, • Management of Care (Ques ons 1-60)
• Safety and Infec on Control (Ques ons 61-120)
• Health Promo on and Maintenance (Ques ons 121-180)
• Psychosocial Integrity (Ques ons 181-240)
• Basic Care and Comfort / Physiological Adapta on (Ques ons 241-300)
SECTION A: MANAGEMENT OF CARE (Questions 1-60)
1. A nurse is preparing to care for a pa ent with Clostridioides difficile (C. diff). Which
precau on is required?
A) Airborne precau ons
B) Droplet precau ons
C) Contact precau ons
D) Standard precau ons only
Correct Answer: C
Ra onale: C. difficile is spread via spores and requires contact precau ons, including gown,
gloves, and handwashing with soap and water. Alcohol-based hand sani zers do NOT kill C. diff
spores, so soap and water must be used for hand hygiene .
2. A nurse is planning care for a group of clients. Which of the following tasks should the
nurse delegate to an assis ve personnel (AP)?
A) Changing the dressing for a client who has a stage 3 pressure injury
B) Determining a client's response to a diure c
C) Comparing radial pulses for a client who is postopera ve
D) Providing postmortem care to a client
Correct Answer: D
,Ra onale: Providing postmortem care is a rou ne, noninvasive task that can be delegated to AP.
Dressing changes, assessment, and evalua on require licensed nursing judgment and cannot be
delegated to unlicensed personnel. The nurse retains responsibility for assessment, evalua on,
and any task requiring clinical judgment .
3. A nurse is caring for a client on contact precau ons. Which of the following ac ons should
the nurse take?
A) Place the client in a nega ve pressure room
B) Wear an N95 respirator when entering the room
C) Wear a gown and gloves when providing care
D) Keep the door closed at all mes
Correct Answer: C
Ra onale: Contact precau ons require gown and gloves for all staff entering the room. Nega ve
pressure and N95 respirators are for airborne precau ons. Door closure is required for airborne
precau ons, not contact precau ons. Contact precau ons are used for infec ons such as C.
difficile, MRSA, and VRE .
4. A nurse is reviewing documenta on with a group of newly licensed nurses. Which of the
following legal guidelines should be followed when documen ng in a client's record? (Select
all that apply)
A) Cover errors with correc on fluid, and write in the correct informa on
B) Put the date and me on all entries
C) Document objec ve data, leaving out opinions
D) Use as many abbrevia ons as possible
E) Wait un l the end of the shi to document
Correct Answer: B, C
Ra onale: The nurse should ensure that the day and me confirm the recording of the correct
sequence of events. Documenta on should be factual, descrip ve, and objec ve, without
opinions or cri cism. Correc on fluid implies an a empt to hide or deface the medical record.
Too many abbrevia ons can make the entry difficult to understand. Documenta on should be
current; wai ng un l the end of the shi can result in data omission .
, 5. A nurse is explaining ethics and values to a newly licensed nurse. The nurse should explain
that allowing a client to make a decision about a treatment is an example of which of the
following ethical principles?
A) Jus ce
B) Autonomy
C) Fidelity
D) Veracity
Correct Answer: B
Ra onale: Autonomy refers to self-determina on, or the right of a client to make their own
decisions about their care. Jus ce relates to fairness. Fidelity relates to loyalty. Veracity relates
to truth-telling .
6. A nurse fails to lock the brakes on a wheelchair before transferring a client, resul ng in the
client falling and fracturing a hip. For which inten onal tort can the nurse be held liable?
A) Ba ery
B) Assault
C) False imprisonment
D) Negligence
Correct Answer: D
Ra onale: Negligence is an uninten onal tort involving the failure to act as a reasonably
prudent professional would, leading to harm. Failing to lock the brakes is a breach of duty.
Assault and ba ery are inten onal torts involving threats or unwanted touching. This ac on was
not inten onal .
7. A charge nurse smells smoke, enters the visitor restroom, and sees flames in the trash can.
What is the correct sequence of ac ons that the nurse should take?
