuring vital signs
C. Assessing pain level before medication
D. Assisting with bathing
Correct Answer: C
Rationale: Assessment is a nursing responsibility and cannot be delegated to UAPs.
10. Which finding indicates adequate oxygenation?
A. SpO₂ 96%
B. Respiratory rate 28/min
Practice Exam Questions and Correct
Answers 100%
1. A nurse is preparing to administer medication. Which action is part of the
"right patient" check?
A. Compare the medication label with the MAR
B. Ask the client to state their full name and date of birth
C. Check the medication expiration date
D. Document administration immediately
Correct Answer: B
Rationale: Using two patient identifiers (e.g., full name and DOB) helps ensure the medication
is given to the correct patient.
2. Which finding requires immediate nursing intervention?
A. BP 128/76 mm Hg
B. Temperature 37.2°C (99°F)
C. Respiratory rate 8/min
D. Pulse 82/min
Correct Answer: C
Rationale: A respiratory rate of 8/min indicates respiratory depression and requires immediate
assessment and intervention.
3. When performing hand hygiene with alcohol-based sanitizer, the nurse should
rub hands for at least:
A. 5 seconds
B. 10 seconds
C. 20 seconds
D. Until dry
,Correct Answer: D
Rationale: Alcohol-based hand rub should be rubbed over all hand surfaces until completely
dry.
4. A nurse is caring for a client at risk for falls. Which intervention is most
appropriate?
A. Raise all four side rails
B. Keep the bed in the lowest position
C. Apply wrist restraints
D. Limit fluid intake
Correct Answer: B
Rationale: Keeping the bed low reduces injury risk if the patient attempts to get out of bed.
5. Which action demonstrates proper sterile technique?
A. Reaching over a sterile field
B. Turning one's back on a sterile field
C. Keeping sterile items above waist level
D. Touching sterile gloves to uniform
Correct Answer: C
Rationale: Sterile objects must remain in sight and above waist level to maintain sterility.
6. A client reports pain rated 8/10. What is the nurse's priority?
A. Notify the provider
B. Obtain vital signs
C. Assess the pain characteristics
D. Administer medication immediately
Correct Answer: C
Rationale: Assessment precedes intervention. The nurse should evaluate location, quality,
duration, and factors affecting pain.
, 7. Which position is best for preventing aspiration during oral feeding?
A. Supine
B. Trendelenburg
C. High Fowler's
D. Prone
Correct Answer: C
Rationale: High Fowler's position promotes swallowing and reduces aspiration risk.
8. Which electrolyte is most important for cardiac conduction?
A. Sodium
B. Potassium
C. Chloride
D. Phosphorus
Correct Answer: B
Rationale: Potassium plays a critical role in cardiac electrical activity.
9. Which action by a UAP should the nurse intervene on?
A. Recording intake and output
B. Measuring vital signs
C. Assessing pain level before medication
D. Assisting with bathing
Correct Answer: C
Rationale: Assessment is a nursing responsibility and cannot be delegated to UAPs.
10. Which finding indicates adequate oxygenation?
A. SpO₂ 96%
B. Respiratory rate 28/min
