BSN 425 – Navigating Long-Term Care:
Comprehensive Practice Exam (Fall 2025/2026
Study Edition)
Format: 25 NCLEX-style multiple-choice questions
Includes: Correct answer + rationale for each
1.
A nurse in a skilled-nursing facility is planning care for a resident with dementia. Which action best
promotes person-centered care?
A. Enforce a strict bathing schedule
B. Ask the family about the resident’s usual routines
C. Minimize family involvement
D. Limit resident choices to reduce confusion
✅ Correct: B
Rationale: Person-centered care individualizes routines around the resident’s life history and
preferences.
2.
Which type of long-term care service provides intermittent nursing visits and rehabilitation to
homebound clients?
A. Assisted living
B. Adult day health
C. Home health care
D. Skilled-nursing facility
✅ Correct: C
Rationale: Home health offers part-time skilled nursing and therapy in the client’s home.
3.
The nurse knows that the primary goal of long-term care is to:
A. Cure chronic disease
B. Maintain function and quality of life
C. Provide acute medical treatment
D. Promote dependency for safety
, ✅ Correct: B
Rationale: LTC emphasizes maximizing independence and preserving dignity rather than cure.
4.
Which client would most likely qualify for skilled-nursing facility placement?
A. A post-stroke patient needing daily wound care and PT
B. An older adult needing socialization only
C. A healthy elder requesting meal preparation
D. A terminal client refusing rehab
✅ Correct: A
Rationale: SNFs provide 24-hour nursing and rehabilitation for clients requiring skilled services.
5.
A nurse assists a resident to complete an advance directive. This demonstrates:
A. Advocacy for resident autonomy
B. Violation of facility policy
C. Inappropriate delegation
D. Restriction of patient rights
✅ Correct: A
Rationale: Advance directives support self-determination and autonomy in long-term care.
6.
Which team member focuses on restoring self-care abilities such as dressing and grooming?
A. Physical therapist
B. Occupational therapist
C. Speech-language pathologist
D. Social worker
✅ Correct: B
Rationale: Occupational therapy promotes independence in activities of daily living (ADLs).
7.
When a resident refuses medication, the nurse’s best action is to:
A. Document the refusal and notify the provider
B. Hide the medication in food
C. Tell the CNA to insist the resident take it
D. Remove the refusal documentation
Comprehensive Practice Exam (Fall 2025/2026
Study Edition)
Format: 25 NCLEX-style multiple-choice questions
Includes: Correct answer + rationale for each
1.
A nurse in a skilled-nursing facility is planning care for a resident with dementia. Which action best
promotes person-centered care?
A. Enforce a strict bathing schedule
B. Ask the family about the resident’s usual routines
C. Minimize family involvement
D. Limit resident choices to reduce confusion
✅ Correct: B
Rationale: Person-centered care individualizes routines around the resident’s life history and
preferences.
2.
Which type of long-term care service provides intermittent nursing visits and rehabilitation to
homebound clients?
A. Assisted living
B. Adult day health
C. Home health care
D. Skilled-nursing facility
✅ Correct: C
Rationale: Home health offers part-time skilled nursing and therapy in the client’s home.
3.
The nurse knows that the primary goal of long-term care is to:
A. Cure chronic disease
B. Maintain function and quality of life
C. Provide acute medical treatment
D. Promote dependency for safety
, ✅ Correct: B
Rationale: LTC emphasizes maximizing independence and preserving dignity rather than cure.
4.
Which client would most likely qualify for skilled-nursing facility placement?
A. A post-stroke patient needing daily wound care and PT
B. An older adult needing socialization only
C. A healthy elder requesting meal preparation
D. A terminal client refusing rehab
✅ Correct: A
Rationale: SNFs provide 24-hour nursing and rehabilitation for clients requiring skilled services.
5.
A nurse assists a resident to complete an advance directive. This demonstrates:
A. Advocacy for resident autonomy
B. Violation of facility policy
C. Inappropriate delegation
D. Restriction of patient rights
✅ Correct: A
Rationale: Advance directives support self-determination and autonomy in long-term care.
6.
Which team member focuses on restoring self-care abilities such as dressing and grooming?
A. Physical therapist
B. Occupational therapist
C. Speech-language pathologist
D. Social worker
✅ Correct: B
Rationale: Occupational therapy promotes independence in activities of daily living (ADLs).
7.
When a resident refuses medication, the nurse’s best action is to:
A. Document the refusal and notify the provider
B. Hide the medication in food
C. Tell the CNA to insist the resident take it
D. Remove the refusal documentation
