Comprehensive Nursing
Skills Exam 2026 | Practice
Questions, Answers,
Rationales & Complete
Skills Review | Complete
Ethics Study Guide
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included
,Exam 1 Module 1-5
1. A patient is admitted with a stroke. The outcome of this d. Joint mobility maintained.
disorder is uncertain, but the patient is unable to move the Rationale: When patients cannot participate in active ROM, maintain joint mobility
right arm and leg. The nurse starts passive range-of- and prevent contractures by implementing passive ROM into the plan of care.
motion (ROM) exercises. Which finding indicates Exercise and active ROM can improve muscle strength. ROM is not performed for
successful goal achievement? the heart but for the joints
a. Heart rate decreased.
b. Contractures developed.
c. Muscle strength improved.
d. Joint mobility maintained.
2. A nurse is preparing to move a patient who is able to b, e, f
assist. Which principles will the nurse consider when Rationale: When a patient is able to assist, remember the following principles: The
planning for safe patient handling? (Select all that apply.) wider the base of support, the greater the stability of the nurse; the lower the center
a. Keep the body's center of gravity high. of gravity, the greater the stability of the nurse; facing the direction of movement
b. Face the direction of the movement. prevents abnormal twisting of the spine. The use of assistive equipment and
c. Keep the base of support narrow. continued use of proper body mechanics significantly reduces the risk of
d. Use the under-axilla technique. musculoskeletal injuries. Use arms and legs (not back) because the leg muscles are
e. Use proper body mechanics. stronger, larger muscles capable of greater work without injury. The under-axilla
f. Use arms and legs. technique is physically stressful for nurses and uncomfortable for patients.
3. A nurse reviews the history of a newly admitted patient. d. Orthostatic hypotension
Which finding will alert the nurse that the patient is at risk Rationale: Numerous factors increase the risk of falls, including a history of falling,
for falls? being age 65 or over, reduced vision, orthostatic hypotension, lower extremity
a. 55 years old weakness, gait and balance problems, urinary incontinence, improper use of
b. 20/20 vision walking aids, and the effects of various medications (e.g., anticonvulsants,
c. Urinary continence hypnotics, sedatives, certain analgesics).
d. Orthostatic hypotension
4. The nurse is caring for a patient who suddenly becomes a. Assess the patient
confused and tries to remove an intravenous (IV) infusion. Rationale: When a patient becomes suddenly confused, the priority is to assess the
Which priority action will the nurse take? patient, to identify the reason for the change in behavior, and to try to eliminate the
a. Assess the patient. cause. If interventions and alternatives are exhausted, the nurse working with the
b. Gather restraint supplies. health care provider may determine the need for restraints.
c. Try alternatives to restraint.
d. Call the health care provider for a restraint order.
5. A nurse is providing a passive range of motion (ROM) d. Each movement is moved just to the point of resistance by the nurse.
for a patient with impaired mobility. Which technique will
the nurse use for each movement?
a. Each movement is repeated 5 times by the patient.
b. Each movement is performed until the patient
experiences pain.
c. Each movement is completed quickly and smoothly by
the nurse.
d. Each movement is moved just to the point of resistance
by the nurse.
6. A nurse is preparing to reposition a patient. Which task b. Changing the patient's position
can the nurse delegate to the nursing assistive personnel?
a. Determining the level of comfort
b. Changing the patient's position
c. Identifying immobility hazards
d. Assessing circulation
7. The patient has been in bed for several days and needs b. Dangle the patient at the bedside.
to be ambulated. Which action will the nurse take first?
a. Maintain a narrow base of support.
b. Dangle the patient at the bedside.
c. Encourage isometric exercises.
d. Suggest a high-calcium diet.
, 8. The nurse needs to move a patient up in bed using a c. 3, 4, 1, 5, 6, 2
drawsheet. The nurse has another nurse helping. In which
order will the nurses perform the steps, beginning with the
first one?
1. Grasp the drawsheet firmly near the patient.
2. Move the patient and drawsheet to the desired position.
3. Position one nurse at each side of the bed.
4. Place the drawsheet under the patient from shoulder to
thigh.
5. Place your feet apart with a forward-backward stance.
6. Flex knees and hips and on count of three shift weight
from the front to back leg.
