(3rd Edition) | Updated 2025 NCLEX Prep | Verified
Questions & Answers with Rationales | Fundamentals,
Safety, Pharmacology, Critical Thinking, and Patient-
Centered Care | Nursing School Must-Have
1. What is the primary role of a nurse?
(A) To perform surgeries
(B) To provide patient care
(C) To diagnose illnesses
(D) To manage hospital finances
CORRECT OPTION: (B)
RATIONALE: The primary role of a nurse is to provide holistic
patient care, ensuring both physical and emotional needs are
met.
2. Which ethical principle ensures fairness in nursing practice?
(A) Justice
(B) Autonomy
(C) Beneficence
(D) Non-maleficence
CORRECT OPTION: (A)
RATIONALE: Justice refers to the ethical principle of fairness and
equality in the distribution of resources and treatment.
3. What does the acronym ADPIE stand for in the nursing
process?
(A) Assessment, Diagnosis, Planning, Implementation,
Evaluation
(B) Assessment, Development, Planning, Implementation,
Evaluation
(C) Assessment, Diagnosis, Planning, Implementation,
Evaluation
(D) Analysis, Diagnosis, Planning, Implementation, Evaluation
,241 Questions – Concepts for Nursing Practice Test Bank
(3rd Edition) | Updated 2025 NCLEX Prep | Verified
Questions & Answers with Rationales | Fundamentals,
Safety, Pharmacology, Critical Thinking, and Patient-
Centered Care | Nursing School Must-Have
CORRECT OPTION: (C)
RATIONALE: ADPIE is a systematic approach to nursing that
guides nurses in providing effective care.
4. In which scenario is informed consent necessary?
(A) When a patient receives a routine medication
(B) Before performing a surgical procedure
(C) When providing a physical exam
(D) During a routine check-up
CORRECT OPTION: (B)
RATIONALE: Informed consent is crucial before any procedure
that poses risks, ensuring the patient understands the
implications.
5. When assessing a patient’s vital signs, which of the following
is considered a normal adult resting heart rate?
(A) 40-60 bpm
(B) 60-100 bpm
(C) 60-100 bpm
(D) 100-120 bpm
CORRECT OPTION: (C)
RATIONALE: A normal resting heart rate for adults is typically
between 60 and 100 beats per minute.
6. What is the best practice for a nurse when administering
medications?
(A) Administer without checking patient history
,241 Questions – Concepts for Nursing Practice Test Bank
(3rd Edition) | Updated 2025 NCLEX Prep | Verified
Questions & Answers with Rationales | Fundamentals,
Safety, Pharmacology, Critical Thinking, and Patient-
Centered Care | Nursing School Must-Have
(B) Follow the "Five Rights" of medication administration
(C) Only check allergies
(D) Administer as per doctor's verbal orders only
CORRECT OPTION: (B)
RATIONALE: The "Five Rights" (right patient, right medication,
right dose, right route, right time) are essential to ensure safe
medication administration.
7. Which nursing theory emphasizes the importance of the
environment in patient care?
(A) Orem’s Self-Care Theory
(B) Roy’s Adaptation Model
(C) Nightingale’s Environmental Theory
(D) Peplau’s Interpersonal Theory
CORRECT OPTION: (C)
RATIONALE: Nightingale’s Environmental Theory focuses on the
impact of the environment on a patient’s health and recovery.
8. A nurse is caring for a patient experiencing anxiety. What is
the most appropriate intervention?
(A) Provide a calm environment and listen actively
(B) Ignore the patient’s feelings
(C) Administer sedatives immediately
(D) Encourage the patient to "tough it out"
CORRECT OPTION: (A)
RATIONALE: Creating a calm environment and actively listening
can help alleviate anxiety and provide emotional support.
, 241 Questions – Concepts for Nursing Practice Test Bank
(3rd Edition) | Updated 2025 NCLEX Prep | Verified
Questions & Answers with Rationales | Fundamentals,
Safety, Pharmacology, Critical Thinking, and Patient-
Centered Care | Nursing School Must-Have
Application Questions
9. A patient has just been diagnosed with diabetes. What is the
first step a nurse should take in providing education?
(A) Discuss dietary restrictions
(B) Assess the patient's knowledge and understanding of
diabetes
(C) Provide pamphlets about diabetes
(D) Schedule a follow-up appointment
CORRECT OPTION: (B)
RATIONALE: Assessing the patient's current knowledge is
essential to tailor education effectively.
10. During a patient assessment, the nurse notices the
patient is exhibiting signs of dehydration. What is the
immediate nursing action?
(A) Administer IV fluids as ordered
(B) Document the findings
(C) Ask the patient to drink water
(D) Wait for the physician’s orders
CORRECT OPTION: (A)
RATIONALE: Administering IV fluids is a critical intervention to
address dehydration promptly.
11. Which of the following is a common sign of infection?
(A) Fever
(B) Low blood pressure