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NCLEX-RN Fundamentals of Nursing Practice Exam 2026/2027 — 30 Questions & Rationales

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Review essential nursing fundamentals with 30 original multiple-choice questions designed for NCLEX-RN preparation. Topics may include core nursing principles, safety, assessment, basic patient care, infection prevention, communication, and fundamental clinical concepts.

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PAPER N5: FUNDAMENTALS OF
NURSING



Title: Fundamentals of Nursing Exam: 30
Practice Questions with Rationales




Keywords: Nursing fundamentals,
fundamentals of nursing, basic nursing,
nursing practice questions, nursing exam,
NCLEX fundamentals, nursing test bank

,Questions

1. A nurse is preparing to perform a sterile dressing change.

Which action demonstrates proper sterile technique? A)

The sterile field is positioned at waist level B) The nurse

reaches over the sterile field to access supplies C) The

nurse turns their back to the sterile field D) The nurse

places a non-sterile item on the sterile field


Explanation: The sterile field should be kept at waist level to

maintain sterility. Reaching over or turning away from the field

can contaminate it.


2. A nurse is caring for a client who is on fall precautions.

Which intervention is most appropriate? A) Keep the bed in

the lowest position B) Keep the bed in the highest position

C) Keep the side rails down at all times D) Keep the call

bell out of reach

, Explanation: The bed should be kept in the lowest position to

reduce the risk of injury from falls. The call bell should be

within reach to allow the client to call for assistance.


3. A nurse is assessing a client's skin. Which finding indicates

the client is at risk for pressure ulcer development? A)

Moist, intact skin B) Redness that does not blanch C) Skin

that is warm and dry D) Skin that is pale and cool


Explanation: Redness that does not blanch is an early sign of

pressure injury and indicates tissue ischemia. The client is at risk

for pressure ulcer development.


4. A nurse is teaching a client about a low-sodium diet. Which

food should the client avoid? A) Fresh apples B) Canned

soup C) Steamed rice D) Baked chicken

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