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This comprehensive 200-question resource is specifically designed for the
RNSG 1105 Nursing Skills Exam, covering all essential nursing skill
competencies. It includes questions on the nursing process, critical thinking,
vital signs assessment, infection control (Standard Precautions, hand hygiene,
PPE), patient hygiene and bathing, oral care, perineal care, TED hose
application, range-of-motion exercises, safe patient handling and body
mechanics, medication administration rights, intake and output monitoring,
nutritional support (enteral feeding, dysphagia management), oxygen therapy,
pain assessment, communication techniques including SBAR, documentation
principles, and the legal and ethical scope of nursing practice in Texas. Each
question includes a correct answer with a detailed rationale explaining the
underlying nursing science, clinical reasoning, and priority interventions. This
resource serves as an effective study tool for mastering nursing skills and
applying critical thinking to patient care situations.
1. A nurse who uses critical thinking skills to develop a nursing care plan for an
expectant mother of triplets is using which type of competency?
a) Technical
b) Interpersonal
c) Cognitive
d) Ethical
Answer: c) Cognitive
Rationale: Cognitive competencies involve thinking critically and making
decisions about patient care. Technical competencies involve performing skills,
interpersonal competencies involve communication and relationships, and ethical
competencies involve moral and professional conduct .
2. Which organization defines the legal scope of nursing practice in Texas?
a) American Nurses Association (ANA)
b) National League for Nursing (NLN)
,c) Texas Board of Nursing (TBON)
d) The Joint Commission (TJC)
Answer: c) Texas Board of Nursing (TBON)
Rationale: The Texas Board of Nursing defines the legal scope of nursing practice
in Texas through the Nursing Practice Acts (NPA). The ANA defines standards
and ethics, the NLN accredits nursing schools, and TJC defines National Patient
Safety Goals .
3. Which organization is responsible for providing the NCLEX licensing
examination?
a) American Nurses Association
b) National Council Licensure Examination
c) Texas Board of Nursing
d) National League for Nursing
Answer: b) National Council Licensure Examination
Rationale: The NCLEX itself is the examination that provides nursing licensure.
The National Council of State Boards of Nursing (NCSBN) develops and
administers the NCLEX. The state boards of nursing are responsible for granting
the actual license .
4. Which organization defines the National Patient Safety Goals?
a) American Nurses Association
b) The Joint Commission
c) Quality and Safety Education in Nursing
d) National League for Nursing
Answer: b) The Joint Commission
Rationale: The Joint Commission (TJC) is the organization that defines the
National Patient Safety Goals, which are updated annually to address specific areas
of concern in patient safety across healthcare settings .
5. A nurse is preparing to move a patient who is able to assist. Which principle
should the nurse consider for safe patient handling? Select all that apply.
a) Keep the body's center of gravity high
b) Face the direction of movement
c) Keep the base of support narrow
d) Use proper body mechanics
e) Use arms and legs rather than the back
Answer: b) Face the direction of movement, d) Use proper body mechanics, e) Use
arms and legs rather than the back
,Rationale: Safe patient handling requires facing the direction of movement to
prevent twisting, using proper body mechanics, and using the stronger leg and arm
muscles rather than the back. The base of support should be wide, not narrow, and
the center of gravity should be low, not high .
6. What is the first step in the nursing process?
a) Diagnosis
b) Planning
c) Assessment
d) Implementation
Answer: c) Assessment
Rationale: Assessment is the first step of the nursing process. During this phase,
the nurse collects subjective data (what the patient reports) and objective data
(what the nurse observes) to establish a comprehensive patient database .
7. A patient is unable to move the right arm and leg following a stroke. The nurse
starts passive range-of-motion (ROM) exercises. Which finding indicates
successful goal achievement?
a) Heart rate decreased
b) Contractures developed
c) Muscle strength improved
d) Joint mobility maintained
Answer: d) Joint mobility maintained
Rationale: When patients cannot participate in active ROM, the goal of passive
ROM is to maintain joint mobility and prevent contractures. Active ROM can
improve muscle strength, but passive ROM is performed to preserve joint function
.
8. Which step of the nursing process involves carrying out the plan and performing
nursing skills?
a) Assessment
b) Diagnosis
c) Planning
d) Implementation
Answer: d) Implementation
Rationale: Implementation is the step where the nurse carries out the nursing care
plan by performing the necessary skills and interventions. This follows assessment,
diagnosis, and planning in the nursing process .
9. Which of the following is an example of subjective data?
, a) Patient's temperature is 101.2°F
b) Patient states "I feel nauseous"
c) Patient's heart rate is 110 beats/min
d) Patient's skin is pale and diaphoretic
Answer: b) Patient states "I feel nauseous"
Rationale: Subjective data consists of information reported by the patient, such as
symptoms, feelings, and perceptions. Objective data is what the nurse observes,
measures, or detects through physical assessment .
10. What is the purpose of the evaluation step in the nursing process?
a) To collect data about the patient
b) To analyze data and formulate a diagnosis
c) To establish goals and outcome criteria
d) To determine if goals have been achieved
Answer: d) To determine if goals have been achieved
Rationale: Evaluation is the final step of the nursing process where the nurse
assesses whether the established goals have been met. If goals are not met, the
nurse reassesses and revises the care plan .
11. Which organization's Code of Ethics provides the nonnegotiable ethical
standard for nursing practice?
a) Texas Board of Nursing
b) The Joint Commission
c) American Nurses Association
d) National League for Nursing
Answer: c) American Nurses Association
Rationale: The ANA Code of Ethics for Nurses is a succinct statement of the
ethical obligations and duties of every nurse. It serves as the profession's
nonnegotiable ethical standard and provides guidance for ethical practice .
12. A nurse is responsible both professionally and legally for the type and quality
of nursing care provided. Which concept does this describe?
a) Autonomy
b) Accountability
c) Patient advocacy
d) Patient education
Answer: b) Accountability
Rationale: Accountability means that the nurse is responsible, professionally and
legally, for the type and quality of nursing care provided. Autonomy involves