NURSING LICENSURE
RN Comprehensive Online Practice 2023 B with Questions and
Verified Rationalized Answers, 100% Guarantee Pass 2026/2027
A+
Complete Blueprint Coverage
A+ 5 100%
QUESTIONS VERIFIED CLIENT NEED CATEGORIES RATIONALES INCLUDED
CATEGORIES
Safe and Effective Care Environment (Q1-Q15)
Health Promotion and Maintenance (Q16-Q30)
Psychosocial Integrity (Q31-Q45)
Physiological Integrity: Basic Care, Pharmacology, and Risk Reduction (Q46-Q60)
Physiological Integrity: Physiological Adaptation (Q61-Q75)
STUVIAACTUALEXAM
,EXAM INTRODUCTION
This examination assesses comprehensive nursing knowledge across client need categories aligned with RN licensure
standards. Content includes safe care, health promotion, psychosocial integrity, and physiological integrity. Each
question is worth one mark. A minimum score of 75 percent is required to pass. Select the single best answer.
SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT
Q1
A nurse is caring for four clients on a medical-surgical unit. One client requires blood administration, another is
post-operative day one after a colectomy with a new colostomy, a third has a continuous IV infusion of heparin, and a
fourth is scheduled for discharge. The charge nurse asks which client the nurse should assess first. Which client
should the nurse prioritize?
A. The client scheduled for discharge who needs teaching about home medications
B. The client receiving a blood transfusion who reports low back pain and chills
C. The client with a new colostomy who asks questions about pouch care
D. The client on heparin whose most recent aPTT is within therapeutic range
Correct Answer: B
Rationale:
Low back pain and chills during a transfusion are classic signs of an acute hemolytic reaction and require immediate intervention.
The other clients have needs that are important but not immediately life-threatening.
Q2
A nurse is preparing to administer medications to a client who has a nasogastric tube connected to intermittent suction.
The medication is an extended-release tablet. How should the nurse proceed?
A. Crush the tablet thoroughly and administer it through the nasogastric tube with water
B. Hold the medication and notify the provider that an alternate form is needed
C. Dissolve the tablet in warm water and instill it slowly into the tube
D. Disconnect the suction permanently so the medication can be absorbed
Correct Answer: B
Rationale:
Extended-release tablets must not be crushed because doing so alters the absorption profile and can cause toxicity. The nurse
should obtain an order for an appropriate alternate formulation.
Q3
A nurse is reviewing the plan of care for a client who has a stage 3 pressure injury. The wound care nurse
recommends a specific dressing change schedule. Which action by the staff nurse best demonstrates accountability?
A. Delegating the dressing change to an unlicensed assistive personnel without supervision
B. Performing the dressing change as ordered and documenting wound appearance and client response
C. Changing the dressing only when the client requests it to promote comfort
D. Waiting until the wound care nurse is available to perform every dressing change
Correct Answer: B
Rationale:
Accountability includes carrying out ordered care, assessing the wound, and documenting findings. UAP may assist with tasks but
wound assessment and sterile technique remain nursing responsibilities.
RN Comprehensive Online Practice 2023 B - 2026/2027 Page 2
, Q4
A nurse is caring for a client who is prescribed contact precautions for a multidrug-resistant organism. Which action is
most important when providing care?
A. Wearing a surgical mask whenever entering the room for any reason
B. Performing hand hygiene and donning gloves before entering the room and removing them before exit
C. Keeping the client door open to improve air circulation and reduce stigma
D. Using the same blood pressure cuff for this client and the client in the next room
Correct Answer: B
Rationale:
Contact precautions require gown and gloves for all contact with the client or environment, with strict hand hygiene. Masks are not
routinely required unless splash risk exists; equipment should be dedicated.
Q5
A nurse manager is reviewing incident reports from the past month. Several reports involve medication errors related to
look-alike packaging. Which action should the manager take first to improve safety?
A. Counsel each nurse who made an error and place a note in their personnel file
B. Analyze the system factors contributing to the errors and implement barcode scanning or separation of look-alike drugs
C. Require all nurses to retake the annual medication-administration examination
D. Increase the number of medication error reports required each month
Correct Answer: B
Rationale:
A systems approach identifies root causes such as packaging and storage and implements engineering controls. Punitive focus
alone does not prevent recurrence.
Q6
A nurse is floating to an unfamiliar unit and is assigned a client with a continuous insulin infusion. The nurse has never
managed an insulin drip. Which action is most appropriate?
A. Refuse the assignment without communicating the concern to the charge nurse
B. Inform the charge nurse of the lack of experience and request appropriate support or reassignment
C. Attempt to manage the infusion using general knowledge of subcutaneous insulin
D. Ask a family member to monitor the infusion pump for rate changes
Correct Answer: B
Rationale:
Nurses must accept assignments within their competence and communicate limitations so safe staffing adjustments can be made.
Refusing without discussion or practicing outside competence creates risk.
Q7
A nurse is preparing a client for a surgical procedure and is conducting the final time-out verification. The consent form
lists left knee arthroscopy, but the client states the right knee is the intended site. What should the nurse do?
A. Proceed with the left knee because the consent form is already signed
B. Stop the process and clarify the correct site with the surgeon and client before continuing
C. Change the consent form to the right knee without notifying the surgeon
D. Ask the circulating nurse to decide which knee is correct based on the schedule
Correct Answer: B
Rationale:
Any discrepancy identified during time-out requires immediate resolution with the surgical team and client. Proceeding with
unresolved site uncertainty violates Universal Protocol.
