LAMAR STATE UNIVERSITY RNSG 1424 CONCEPT EXAM
QUESTIONS AND CORRECT ANSWERS (ORIGINAL PRACTICE
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF.
CORE DOMAINS
Concept-Based Nursing Practice
Health Care Concepts
Professional Nursing Concepts
Clinical Judgment and Decision-Making
Safety and Infection Control
Fluid and Electrolyte Balance
Perfusion and Gas Exchange
Ethics and Legal Compliance
Patient Education and Communication
INTRODUCTION
This assessment evaluates foundational and applied nursing
concepts required for safe, professional practice. It measures
knowledge of health care concepts, clinical judgment, legal and
ethical standards, safety, infection control, perfusion, gas exchange,
fluid balance, and patient-centered care. The examination uses
multiple-choice and scenario-based questions to emphasize real-
world decision-making, prioritization, and professional
accountability. Candidates must demonstrate critical thinking and
defensible clinical reasoning. The structure supports comprehensive
review and transition to professional nursing practice.
SECTION ONE: QUESTIONS 1–100
Question 1
A client with peripheral vascular disease reports calf pain after
walking two blocks that resolves with rest. Which term should the
nurse document?
,A. Rest pain
🟢 B. Intermittent claudication
C. Paresthesia
D. Dependent rubor
🔴 RATIONALE: Intermittent claudication is muscle pain during
activity that resolves with rest due to inadequate arterial
perfusion.
Question 2
A client has severe vomiting and diarrhea. Which arterial blood
gas finding should the nurse expect?
A. Metabolic acidosis
B. Respiratory acidosis
🟢 C. Metabolic alkalosis
D. Respiratory alkalosis
🔴 RATIONALE: Vomiting causes loss of gastric acid and
bicarbonate retention, leading to metabolic alkalosis.
Question 3
A client is admitted with suspected Clostridioides difficile. Which
precautions should the nurse implement?
🟢 A. Contact precautions
B. Airborne precautions
C. Droplet precautions
D. Standard precautions only
🔴 RATIONALE: C. difficile requires contact precautions and soap-
and-water hand hygiene.
Question 4
A nurse is teaching a client with asthma about trigger avoidance.
Which action indicates a need for further teaching?
,A. Keeping the home dust-free
B. Avoiding pets with fur
C. Using a HEPA filter
🟢 D. Vacuuming carpets weekly
🔴 RATIONALE: Vacuuming can stir allergens and trigger
bronchoconstriction; the client should avoid or mask during
vacuuming.
Question 5
A 15-year-old asks the nurse how to prevent pregnancy. What is
the nurse’s best initial response?
A. “You are too young to think about that.”
🟢 B. “Can you tell me what precautions you use now?”
C. “I need your parents’ permission first.”
D. “Abstinence is the only method.”
🔴 RATIONALE: An open-ended assessment of current knowledge
is nonjudgmental and patient-centered.
Question 6
Which client should the nurse assess first?
A. Client requesting discharge instructions
B. Client with pain 4/10
🟢 C. Client with new confusion and hypotension
D. Client awaiting breakfast
🔴 RATIONALE: New confusion with hypotension suggests poor
perfusion and requires immediate assessment.
Question 7
A client is at high risk for falls. Which intervention is most
appropriate?
, 🟢 A. Activate the bed alarm
B. Keep the bed in the high position
C. Apply restraints
D. Leave the client without assistance
🔴 RATIONALE: Bed alarms alert staff before the client exits the
bed and are a safe fall-prevention measure.
Question 8
A client has dysphagia. Which diet is safest?
A. Thin liquids
B. Regular diet
C. Raw vegetables
🟢 D. Nectar-thick liquids
🔴 RATIONALE: Nectar-thick liquids are easier to control and
reduce aspiration risk in dysphagia.
Question 9
A client has paralytic ileus. Which bowel sound finding should the
nurse expect?
A. High-pitched sounds
🟢 B. Absent bowel sounds
C. Normal bowel sounds
D. Hyperactive bowel sounds
🔴 RATIONALE: Paralytic ileus causes decreased or absent bowel
motility and bowel sounds.
Question 10
Which findings are consistent with Cushing’s triad?
