JERSEY COLLEGE MEDSURG 1 RN FINAL
EXAM 2026/2027 LATEST UPDATE ||
VERIFIED Q&A - GRADED A+
1. The nurse is preparing to teach a patient newly diagnosed with diabetes.
According to Maslow’s hierarchy, which need must be met first?
A. Self-actualization
B. Love and belonging
C. Safety and security
D. Physiological integrity
Correct ,,answer,,,: D
Rationale: Physiological needs (air, food, water, elimination) are the foundation of
Maslow’s pyramid. Unstable blood glucose is a physiological threat that must be
stabilized before the patient can engage in learning about self-management.
2. The Joint Commission’s priority patient safety concerns are listed in which
document?
A. Healthy People 2030
B. Nurse Practice Act
C. National Patient Safety Goals
D. QSEN Competencies
Correct ,,answer,,,: C
Rationale: The National Patient Safety Goals (NPSG) address medication safety,
infection prevention, patient identification, and staff communication.
3. A nurse is using the Quality and Safety Education for Nurses (QSEN)
framework. Which competency involves continuous process improvement?
,A. Quality Improvement
B. Informatics
C. Evidence-Based Practice
D. Teamwork and Collaboration
Correct ,,answer,,,: A
Rationale: QSEN’s Quality Improvement competency focuses on using data to
monitor outcomes and improve care processes.
4. The primary purpose of each state’s Nurse Practice Act is to:
A. Define the scope of nursing practice
B. List hospital accreditation standards
C. Provide continuing education requirements
D. Establish nursing school curricula
Correct ,,answer,,,: A
Rationale: The Nurse Practice Act protects the public by legally defining the
scope of nursing practice within each state.
5. Which organization sets goals to improve the nation’s health every decade?
A. The Joint Commission
B. Healthy People
C. QSEN
D. Institute of Medicine
Correct ,,answer,,,: B
Rationale: Healthy People (e.g., 2030) establishes national health promotion and
disease prevention objectives.
6. A nurse is performing a cultural assessment before teaching a patient about
a low-sodium diet. What is the rationale for this step?
A. To identify the patient’s healthcare insurance status
B. To discover dietary preferences that may affect adherence
,C. To complete the hospital’s admission form
D. To document the patient’s primary language only
Correct ,,answer,,,: B
Rationale: A cultural assessment reveals beliefs, practices, and food preferences
so teaching can be individualized for better adherence.
7. Which factors are considered non-modifiable risk factors for disease?
A. Weight, smoking, sex practices
B. Diet, exercise, stress management
C. Age, genetics, sex
D. Alcohol use, occupation, income
Correct ,,answer,,,: C
Rationale: Age, genetics, and sex are biologic factors that cannot be changed; they
are non-modifiable.
8. The Institute of Medicine’s “Future of Nursing” report emphasized:
A. Reduced educational requirements for RNs
B. Increasing the proportion of RNs with BSN degrees to 80%
C. Eliminating advanced practice nursing roles
D. Replacing hospital nursing with home health only
Correct ,,answer,,,: B
Rationale: The 2010 IOM report called for 80% of RNs to hold a BSN by 2020,
promoting higher education to improve care.
9. While explaining a low-fat diet to a patient, the nurse realizes the patient is
not making eye contact. Which assessment is most relevant at this time?
A. Educational background
B. Socioeconomic status
C. Cultural view of eye contact
D. History of visual impairment
, Correct ,,answer,,,: C
Rationale: In some cultures, avoiding eye contact is a sign of respect, not
disinterest. Understanding cultural norms avoids misinterpretation.
10. In the QSEN competency Patient-Centered Care, the nurse prioritizes:
A. Following hospital policies exactly
B. Delegating tasks to unlicensed assistive personnel
C. Respecting patient preferences, values, and needs
D. Documenting all care in the electronic health record
Correct ,,answer,,,: C
Rationale: Patient-centered care means respecting individual preferences and
involving the patient in decisions.
11. A patient asks, “Why do I need to learn about my medications before I go
home?” The nurse’s best response is based on which principle?
A. Informed consent
B. Safe delegation
C. Scope of practice
D. Patient teaching for self-management
Correct ,,answer,,,: D
Rationale: Teaching patients about medications promotes self-management,
safety, and adherence after discharge.
