RN Comprehensive Online Practice
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Section 1: Fundamentals of Nursing and Safety (Q1–Q25)
1. A nurse is preparing to administer medication to a client. Which of the
following is the priority action before administration?
A. Check the medication order against the MAR
B. Verify the client's identity using two identifiers
C. Assess the client's vital signs
D. Document the medication administration
Answer: B
Rationale: Verifying client identity using two identifiers is the priority safety
action before medication administration to prevent medication errors. This is a
core component of the "rights" of medication administration.
2. A client is prescribed bed rest. Which intervention is most important to
prevent complications?
A. Turn and reposition every 2 hours
B. Encourage fluid intake
C. Administer pain medication
D. Provide a quiet environment
Answer: A
Rationale: Turning and repositioning every 2 hours prevents pressure injuries and
promotes circulation in bedridden clients. This is a fundamental nursing
intervention for immobility.
3. A nurse is caring for a client with a new colostomy. Which statement
indicates the client needs further teaching?
A. "I will empty the pouch when it is one-third full."
B. "I will use a skin barrier around the stoma."
,C. "I will avoid eating foods that cause gas."
D. "I will change the pouch every day."
Answer: D
Rationale: Colostomy pouches typically need to be changed every 3–7 days, not
daily. Daily changes can irritate the skin. The client needs further teaching about
appropriate pouch change frequency.
4. A nurse is assessing a client for signs of infection. Which finding is most
concerning?
A. Temperature of 100.2°F (37.9°C)
B. Heart rate of 92 bpm
C. Blood pressure of 118/76 mm Hg
D. WBC count of 12,000/mm³
Answer: D
Rationale: An elevated WBC count (normal 4,500–11,000/mm³) indicates
infection. While low-grade fever may also indicate infection, the WBC count is
more specific.
5. A client falls while ambulating to the bathroom. What should the nurse do
first?
A. Assist the client back to bed
B. Assess the client for injuries
C. Document the fall
D. Notify the physician
Answer: B
Rationale: The nurse should first assess the client for injuries before moving
them. Moving a client with a fracture or spinal injury could cause further harm.
6. A nurse is teaching a client about using a walker. Which instruction is most
important?
A. "Lean forward and push the walker ahead."
B. "Step into the walker before moving it."
C. "Use the walker on stairs."
D. "Lift the walker with each step."
,Answer: A
Rationale: When using a walker, the client should lean forward slightly and push
the walker ahead before stepping. This maintains stability and prevents falls.
7. A nurse is preparing to insert a urinary catheter. Which action is most
important to prevent infection?
A. Use sterile technique
B. Lubricate the catheter generously
C. Insert the catheter quickly
D. Use a smaller catheter size
Answer: A
Rationale: Using sterile technique during catheter insertion is the most important
action to prevent catheter-associated urinary tract infections (CAUTIs).
8. A client is on fall precautions. Which intervention is most appropriate?
A. Keep the bed in the lowest position
B. Keep all four side rails up
C. Restrain the client
D. Keep the room dark
Answer: A
Rationale: Keeping the bed in the lowest position reduces the risk of injury if the
client falls. Restraints require a physician's order and are a last resort.
9. A nurse is assessing a client's pain. Which finding is most reliable?
A. The client's facial expression
B. The client's vital signs
C. The client's self-report
D. The nurse's observation
Answer: C
Rationale: The client's self-report is the most reliable indicator of pain. Pain is
subjective, and the client's description should guide assessment and treatment.
10. A nurse is caring for a client with a nasogastric (NG) tube. How should the
nurse verify tube placement?
A. Auscultate for air bubbles in the stomach
B. Check the pH of gastric aspirate
, C. Measure the length of the tube
D. Ask the client to speak
Answer: B
Rationale: Checking the pH of gastric aspirate is the most reliable bedside method
for verifying NG tube placement. Gastric fluid typically has a pH of 1–5.
11. A client is prescribed a clear liquid diet. Which food is appropriate?
A. Cream soup
B. Orange juice
C. Gelatin
D. Ice cream
Answer: C
Rationale: Gelatin is a clear liquid that is appropriate for a clear liquid diet. Cream
soup and ice cream are full liquids, and orange juice may be restricted due to
acidity.
12. A nurse is teaching a client about preventing pressure injuries. Which
instruction is most appropriate?
A. "Sit in one position for long periods."
B. "Shift your weight every 15 minutes."
C. "Avoid using pillows for positioning."
D. "Keep the head of the bed elevated 90 degrees."
Answer: B
Rationale: Shifting weight every 15 minutes relieves pressure on bony
prominences and prevents pressure injuries.
13. A nurse is preparing to administer an enema. Which position is most
appropriate?
A. Supine
B. Sims' position
C. Prone
D. Trendelenburg
Answer: B
Rationale: Sims' position (left lateral with right knee flexed) is the preferred
position for enema administration to facilitate solution flow into the colon.
