LOUISIANA NURSING EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
Core Domains
Nursing fundamentals
Adult medical-surgical nursing
Pharmacology and medication safety
Maternal-newborn nursing
Pediatric nursing
Mental health nursing
Ethics and professional standards
Legal and regulatory compliance
Safety and infection control
Clinical judgment and prioritization
Introduction
,This exam assesses core nursing knowledge, clinical judgment, and safe practice across common RN content
areas. It uses multiple-choice and scenario-based questions to evaluate application of theory, prioritization,
delegation, medication safety, infection control, ethics, and legal responsibilities. The items are designed to
reflect real-world nursing decision-making, requiring the learner to identify the best action, safest
intervention, or most appropriate response in patient-care situations. Each question is written in exam style
with one best answer and a concise rationale to support understanding and reinforce critical thinking.
Section One: Questions 1–100
,. A nurse is caring for a client with a new diagnosis of diabetes mellitus. Which teaching is most important
initially?
A. “You will never be able to eat carbohydrates again.”
B. “Monitor your blood glucose as instructed.”
C. “Take insulin only when you feel symptoms.”
D. “Exercise should be avoided permanently.”
🟢 Correct answer: B
🔴 RATIONALE: Self-monitoring blood glucose is a foundational skill for diabetes management and helps
guide safe treatment decisions.
. Which assessment finding requires immediate nursing action?
A. Blood pressure 128/78 mm Hg
B. Respiratory rate 28 breaths/min
C. Temperature 37.0 C
D. Pulse rate 72 beats/min
🟢 Correct answer: B
🔴 RATIONALE: An elevated respiratory rate may indicate distress, pain, hypoxia, or metabolic imbalance
and needs prompt assessment.
. The nurse is preparing to administer an oral medication. Which action is correct?
A. Leave the medication at the bedside if the client is asleep.
B. Verify the client’s identity using two identifiers.
C. Crush all tablets before giving them.
D. Document the medication before administration.
🟢 Correct answer: B
🔴 RATIONALE: Two-client identifiers are required to prevent medication errors and ensure the correct
patient receives the drug.
, . A client asks why hand hygiene is necessary. What is the best response?
A. “It is required only before surgery.”
B. “It reduces transmission of microorganisms.”
C. “It prevents all hospital infections.”
D. “It is optional if gloves are worn.”
🟢 Correct answer: B
🔴 RATIONALE: Hand hygiene is the most effective way to reduce transmission of pathogens, though it does
not prevent all infections.
. Which intervention best prevents pressure injuries?
A. Massage reddened bony areas
B. Reposition the client regularly
C. Restrict fluid intake
D. Use hot compresses over red skin
🟢 Correct answer: B
🔴 RATIONALE: Frequent repositioning relieves pressure and promotes tissue perfusion, reducing pressure
injury risk.
. A client with chest pain reports the pain as 8 out of 10. What should the nurse do first?
A. Document the pain score
B. Notify the provider after one hour
C. Assess vital signs and characteristics of pain
D. Offer the client water
🟢 Correct answer: C
🔴 RATIONALE: Further assessment is needed immediately to evaluate potential cardiac or other serious
causes of pain.
PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
Core Domains
Nursing fundamentals
Adult medical-surgical nursing
Pharmacology and medication safety
Maternal-newborn nursing
Pediatric nursing
Mental health nursing
Ethics and professional standards
Legal and regulatory compliance
Safety and infection control
Clinical judgment and prioritization
Introduction
,This exam assesses core nursing knowledge, clinical judgment, and safe practice across common RN content
areas. It uses multiple-choice and scenario-based questions to evaluate application of theory, prioritization,
delegation, medication safety, infection control, ethics, and legal responsibilities. The items are designed to
reflect real-world nursing decision-making, requiring the learner to identify the best action, safest
intervention, or most appropriate response in patient-care situations. Each question is written in exam style
with one best answer and a concise rationale to support understanding and reinforce critical thinking.
Section One: Questions 1–100
,. A nurse is caring for a client with a new diagnosis of diabetes mellitus. Which teaching is most important
initially?
A. “You will never be able to eat carbohydrates again.”
B. “Monitor your blood glucose as instructed.”
C. “Take insulin only when you feel symptoms.”
D. “Exercise should be avoided permanently.”
🟢 Correct answer: B
🔴 RATIONALE: Self-monitoring blood glucose is a foundational skill for diabetes management and helps
guide safe treatment decisions.
. Which assessment finding requires immediate nursing action?
A. Blood pressure 128/78 mm Hg
B. Respiratory rate 28 breaths/min
C. Temperature 37.0 C
D. Pulse rate 72 beats/min
🟢 Correct answer: B
🔴 RATIONALE: An elevated respiratory rate may indicate distress, pain, hypoxia, or metabolic imbalance
and needs prompt assessment.
. The nurse is preparing to administer an oral medication. Which action is correct?
A. Leave the medication at the bedside if the client is asleep.
B. Verify the client’s identity using two identifiers.
C. Crush all tablets before giving them.
D. Document the medication before administration.
🟢 Correct answer: B
🔴 RATIONALE: Two-client identifiers are required to prevent medication errors and ensure the correct
patient receives the drug.
, . A client asks why hand hygiene is necessary. What is the best response?
A. “It is required only before surgery.”
B. “It reduces transmission of microorganisms.”
C. “It prevents all hospital infections.”
D. “It is optional if gloves are worn.”
🟢 Correct answer: B
🔴 RATIONALE: Hand hygiene is the most effective way to reduce transmission of pathogens, though it does
not prevent all infections.
. Which intervention best prevents pressure injuries?
A. Massage reddened bony areas
B. Reposition the client regularly
C. Restrict fluid intake
D. Use hot compresses over red skin
🟢 Correct answer: B
🔴 RATIONALE: Frequent repositioning relieves pressure and promotes tissue perfusion, reducing pressure
injury risk.
. A client with chest pain reports the pain as 8 out of 10. What should the nurse do first?
A. Document the pain score
B. Notify the provider after one hour
C. Assess vital signs and characteristics of pain
D. Offer the client water
🟢 Correct answer: C
🔴 RATIONALE: Further assessment is needed immediately to evaluate potential cardiac or other serious
causes of pain.
