Exam Actual Practice Test – Complete 200-
Question and Answer Testbank with Verified
Detailed Rationales, NGN Case Studies, and
Prioritization Scenarios for the 2026/2027
Latest Update, Covering Fundamentals, Med-
Surg, Pharmacology, OB, Peds, and Mental
Health.
SECTION 1: Fundamentals of Nursing
(Questions 1–20)
1. A PN is preparing to insert an indwelling
urinary catheter for a female client. Which
action is most important to prevent infection?
A. Using sterile technique throughout the
procedure ✓
B. Inflating the balloon with 30 mL of sterile
water
,C. Applying lubricant to the first 2 inches of the
catheter
D. Securing the catheter to the client's thigh
Rationale: Strict sterile technique during
insertion is the most important intervention to
prevent a catheter-associated urinary tract
infection (CAUTI). The balloon should be
inflated with the amount specified by the
manufacturer (usually 10 mL for a 16 Fr
catheter), not 30 mL. Lubricant should be
applied to the first 5–7 inches for a female.
Securing the catheter prevents trauma but does
not directly prevent infection.
2. A client is prescribed a clear liquid diet.
Which item is appropriate to include?
A. Orange juice
B. Skim milk
,C. Chicken broth ✓
D. Cream of wheat
Rationale: A clear liquid diet includes
transparent liquids that leave minimal residue:
water, broth, clear juices (apple, cranberry,
grape), gelatin, and popsicles. Orange juice
contains pulp, milk and cream of wheat are not
clear liquids.
3. A PN is reinforcing teaching about fire safety
with a group of clients. Which action should
the PN instruct clients to take first in the event
of a fire?
A. Confine the fire by closing doors
B. Rescue anyone in immediate danger ✓
C. Extinguish the fire using a fire extinguisher
D. Activate the fire alarm
, Rationale: The mnemonic RACE guides fire
response: Rescue anyone in immediate
danger, Alarm (activate the fire alarm), Confine
the fire by closing doors and windows,
and Extinguish if possible using a fire
extinguisher. Rescue is always the first priority.
4. A PN is caring for a client who is 2 hours
post-appendectomy and reports pain of 8 on a
0–10 scale. Which action should the PN take
first?
A. Administer prescribed PRN analgesic
B. Reposition the client for comfort
C. Assess the client's vital signs and surgical site
✓
D. Apply a warm compress to the incision
Rationale: The nurse must first assess the client
to ensure the pain is not a sign of a