CORRECT ANSWERS for Nursing students 2026 latest
versions
1. Safe & Effective Care Environment
1. The nurse finds a confused patient standing at the bedside rail. The priority action is to:
A. Raise the side rails
B. Apply restraints
C. Ask if the patient needs assistance
D. Document behavior
Correct Answer: C
Rationale: Always assess needs and ensure safety before interventions.
2. Which task is appropriate to delegate to a UAP?
A. Initial assessment
B. Reinforce teaching
C. Measure vital signs
D. Evaluate pain relief
Correct Answer: C
Rationale: Vital signs are within UAP scope; assessment and evaluation remain RN duties.
3. A nurse enters a patient’s room without introducing self. This is an example of:
A. Assault
B. Battery
C. Negligence
D. Invasion of privacy
Correct Answer: D
Rationale: Privacy breach can occur without consent.
2. Health Promotion & Maintenance
4. A 65-year-old with no health issues should receive which vaccine annually?
A. Tdap
B. HPV
C. Influenza
,D. Varicella
Correct Answer: C
Rationale: Annual influenza vaccination is recommended for all adults.
5. Teaching about breast self-exam should be done:
A. Every day
B. Monthly
C. Only if family history positive
D. Annually by provider
Correct Answer: B
Rationale: Monthly self-exams improve early detection.
3. Psychosocial Integrity
6. A patient with anxiety states, “I can’t breathe.” Best response is:
A. “Just relax.”
B. “Take slow, deep breaths with me.”
C. “You’re fine.”
D. “No one is helping you.”
Correct Answer: B
Rationale: Supportive guidance reduces anxiety and improves breathing.
7. An adolescent refuses to eat. This behavior is best described as:
A. Manipulative
B. Noncompliant
C. Developmental
D. Volitional
Correct Answer: B
Rationale: Noncompliance refers to refusal of recommended care.
4. Physiological Integrity — Basic Care
8. Normal adult respiratory rate is:
A. 8–12/min
B. 12–20/min
C. 20–30/min
D. 30–40/min
Correct Answer: B
9. Best position to relieve dyspnea is:
A. Supine
B. Trendelenburg
C. High Fowler’s
,D. Prone
Correct Answer: C
5. Pharmacological & Parental Therapies
10. Prior to administering digoxin, the nurse should check:
A. Respiratory rate
B. Apical pulse
C. Temperature
D. Oxygen saturation
Correct Answer: B
Rationale: Check apical pulse; hold if <60 bpm.
11. A patient receiving morphine reports itching. The nurse should:
A. Discontinue infusion
B. Assess further and notify provider
C. Administer naloxone
D. Document only
Correct Answer: B
Rationale: Itching can be opioid side effect; assess and intervene appropriately.
12. Which medication is contraindicated in pregnancy?
A. Acetaminophen
B. Ibuprofen (third trimester)
C. Folic acid
D. Prenatal vitamins
Correct Answer: B
Rationale: NSAIDs in late pregnancy risk fetal complications.
6. Reduction of Risk Potential
13. A patient reports chest pain. Priority action is:
A. Give ibuprofen
B. Obtain ECG
C. Assess pain
D. Check allergies
Correct Answer: C
Rationale: Assessment precedes diagnostic tests.
14. A critically low glucose (<50 mg/dL) first intervention is:
A. Check HbA1c
B. Give fast-acting carbohydrate
C. Notify provider
, D. Recheck in 1 hour
Correct Answer: B
7. Physiological Integrity — Complex Care
15. A patient with CHF has crackles, edema, and JVD. Priority is:
A. Administer diuretic
B. Encourage fluids
C. Raise legs
D. Provide high sodium diet
Correct Answer: A
16. Which lab indicates renal function?
A. AST
B. BUN and creatinine
C. Amylase
D. Troponin
Correct Answer: B
8. Infection Control & Labs
17. A patient with tuberculosis requires:
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
Correct Answer: C
18. Elevated WBC count suggests:
A. Infection
B. Dehydration
C. Anemia
D. Hyperglycemia
Correct Answer: A
19. Which lab indicates dehydration?
A. Low hematocrit
B. Elevated sodium
C. Low potassium
D. Elevated platelets
Correct Answer: B
20. Prioritization & Clinical Judgment