Comprehensive 100-Question Practice Exam
with Detailed Answers and Rationales for
deWit’s Fundamental Concepts and Skills for
Nursing, Seventh Edition: Essential NCLEX-Style
Review for Nursing Students Mastering Core
Concepts, Safety, Skills, and Patient-Centered
Care: A Complete Study Guide for Exam Success
Q: What are the five steps of the nursing
process in order?
A: Assessment, Diagnosis, Planning,
Implementation, Evaluation.
Rationale: The nursing process is a systematic,
,cyclic method used to provide individualized
care.
1. Q: What is the normal adult oral
temperature range?
A: 36.1°C to 37.5°C (97°F to 99.5°F).
Rationale: Oral temperatures are slightly
lower than core temperatures and vary by
route and time of day.
2. Q: What is the most effective way to
prevent healthcare-associated infections?
A: Hand hygiene.
Rationale: Handwashing or alcohol-based
hand rub is the single most effective
infection-control measure.
3. Q: When should gloves be worn?
A: When contact with blood, body fluids,
mucous membranes, or non-intact skin is
anticipated.
, Rationale: Gloves reduce transmission of
microorganisms between the nurse and
patient.
4. Q: What type of isolation requires a
negative-pressure room?
A: Airborne precautions.
Rationale: Airborne diseases such as
tuberculosis and measles require negative-
pressure airflow and N95 respirators.
5. Q: What are the “rights” of medication
administration?
A: Right patient, drug, dose, route, time,
documentation, reason, and response.
Rationale: Following medication rights
prevents errors and promotes patient
safety.
6. Q: At what angle is a subcutaneous
injection usually given?
, A: 45° or 90°.
Rationale: Angle depends on the amount of
subcutaneous tissue; 90° is used for average
adults, 45° for thinner patients.
7. Q: Which site is preferred for
intramuscular injections in infants?
A: Vastus lateralis.
Rationale: The vastus lateralis is well-
developed at birth and avoids major nerves
and blood vessels.
8. Q: What should the nurse do before
administering an oral medication to a
patient with dysphagia?
A: Assess swallowing ability and check for
aspiration risk.
Rationale: Patients with dysphagia are at
risk for aspiration; medications may need to
with Detailed Answers and Rationales for
deWit’s Fundamental Concepts and Skills for
Nursing, Seventh Edition: Essential NCLEX-Style
Review for Nursing Students Mastering Core
Concepts, Safety, Skills, and Patient-Centered
Care: A Complete Study Guide for Exam Success
Q: What are the five steps of the nursing
process in order?
A: Assessment, Diagnosis, Planning,
Implementation, Evaluation.
Rationale: The nursing process is a systematic,
,cyclic method used to provide individualized
care.
1. Q: What is the normal adult oral
temperature range?
A: 36.1°C to 37.5°C (97°F to 99.5°F).
Rationale: Oral temperatures are slightly
lower than core temperatures and vary by
route and time of day.
2. Q: What is the most effective way to
prevent healthcare-associated infections?
A: Hand hygiene.
Rationale: Handwashing or alcohol-based
hand rub is the single most effective
infection-control measure.
3. Q: When should gloves be worn?
A: When contact with blood, body fluids,
mucous membranes, or non-intact skin is
anticipated.
, Rationale: Gloves reduce transmission of
microorganisms between the nurse and
patient.
4. Q: What type of isolation requires a
negative-pressure room?
A: Airborne precautions.
Rationale: Airborne diseases such as
tuberculosis and measles require negative-
pressure airflow and N95 respirators.
5. Q: What are the “rights” of medication
administration?
A: Right patient, drug, dose, route, time,
documentation, reason, and response.
Rationale: Following medication rights
prevents errors and promotes patient
safety.
6. Q: At what angle is a subcutaneous
injection usually given?
, A: 45° or 90°.
Rationale: Angle depends on the amount of
subcutaneous tissue; 90° is used for average
adults, 45° for thinner patients.
7. Q: Which site is preferred for
intramuscular injections in infants?
A: Vastus lateralis.
Rationale: The vastus lateralis is well-
developed at birth and avoids major nerves
and blood vessels.
8. Q: What should the nurse do before
administering an oral medication to a
patient with dysphagia?
A: Assess swallowing ability and check for
aspiration risk.
Rationale: Patients with dysphagia are at
risk for aspiration; medications may need to
