NURB 3030
Exam 1 Practice Examination
75 Nursing Questions with Answers and Rationales
Includes:
• Clinical nursing scenarios
• Multiple-choice questions
• Answer explanations
• Rationales for review
,1. A nurse is prioritizing care for four assigned patients. Which patient should be
assessed first?
a. A patient requesting a blanket
b. A patient with new onset difficulty breathing
c. A patient asking about meals
d. A patient waiting for routine medication
ANSWER: b. A patient with new onset difficulty breathing
RATIONALE: Airway and breathing concerns require immediate assessment.
2. Which nursing action best demonstrates effective therapeutic communication?
a. Giving advice immediately
b. Using active listening and open-ended questions
c. Changing the subject
d. Avoiding emotional topics
ANSWER: b. Using active listening and open-ended questions
RATIONALE: Therapeutic communication promotes trust and patient expression.
3. A nurse is preparing to administer medication. Which action is essential?
a. Verify patient identifiers
b. Leave medication unattended
c. Skip allergy assessment
d. Document before administration
ANSWER: a. Verify patient identifiers
RATIONALE: Medication verification prevents administration errors.
4. Which intervention reduces healthcare-associated infections?
a. Performing hand hygiene
b. Sharing equipment without cleaning
c. Skipping protective equipment
d. Avoiding patient contact
ANSWER: a. Performing hand hygiene
RATIONALE: Hand hygiene is the primary infection prevention measure.
5. A patient is anxious before a procedure. What should the nurse do?
a. Provide reassurance and explain the procedure
b. Ignore the concern
c. Leave immediately
, d. Tell the patient not to worry
ANSWER: a. Provide reassurance and explain the procedure
RATIONALE: Information and support reduce anxiety.
6. A nurse is prioritizing care for four assigned patients. Which patient should be
assessed first? This situation relates to nursing practice scenario 6.
a. A patient requesting a blanket
b. A patient with new onset difficulty breathing
c. A patient asking about meals
d. A patient waiting for routine medication
ANSWER: b. A patient with new onset difficulty breathing
RATIONALE: Airway and breathing concerns require immediate assessment.
7. Which nursing action best demonstrates effective therapeutic communication?
This situation relates to nursing practice scenario 7.
a. Giving advice immediately
b. Using active listening and open-ended questions
c. Changing the subject
d. Avoiding emotional topics
ANSWER: b. Using active listening and open-ended questions
RATIONALE: Therapeutic communication promotes trust and patient expression.
8. A nurse is preparing to administer medication. Which action is essential? This
situation relates to nursing practice scenario 8.
a. Verify patient identifiers
b. Leave medication unattended
c. Skip allergy assessment
d. Document before administration
ANSWER: a. Verify patient identifiers
RATIONALE: Medication verification prevents administration errors.
9. Which intervention reduces healthcare-associated infections? This situation
relates to nursing practice scenario 9.
a. Performing hand hygiene
b. Sharing equipment without cleaning
c. Skipping protective equipment
d. Avoiding patient contact
Exam 1 Practice Examination
75 Nursing Questions with Answers and Rationales
Includes:
• Clinical nursing scenarios
• Multiple-choice questions
• Answer explanations
• Rationales for review
,1. A nurse is prioritizing care for four assigned patients. Which patient should be
assessed first?
a. A patient requesting a blanket
b. A patient with new onset difficulty breathing
c. A patient asking about meals
d. A patient waiting for routine medication
ANSWER: b. A patient with new onset difficulty breathing
RATIONALE: Airway and breathing concerns require immediate assessment.
2. Which nursing action best demonstrates effective therapeutic communication?
a. Giving advice immediately
b. Using active listening and open-ended questions
c. Changing the subject
d. Avoiding emotional topics
ANSWER: b. Using active listening and open-ended questions
RATIONALE: Therapeutic communication promotes trust and patient expression.
3. A nurse is preparing to administer medication. Which action is essential?
a. Verify patient identifiers
b. Leave medication unattended
c. Skip allergy assessment
d. Document before administration
ANSWER: a. Verify patient identifiers
RATIONALE: Medication verification prevents administration errors.
4. Which intervention reduces healthcare-associated infections?
a. Performing hand hygiene
b. Sharing equipment without cleaning
c. Skipping protective equipment
d. Avoiding patient contact
ANSWER: a. Performing hand hygiene
RATIONALE: Hand hygiene is the primary infection prevention measure.
5. A patient is anxious before a procedure. What should the nurse do?
a. Provide reassurance and explain the procedure
b. Ignore the concern
c. Leave immediately
, d. Tell the patient not to worry
ANSWER: a. Provide reassurance and explain the procedure
RATIONALE: Information and support reduce anxiety.
6. A nurse is prioritizing care for four assigned patients. Which patient should be
assessed first? This situation relates to nursing practice scenario 6.
a. A patient requesting a blanket
b. A patient with new onset difficulty breathing
c. A patient asking about meals
d. A patient waiting for routine medication
ANSWER: b. A patient with new onset difficulty breathing
RATIONALE: Airway and breathing concerns require immediate assessment.
7. Which nursing action best demonstrates effective therapeutic communication?
This situation relates to nursing practice scenario 7.
a. Giving advice immediately
b. Using active listening and open-ended questions
c. Changing the subject
d. Avoiding emotional topics
ANSWER: b. Using active listening and open-ended questions
RATIONALE: Therapeutic communication promotes trust and patient expression.
8. A nurse is preparing to administer medication. Which action is essential? This
situation relates to nursing practice scenario 8.
a. Verify patient identifiers
b. Leave medication unattended
c. Skip allergy assessment
d. Document before administration
ANSWER: a. Verify patient identifiers
RATIONALE: Medication verification prevents administration errors.
9. Which intervention reduces healthcare-associated infections? This situation
relates to nursing practice scenario 9.
a. Performing hand hygiene
b. Sharing equipment without cleaning
c. Skipping protective equipment
d. Avoiding patient contact
