NUR 1020 vSim “JackSoN WebbeR”
Exam updated 2026 with correct
answers and rationale graded A+
new!!
1. A patient reports difficulty breathing and is visibly anxious. What is the nurse’s first priority?
A. Teach breathing techniques
B. Assess airway patency and respiratory status
C. Obtain a medication list
D. Recheck vital signs in 30 minutes
Answer: B
Rationale: First priority is assessing airway/breathing (ABC).
2. Which action best demonstrates therapeutic communication?
A. “I know exactly how you feel.”
B. “Tell me more about what scares you.”
C. “That’s not that serious.”
D. “You should be grateful.”
Answer: B
Rationale: Encourages expression and is nonjudgmental.
3. A nurse is preparing to perform hand hygiene. When is the best time to use alcohol-based
sanitizer?
A. After contact with visible body fluids
B. Before touching a patient
C. When hands are visibly soiled
D. Only after removing gloves
,Answer: B
Rationale: Use before patient contact and when hands aren’t visibly dirty.
4. The nurse is using SBAR to communicate with the provider. What does “R” stand for?
A. Reporting
B. Recommendations
C. Response
D. Readback
Answer: B
Rationale: SBAR = Situation, Background, Assessment, Recommendation.
5. A patient’s blood pressure drops from 132/78 to 98/60 upon standing. What should the nurse do
next?
A. Document only
B. Encourage walking to test symptoms
C. Assess for orthostatic hypotension symptoms and monitor patient
D. Increase oral fluids immediately without assessing
Answer: C
Rationale: Orthostatic hypotension can cause syncope—assess and monitor.
6. Which statement is an example of informed consent?
A. “You signed this form, so it’s okay.”
B. “We will proceed with treatment today.”
C. The provider explains risks/benefits and the patient agrees voluntarily
D. The nurse signs for the patient
Answer: C
Rationale: Consent requires understanding and voluntary agreement.
7. A fall-risk patient tries to get out of bed unassisted. What is the best response?
A. Restrain the patient immediately
B. Ignore because the patient is compliant
, C. Approach calmly, assist promptly, and maintain safety measures
D. Tell the patient they’re not allowed to move
Answer: C
Rationale: Safety interventions + prompt assistance are required.
8. Which site assessment is most appropriate for checking radial pulse?
A. Lateral side of the wrist
B. Thumb side of wrist
C. Palmar surface at the base of the fifth finger
D. Dorsal surface between thumb and index finger
Answer: B
Rationale: Radial pulse is best felt on the thumb side of the wrist.
9. A patient receiving oxygen via nasal cannula develops headache and dry mouth. What is the most
appropriate nursing action?
A. Stop oxygen immediately
B. Encourage fluids and consider humidification if ordered
C. Increase oxygen to 15 L/min
D. Tell the patient it’s unrelated
Answer: B
Rationale: Dryness/headache can occur; manage comfort and follow protocol/orders.
10. The nurse is documenting a wound assessment. Which is required?
A. “Looks better”
B. Exact wound size and characteristics (e.g., drainage, odor, stage if applicable)
C. Only the patient’s subjective description
D. “No concerns noted”
Answer: B
Rationale: Documentation must be specific and measurable.
Prioritization & Assessment (11–20)
Exam updated 2026 with correct
answers and rationale graded A+
new!!
1. A patient reports difficulty breathing and is visibly anxious. What is the nurse’s first priority?
A. Teach breathing techniques
B. Assess airway patency and respiratory status
C. Obtain a medication list
D. Recheck vital signs in 30 minutes
Answer: B
Rationale: First priority is assessing airway/breathing (ABC).
2. Which action best demonstrates therapeutic communication?
A. “I know exactly how you feel.”
B. “Tell me more about what scares you.”
C. “That’s not that serious.”
D. “You should be grateful.”
Answer: B
Rationale: Encourages expression and is nonjudgmental.
3. A nurse is preparing to perform hand hygiene. When is the best time to use alcohol-based
sanitizer?
A. After contact with visible body fluids
B. Before touching a patient
C. When hands are visibly soiled
D. Only after removing gloves
,Answer: B
Rationale: Use before patient contact and when hands aren’t visibly dirty.
4. The nurse is using SBAR to communicate with the provider. What does “R” stand for?
A. Reporting
B. Recommendations
C. Response
D. Readback
Answer: B
Rationale: SBAR = Situation, Background, Assessment, Recommendation.
5. A patient’s blood pressure drops from 132/78 to 98/60 upon standing. What should the nurse do
next?
A. Document only
B. Encourage walking to test symptoms
C. Assess for orthostatic hypotension symptoms and monitor patient
D. Increase oral fluids immediately without assessing
Answer: C
Rationale: Orthostatic hypotension can cause syncope—assess and monitor.
6. Which statement is an example of informed consent?
A. “You signed this form, so it’s okay.”
B. “We will proceed with treatment today.”
C. The provider explains risks/benefits and the patient agrees voluntarily
D. The nurse signs for the patient
Answer: C
Rationale: Consent requires understanding and voluntary agreement.
7. A fall-risk patient tries to get out of bed unassisted. What is the best response?
A. Restrain the patient immediately
B. Ignore because the patient is compliant
, C. Approach calmly, assist promptly, and maintain safety measures
D. Tell the patient they’re not allowed to move
Answer: C
Rationale: Safety interventions + prompt assistance are required.
8. Which site assessment is most appropriate for checking radial pulse?
A. Lateral side of the wrist
B. Thumb side of wrist
C. Palmar surface at the base of the fifth finger
D. Dorsal surface between thumb and index finger
Answer: B
Rationale: Radial pulse is best felt on the thumb side of the wrist.
9. A patient receiving oxygen via nasal cannula develops headache and dry mouth. What is the most
appropriate nursing action?
A. Stop oxygen immediately
B. Encourage fluids and consider humidification if ordered
C. Increase oxygen to 15 L/min
D. Tell the patient it’s unrelated
Answer: B
Rationale: Dryness/headache can occur; manage comfort and follow protocol/orders.
10. The nurse is documenting a wound assessment. Which is required?
A. “Looks better”
B. Exact wound size and characteristics (e.g., drainage, odor, stage if applicable)
C. Only the patient’s subjective description
D. “No concerns noted”
Answer: B
Rationale: Documentation must be specific and measurable.
Prioritization & Assessment (11–20)
