SRENR Exam Preparation 2026/2027 | Nursing Practice,
Clinical Decision Making, Leadership & Professional Conduct
SECTION 1: FUNDAMENTALS OF NURSING PRACTICE — QUESTIONS 1–
50
1. Which nursing process step involves collecting information about a
patient's health status?
A. Planning
B. Assessment
C. Implementation
D. Evaluation
Answer: B. Assessment
Rationale: Assessment involves systematic collection of subjective and
objective patient information.
2. Which finding is considered objective data?
A. “I feel dizzy.”
B. “My pain is severe.”
C. Blood pressure of 150/90 mmHg
D. “I am anxious.”
Answer: C. Blood pressure of 150/90 mmHg
Rationale: Objective data are measurable or observable findings
obtained through examination or monitoring.
3. Which action best demonstrates effective hand hygiene?
,A. Washing only after patient contact
B. Cleaning hands before and after patient contact
C. Wearing gloves instead of washing hands
D. Washing hands only when visibly dirty
Answer: B. Cleaning hands before and after patient contact
Rationale: Hand hygiene before and after patient contact is a
fundamental measure for preventing healthcare-associated infections.
4. A nurse is preparing to administer medication. Which action is most
important first?
A. Ask the patient's roommate to identify the patient
B. Verify the patient's identity using approved identifiers
C. Prepare all medications for the entire ward
D. Ask the patient what medication they usually take
Answer: B. Verify the patient's identity using approved identifiers
Rationale: Correct patient identification is essential to medication
safety.
5. Which position is generally most appropriate for a patient
experiencing severe breathing difficulty?
A. Flat supine
B. Trendelenburg
C. High Fowler's
D. Prone
Answer: C. High Fowler's
Rationale: Upright positioning promotes lung expansion and can reduce
the work of breathing.
,6. What is the primary purpose of a nursing care plan?
A. Replace medical orders
B. Provide individualized direction for nursing care
C. Record hospital expenses
D. Document staff attendance
Answer: B. Provide individualized direction for nursing care
Rationale: A care plan identifies patient problems, goals, interventions,
and evaluation criteria.
7. Which action contaminates a sterile field?
A. Keeping sterile supplies above waist level
B. Opening a sterile package away from the body
C. Reaching across the sterile field
D. Maintaining visual contact with the field
Answer: C. Reaching across the sterile field
Rationale: Reaching over a sterile field risks contamination.
8. Which intervention is most effective for preventing pressure
injuries?
A. Restricting fluids
B. Repositioning the patient regularly
C. Massaging reddened bony areas
D. Keeping the patient in one position
Answer: B. Repositioning the patient regularly
Rationale: Regular repositioning reduces prolonged pressure over
vulnerable areas.
9. Which finding suggests dehydration?
, A. Bounding pulse
B. Moist mucous membranes
C. Poor skin turgor
D. Increased urine output
Answer: C. Poor skin turgor
Rationale: Dehydration commonly causes dry mucous membranes,
decreased urine output, and poor skin turgor.
10. Which nursing action demonstrates therapeutic communication?
A. Changing the subject when the patient cries
B. Giving false reassurance
C. Using active listening
D. Telling the patient what decision to make
Answer: C. Using active listening
Rationale: Active listening encourages patients to express concerns and
promotes trust.
11. What is the main purpose of informed consent?
A. To protect hospital property
B. To ensure the patient understands and voluntarily agrees to a
procedure
C. To eliminate the need for documentation
D. To allow nurses to prescribe treatment
Answer: B. To ensure the patient understands and voluntarily agrees
to a procedure
Rationale: Informed consent requires adequate information and
voluntary patient agreement.
Clinical Decision Making, Leadership & Professional Conduct
SECTION 1: FUNDAMENTALS OF NURSING PRACTICE — QUESTIONS 1–
50
1. Which nursing process step involves collecting information about a
patient's health status?
A. Planning
B. Assessment
C. Implementation
D. Evaluation
Answer: B. Assessment
Rationale: Assessment involves systematic collection of subjective and
objective patient information.
2. Which finding is considered objective data?
A. “I feel dizzy.”
B. “My pain is severe.”
C. Blood pressure of 150/90 mmHg
D. “I am anxious.”
Answer: C. Blood pressure of 150/90 mmHg
Rationale: Objective data are measurable or observable findings
obtained through examination or monitoring.
3. Which action best demonstrates effective hand hygiene?
,A. Washing only after patient contact
B. Cleaning hands before and after patient contact
C. Wearing gloves instead of washing hands
D. Washing hands only when visibly dirty
Answer: B. Cleaning hands before and after patient contact
Rationale: Hand hygiene before and after patient contact is a
fundamental measure for preventing healthcare-associated infections.
4. A nurse is preparing to administer medication. Which action is most
important first?
A. Ask the patient's roommate to identify the patient
B. Verify the patient's identity using approved identifiers
C. Prepare all medications for the entire ward
D. Ask the patient what medication they usually take
Answer: B. Verify the patient's identity using approved identifiers
Rationale: Correct patient identification is essential to medication
safety.
5. Which position is generally most appropriate for a patient
experiencing severe breathing difficulty?
A. Flat supine
B. Trendelenburg
C. High Fowler's
D. Prone
Answer: C. High Fowler's
Rationale: Upright positioning promotes lung expansion and can reduce
the work of breathing.
,6. What is the primary purpose of a nursing care plan?
A. Replace medical orders
B. Provide individualized direction for nursing care
C. Record hospital expenses
D. Document staff attendance
Answer: B. Provide individualized direction for nursing care
Rationale: A care plan identifies patient problems, goals, interventions,
and evaluation criteria.
7. Which action contaminates a sterile field?
A. Keeping sterile supplies above waist level
B. Opening a sterile package away from the body
C. Reaching across the sterile field
D. Maintaining visual contact with the field
Answer: C. Reaching across the sterile field
Rationale: Reaching over a sterile field risks contamination.
8. Which intervention is most effective for preventing pressure
injuries?
A. Restricting fluids
B. Repositioning the patient regularly
C. Massaging reddened bony areas
D. Keeping the patient in one position
Answer: B. Repositioning the patient regularly
Rationale: Regular repositioning reduces prolonged pressure over
vulnerable areas.
9. Which finding suggests dehydration?
, A. Bounding pulse
B. Moist mucous membranes
C. Poor skin turgor
D. Increased urine output
Answer: C. Poor skin turgor
Rationale: Dehydration commonly causes dry mucous membranes,
decreased urine output, and poor skin turgor.
10. Which nursing action demonstrates therapeutic communication?
A. Changing the subject when the patient cries
B. Giving false reassurance
C. Using active listening
D. Telling the patient what decision to make
Answer: C. Using active listening
Rationale: Active listening encourages patients to express concerns and
promotes trust.
11. What is the main purpose of informed consent?
A. To protect hospital property
B. To ensure the patient understands and voluntarily agrees to a
procedure
C. To eliminate the need for documentation
D. To allow nurses to prescribe treatment
Answer: B. To ensure the patient understands and voluntarily agrees
to a procedure
Rationale: Informed consent requires adequate information and
voluntary patient agreement.
