N102 Exam 1 Practice Questions With
Complete Answers
A nurse is completing a comprehensive health assessment. Which finding is subjective
data? A. Blood pressure 138/84 B. Patient reports chest pain rated 7/10 C. BMI 31 D.
Irregular heart rhythm - ANSWER B. Patient reports chest pain rated 7/10
A nurse is performing a health assessment for a patient with limited English proficiency.
Which action best demonstrates culturally competent care? A. Ask a family member to
translate B. Speak louder and slower C. Use a professional medical interpreter D. Avoid
asking sensitive questions - ANSWER C. Use a professional medical interpreter
During the general survey, which finding requires immediate follow-up by the nurse? A.
BMI of 27 B. Slouched posture C. Poor hygiene D. Shortness of breath at rest -
ANSWER D. Shortness of breath at rest
A patient is alert and oriented to person, place, and situation but states the incorrect
year. How should the nurse document this? A. Alert and oriented ×4 B. Alert and
oriented ×2 C. Alert and oriented ×3 D. Disoriented - ANSWER C. Alert and oriented ×3
Which Mini-Cog finding suggests possible cognitive impairment? A. Correct word recall
and normal clock drawing B. Oriented to person C. Incorrect clock drawing D. Able to
follow commands - ANSWER C. Incorrect clock drawing
Which assessment finding is most consistent with delirium? A. Gradual memory loss
over several years B. Sudden confusion after surgery C. Clear consciousness with mild
forgetfulness D. Progressive decline in ADLs - ANSWER B. Sudden confusion after
surgery
A patient with dementia becomes increasingly agitated in the late afternoon. Which
nursing intervention is most appropriate? A. Increase environmental stimulation B.
Change caregivers frequently C. Maintain a consistent routine D. Restrict family visits -
ANSWER C. Maintain a consistent routine
Which nursing action is the priority for a hospitalized patient experiencing delirium? A.
Administer antipsychotic medication B. Apply physical restraints C. Identify and correct
the underlying cause D. Reorient the patient once per shift - ANSWER C. Identify and
correct the underlying cause
, A nurse is caring for an older adult with cognitive impairment. Which intervention best
promotes safety? A. Keep lights off to promote rest B. Apply restraints PRN C.
Implement fall precautions D. Limit family involvement - ANSWER C. Implement fall
precautions
Which characteristic helps differentiate delirium from dementia? A. Dementia has
sudden onset B. Delirium is progressive C. Delirium is often reversible D. Dementia
fluctuates daily - ANSWER C. Delirium is often reversible
NCLEX: Which nursing action best demonstrates medical asepsis? A. Donning sterile
gloves for vital signs B. Performing hand hygiene before and after patient contact C.
Using a sterile field for oral meds D. Wearing an N95 respirator - ANSWER **Correct
Answer: B**
NCLEX: The primary purpose of medical asepsis is to:A. Eliminate all microorganisms
B. Prevent healthcare-associated infections C. Sterilize invasive equipment D. Treat
existing infections - ANSWER **Correct Answer: B**
NCLEX: Which nursing action most effectively interrupts the mode of transmission in the
chain of infection?A. Administering antibiotics B. Performing hand hygiene C. Applying a
sterile dressing D. Monitoring temperature - ANSWER **Correct Answer: B**
NCLEX: A nurse removes gloves after wound care. What action should be performed
next? A. Apply new gloves B. Leave the room C. Perform hand hygiene D. Document
findings - ANSWER **Correct Answer: C**
NCLEX: Which situation requires the nurse to wash hands with soap and water instead
of using alcohol-based sanitizer? A. Before administering oral medication B. After caring
for a patient with MRSA C. After contact with bed rails D. After caring for a patient with
C. difficile - ANSWER **Correct Answer: D**
NCLEX: Which statement by a student nurse indicates correct understanding of hand
hygiene? A. "Gloves replace handwashing." B. "Hand hygiene is only needed when
hands are dirty." C. "Hand hygiene is required before and after glove use." D. "Alcohol
sanitizer kills all organisms." - ANSWER **Correct Answer: C**
NCLEX: Which action by the nurse best prevents back injury during patient transfers?
A. Bending at the waist B. Twisting while lifting C. Using leg muscles to lift D. Keeping
feet together - ANSWER **Correct Answer: C**
NCLEX: A patient cannot bear weight during a transfer. What is the safest nursing
intervention? A. Use a gait belt B. Ask the patient to help as much as possible C. Use a
mechanical lift D. Transfer the patient alone - ANSWER **Correct Answer: C**
Complete Answers
A nurse is completing a comprehensive health assessment. Which finding is subjective
data? A. Blood pressure 138/84 B. Patient reports chest pain rated 7/10 C. BMI 31 D.
