ACTUAL EXAM COMPLETE 300 QUESTIONS AND
ANSWERS 100% CORRECT
1. Which of the following statements accurately describe an element of nursing? Select all
that apply.
A) The skills involved in nursing are primarily technical in nature.
B) The primary focus of nursing is to assist individuals to recover from illness.
C) The science of nursing is the knowledge base for the care that is given.
D) The art of nursing is the collection of knowledge through research.
E) Nursing is considered to be both an art and science.
F) Nursing is a profession that uses specialized knowledge and skills.
Answer: C, E, F
Rationale: Nursing combines science (knowledge base) and art (compassion and care). It is a
profession requiring specialized knowledge and skills.
2. Who is considered the founder of professional nursing?
A) Dorothea Dix
B) Lillian Wald
C) Florence Nightingale
D) Clara Barton
Answer: C
Rationale: Florence Nightingale is recognized as the founder of modern professional nursing.
3. A nurse is caring for a client with Clostridioides difficile infection. Which infection control
precaution should the nurse implement?
A) Use alcohol-based hand sanitizer after client contact
B) Wear an N95 respirator
C) Place the client in a private room
D) Use double-bagging for linens
Answer: C
Rationale: Contact precautions with private room placement are required. Handwashing with
soap and water is necessary; alcohol sanitizers are ineffective against spores.
4. Which nursing role is demonstrated when a nurse refers a family to a support group
after a diagnosis of Down syndrome?
A) Teacher
, B) Leader
C) Counselor
D) Collaborator
Answer: C
Rationale: Referring for emotional and social support is part of the counselor role.
5. What is the primary purpose of standards of nursing practice?
A) To provide a method by which nurses perform skills safely
B) To ensure knowledgeable, safe, and comprehensive nursing care
C) To establish nursing as a profession
D) To enable nurses to influence healthcare policy
Answer: B
Rationale: Standards ensure safe, competent, and ethical nursing care.
6. Which action by the nurse demonstrates therapeutic communication with an anxious
client?
A) “Don’t worry, everything will be fine.”
B) “Why are you worried?”
C) “Tell me more about how you’re feeling.”
D) “You should focus on positive outcomes.”
Answer: C
Rationale: Encouraging the client to express feelings promotes trust and understanding.
7. Which of the following is a priority intervention to prevent pressure ulcers in a
bedbound client?
A) Massage reddened areas
B) Reposition the client every 2 hours
C) Apply heat to bony prominences
D) Use a donut-shaped cushion
Answer: B
Rationale: Frequent repositioning reduces pressure and risk of skin breakdown.
8. A nurse is preparing to administer a subcutaneous injection. Which site is most
appropriate?
A) Deltoid
B) Abdomen
C) Vastus lateralis
D) Ventrogluteal
,Answer: B
Rationale: The abdomen is preferred for subcutaneous injections due to good absorption and
accessibility.
9. A client with heart failure is prescribed furosemide. Which lab value should the nurse
report immediately?
A) Sodium 140 mEq/L
B) Potassium 3.0 mEq/L
C) Calcium 9.2 mg/dL
D) Magnesium 2.0 mEq/L
Answer: B
Rationale: Furosemide can cause hypokalemia; potassium below 3.5 mEq/L is dangerous.
10. Which task can be delegated to unlicensed assistive personnel (UAP)?
A) Assessing pain level
B) Administering oral medications
C) Ambulating a stable client
D) Teaching wound care
Answer: C
Rationale: UAPs can assist with ambulation but cannot perform assessments, medication
administration, or teaching.
11. Which immunization is recommended annually for adults over 65?
A) Hepatitis B
B) Influenza
C) Varicella
D) Meningococcal
Answer: B
Rationale: Annual influenza vaccination is recommended for older adults.
12. What nursing activity best promotes coping with disability and death? Select all that
apply.
A) Conducting blood pressure screenings
B) Referring to hospice care
C) Teaching testicular self-exam
D) Administering IV fluids
E) Referring to support groups
, Answer: B, E
Rationale: Hospice referral and support groups help clients and families cope.
13. Which nursing skill is demonstrated when a nurse develops a care plan based on client
data?
A) Technical
B) Cognitive
C) Interpersonal
D) Ethical/legal
Answer: B
Rationale: Cognitive skills involve critical thinking and decision-making.
14. A nurse documents: “Client states, ‘I feel anxious about surgery.’” Why is this preferred?
A) It is subjective
B) It is objective and accurate
C) It is a nurse’s interpretation
D) It is vague
Answer: B
Rationale: Documenting client’s exact words is objective and clear.
15. A nurse is caring for a client who reports shortness of breath. What is the priority
assessment?
A) Measure blood pressure
B) Assess respiratory rate and oxygen saturation
C) Check temperature
D) Ask about pain level
Answer: B
Rationale: Respiratory status is critical for shortness of breath.
16. Which nursing diagnosis is appropriate for a client with impaired skin integrity?
A) Risk for infection
B) Impaired physical mobility
C) Impaired skin integrity
D) Risk for falls
Answer: C
Rationale: The diagnosis directly addresses the skin condition.
17. What is the best action when a client refuses medication?
A) Force the medication