2025/2026 A and B | NGN Questions with
Verified Rationalized Answers | 100%
Guarantee Pass | PACKAGE DEAL
Section 1: Fundamentals of Nursing and Safety (Q1–Q25)
1. A nurse is preparing to administer medication to a client. Which of the
following is the priority action before administration?
A. Check the medication order against the MAR
B. Verify the client's identity using two identifiers
C. Assess the client's vital signs
D. Document the medication administration
Answer: B
Rationale: Verifying client identity using two identifiers is the priority safety
action before medication administration to prevent medication errors. This is a
core component of the "rights" of medication administration.
2. A client is prescribed bed rest. Which intervention is most important to
prevent complications?
A. Turn and reposition every 2 hours
B. Encourage fluid intake
C. Administer pain medication
D. Provide a quiet environment
Answer: A
Rationale: Turning and repositioning every 2 hours prevents pressure injuries and
promotes circulation in bedridden clients. This is a fundamental nursing
intervention for immobility.
3. A nurse is caring for a client with a new colostomy. Which statement
indicates the client needs further teaching?
A. "I will empty the pouch when it is one-third full."
B. "I will use a skin barrier around the stoma."
,C. "I will avoid eating foods that cause gas."
D. "I will change the pouch every day."
Answer: D
Rationale: Colostomy pouches typically need to be changed every 3–7 days, not
daily. Daily changes can irritate the skin. The client needs further teaching about
appropriate pouch change frequency.
4. A nurse is assessing a client for signs of infection. Which finding is most
concerning?
A. Temperature of 100.2°F (37.9°C)
B. Heart rate of 92 bpm
C. Blood pressure of 118/76 mm Hg
D. WBC count of 12,000/mm³
Answer: D
Rationale: An elevated WBC count (normal 4,500–11,000/mm³) indicates
infection. While low-grade fever may also indicate infection, the WBC count is
more specific.
5. A client falls while ambulating to the bathroom. What should the nurse do
first?
A. Assist the client back to bed
B. Assess the client for injuries
C. Document the fall
D. Notify the physician
Answer: B
Rationale: The nurse should first assess the client for injuries before moving
them. Moving a client with a fracture or spinal injury could cause further harm.
6. A nurse is teaching a client about using a walker. Which instruction is most
important?
A. "Lean forward and push the walker ahead."
B. "Step into the walker before moving it."
C. "Use the walker on stairs."
D. "Lift the walker with each step."
,Answer: A
Rationale: When using a walker, the client should lean forward slightly and push
the walker ahead before stepping. This maintains stability and prevents falls.
7. A nurse is preparing to insert a urinary catheter. Which action is most
important to prevent infection?
A. Use sterile technique
B. Lubricate the catheter generously
C. Insert the catheter quickly
D. Use a smaller catheter size
Answer: A
Rationale: Using sterile technique during catheter insertion is the most important
action to prevent catheter-associated urinary tract infections (CAUTIs).
8. A client is on fall precautions. Which intervention is most appropriate?
A. Keep the bed in the lowest position
B. Keep all four side rails up
C. Restrain the client
D. Keep the room dark
Answer: A
Rationale: Keeping the bed in the lowest position reduces the risk of injury if the
client falls. Restraints require a physician's order and are a last resort.
9. A nurse is assessing a client's pain. Which finding is most reliable?
A. The client's facial expression
B. The client's vital signs
C. The client's self-report
D. The nurse's observation
Answer: C
Rationale: The client's self-report is the most reliable indicator of pain. Pain is
subjective, and the client's description should guide assessment and treatment.
10. A nurse is caring for a client with a nasogastric (NG) tube. How should the
nurse verify tube placement?
A. Auscultate for air bubbles in the stomach
B. Check the pH of gastric aspirate
, C. Measure the length of the tube
D. Ask the client to speak
Answer: B
Rationale: Checking the pH of gastric aspirate is the most reliable bedside method
for verifying NG tube placement. Gastric fluid typically has a pH of 1–5.
11. A client is prescribed a clear liquid diet. Which food is appropriate?
A. Cream soup
B. Orange juice
C. Gelatin
D. Ice cream
Answer: C
Rationale: Gelatin is a clear liquid that is appropriate for a clear liquid diet. Cream
soup and ice cream are full liquids, and orange juice may be restricted due to
acidity.
12. A nurse is teaching a client about preventing pressure injuries. Which
instruction is most appropriate?
A. "Sit in one position for long periods."
B. "Shift your weight every 15 minutes."
C. "Avoid using pillows for positioning."
D. "Keep the head of the bed elevated 90 degrees."
Answer: B
Rationale: Shifting weight every 15 minutes relieves pressure on bony
prominences and prevents pressure injuries.
13. A nurse is preparing to administer an enema. Which position is most
appropriate?
A. Supine
B. Sims' position
C. Prone
D. Trendelenburg
Answer: B
Rationale: Sims' position (left lateral with right knee flexed) is the preferred
position for enema administration to facilitate solution flow into the colon.
