RENR Study Guide 2026/2027 | Regional Examination for
Nurse Registration | 500+ Practice Questions & Detailed
Rationales
SECTION 1: FUNDAMENTALS OF NURSING — QUESTIONS 1–50
1. Which step of the nursing process involves collecting subjective and
objective information?
A. Planning
B. Assessment
C. Implementation
D. Evaluation
Answer: B. Assessment
Rationale: Assessment involves systematically collecting information
about the patient's physical, psychological, social, and functional status.
2. Which finding is an objective assessment finding?
A. “I feel dizzy.”
B. “My pain is severe.”
C. Blood pressure of 150/90 mmHg
D. “I feel nauseated.”
Answer: C. Blood pressure of 150/90 mmHg
Rationale: Objective data are measurable or observable findings
obtained through examination, observation, or diagnostic testing.
3. Which action is most effective for preventing healthcare-associated
infections?
A. Wearing a mask at all times
,B. Hand hygiene
C. Giving antibiotics routinely
D. Using sterile gloves for every procedure
Answer: B. Hand hygiene
Rationale: Proper hand hygiene is one of the most effective measures
for interrupting transmission of microorganisms.
4. A nurse is preparing to administer medication. What should the
nurse do first?
A. Open the medication package
B. Verify the patient's identity
C. Document administration
D. Dispose of the medication wrapper
Answer: B. Verify the patient's identity
Rationale: Correct patient identification is a fundamental medication-
safety requirement.
5. Which patient should the nurse assess first?
A. Patient requesting water
B. Patient with mild headache
C. Patient with difficulty breathing
D. Patient awaiting discharge
Answer: C. Patient with difficulty breathing
Rationale: Airway and breathing problems are immediate priorities
under the ABC approach.
6. Which position is generally most helpful for a patient experiencing
respiratory distress?
A. Supine
,B. High Fowler's
C. Trendelenburg
D. Prone
Answer: B. High Fowler's
Rationale: Upright positioning promotes lung expansion and can reduce
the work of breathing.
7. What is the primary purpose of a nursing care plan?
A. Replace physician orders
B. Guide individualized nursing care
C. Eliminate documentation
D. Determine hospital finances
Answer: B. Guide individualized nursing care
Rationale: The care plan organizes nursing interventions according to
the patient's assessed needs and goals.
8. Which nursing action demonstrates therapeutic communication?
A. Changing the subject
B. Giving false reassurance
C. Using active listening
D. Interrupting the patient
Answer: C. Using active listening
Rationale: Active listening encourages patients to express concerns and
helps the nurse understand their needs.
9. Which statement best demonstrates empathy?
A. “Everything will be fine.”
B. “I understand exactly how you feel.”
, C. “This sounds like a very difficult experience.”
D. “You should not worry.”
Answer: C. “This sounds like a very difficult experience.”
Rationale: Empathy acknowledges the patient's feelings without
assuming that the nurse knows exactly what the patient experiences.
10. Which action maintains patient confidentiality?
A. Discussing the patient in a public elevator
B. Sharing information with unauthorized visitors
C. Keeping records secure
D. Posting clinical information online
Answer: C. Keeping records secure
Rationale: Confidential health information must be protected from
unauthorized access or disclosure.
11. Which vital sign requires immediate attention in an adult?
A. Temperature 36.8°C
B. Pulse 78/min
C. Respiratory rate 8/min
D. Blood pressure 120/80 mmHg
Answer: C. Respiratory rate 8/min
Rationale: Significant bradypnea can indicate respiratory depression
and inadequate ventilation.
12. What is the normal approximate adult respiratory rate?
A. 4–8/min
B. 12–20/min
C. 25–35/min
D. 40–50/min
Nurse Registration | 500+ Practice Questions & Detailed
Rationales
SECTION 1: FUNDAMENTALS OF NURSING — QUESTIONS 1–50
1. Which step of the nursing process involves collecting subjective and
objective information?
A. Planning
B. Assessment
C. Implementation
D. Evaluation
Answer: B. Assessment
Rationale: Assessment involves systematically collecting information
about the patient's physical, psychological, social, and functional status.
2. Which finding is an objective assessment finding?
A. “I feel dizzy.”
B. “My pain is severe.”
C. Blood pressure of 150/90 mmHg
D. “I feel nauseated.”
Answer: C. Blood pressure of 150/90 mmHg
Rationale: Objective data are measurable or observable findings
obtained through examination, observation, or diagnostic testing.
3. Which action is most effective for preventing healthcare-associated
infections?
A. Wearing a mask at all times
,B. Hand hygiene
C. Giving antibiotics routinely
D. Using sterile gloves for every procedure
Answer: B. Hand hygiene
Rationale: Proper hand hygiene is one of the most effective measures
for interrupting transmission of microorganisms.
4. A nurse is preparing to administer medication. What should the
nurse do first?
A. Open the medication package
B. Verify the patient's identity
C. Document administration
D. Dispose of the medication wrapper
Answer: B. Verify the patient's identity
Rationale: Correct patient identification is a fundamental medication-
safety requirement.
5. Which patient should the nurse assess first?
A. Patient requesting water
B. Patient with mild headache
C. Patient with difficulty breathing
D. Patient awaiting discharge
Answer: C. Patient with difficulty breathing
Rationale: Airway and breathing problems are immediate priorities
under the ABC approach.
6. Which position is generally most helpful for a patient experiencing
respiratory distress?
A. Supine
,B. High Fowler's
C. Trendelenburg
D. Prone
Answer: B. High Fowler's
Rationale: Upright positioning promotes lung expansion and can reduce
the work of breathing.
7. What is the primary purpose of a nursing care plan?
A. Replace physician orders
B. Guide individualized nursing care
C. Eliminate documentation
D. Determine hospital finances
Answer: B. Guide individualized nursing care
Rationale: The care plan organizes nursing interventions according to
the patient's assessed needs and goals.
8. Which nursing action demonstrates therapeutic communication?
A. Changing the subject
B. Giving false reassurance
C. Using active listening
D. Interrupting the patient
Answer: C. Using active listening
Rationale: Active listening encourages patients to express concerns and
helps the nurse understand their needs.
9. Which statement best demonstrates empathy?
A. “Everything will be fine.”
B. “I understand exactly how you feel.”
, C. “This sounds like a very difficult experience.”
D. “You should not worry.”
Answer: C. “This sounds like a very difficult experience.”
Rationale: Empathy acknowledges the patient's feelings without
assuming that the nurse knows exactly what the patient experiences.
10. Which action maintains patient confidentiality?
A. Discussing the patient in a public elevator
B. Sharing information with unauthorized visitors
C. Keeping records secure
D. Posting clinical information online
Answer: C. Keeping records secure
Rationale: Confidential health information must be protected from
unauthorized access or disclosure.
11. Which vital sign requires immediate attention in an adult?
A. Temperature 36.8°C
B. Pulse 78/min
C. Respiratory rate 8/min
D. Blood pressure 120/80 mmHg
Answer: C. Respiratory rate 8/min
Rationale: Significant bradypnea can indicate respiratory depression
and inadequate ventilation.
12. What is the normal approximate adult respiratory rate?
A. 4–8/min
B. 12–20/min
C. 25–35/min
D. 40–50/min
