TRUMERIT NQE-Nurse Qualifying Exam | Practice
Questions And Answers 2026/2027 | Complete
Questions And Answers (Verified Answers) | Exam Prep
Comprehensive Exam Guide 2026&2027
1. A nurse is caring for a competent adult patient who refuses a recommended blood
transfusion because of personal beliefs. Which action best demonstrates patient
advocacy?
A. Ask the patient's family to persuade the patient
B. Respect the refusal after ensuring the patient understands the consequences
C. Administer the transfusion because it is clinically indicated
D. Ask another nurse to obtain consent
Answer: B
A competent adult has the right to make informed healthcare decisions, including refusing
treatment. The nurse should ensure understanding, communicate the decision to the
healthcare team, and respect the patient's autonomy.
2. A patient with suspected pulmonary tuberculosis is admitted to a medical unit.
Which infection-control intervention is most appropriate?
A. Place the patient in a negative-pressure room
B. Use only standard precautions
C. Place the patient in a positive-pressure room
D. Use contact precautions only
Answer: A
Suspected pulmonary tuberculosis requires airborne precautions. A negative-pressure room
helps prevent contaminated airborne particles from spreading to other areas.
3. During medication administration, a nurse discovers that a prescribed dose is
substantially higher than the usual therapeutic dose. What should the nurse do
first?
A. Administer the dose and monitor the patient
B. Ask another nurse to administer it
C. Hold the medication and clarify the order
D. Document that the patient refused the medication
Answer: C
An unusually high dose should be verified before administration. Clarifying the prescription
protects the patient from a potentially preventable medication error.
, 4. A patient becomes suddenly short of breath and develops an oxygen saturation of
84%. Which nursing action should take priority?
A. Document the finding
B. Encourage oral fluids
C. Reassess the patient in 30 minutes
D. Assess airway and breathing while initiating appropriate oxygen support
Answer: D
Airway and breathing are immediate priorities. Severe hypoxemia requires prompt
assessment and intervention rather than delayed reassessment or documentation.
5. A nurse notices that a colleague appears impaired while preparing medications.
What is the most appropriate action?
A. Ignore the behavior unless an error occurs
B. Confront the colleague publicly
C. Follow institutional procedures to protect patients and report the concern appropriately
D. Ask the colleague to finish the medication round quickly
Answer: C
Patient safety takes priority. Suspected impairment should be handled according to
professional and institutional reporting procedures while maintaining confidentiality and
avoiding unnecessary public confrontation.
6. A patient with diabetes is awake, confused, diaphoretic, and has a blood glucose
level of 48 mg/dL. What should the nurse do first?
A. Give a rapid source of oral glucose
B. Administer long-acting insulin
C. Restrict oral intake
D. Encourage the patient to ambulate
Answer: A
A conscious patient who can safely swallow should receive a rapidly absorbed carbohydrate
for symptomatic hypoglycemia.
7. A community nurse is planning an intervention for an area with increasing rates of
hypertension. Which approach best reflects population health practice?
A. Treat only patients who already have complications
B. Provide screening, risk-factor education, and referral services
C. Wait until hospitals report increased admissions
D. Focus exclusively on medication compliance
Answer: B
,Population health emphasizes prevention and early identification while addressing modifiable
risk factors across the community.
8. A patient tells the nurse that the healthcare provider has not explained the risks of a
proposed procedure. What should the nurse do?
A. Explain all technical details and obtain consent
B. Tell the patient to sign because the procedure is routine
C. Notify the provider that additional explanation is needed
D. Ask a family member to sign instead
Answer: C
The healthcare professional performing the procedure is responsible for providing the
required information for informed consent. The nurse should identify gaps and facilitate
clarification.
9. A nurse is caring for a patient with limited health literacy. Which communication
strategy is most appropriate?
A. Use complex medical terminology to improve accuracy
B. Provide lengthy written instructions only
C. Speak rapidly to reduce anxiety
D. Use plain language and ask the patient to explain the instructions in their own words
Answer: D
Plain language and teach-back help determine whether the patient actually understands the
information rather than merely appearing to understand it.