A) Use a fire ex nguisher, pull the alarm, evacuate clients, close the doors
B) Evacuate clients from the area, pull the fire alarm, close the fire doors, use a fire ex nguisher
C) Pull the fire alarm, evacuate clients, use a fire ex nguisher, close the doors
D) Close the fire doors, evacuate clients, use a fire ex nguisher, pull the alarm
Correct Answer: B
• Safety and Infec on Control (Ques ons 61-120)
• Health Promo on and Maintenance (Ques ons 121-180)
• Psychosocial Integrity (Ques ons 181-240)
• Basic Care and Comfort / Physiological Adapta on (Ques ons 241-300)
SECTION A: MANAGEMENT OF CARE (Questions 1-60)
1. A nurse is preparing to care for a pa ent with Clostridioides difficile (C. diff). Which
precau on is required?
A) Airborne precau ons
B) Droplet precau ons
C) Contact precau ons
D) Standard precau ons only
Correct Answer: C
Ra onale: C. difficile is spread via spores and requires contact precau ons, including gown,
gloves, and handwashing with soap and water. Alcohol-based hand sani zers do NOT kill C. diff
spores, so soap and water must be used for hand hygiene .
2. A nurse is planning care for a group of clients. Which of the following tasks should the
nurse delegate to an assis ve personnel (AP)?
A) Changing the dressing for a client who has a stage 3 pressure injury
B) Determining a client's response to a diure c
C) Comparing radial pulses for a client who is postopera ve
D) Providing postmortem care to a client
Correct Answer: D
,Ra onale: Providing postmortem care is a rou ne, noninvasive task that can be delegated to AP.
Dressing changes, assessment, and evalua on require licensed nursing judgment and cannot be
delegated to unlicensed personnel. The nurse retains responsibility for assessment, evalua on,
and any task requiring clinical judgment .
3. A nurse is caring for a client on contact precau ons. Which of the following ac ons should
the nurse take?
A) Place the client in a nega ve pressure room
B) Wear an N95 respirator when entering the room
C) Wear a gown and gloves when providing care
D) Keep the door closed at all mes
Correct Answer: C
Ra onale: Contact precau ons require gown and gloves for all staff entering the room. Nega ve
pressure and N95 respirators are for airborne precau ons. Door closure is required for airborne
precau ons, not contact precau ons. Contact precau ons are used for infec ons such as C.
difficile, MRSA, and VRE .
4. A nurse is reviewing documenta on with a group of newly licensed nurses. Which of the
following legal guidelines should be followed when documen ng in a client's record? (Select
all that apply)
A) Cover errors with correc on fluid, and write in the correct informa on
B) Put the date and me on all entries
C) Document objec ve data, leaving out opinions
D) Use as many abbrevia ons as possible
E) Wait un l the end of the shi to document
Correct Answer: B, C
Ra onale: The nurse should ensure that the day and me confirm the recording of the correct
sequence of events. Documenta on should be factual, descrip ve, and objec ve, without
opinions or cri cism. Correc on fluid implies an a empt to hide or deface the medical record.
Too many abbrevia ons can make the entry difficult to understand. Documenta on should be
current; wai ng un l the end of the shi can result in data omission .
, 5. A nurse is explaining ethics and values to a newly licensed nurse. The nurse should explain
that allowing a client to make a decision about a treatment is an example of which of the
following ethical principles?
A) Jus ce
B) Autonomy
C) Fidelity
D) Veracity
Correct Answer: B
Ra onale: Autonomy refers to self-determina on, or the right of a client to make their own
decisions about their care. Jus ce relates to fairness. Fidelity relates to loyalty. Veracity relates
to truth-telling .
6. A nurse fails to lock the brakes on a wheelchair before transferring a client, resul ng in the
client falling and fracturing a hip. For which inten onal tort can the nurse be held liable?
A) Ba ery
B) Assault
C) False imprisonment
D) Negligence
Correct Answer: D
Ra onale: Negligence is an uninten onal tort involving the failure to act as a reasonably
prudent professional would, leading to harm. Failing to lock the brakes is a breach of duty.
Assault and ba ery are inten onal torts involving threats or unwanted touching. This ac on was
not inten onal .
7. A charge nurse smells smoke, enters the visitor restroom, and sees flames in the trash can.
What is the correct sequence of ac ons that the nurse should take?
A) Use a fire ex nguisher, pull the alarm, evacuate clients, close the doors
B) Evacuate clients from the area, pull the fire alarm, close the fire doors, use a fire ex nguisher
C) Pull the fire alarm, evacuate clients, use a fire ex nguisher, close the doors
D) Close the fire doors, evacuate clients, use a fire ex nguisher, pull the alarm
Correct Answer: B