12. The nurse uses the National Patient Safety Goal “Improve staff
communication” by:
A. Shouting across the nursing station
B. Using a standardized handoff tool such as SBAR
C. Waiting until change of shift to report critical results
D. Sending a text message to the covering provider
EXAM 2026/2027 LATEST UPDATE ||
VERIFIED Q&A - GRADED A+
1. The nurse is preparing to teach a patient newly diagnosed with diabetes.
According to Maslow’s hierarchy, which need must be met first?
A. Self-actualization
B. Love and belonging
C. Safety and security
D. Physiological integrity
Correct ,,answer,,,: D
Rationale: Physiological needs (air, food, water, elimination) are the foundation of
Maslow’s pyramid. Unstable blood glucose is a physiological threat that must be
stabilized before the patient can engage in learning about self-management.
2. The Joint Commission’s priority patient safety concerns are listed in which
document?
A. Healthy People 2030
B. Nurse Practice Act
C. National Patient Safety Goals
D. QSEN Competencies
Correct ,,answer,,,: C
Rationale: The National Patient Safety Goals (NPSG) address medication safety,
infection prevention, patient identification, and staff communication.
3. A nurse is using the Quality and Safety Education for Nurses (QSEN)
framework. Which competency involves continuous process improvement?
,A. Quality Improvement
B. Informatics
C. Evidence-Based Practice
D. Teamwork and Collaboration
Correct ,,answer,,,: A
Rationale: QSEN’s Quality Improvement competency focuses on using data to
monitor outcomes and improve care processes.
4. The primary purpose of each state’s Nurse Practice Act is to:
A. Define the scope of nursing practice
B. List hospital accreditation standards
C. Provide continuing education requirements
D. Establish nursing school curricula
Correct ,,answer,,,: A
Rationale: The Nurse Practice Act protects the public by legally defining the
scope of nursing practice within each state.
5. Which organization sets goals to improve the nation’s health every decade?
A. The Joint Commission
B. Healthy People
C. QSEN
D. Institute of Medicine
Correct ,,answer,,,: B
Rationale: Healthy People (e.g., 2030) establishes national health promotion and
disease prevention objectives.
6. A nurse is performing a cultural assessment before teaching a patient about
a low-sodium diet. What is the rationale for this step?
A. To identify the patient’s healthcare insurance status
B. To discover dietary preferences that may affect adherence
,C. To complete the hospital’s admission form
D. To document the patient’s primary language only
Correct ,,answer,,,: B
Rationale: A cultural assessment reveals beliefs, practices, and food preferences
so teaching can be individualized for better adherence.
7. Which factors are considered non-modifiable risk factors for disease?
A. Weight, smoking, sex practices
B. Diet, exercise, stress management
C. Age, genetics, sex
D. Alcohol use, occupation, income
Correct ,,answer,,,: C
Rationale: Age, genetics, and sex are biologic factors that cannot be changed; they
are non-modifiable.
8. The Institute of Medicine’s “Future of Nursing” report emphasized:
A. Reduced educational requirements for RNs
B. Increasing the proportion of RNs with BSN degrees to 80%
C. Eliminating advanced practice nursing roles
D. Replacing hospital nursing with home health only
Correct ,,answer,,,: B
Rationale: The 2010 IOM report called for 80% of RNs to hold a BSN by 2020,
promoting higher education to improve care.
9. While explaining a low-fat diet to a patient, the nurse realizes the patient is
not making eye contact. Which assessment is most relevant at this time?
A. Educational background
B. Socioeconomic status
C. Cultural view of eye contact
D. History of visual impairment
, Correct ,,answer,,,: C
Rationale: In some cultures, avoiding eye contact is a sign of respect, not
disinterest. Understanding cultural norms avoids misinterpretation.
10. In the QSEN competency Patient-Centered Care, the nurse prioritizes:
A. Following hospital policies exactly
B. Delegating tasks to unlicensed assistive personnel
C. Respecting patient preferences, values, and needs
D. Documenting all care in the electronic health record
Correct ,,answer,,,: C
Rationale: Patient-centered care means respecting individual preferences and
involving the patient in decisions.
11. A patient asks, “Why do I need to learn about my medications before I go
home?” The nurse’s best response is based on which principle?
A. Informed consent
B. Safe delegation
C. Scope of practice
D. Patient teaching for self-management
Correct ,,answer,,,: D
Rationale: Teaching patients about medications promotes self-management,
safety, and adherence after discharge.
12. The nurse uses the National Patient Safety Goal “Improve staff
communication” by:
A. Shouting across the nursing station
B. Using a standardized handoff tool such as SBAR
C. Waiting until change of shift to report critical results
D. Sending a text message to the covering provider