10. A patient receiving an opioid analgesic has a respiratory rate of 8/min and is
difficult to arouse. Which finding requires the most immediate response?
A. Constipation
B. Respiratory depression
C. Mild nausea
D. Decreased appetite
Answer: B
Marked respiratory depression is a potentially life-threatening opioid effect and requires
immediate assessment and intervention.
11. A nurse is teaching a patient how to use an inhaled medication. Which method best
verifies effective teaching?
A. Ask whether the patient understands
B. Give the patient a printed brochure
C. Ask the patient to demonstrate the technique
D. Repeat the instructions several times
, Answer: C
Demonstration allows the nurse to directly evaluate whether the patient can perform the skill
correctly.
12. A patient develops facial swelling, wheezing, and hypotension shortly after receiving
an antibiotic. Which condition should the nurse suspect?
A. Anaphylaxis
B. Mild intolerance
C. Dehydration
D. Hyperglycemia
Answer: A
Rapid airway symptoms and cardiovascular compromise following medication exposure are
characteristic of anaphylaxis and require immediate emergency management.
13. A nurse receives a verbal medication order during an emergency. Which practice
best reduces communication errors?
A. Memorize the order
B. Repeat the order back for verification
C. Ask another patient to confirm it
D. Document it at the end of the shift
Answer: B
Read-back or repeat-back communication helps verify the medication, dose, route, and timing
of verbal orders.
14. A postoperative patient reports sudden calf pain and develops unilateral leg
swelling. Which complication should the nurse suspect?
A. Hypoglycemia
B. Urinary retention
C. Deep vein thrombosis
D. Hypothermia
Answer: C
Unilateral calf pain and swelling are concerning findings for deep vein thrombosis and require
prompt assessment and escalation.
15. A nurse is delegating tasks to assistive personnel. Which task is generally
appropriate for a stable patient?
A. Initial assessment of chest pain
B. Development of a nursing care plan
Questions And Answers 2026/2027 | Complete
Questions And Answers (Verified Answers) | Exam Prep
Comprehensive Exam Guide 2026&2027
1. A nurse is caring for a competent adult patient who refuses a recommended blood
transfusion because of personal beliefs. Which action best demonstrates patient
advocacy?
A. Ask the patient's family to persuade the patient
B. Respect the refusal after ensuring the patient understands the consequences
C. Administer the transfusion because it is clinically indicated
D. Ask another nurse to obtain consent
Answer: B
A competent adult has the right to make informed healthcare decisions, including refusing
treatment. The nurse should ensure understanding, communicate the decision to the
healthcare team, and respect the patient's autonomy.
2. A patient with suspected pulmonary tuberculosis is admitted to a medical unit.
Which infection-control intervention is most appropriate?
A. Place the patient in a negative-pressure room
B. Use only standard precautions
C. Place the patient in a positive-pressure room
D. Use contact precautions only
Answer: A
Suspected pulmonary tuberculosis requires airborne precautions. A negative-pressure room
helps prevent contaminated airborne particles from spreading to other areas.
3. During medication administration, a nurse discovers that a prescribed dose is
substantially higher than the usual therapeutic dose. What should the nurse do
first?
A. Administer the dose and monitor the patient
B. Ask another nurse to administer it
C. Hold the medication and clarify the order
D. Document that the patient refused the medication
Answer: C
An unusually high dose should be verified before administration. Clarifying the prescription
protects the patient from a potentially preventable medication error.
, 4. A patient becomes suddenly short of breath and develops an oxygen saturation of
84%. Which nursing action should take priority?
A. Document the finding
B. Encourage oral fluids
C. Reassess the patient in 30 minutes
D. Assess airway and breathing while initiating appropriate oxygen support
Answer: D
Airway and breathing are immediate priorities. Severe hypoxemia requires prompt
assessment and intervention rather than delayed reassessment or documentation.
