COMPREHENSIVE NURSING PRACTICE
EXAM 200 Questions Covering All Major
Nursing Content Areas ALREADY
GRADED A+
1. The nurse is caring for a patient who is 2 days post-operative. The patient reports pain at
the incision site. The nurse administers the prescribed analgesic. One hour later, the nurse
reassesses the patient's pain level. This action is an example of which step of the nursing
process?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
Answer: D
Rationale: Reassessing after an intervention to determine if the goal was met is Evaluation (D).
The nursing process is ADPIE: Assessment, Diagnosis, Planning, Implementation, and Evaluation.
2. A patient is admitted with shortness of breath. The nurse gathers data including vital signs,
lung sounds, and the patient's medical history. This is an example of:
A. Objective data
B. Subjective data
C. Assessment
D. Implementation
Answer: C
Rationale: Gathering data is the Assessment phase of the nursing process (C). Objective data (A)
are measurable. Subjective data (B) are what the patient reports.
3. A patient tells the nurse, "I want to leave the hospital against medical advice." What is the
nurse's best initial response?
A. "You cannot leave; you are too sick."
B. "Let me call security to stop you."
1
, C. "I will call the healthcare provider to discuss your concerns."
D. "You are making a mistake."
Answer: C
Rationale: Patients have the right to leave AMA. The nurse should notify the provider (C) to
discuss the risks. Restraining (B) is false imprisonment. Judgmental statements (A, D) are not
therapeutic.
4. A nurse accidentally administers the wrong medication to a patient. What is the nurse's
first action?
A. Document the error in the patient's chart
B. Assess the patient for any adverse effects
C. Complete an incident report
D. Notify the charge nurse
Answer: B
Rationale: Patient safety is the priority. The nurse should first assess the patient (B) to check for
adverse reactions. Then notify the provider and charge nurse. An incident report is completed
but assessment comes first.
5. The nurse is preparing to perform hand hygiene. When should the nurse use an alcohol-
based hand sanitizer?
A. When hands are visibly soiled
B. Before entering a patient's room
C. After using the restroom
D. Before and after patient contact when hands are not visibly soiled
Answer: D
Rationale: Alcohol-based hand sanitizers are effective when hands are not visibly soiled (D).
Visibly soiled hands (A) or after the restroom (C) require soap and water.
6. A patient is on contact precautions for Clostridium difficile. Which disinfectant is effective
against C. diff spores?
A. Alcohol-based sanitizer
B. Chlorhexidine
C. Bleach solution (1:10)
D. Povidone-iodine
Answer: C
Rationale: C. difficile spores are resistant to alcohol. A bleach solution (1:10) is the
recommended disinfectant (C). Hand hygiene must be performed with soap and water.
2
, 7. A patient has a fall risk bracelet. Which nursing intervention is appropriate?
A. Keep the bed in the lowest position
B. Keep all four side rails up at all times
C. Keep the patient's room dark at night
D. Leave the patient unattended in the bathroom
Answer: A
Rationale: Keeping the bed in the lowest position (A) minimizes injury if the patient falls. Side
rails should not be all up (B) as this is considered a restraint.
8. A patient on a liquid diet is at risk for aspiration. Which position is safest for feeding?
A. Supine
B. Side-lying
C. High-Fowler's (sitting up at 90 degrees)
D. Trendelenburg
Answer: C
Rationale: High-Fowler's position (C) uses gravity to facilitate swallowing and reduce aspiration
risk. Supine (A) and Trendelenburg (D) increase aspiration risk.
9. A nurse is applying restraints to a patient. Which action is correct?
A. Tie restraints securely to the side rails
B. Ensure two fingers can fit between the restraint and the patient's skin
C. Secure the restraints tightly to prevent movement
D. Remove the restraints once the patient is asleep
Answer: B
Rationale: Restraints should be applied so that two fingers fit between the restraint and the
skin (B) to prevent skin breakdown. They should be tied to the bed frame (A), not side rails.
10. The nurse is preparing to use a fire extinguisher. The nurse remembers the PASS acronym.
What does PASS stand for?
