FLORIDA BOARD OF NURSING PRACTICE
CERTIFICATION EXAM WITH ACTUAL
QUESTIONS AND VERIFIED ANSWERS,
PLUS EXPLAINED RATIONALES/EXPERT
VERIFIED FOR GUARANTEED 100% PASS
2026/LATEST UPDATE/INSTANT
DOWNLOAD PDF
1. A registered nurse in a Florida hospital receives a prescription for a
medication that appears inconsistent with the patient's diagnosis. The
patient has a documented allergy to a medication in the same class. The
prescribing provider states, “Give it anyway; the allergy was probably
entered incorrectly.” What is the nurse's BEST initial action?
A. Administer the medication because the provider assumes
responsibility for the prescription
B. Hold the medication, verify the allergy and prescription, and
communicate the safety concern to the provider
C. Ask another nurse to administer the medication instead
D. Document the provider's statement and administer the medication
Answer: B
Rationale: The nurse has an independent responsibility to protect the
patient from foreseeable harm. A documented allergy requires
verification before administration. The nurse should hold the
medication while clarifying the prescription, reviewing the allergy
information, and escalating the concern through the appropriate
chain of command if necessary. Delegating the administration to
another nurse does not eliminate the original safety responsibility.
1
,2. A nurse is caring for four patients. Which patient should the nurse
assess FIRST?
A. A postoperative patient reporting incisional pain of 7/10
B. A patient with diabetes whose premeal glucose is 220 mg/dL
C. A patient receiving an opioid who has become difficult to arouse and
has a respiratory rate of 8/min
D. A patient with chronic heart failure who has bilateral ankle edema
Answer: C
Rationale: The patient with decreased level of consciousness and
respiratory depression has an immediate airway and breathing threat,
making this the highest priority under the ABC framework. Opioid-
induced respiratory depression can rapidly progress to respiratory
arrest. Pain, hyperglycemia, and chronic edema require intervention
but are less immediately life-threatening.
3. A registered nurse is assigning care to a licensed practical nurse
(LPN). Which assignment is MOST appropriate?
A. Initial comprehensive assessment of a newly admitted patient
B. Development of the nursing care plan for an unstable patient
C. Routine administration of oral medications to a stable patient
according to the established plan of care
D. Independent evaluation of a patient's response to a newly initiated
treatment
Answer: C
Rationale: Routine care for a stable patient that falls within the LPN's
authorized scope can appropriately be assigned. Initial comprehensive
assessment, development of the nursing care plan, and independent
evaluation requiring professional nursing judgment are generally
2
,responsibilities of the RN. The RN remains accountable for
appropriate assignment and supervision.
4. A nurse discovers that a medication was administered to the wrong
patient 20 minutes earlier. The patient currently has no symptoms. What
should the nurse do FIRST?
A. Complete an incident report before doing anything else
B. Notify the nurse manager and wait for instructions
C. Assess the patient and initiate appropriate monitoring and
interventions
D. Document that no harm occurred
Answer: C
Rationale: Patient assessment and protection from potential harm take
priority. The nurse should immediately assess the patient, determine
the medication and dose involved, monitor for adverse effects, and
notify the appropriate provider and supervisory personnel according to
facility policy. An incident report is not a substitute for patient
assessment and treatment.
5. A nurse is caring for a patient who refuses a blood transfusion
because of personal beliefs. The patient is alert, oriented, and
demonstrates understanding of the risks and benefits. The family
demands that the nurse proceed with the transfusion. What is the nurse's
BEST response?
A. Administer the transfusion because the family believes it is necessary
B. Ask the family to sign consent on behalf of the patient
C. Respect the competent patient's informed refusal and notify the
provider
D. Obtain a court order immediately
3
, Answer: C
Rationale: A competent adult generally has the right to accept or
refuse treatment after receiving appropriate information about risks,
benefits, and alternatives. The nurse should respect the patient's
autonomous decision, communicate the refusal to the healthcare team,
document the discussion, and ensure that the patient understands the
potential consequences. Family members cannot ordinarily override a
competent patient's decision.
6. A patient tells the nurse, “I don't understand why I'm receiving this
medication.” The medication is scheduled for administration. What is
the nurse's BEST action?
A. Tell the patient that the provider prescribed it and administer it
B. Explain the medication using available nursing knowledge and verify
the patient's understanding
C. Tell the patient to ask the pharmacist after administration
D. Withhold all medications for the remainder of the hospitalization
Answer: B
Rationale: Nurses have a responsibility to provide appropriate
medication information and promote informed participation in care.
The nurse should explain the medication's purpose, expected effects,
relevant precautions, and other appropriate information within the
nurse's scope. If uncertainty remains, the nurse should clarify the
prescription with the appropriate healthcare professional before
administration.
7. A nurse enters a patient's room and finds the patient on the floor
beside the bed. The patient reports severe hip pain. Which action should
the nurse take FIRST?