A. Hypotension, tachycardia, fever
B. Hypertension, tachycardia, tachypnea
QUESTIONS AND CORRECT ANSWERS (ORIGINAL PRACTICE
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF.
CORE DOMAINS
Concept-Based Nursing Practice
Health Care Concepts
Professional Nursing Concepts
Clinical Judgment and Decision-Making
Safety and Infection Control
Fluid and Electrolyte Balance
Perfusion and Gas Exchange
Ethics and Legal Compliance
Patient Education and Communication
INTRODUCTION
This assessment evaluates foundational and applied nursing
concepts required for safe, professional practice. It measures
knowledge of health care concepts, clinical judgment, legal and
ethical standards, safety, infection control, perfusion, gas exchange,
fluid balance, and patient-centered care. The examination uses
multiple-choice and scenario-based questions to emphasize real-
world decision-making, prioritization, and professional
accountability. Candidates must demonstrate critical thinking and
defensible clinical reasoning. The structure supports comprehensive
review and transition to professional nursing practice.
SECTION ONE: QUESTIONS 1–100
Question 1
A client with peripheral vascular disease reports calf pain after
walking two blocks that resolves with rest. Which term should the
nurse document?
,A. Rest pain
🟢 B. Intermittent claudication
C. Paresthesia
D. Dependent rubor
🔴 RATIONALE: Intermittent claudication is muscle pain during
activity that resolves with rest due to inadequate arterial
perfusion.
Question 2
A client has severe vomiting and diarrhea. Which arterial blood
gas finding should the nurse expect?
A. Metabolic acidosis
B. Respiratory acidosis
🟢 C. Metabolic alkalosis
D. Respiratory alkalosis
🔴 RATIONALE: Vomiting causes loss of gastric acid and
bicarbonate retention, leading to metabolic alkalosis.
Question 3
A client is admitted with suspected Clostridioides difficile. Which
precautions should the nurse implement?
🟢 A. Contact precautions
B. Airborne precautions
C. Droplet precautions
D. Standard precautions only
🔴 RATIONALE: C. difficile requires contact precautions and soap-
and-water hand hygiene.
Question 4
A nurse is teaching a client with asthma about trigger avoidance.
Which action indicates a need for further teaching?
,A. Keeping the home dust-free
B. Avoiding pets with fur
C. Using a HEPA filter
🟢 D. Vacuuming carpets weekly
🔴 RATIONALE: Vacuuming can stir allergens and trigger
bronchoconstriction; the client should avoid or mask during
vacuuming.
Question 5
A 15-year-old asks the nurse how to prevent pregnancy. What is
the nurse’s best initial response?
A. “You are too young to think about that.”
🟢 B. “Can you tell me what precautions you use now?”
C. “I need your parents’ permission first.”
D. “Abstinence is the only method.”
🔴 RATIONALE: An open-ended assessment of current knowledge
is nonjudgmental and patient-centered.
Question 6
Which client should the nurse assess first?
A. Client requesting discharge instructions
B. Client with pain 4/10
🟢 C. Client with new confusion and hypotension
D. Client awaiting breakfast
🔴 RATIONALE: New confusion with hypotension suggests poor
perfusion and requires immediate assessment.
Question 7
A client is at high risk for falls. Which intervention is most
appropriate?
, 🟢 A. Activate the bed alarm
B. Keep the bed in the high position
C. Apply restraints
D. Leave the client without assistance
🔴 RATIONALE: Bed alarms alert staff before the client exits the
bed and are a safe fall-prevention measure.
Question 8
A client has dysphagia. Which diet is safest?
A. Thin liquids
B. Regular diet
C. Raw vegetables
🟢 D. Nectar-thick liquids
🔴 RATIONALE: Nectar-thick liquids are easier to control and
reduce aspiration risk in dysphagia.
Question 9
A client has paralytic ileus. Which bowel sound finding should the
nurse expect?
A. High-pitched sounds
🟢 B. Absent bowel sounds
C. Normal bowel sounds
D. Hyperactive bowel sounds
🔴 RATIONALE: Paralytic ileus causes decreased or absent bowel
motility and bowel sounds.
Question 10
Which findings are consistent with Cushing’s triad?
A. Hypotension, tachycardia, fever
B. Hypertension, tachycardia, tachypnea