A. Pull, Aim, Squeeze, Sweep
B. Push, Assess, Squeeze, Spray
C. Pull, Aim, Spray, Sweep
D. Push, Aim, Squeeze, Sweep
Answer: A
Rationale: PASS: Pull the pin, Aim at the base of the fire, Squeeze the handle, Sweep from side
to side (A).
3
, 11. A patient is on strict bed rest. Which complication is the patient at highest risk for?
A. Pneumonia
B. Pressure injuries
C. Urinary tract infection
D. Diarrhea
Answer: B
Rationale: Immobility causes prolonged pressure on bony prominences, leading to pressure
injuries (B). While pneumonia (A) and UTIs (C) are also risks, pressure injuries are the most
direct complication.
12. A nurse is turning a patient. Which principle of body mechanics is correct?
A. Bend at the waist to lift the patient
B. Use the strong muscles of the back to lift
C. Use the muscles of the legs and keep the back straight
D. Twist the body to reach the patient
Answer: C
Rationale: The nurse should use the leg muscles and keep the back straight (C) to prevent back
injury. Bending at the waist (A) or twisting (D) increases the risk of injury.
13. A patient has a stage 2 pressure injury on the heel. What is the characteristic of a stage 2
pressure injury?
A. Intact skin with non-blanchable redness
B. Partial-thickness loss of dermis presenting as a shallow open ulcer
C. Full-thickness skin loss with exposed bone
D. Full-thickness skin loss with undermining
Answer: B
Rationale: Stage 2 pressure injury (B) is partial-thickness skin loss with exposed dermis. Stage 1
(A) is intact skin with redness. Stage 4 (C) has full-thickness loss with bone exposure.
14. The nurse is assisting a patient with ambulation. The patient begins to fall. What should
the nurse do?
A. Grasp the patient's arm and pull them upright
B. Widen the base of support and gently lower the patient to the floor
C. Call for help immediately
D. Step away from the patient to avoid injury
Answer: B
Rationale: If a patient starts to fall, the nurse should widen their base of support and gently
lower the patient (B). This prevents injury to both the patient and the nurse.
4
EXAM 200 Questions Covering All Major
Nursing Content Areas ALREADY
GRADED A+
1. The nurse is caring for a patient who is 2 days post-operative. The patient reports pain at
the incision site. The nurse administers the prescribed analgesic. One hour later, the nurse
reassesses the patient's pain level. This action is an example of which step of the nursing
process?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
Answer: D
Rationale: Reassessing after an intervention to determine if the goal was met is Evaluation (D).
The nursing process is ADPIE: Assessment, Diagnosis, Planning, Implementation, and Evaluation.
2. A patient is admitted with shortness of breath. The nurse gathers data including vital signs,
lung sounds, and the patient's medical history. This is an example of:
A. Objective data
B. Subjective data
C. Assessment
D. Implementation
Answer: C
Rationale: Gathering data is the Assessment phase of the nursing process (C). Objective data (A)
are measurable. Subjective data (B) are what the patient reports.
3. A patient tells the nurse, "I want to leave the hospital against medical advice." What is the
nurse's best initial response?
A. "You cannot leave; you are too sick."
B. "Let me call security to stop you."
1
, C. "I will call the healthcare provider to discuss your concerns."
D. "You are making a mistake."
Answer: C
Rationale: Patients have the right to leave AMA. The nurse should notify the provider (C) to
discuss the risks. Restraining (B) is false imprisonment. Judgmental statements (A, D) are not
therapeutic.
4. A nurse accidentally administers the wrong medication to a patient. What is the nurse's
first action?
A. Document the error in the patient's chart
B. Assess the patient for any adverse effects
C. Complete an incident report
D. Notify the charge nurse
Answer: B
Rationale: Patient safety is the priority. The nurse should first assess the patient (B) to check for
adverse reactions. Then notify the provider and charge nurse. An incident report is completed
but assessment comes first.
5. The nurse is preparing to perform hand hygiene. When should the nurse use an alcohol-
based hand sanitizer?