a. 1, 4, 5, 6, 3, 2
b. 4, 1, 3, 5, 6, 2
c. 3, 4, 1, 5, 6, 2
d. 5, 6, 3, 1, 4, 2
9. Which behaviors indicate the student nurse has a good d, e
understanding of confidentiality and the Health Insurance Rationale: When you are a student in a clinical setting, confidentiality and
Portability and Accountability Act (HIPAA)? (Select all that compliance with HIPAA are part of professional practice. Reading the progress
apply.) notes of an assigned patient's record and giving a change-of-shift report to the
a. Writes the patient's room number and date of birth on a oncoming nurse about the patient are behaviors that follow HIPAA and
paper for school confidentiality guidelines. Do not share information with other patients or health care
b. Prints/copies material from the patient's health record team members who are not caring for a patient. Not only is it unethical to view
for a graded care plan medical records of other patients, but breaches of confidentiality lead to disciplinary
c. Reviews assigned patient's record and another action by employers and dismissal from work or nursing school. To protect patient
unassigned patient's record confidentiality, ensure that written materials used in your student clinical practice do
d. Gives a change-of-shift report to the oncoming nurse not include patient identifiers (e.g., room number, date of birth, demographic
about the patient information), and never print material from an electronic health record for personal
e. Reads the progress notes of assigned patient's record use.
f. Discusses patient care with the hospital volunteer
10. A nurse is using a guide that provides principles of right a. Code of Ethics
and wrong to provide care to patients. Which guide is the Rationale: The code of ethics is the philosophical ideals of right and wrong that
nurse using? define the principles you will use to provide care to your patients. The Standards of
a. Code of ethics Practice describe a competent level of nursing care. The ANA Standards of
b. Standards of practice Professional Performance describe a competent level of behavior in the
c. Standards of professional performance professional role. Quality and safety education for nurses addresses the challenge
d. Quality and safety education for nurses to prepare nurses with the competencies needed to continuously improve the
quality of care in their work environments.
11. While providing care to a patient, the nurse is b. Accountability
responsible, both professionally and legally. Which concept Rationale: Accountability means that the nurse is responsible, professionally and
does this describe? legally, for the type and quality of nursing care provided. Autonomy is an essential
a. Autonomy element of professional nursing that involves the initiation of independent nursing
b. Accountability interventions without medical orders. As a patient advocate, the nurse protects the
c. Patient advocacy patient's human and legal rights and provides assistance in asserting these rights if
d. Patient education the need arises. As an educator, the nurse explains concepts and facts about
health, describes the reasons for routine care activities, demonstrates procedures
such as self-care activities, reinforces learning or patient behavior, and evaluates
the patient's progress in learning.
12. The nurse is caring for an older adult patient who has a. Encourage the patient to perform as many self-care activities as possible.
been diagnosed with a stroke. Which intervention will the
nurse add to the care plan?
a. Encourage the patient to perform as many self-care
activities as possible.
b. Provide a complete bed bath to promote patient comfort.
c. Coordinate with occupational therapy for gait training.
d. Place the patient on bed rest to prevent fatigue.
Skills Exam 2026 | Practice
Questions, Answers,
Rationales & Complete
Skills Review | Complete
Ethics Study Guide
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included
,Exam 1 Module 1-5
1. A patient is admitted with a stroke. The outcome of this d. Joint mobility maintained.
disorder is uncertain, but the patient is unable to move the Rationale: When patients cannot participate in active ROM, maintain joint mobility
right arm and leg. The nurse starts passive range-of- and prevent contractures by implementing passive ROM into the plan of care.
motion (ROM) exercises. Which finding indicates Exercise and active ROM can improve muscle strength. ROM is not performed for
successful goal achievement? the heart but for the joints
a. Heart rate decreased.
b. Contractures developed.
c. Muscle strength improved.
d. Joint mobility maintained.
2. A nurse is preparing to move a patient who is able to b, e, f
assist. Which principles will the nurse consider when Rationale: When a patient is able to assist, remember the following principles: The
planning for safe patient handling? (Select all that apply.) wider the base of support, the greater the stability of the nurse; the lower the center
a. Keep the body's center of gravity high. of gravity, the greater the stability of the nurse; facing the direction of movement
b. Face the direction of the movement. prevents abnormal twisting of the spine. The use of assistive equipment and
c. Keep the base of support narrow. continued use of proper body mechanics significantly reduces the risk of
d. Use the under-axilla technique. musculoskeletal injuries. Use arms and legs (not back) because the leg muscles are
e. Use proper body mechanics. stronger, larger muscles capable of greater work without injury. The under-axilla
f. Use arms and legs. technique is physically stressful for nurses and uncomfortable for patients.
3. A nurse reviews the history of a newly admitted patient. d. Orthostatic hypotension
Which finding will alert the nurse that the patient is at risk Rationale: Numerous factors increase the risk of falls, including a history of falling,
for falls? being age 65 or over, reduced vision, orthostatic hypotension, lower extremity
a. 55 years old weakness, gait and balance problems, urinary incontinence, improper use of
b. 20/20 vision walking aids, and the effects of various medications (e.g., anticonvulsants,
c. Urinary continence hypnotics, sedatives, certain analgesics).
d. Orthostatic hypotension
4. The nurse is caring for a patient who suddenly becomes a. Assess the patient
confused and tries to remove an intravenous (IV) infusion. Rationale: When a patient becomes suddenly confused, the priority is to assess the
Which priority action will the nurse take? patient, to identify the reason for the change in behavior, and to try to eliminate the
a. Assess the patient. cause. If interventions and alternatives are exhausted, the nurse working with the
b. Gather restraint supplies. health care provider may determine the need for restraints.
c. Try alternatives to restraint.
d. Call the health care provider for a restraint order.