RN Comprehensive Online Practice 2023 B - 2026/2027 Page 3
RN Comprehensive Online Practice 2023 B with Questions and
Verified Rationalized Answers, 100% Guarantee Pass 2026/2027
A+
Complete Blueprint Coverage
A+ 5 100%
QUESTIONS VERIFIED CLIENT NEED CATEGORIES RATIONALES INCLUDED
CATEGORIES
Safe and Effective Care Environment (Q1-Q15)
Health Promotion and Maintenance (Q16-Q30)
Psychosocial Integrity (Q31-Q45)
Physiological Integrity: Basic Care, Pharmacology, and Risk Reduction (Q46-Q60)
Physiological Integrity: Physiological Adaptation (Q61-Q75)
STUVIAACTUALEXAM
,EXAM INTRODUCTION
This examination assesses comprehensive nursing knowledge across client need categories aligned with RN licensure
standards. Content includes safe care, health promotion, psychosocial integrity, and physiological integrity. Each
question is worth one mark. A minimum score of 75 percent is required to pass. Select the single best answer.
SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT
Q1
A nurse is caring for four clients on a medical-surgical unit. One client requires blood administration, another is
post-operative day one after a colectomy with a new colostomy, a third has a continuous IV infusion of heparin, and a
fourth is scheduled for discharge. The charge nurse asks which client the nurse should assess first. Which client
should the nurse prioritize?
A. The client scheduled for discharge who needs teaching about home medications
B. The client receiving a blood transfusion who reports low back pain and chills
C. The client with a new colostomy who asks questions about pouch care
D. The client on heparin whose most recent aPTT is within therapeutic range
Correct Answer: B
Rationale:
Low back pain and chills during a transfusion are classic signs of an acute hemolytic reaction and require immediate intervention.
The other clients have needs that are important but not immediately life-threatening.
Q2
A nurse is preparing to administer medications to a client who has a nasogastric tube connected to intermittent suction.
The medication is an extended-release tablet. How should the nurse proceed?
A. Crush the tablet thoroughly and administer it through the nasogastric tube with water
B. Hold the medication and notify the provider that an alternate form is needed
C. Dissolve the tablet in warm water and instill it slowly into the tube
D. Disconnect the suction permanently so the medication can be absorbed
Correct Answer: B
Rationale:
Extended-release tablets must not be crushed because doing so alters the absorption profile and can cause toxicity. The nurse
should obtain an order for an appropriate alternate formulation.
Q3
A nurse is reviewing the plan of care for a client who has a stage 3 pressure injury. The wound care nurse
recommends a specific dressing change schedule. Which action by the staff nurse best demonstrates accountability?
A. Delegating the dressing change to an unlicensed assistive personnel without supervision
B. Performing the dressing change as ordered and documenting wound appearance and client response
C. Changing the dressing only when the client requests it to promote comfort
D. Waiting until the wound care nurse is available to perform every dressing change
Correct Answer: B
Rationale:
Accountability includes carrying out ordered care, assessing the wound, and documenting findings. UAP may assist with tasks but
wound assessment and sterile technique remain nursing responsibilities.
RN Comprehensive Online Practice 2023 B - 2026/2027 Page 2
, Q4
A nurse is caring for a client who is prescribed contact precautions for a multidrug-resistant organism. Which action is
most important when providing care?
A. Wearing a surgical mask whenever entering the room for any reason
B. Performing hand hygiene and donning gloves before entering the room and removing them before exit
C. Keeping the client door open to improve air circulation and reduce stigma
D. Using the same blood pressure cuff for this client and the client in the next room
Correct Answer: B
Rationale:
Contact precautions require gown and gloves for all contact with the client or environment, with strict hand hygiene. Masks are not
routinely required unless splash risk exists; equipment should be dedicated.
Q5
A nurse manager is reviewing incident reports from the past month. Several reports involve medication errors related to
look-alike packaging. Which action should the manager take first to improve safety?
A. Counsel each nurse who made an error and place a note in their personnel file
B. Analyze the system factors contributing to the errors and implement barcode scanning or separation of look-alike drugs
C. Require all nurses to retake the annual medication-administration examination
D. Increase the number of medication error reports required each month
Correct Answer: B
Rationale:
A systems approach identifies root causes such as packaging and storage and implements engineering controls. Punitive focus
alone does not prevent recurrence.
Q6
A nurse is floating to an unfamiliar unit and is assigned a client with a continuous insulin infusion. The nurse has never
managed an insulin drip. Which action is most appropriate?
A. Refuse the assignment without communicating the concern to the charge nurse
B. Inform the charge nurse of the lack of experience and request appropriate support or reassignment
C. Attempt to manage the infusion using general knowledge of subcutaneous insulin
D. Ask a family member to monitor the infusion pump for rate changes
Correct Answer: B
Rationale:
Nurses must accept assignments within their competence and communicate limitations so safe staffing adjustments can be made.
Refusing without discussion or practicing outside competence creates risk.
Q7
A nurse is preparing a client for a surgical procedure and is conducting the final time-out verification. The consent form
lists left knee arthroscopy, but the client states the right knee is the intended site. What should the nurse do?
A. Proceed with the left knee because the consent form is already signed
B. Stop the process and clarify the correct site with the surgeon and client before continuing
C. Change the consent form to the right knee without notifying the surgeon
D. Ask the circulating nurse to decide which knee is correct based on the schedule
Correct Answer: B
Rationale:
Any discrepancy identified during time-out requires immediate resolution with the surgical team and client. Proceeding with
unresolved site uncertainty violates Universal Protocol.
RN Comprehensive Online Practice 2023 B - 2026/2027 Page 3
