RENR Nursing Exam 2026/2027 | 300+ Practice Questions,
Correct Answers & Detailed Rationales | Caribbean Nursing
SECTION 1: FUNDAMENTALS OF NURSING & NURSING PRACTICE
1.
Which nursing action best demonstrates the principle of patient
autonomy?
A. Giving the patient medication without discussion
B. Allowing the patient to make an informed decision about treatment
C. Asking the family to decide all treatments
D. Choosing treatment based on the nurse's preference
Answer: B
Rationale: Autonomy means respecting a competent patient's right to
make informed decisions about their own healthcare.
2.
What is the most effective method for preventing healthcare-associated
infections?
A. Wearing sterile gloves for every procedure
B. Performing appropriate hand hygiene
C. Giving prophylactic antibiotics
D. Keeping patients isolated
Answer: B
Rationale: Proper hand hygiene is one of the most effective measures
for preventing transmission of microorganisms.
,3.
A nurse enters a patient's room and finds the patient unconscious and
not breathing normally. What should the nurse do first?
A. Obtain the patient's medical history
B. Activate emergency response and begin appropriate resuscitation
measures
C. Check the patient's temperature
D. Document the patient's condition
Answer: B
Rationale: An unresponsive patient who is not breathing normally
requires immediate emergency assessment and resuscitation.
4.
Which position is generally preferred for a patient experiencing
respiratory distress?
A. Supine
B. High-Fowler's
C. Prone
D. Trendelenburg
Answer: B
Rationale: High-Fowler's positioning promotes lung expansion and can
reduce the work of breathing.
5.
Which finding should a nurse report immediately?
A. Pulse of 78 beats/minute
B. Respiratory rate of 16/minute
,C. New onset of severe chest pain
D. Temperature of 36.8°C
Answer: C
Rationale: New severe chest pain may indicate an acute cardiovascular
emergency and requires immediate assessment.
6.
What is the primary purpose of a nursing care plan?
A. Replace medical orders
B. Provide individualized direction for nursing care
C. Record only medications
D. Determine hospital billing
Answer: B
Rationale: A nursing care plan organizes assessment findings, nursing
diagnoses, goals, interventions, and evaluation for individualized care.
7.
Which phase of the nursing process involves collecting subjective and
objective information?
A. Planning
B. Assessment
C. Implementation
D. Evaluation
Answer: B
Rationale: Assessment involves systematic collection of information
about the patient's health status.
8.
, Which finding is objective data?
A. "I feel dizzy."
B. "My pain is severe."
C. Blood pressure of 150/90 mmHg
D. "I feel anxious."
Answer: C
Rationale: Objective data are measurable or observable findings
obtained through examination or measurement.
9.
Which action demonstrates therapeutic communication?
A. Changing the subject when the patient becomes emotional
B. Saying, "Everything will be fine."
C. Using active listening and open-ended questions
D. Giving personal advice
Answer: C
Rationale: Active listening and open-ended questions encourage
patients to express concerns and provide useful information.
10.
A patient says, "I am frightened about my surgery." Which response is
most therapeutic?
A. "There is nothing to worry about."
B. "Why are you frightened?"
C. "Tell me what concerns you most about the surgery."
D. "Other patients have surgery all the time."
Correct Answers & Detailed Rationales | Caribbean Nursing
SECTION 1: FUNDAMENTALS OF NURSING & NURSING PRACTICE
1.
Which nursing action best demonstrates the principle of patient
autonomy?
A. Giving the patient medication without discussion
B. Allowing the patient to make an informed decision about treatment
C. Asking the family to decide all treatments
D. Choosing treatment based on the nurse's preference
Answer: B
Rationale: Autonomy means respecting a competent patient's right to
make informed decisions about their own healthcare.
2.
What is the most effective method for preventing healthcare-associated
infections?
A. Wearing sterile gloves for every procedure
B. Performing appropriate hand hygiene
C. Giving prophylactic antibiotics
D. Keeping patients isolated
Answer: B
Rationale: Proper hand hygiene is one of the most effective measures
for preventing transmission of microorganisms.
,3.
A nurse enters a patient's room and finds the patient unconscious and
not breathing normally. What should the nurse do first?
A. Obtain the patient's medical history
B. Activate emergency response and begin appropriate resuscitation
measures
C. Check the patient's temperature
D. Document the patient's condition
Answer: B
Rationale: An unresponsive patient who is not breathing normally
requires immediate emergency assessment and resuscitation.
4.
Which position is generally preferred for a patient experiencing
respiratory distress?
A. Supine
B. High-Fowler's
C. Prone
D. Trendelenburg
Answer: B
Rationale: High-Fowler's positioning promotes lung expansion and can
reduce the work of breathing.
5.
Which finding should a nurse report immediately?
A. Pulse of 78 beats/minute
B. Respiratory rate of 16/minute
,C. New onset of severe chest pain
D. Temperature of 36.8°C
Answer: C
Rationale: New severe chest pain may indicate an acute cardiovascular
emergency and requires immediate assessment.
6.
What is the primary purpose of a nursing care plan?
A. Replace medical orders
B. Provide individualized direction for nursing care
C. Record only medications
D. Determine hospital billing
Answer: B
Rationale: A nursing care plan organizes assessment findings, nursing
diagnoses, goals, interventions, and evaluation for individualized care.
7.
Which phase of the nursing process involves collecting subjective and
objective information?
A. Planning
B. Assessment
C. Implementation
D. Evaluation
Answer: B
Rationale: Assessment involves systematic collection of information
about the patient's health status.
8.
, Which finding is objective data?
A. "I feel dizzy."
B. "My pain is severe."
C. Blood pressure of 150/90 mmHg
D. "I feel anxious."
Answer: C
Rationale: Objective data are measurable or observable findings
obtained through examination or measurement.
9.
Which action demonstrates therapeutic communication?
A. Changing the subject when the patient becomes emotional
B. Saying, "Everything will be fine."
C. Using active listening and open-ended questions
D. Giving personal advice
Answer: C
Rationale: Active listening and open-ended questions encourage
patients to express concerns and provide useful information.
10.
A patient says, "I am frightened about my surgery." Which response is
most therapeutic?
A. "There is nothing to worry about."
B. "Why are you frightened?"
C. "Tell me what concerns you most about the surgery."
D. "Other patients have surgery all the time."