5. A nurse is providing a passive range of motion (ROM) d. Each movement is moved just to the point of resistance by the nurse.
for a patient with impaired mobility. Which technique will
the nurse use for each movement?
a. Each movement is repeated 5 times by the patient.
b. Each movement is performed until the patient
experiences pain.
c. Each movement is completed quickly and smoothly by
the nurse.
d. Each movement is moved just to the point of resistance
by the nurse.
6. A nurse is preparing to reposition a patient. Which task b. Changing the patient's position
can the nurse delegate to the nursing assistive personnel?
a. Determining the level of comfort
b. Changing the patient's position
c. Identifying immobility hazards
d. Assessing circulation
7. The patient has been in bed for several days and needs b. Dangle the patient at the bedside.
to be ambulated. Which action will the nurse take first?
a. Maintain a narrow base of support.
b. Dangle the patient at the bedside.
c. Encourage isometric exercises.
d. Suggest a high-calcium diet.
, 8. The nurse needs to move a patient up in bed using a c. 3, 4, 1, 5, 6, 2
drawsheet. The nurse has another nurse helping. In which
order will the nurses perform the steps, beginning with the
first one?
1. Grasp the drawsheet firmly near the patient.
2. Move the patient and drawsheet to the desired position.
3. Position one nurse at each side of the bed.
4. Place the drawsheet under the patient from shoulder to
thigh.
5. Place your feet apart with a forward-backward stance.
6. Flex knees and hips and on count of three shift weight
from the front to back leg.
a. 1, 4, 5, 6, 3, 2
b. 4, 1, 3, 5, 6, 2
c. 3, 4, 1, 5, 6, 2
d. 5, 6, 3, 1, 4, 2
9. Which behaviors indicate the student nurse has a good d, e
understanding of confidentiality and the Health Insurance Rationale: When you are a student in a clinical setting, confidentiality and
Portability and Accountability Act (HIPAA)? (Select all that compliance with HIPAA are part of professional practice. Reading the progress
apply.) notes of an assigned patient's record and giving a change-of-shift report to the
a. Writes the patient's room number and date of birth on a oncoming nurse about the patient are behaviors that follow HIPAA and
paper for school confidentiality guidelines. Do not share information with other patients or health care
b. Prints/copies material from the patient's health record team members who are not caring for a patient. Not only is it unethical to view
for a graded care plan medical records of other patients, but breaches of confidentiality lead to disciplinary
c. Reviews assigned patient's record and another action by employers and dismissal from work or nursing school. To protect patient
unassigned patient's record confidentiality, ensure that written materials used in your student clinical practice do
d. Gives a change-of-shift report to the oncoming nurse not include patient identifiers (e.g., room number, date of birth, demographic
about the patient information), and never print material from an electronic health record for personal
e. Reads the progress notes of assigned patient's record use.
f. Discusses patient care with the hospital volunteer
10. A nurse is using a guide that provides principles of right a. Code of Ethics
and wrong to provide care to patients. Which guide is the Rationale: The code of ethics is the philosophical ideals of right and wrong that
nurse using? define the principles you will use to provide care to your patients. The Standards of
a. Code of ethics Practice describe a competent level of nursing care. The ANA Standards of
b. Standards of practice Professional Performance describe a competent level of behavior in the
c. Standards of professional performance professional role. Quality and safety education for nurses addresses the challenge
d. Quality and safety education for nurses to prepare nurses with the competencies needed to continuously improve the
quality of care in their work environments.
11. While providing care to a patient, the nurse is b. Accountability
responsible, both professionally and legally. Which concept Rationale: Accountability means that the nurse is responsible, professionally and
does this describe? legally, for the type and quality of nursing care provided. Autonomy is an essential
a. Autonomy element of professional nursing that involves the initiation of independent nursing
b. Accountability interventions without medical orders. As a patient advocate, the nurse protects the
c. Patient advocacy patient's human and legal rights and provides assistance in asserting these rights if
d. Patient education the need arises. As an educator, the nurse explains concepts and facts about
health, describes the reasons for routine care activities, demonstrates procedures
such as self-care activities, reinforces learning or patient behavior, and evaluates
the patient's progress in learning.
12. The nurse is caring for an older adult patient who has a. Encourage the patient to perform as many self-care activities as possible.
been diagnosed with a stroke. Which intervention will the
nurse add to the care plan?
a. Encourage the patient to perform as many self-care
activities as possible.
b. Provide a complete bed bath to promote patient comfort.
c. Coordinate with occupational therapy for gait training.
d. Place the patient on bed rest to prevent fatigue.
