RNSG 1105 ACTUAL 2026 TEST PAPER QUESTIONS AND
SOLUTIONS RATED A+
✔✔Step 1 - Assessment - ✔✔Collect data, validate data, organize data
✔✔Step 2 - Analysis - ✔✔Arrive at a Patient Problem; analyzing and interpreting the
data to identify health needs/patient problems
✔✔Step 3 - Planning Care - ✔✔establishing goals/developing outcomes; getting ready
to implement the skill - gather necessary equipment and make preparations before
beginning the skill
✔✔Step 4 - Implementation - ✔✔carrying out the plan; performance of the skills and
care of the patient
✔✔Step 5 - Evaluation - ✔✔the nurse evaluates: the goal (was it achieved/met?) and
the patient's response to the procedure
documents and tells appropriate staff, persons
✔✔Airborne Precautions - ✔✔for pts who have organisms that remain in the air and
travel long distance (Tb, varicella, measles, herpes zoster)
private negative pressure room
Must wear a particulate filter mask (N95)
Keep pts door closed at all times
Pt must wear surgical mask when leaving room
✔✔Droplet precautions - ✔✔for pts whose organisms are spread by large particles
(rubella, mumps, diphtheria, influenza, meningitis, pertussis)
Must wear surgical mask; gloves when handling tissues or items with respiratory
secretions
Keep visitors 3 ft from infected pt
Pt door closed at all times
Pt wears surgical mask when leaving room
✔✔Contact precautions - ✔✔for pts who are infected or colonized by a multidrug-
resistant organism (Cdiff, MRSA)
gloves and impermeable gowns to prevent direct contact
Goal is to prevent transmission of disease by direct and indirect contact
✔✔Neutropenic/Protective Precautions - ✔✔for pts who are severely
immunocompromised (cancer, AIDS, organ transplants)
restrict visitors who have colds or contagious illnesses
Standard precautions and ensure all caregivers are healthy
Avoid collection of standing water from flowers or humidifiers
, ✔✔Elements of professional communication - ✔✔courtesy, use of names,
trustworthiness, autonomy & responsibility, assertiveness
✔✔SOLER - ✔✔sit facing patient
open posture
lean toward the patient
establish/maintain intermittent eye contact
relax
✔✔Therapeutic communication techniques - ✔✔sharing observations
sharing empathy
sharing hope
sharing humor
sharing feelings
using touch
using silence
providing information
clarifying
summarizing
✔✔Non-therapeutic communication techniques - ✔✔asking personal questions
giving personal opinions
changing the subject
automatic responses
false reassurance
talking about yourself
asking for explanations
defensive responses
passive or aggressive responses
arguing
✔✔HIPAA - ✔✔provides rights to pts and protects employees; creates pt right to
consent to the use and disclosure of their protected health information, to inspect and
copy one's medical record, and to amend mistaken or incomplete information
Limits who is able to access a pt's record; provides confidentiality of a pt's medical
record
✔✔Health Information Technology Act (HITECH) - ✔✔expands principles under HIPAA,
especially when a breach of personal health information occurs; nurses must ensure
that pt PHI is not inadvertently conveyed on social media and that protected data are
not disclosed other than as permitted by the pt
✔✔Purposes of documentation in the pt's medical chart - ✔✔communication
legal and historical documentation
reimbursement
SOLUTIONS RATED A+
✔✔Step 1 - Assessment - ✔✔Collect data, validate data, organize data
✔✔Step 2 - Analysis - ✔✔Arrive at a Patient Problem; analyzing and interpreting the
data to identify health needs/patient problems
✔✔Step 3 - Planning Care - ✔✔establishing goals/developing outcomes; getting ready
to implement the skill - gather necessary equipment and make preparations before
beginning the skill
✔✔Step 4 - Implementation - ✔✔carrying out the plan; performance of the skills and
care of the patient
✔✔Step 5 - Evaluation - ✔✔the nurse evaluates: the goal (was it achieved/met?) and
the patient's response to the procedure
documents and tells appropriate staff, persons
✔✔Airborne Precautions - ✔✔for pts who have organisms that remain in the air and
travel long distance (Tb, varicella, measles, herpes zoster)
private negative pressure room
Must wear a particulate filter mask (N95)
Keep pts door closed at all times
Pt must wear surgical mask when leaving room
✔✔Droplet precautions - ✔✔for pts whose organisms are spread by large particles
(rubella, mumps, diphtheria, influenza, meningitis, pertussis)
Must wear surgical mask; gloves when handling tissues or items with respiratory
secretions
Keep visitors 3 ft from infected pt
Pt door closed at all times
Pt wears surgical mask when leaving room
✔✔Contact precautions - ✔✔for pts who are infected or colonized by a multidrug-
resistant organism (Cdiff, MRSA)
gloves and impermeable gowns to prevent direct contact
Goal is to prevent transmission of disease by direct and indirect contact
✔✔Neutropenic/Protective Precautions - ✔✔for pts who are severely
immunocompromised (cancer, AIDS, organ transplants)
restrict visitors who have colds or contagious illnesses
Standard precautions and ensure all caregivers are healthy
Avoid collection of standing water from flowers or humidifiers
, ✔✔Elements of professional communication - ✔✔courtesy, use of names,
trustworthiness, autonomy & responsibility, assertiveness
✔✔SOLER - ✔✔sit facing patient
open posture
lean toward the patient
establish/maintain intermittent eye contact
relax
✔✔Therapeutic communication techniques - ✔✔sharing observations
sharing empathy
sharing hope
sharing humor
sharing feelings
using touch
using silence
providing information
clarifying
summarizing
✔✔Non-therapeutic communication techniques - ✔✔asking personal questions
giving personal opinions
changing the subject
automatic responses
false reassurance
talking about yourself
asking for explanations
defensive responses
passive or aggressive responses
arguing
✔✔HIPAA - ✔✔provides rights to pts and protects employees; creates pt right to
consent to the use and disclosure of their protected health information, to inspect and
copy one's medical record, and to amend mistaken or incomplete information
Limits who is able to access a pt's record; provides confidentiality of a pt's medical
record
✔✔Health Information Technology Act (HITECH) - ✔✔expands principles under HIPAA,
especially when a breach of personal health information occurs; nurses must ensure
that pt PHI is not inadvertently conveyed on social media and that protected data are
not disclosed other than as permitted by the pt
✔✔Purposes of documentation in the pt's medical chart - ✔✔communication
legal and historical documentation
reimbursement