Irregular heart rhythm - ANSWER B. Patient reports chest pain rated 7/10
A nurse is performing a health assessment for a patient with limited English proficiency.
Which action best demonstrates culturally competent care? A. Ask a family member to
translate B. Speak louder and slower C. Use a professional medical interpreter D. Avoid
asking sensitive questions - ANSWER C. Use a professional medical interpreter
During the general survey, which finding requires immediate follow-up by the nurse? A.
BMI of 27 B. Slouched posture C. Poor hygiene D. Shortness of breath at rest -
ANSWER D. Shortness of breath at rest
A patient is alert and oriented to person, place, and situation but states the incorrect
year. How should the nurse document this? A. Alert and oriented ×4 B. Alert and
oriented ×2 C. Alert and oriented ×3 D. Disoriented - ANSWER C. Alert and oriented ×3
Which Mini-Cog finding suggests possible cognitive impairment? A. Correct word recall
and normal clock drawing B. Oriented to person C. Incorrect clock drawing D. Able to
follow commands - ANSWER C. Incorrect clock drawing
Which assessment finding is most consistent with delirium? A. Gradual memory loss
over several years B. Sudden confusion after surgery C. Clear consciousness with mild
forgetfulness D. Progressive decline in ADLs - ANSWER B. Sudden confusion after
surgery
A patient with dementia becomes increasingly agitated in the late afternoon. Which
nursing intervention is most appropriate? A. Increase environmental stimulation B.
Change caregivers frequently C. Maintain a consistent routine D. Restrict family visits -
ANSWER C. Maintain a consistent routine
Which nursing action is the priority for a hospitalized patient experiencing delirium? A.
Administer antipsychotic medication B. Apply physical restraints C. Identify and correct
the underlying cause D. Reorient the patient once per shift - ANSWER C. Identify and
correct the underlying cause
, A nurse is caring for an older adult with cognitive impairment. Which intervention best
promotes safety? A. Keep lights off to promote rest B. Apply restraints PRN C.
Implement fall precautions D. Limit family involvement - ANSWER C. Implement fall
precautions
Which characteristic helps differentiate delirium from dementia? A. Dementia has
sudden onset B. Delirium is progressive C. Delirium is often reversible D. Dementia
fluctuates daily - ANSWER C. Delirium is often reversible
NCLEX: Which nursing action best demonstrates medical asepsis? A. Donning sterile
gloves for vital signs B. Performing hand hygiene before and after patient contact C.
Using a sterile field for oral meds D. Wearing an N95 respirator - ANSWER **Correct
Answer: B**
NCLEX: The primary purpose of medical asepsis is to:A. Eliminate all microorganisms
B. Prevent healthcare-associated infections C. Sterilize invasive equipment D. Treat
existing infections - ANSWER **Correct Answer: B**
NCLEX: Which nursing action most effectively interrupts the mode of transmission in the
chain of infection?A. Administering antibiotics B. Performing hand hygiene C. Applying a
sterile dressing D. Monitoring temperature - ANSWER **Correct Answer: B**
NCLEX: A nurse removes gloves after wound care. What action should be performed
next? A. Apply new gloves B. Leave the room C. Perform hand hygiene D. Document
findings - ANSWER **Correct Answer: C**
NCLEX: Which situation requires the nurse to wash hands with soap and water instead
of using alcohol-based sanitizer? A. Before administering oral medication B. After caring
for a patient with MRSA C. After contact with bed rails D. After caring for a patient with
C. difficile - ANSWER **Correct Answer: D**
NCLEX: Which statement by a student nurse indicates correct understanding of hand
hygiene? A. "Gloves replace handwashing." B. "Hand hygiene is only needed when
hands are dirty." C. "Hand hygiene is required before and after glove use." D. "Alcohol
sanitizer kills all organisms." - ANSWER **Correct Answer: C**
NCLEX: Which action by the nurse best prevents back injury during patient transfers?
A. Bending at the waist B. Twisting while lifting C. Using leg muscles to lift D. Keeping
feet together - ANSWER **Correct Answer: C**
NCLEX: A patient cannot bear weight during a transfer. What is the safest nursing
intervention? A. Use a gait belt B. Ask the patient to help as much as possible C. Use a
mechanical lift D. Transfer the patient alone - ANSWER **Correct Answer: C**