5. A nurse notices that a colleague appears impaired while preparing medications.
What is the most appropriate action?
A. Ignore the behavior unless an error occurs
B. Confront the colleague publicly
C. Follow institutional procedures to protect patients and report the concern appropriately
D. Ask the colleague to finish the medication round quickly
Answer: C
Patient safety takes priority. Suspected impairment should be handled according to
professional and institutional reporting procedures while maintaining confidentiality and
avoiding unnecessary public confrontation.
6. A patient with diabetes is awake, confused, diaphoretic, and has a blood glucose
level of 48 mg/dL. What should the nurse do first?
A. Give a rapid source of oral glucose
B. Administer long-acting insulin
C. Restrict oral intake
D. Encourage the patient to ambulate
Answer: A
A conscious patient who can safely swallow should receive a rapidly absorbed carbohydrate
for symptomatic hypoglycemia.
7. A community nurse is planning an intervention for an area with increasing rates of
hypertension. Which approach best reflects population health practice?
A. Treat only patients who already have complications
B. Provide screening, risk-factor education, and referral services
C. Wait until hospitals report increased admissions
D. Focus exclusively on medication compliance
Answer: B
,Population health emphasizes prevention and early identification while addressing modifiable
risk factors across the community.
8. A patient tells the nurse that the healthcare provider has not explained the risks of a
proposed procedure. What should the nurse do?
A. Explain all technical details and obtain consent
B. Tell the patient to sign because the procedure is routine
C. Notify the provider that additional explanation is needed
D. Ask a family member to sign instead
Answer: C
The healthcare professional performing the procedure is responsible for providing the
required information for informed consent. The nurse should identify gaps and facilitate
clarification.
9. A nurse is caring for a patient with limited health literacy. Which communication
strategy is most appropriate?
A. Use complex medical terminology to improve accuracy
B. Provide lengthy written instructions only
C. Speak rapidly to reduce anxiety
D. Use plain language and ask the patient to explain the instructions in their own words
Answer: D
Plain language and teach-back help determine whether the patient actually understands the
information rather than merely appearing to understand it.
10. A patient receiving an opioid analgesic has a respiratory rate of 8/min and is
difficult to arouse. Which finding requires the most immediate response?
A. Constipation
B. Respiratory depression
C. Mild nausea
D. Decreased appetite
Answer: B
Marked respiratory depression is a potentially life-threatening opioid effect and requires
immediate assessment and intervention.
11. A nurse is teaching a patient how to use an inhaled medication. Which method best
verifies effective teaching?
A. Ask whether the patient understands
B. Give the patient a printed brochure
C. Ask the patient to demonstrate the technique
D. Repeat the instructions several times
, Answer: C
Demonstration allows the nurse to directly evaluate whether the patient can perform the skill
correctly.
12. A patient develops facial swelling, wheezing, and hypotension shortly after receiving
an antibiotic. Which condition should the nurse suspect?
A. Anaphylaxis
B. Mild intolerance
C. Dehydration
D. Hyperglycemia
Answer: A
Rapid airway symptoms and cardiovascular compromise following medication exposure are
characteristic of anaphylaxis and require immediate emergency management.
13. A nurse receives a verbal medication order during an emergency. Which practice
best reduces communication errors?
A. Memorize the order
B. Repeat the order back for verification
C. Ask another patient to confirm it
D. Document it at the end of the shift
Answer: B
Read-back or repeat-back communication helps verify the medication, dose, route, and timing
of verbal orders.
14. A postoperative patient reports sudden calf pain and develops unilateral leg
swelling. Which complication should the nurse suspect?
A. Hypoglycemia
B. Urinary retention
C. Deep vein thrombosis
D. Hypothermia
Answer: C
Unilateral calf pain and swelling are concerning findings for deep vein thrombosis and require
prompt assessment and escalation.
15. A nurse is delegating tasks to assistive personnel. Which task is generally
appropriate for a stable patient?
A. Initial assessment of chest pain
B. Development of a nursing care plan