4
CERTIFICATION EXAM WITH ACTUAL
QUESTIONS AND VERIFIED ANSWERS,
PLUS EXPLAINED RATIONALES/EXPERT
VERIFIED FOR GUARANTEED 100% PASS
2026/LATEST UPDATE/INSTANT
DOWNLOAD PDF
1. A registered nurse in a Florida hospital receives a prescription for a
medication that appears inconsistent with the patient's diagnosis. The
patient has a documented allergy to a medication in the same class. The
prescribing provider states, “Give it anyway; the allergy was probably
entered incorrectly.” What is the nurse's BEST initial action?
A. Administer the medication because the provider assumes
responsibility for the prescription
B. Hold the medication, verify the allergy and prescription, and
communicate the safety concern to the provider
C. Ask another nurse to administer the medication instead
D. Document the provider's statement and administer the medication
Answer: B
Rationale: The nurse has an independent responsibility to protect the
patient from foreseeable harm. A documented allergy requires
verification before administration. The nurse should hold the
medication while clarifying the prescription, reviewing the allergy
information, and escalating the concern through the appropriate
chain of command if necessary. Delegating the administration to
another nurse does not eliminate the original safety responsibility.
1
,2. A nurse is caring for four patients. Which patient should the nurse
assess FIRST?
A. A postoperative patient reporting incisional pain of 7/10
B. A patient with diabetes whose premeal glucose is 220 mg/dL
C. A patient receiving an opioid who has become difficult to arouse and
has a respiratory rate of 8/min
D. A patient with chronic heart failure who has bilateral ankle edema
Answer: C
Rationale: The patient with decreased level of consciousness and
respiratory depression has an immediate airway and breathing threat,
making this the highest priority under the ABC framework. Opioid-
induced respiratory depression can rapidly progress to respiratory
arrest. Pain, hyperglycemia, and chronic edema require intervention
but are less immediately life-threatening.
3. A registered nurse is assigning care to a licensed practical nurse
(LPN). Which assignment is MOST appropriate?
A. Initial comprehensive assessment of a newly admitted patient
B. Development of the nursing care plan for an unstable patient
C. Routine administration of oral medications to a stable patient
according to the established plan of care
D. Independent evaluation of a patient's response to a newly initiated
treatment
Answer: C
Rationale: Routine care for a stable patient that falls within the LPN's
authorized scope can appropriately be assigned. Initial comprehensive
assessment, development of the nursing care plan, and independent
evaluation requiring professional nursing judgment are generally
2
,responsibilities of the RN. The RN remains accountable for
appropriate assignment and supervision.
4. A nurse discovers that a medication was administered to the wrong
patient 20 minutes earlier. The patient currently has no symptoms. What
should the nurse do FIRST?
A. Complete an incident report before doing anything else
B. Notify the nurse manager and wait for instructions
C. Assess the patient and initiate appropriate monitoring and
interventions
D. Document that no harm occurred
Answer: C
Rationale: Patient assessment and protection from potential harm take
priority. The nurse should immediately assess the patient, determine
the medication and dose involved, monitor for adverse effects, and
notify the appropriate provider and supervisory personnel according to
facility policy. An incident report is not a substitute for patient
assessment and treatment.
5. A nurse is caring for a patient who refuses a blood transfusion
because of personal beliefs. The patient is alert, oriented, and
demonstrates understanding of the risks and benefits. The family
demands that the nurse proceed with the transfusion. What is the nurse's
BEST response?
A. Administer the transfusion because the family believes it is necessary
B. Ask the family to sign consent on behalf of the patient
C. Respect the competent patient's informed refusal and notify the
provider
D. Obtain a court order immediately
3
, Answer: C
Rationale: A competent adult generally has the right to accept or
refuse treatment after receiving appropriate information about risks,
benefits, and alternatives. The nurse should respect the patient's
autonomous decision, communicate the refusal to the healthcare team,
document the discussion, and ensure that the patient understands the
potential consequences. Family members cannot ordinarily override a
competent patient's decision.
6. A patient tells the nurse, “I don't understand why I'm receiving this
medication.” The medication is scheduled for administration. What is
the nurse's BEST action?
A. Tell the patient that the provider prescribed it and administer it
B. Explain the medication using available nursing knowledge and verify
the patient's understanding
C. Tell the patient to ask the pharmacist after administration
D. Withhold all medications for the remainder of the hospitalization
Answer: B
Rationale: Nurses have a responsibility to provide appropriate
medication information and promote informed participation in care.
The nurse should explain the medication's purpose, expected effects,
relevant precautions, and other appropriate information within the
nurse's scope. If uncertainty remains, the nurse should clarify the
prescription with the appropriate healthcare professional before
administration.
7. A nurse enters a patient's room and finds the patient on the floor
beside the bed. The patient reports severe hip pain. Which action should
the nurse take FIRST?
4