A. When hands are visibly soiled
B. Before entering a patient's room
C. After using the restroom
D. Before and after patient contact when hands are not visibly soiled
Answer: D
Rationale: Alcohol-based hand sanitizers are effective when hands are not visibly soiled (D).
Visibly soiled hands (A) or after the restroom (C) require soap and water.
6. A patient is on contact precautions for Clostridium difficile. Which disinfectant is effective
against C. diff spores?
A. Alcohol-based sanitizer
B. Chlorhexidine
C. Bleach solution (1:10)
D. Povidone-iodine
Answer: C
Rationale: C. difficile spores are resistant to alcohol. A bleach solution (1:10) is the
recommended disinfectant (C). Hand hygiene must be performed with soap and water.
2
, 7. A patient has a fall risk bracelet. Which nursing intervention is appropriate?
A. Keep the bed in the lowest position
B. Keep all four side rails up at all times
C. Keep the patient's room dark at night
D. Leave the patient unattended in the bathroom
Answer: A
Rationale: Keeping the bed in the lowest position (A) minimizes injury if the patient falls. Side
rails should not be all up (B) as this is considered a restraint.
8. A patient on a liquid diet is at risk for aspiration. Which position is safest for feeding?
A. Supine
B. Side-lying
C. High-Fowler's (sitting up at 90 degrees)
D. Trendelenburg
Answer: C
Rationale: High-Fowler's position (C) uses gravity to facilitate swallowing and reduce aspiration
risk. Supine (A) and Trendelenburg (D) increase aspiration risk.
9. A nurse is applying restraints to a patient. Which action is correct?
A. Tie restraints securely to the side rails
B. Ensure two fingers can fit between the restraint and the patient's skin
C. Secure the restraints tightly to prevent movement
D. Remove the restraints once the patient is asleep
Answer: B
Rationale: Restraints should be applied so that two fingers fit between the restraint and the
skin (B) to prevent skin breakdown. They should be tied to the bed frame (A), not side rails.
10. The nurse is preparing to use a fire extinguisher. The nurse remembers the PASS acronym.
What does PASS stand for?
A. Pull, Aim, Squeeze, Sweep
B. Push, Assess, Squeeze, Spray
C. Pull, Aim, Spray, Sweep
D. Push, Aim, Squeeze, Sweep
Answer: A
Rationale: PASS: Pull the pin, Aim at the base of the fire, Squeeze the handle, Sweep from side
to side (A).
3
, 11. A patient is on strict bed rest. Which complication is the patient at highest risk for?
A. Pneumonia
B. Pressure injuries
C. Urinary tract infection
D. Diarrhea
Answer: B
Rationale: Immobility causes prolonged pressure on bony prominences, leading to pressure
injuries (B). While pneumonia (A) and UTIs (C) are also risks, pressure injuries are the most
direct complication.
12. A nurse is turning a patient. Which principle of body mechanics is correct?
A. Bend at the waist to lift the patient
B. Use the strong muscles of the back to lift
C. Use the muscles of the legs and keep the back straight
D. Twist the body to reach the patient
Answer: C
Rationale: The nurse should use the leg muscles and keep the back straight (C) to prevent back
injury. Bending at the waist (A) or twisting (D) increases the risk of injury.
13. A patient has a stage 2 pressure injury on the heel. What is the characteristic of a stage 2
pressure injury?
A. Intact skin with non-blanchable redness
B. Partial-thickness loss of dermis presenting as a shallow open ulcer
C. Full-thickness skin loss with exposed bone
D. Full-thickness skin loss with undermining
Answer: B
Rationale: Stage 2 pressure injury (B) is partial-thickness skin loss with exposed dermis. Stage 1
(A) is intact skin with redness. Stage 4 (C) has full-thickness loss with bone exposure.
14. The nurse is assisting a patient with ambulation. The patient begins to fall. What should
the nurse do?
A. Grasp the patient's arm and pull them upright
B. Widen the base of support and gently lower the patient to the floor
C. Call for help immediately
D. Step away from the patient to avoid injury
Answer: B
Rationale: If a patient starts to fall, the nurse should widen their base of support and gently
lower the patient (B). This prevents injury to both the patient and the nurse.
4
