RNSG 1424 CONCEPT EXAM PRACTICE QUESTIONS AND RATIONALES 2026 Q&A | INSTANT
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CORE DOMAINS *
Nursing Process and Clinical Judgment *
Safety and Infection Control *
Medication Administration and Dosage Calculation *
Fluid, Electrolyte, and Acid-Base Balance *
Perioperative and Procedural Care *
Nutrition, Elimination, and Mobility *
Oxygenation and Tissue Integrity *
Health Promotion and Patient Education *
Ethics, Legal, and Professional Standards *
INTRODUCTION *
This comprehensive practice assessment is designed to evaluate nursing knowledge, clinical
reasoning, and professional decision-making across core concept areas. It assesses
foundational theory, applied professional knowledge, regulatory and legal compliance,
ethics, and real-world scenario management. The multiple-choice and scenario-based
structure emphasizes safe, evidence-based care across the lifespan. Candidates must
demonstrate critical thinking, prioritization, and accurate application of nursing principles.
The examination supports readiness for professional practice by measuring competencies
essential for delivering high-quality, patient-centered care in diverse healthcare settings. *
SECTION ONE: QUESTIONS 1–100
1. A nurse uses the nursing process. Which step occurs immediately after assessment?
A. Planning
B. Evaluation
C. Implementation
🟢 D. Diagnosis
🔴 RATIONALE: After assessment, the nurse analyzes data to formulate nursing diagnoses.
,2. Which action best demonstrates client advocacy?
🟢 A. Supporting the client's informed decision.
B. Making decisions for the client.
C. Avoiding family involvement.
D. Documenting only positive findings.
🔴 RATIONALE: Advocacy respects autonomy and informed choice.
3. A nurse is preparing to administer a medication. Which is the first action?
A. Check allergies.
B. Verify dose.
🟢 C. Perform hand hygiene.
D. Document administration.
🔴 RATIONALE: Hand hygiene before medication preparation prevents infection.
4. Which finding indicates fluid volume deficit?
A. Bounding pulse.
B. Hypertension.
🟢 C. Poor skin turgor.
D. Crackles.
🔴 RATIONALE: Poor skin turgor indicates dehydration.
5. A client has pH 7.30, PaCO2 50, HCO3 24. Which condition is present?
A. Metabolic acidosis.
🟢 B. Respiratory acidosis.
C. Metabolic alkalosis.
D. Respiratory alkalosis.
🔴 RATIONALE: Elevated PaCO2 with low pH indicates respiratory acidosis.
6. A nurse is teaching a client about a low-sodium diet. Which food should be avoided?
🟢 A. Canned soup.
B. Fresh fruit.
, C. Brown rice.
D. Steamed broccoli.
🔴 RATIONALE: Canned soup is high in sodium.
7. Which action is correct when applying restraints?
A. Tie to side rails.
B. Leave unattended.
🟢 C. Check circulation every 15 minutes.
D. Use as punishment.
🔴 RATIONALE: Circulation checks every 15 minutes are required for restraints.
8. A nurse is caring for a client with C. difficile. Which hand hygiene is required?
A. Alcohol rub.
🟢 B. Soap and water.
C. Sanitizer only.
D. No hand hygiene.
🔴 RATIONALE: Soap and water removes spores.
9. Which is a legal document that appoints someone to make healthcare decisions?
A. Living will.
🟢 B. Durable power of attorney for health care.
C. Informed consent.
D. Do not resuscitate order.
🔴 RATIONALE: Durable power of attorney for health care appoints a proxy.
10. A nurse is assessing a client with hypoxia. Which is the earliest sign?
🟢 A. Restlessness.
B. Cyanosis.
C. Bradycardia.
D. Coma.
🔴 RATIONALE: Restlessness is an early sign of hypoxia.
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CORE DOMAINS *
Nursing Process and Clinical Judgment *
Safety and Infection Control *
Medication Administration and Dosage Calculation *
Fluid, Electrolyte, and Acid-Base Balance *
Perioperative and Procedural Care *
Nutrition, Elimination, and Mobility *
Oxygenation and Tissue Integrity *
Health Promotion and Patient Education *
Ethics, Legal, and Professional Standards *
INTRODUCTION *
This comprehensive practice assessment is designed to evaluate nursing knowledge, clinical
reasoning, and professional decision-making across core concept areas. It assesses
foundational theory, applied professional knowledge, regulatory and legal compliance,
ethics, and real-world scenario management. The multiple-choice and scenario-based
structure emphasizes safe, evidence-based care across the lifespan. Candidates must
demonstrate critical thinking, prioritization, and accurate application of nursing principles.
The examination supports readiness for professional practice by measuring competencies
essential for delivering high-quality, patient-centered care in diverse healthcare settings. *
SECTION ONE: QUESTIONS 1–100
1. A nurse uses the nursing process. Which step occurs immediately after assessment?
A. Planning
B. Evaluation
C. Implementation
🟢 D. Diagnosis
🔴 RATIONALE: After assessment, the nurse analyzes data to formulate nursing diagnoses.
,2. Which action best demonstrates client advocacy?
🟢 A. Supporting the client's informed decision.
B. Making decisions for the client.
C. Avoiding family involvement.
D. Documenting only positive findings.
🔴 RATIONALE: Advocacy respects autonomy and informed choice.
3. A nurse is preparing to administer a medication. Which is the first action?
A. Check allergies.
B. Verify dose.
🟢 C. Perform hand hygiene.
D. Document administration.
🔴 RATIONALE: Hand hygiene before medication preparation prevents infection.
4. Which finding indicates fluid volume deficit?
A. Bounding pulse.
B. Hypertension.
🟢 C. Poor skin turgor.
D. Crackles.
🔴 RATIONALE: Poor skin turgor indicates dehydration.
5. A client has pH 7.30, PaCO2 50, HCO3 24. Which condition is present?
A. Metabolic acidosis.
🟢 B. Respiratory acidosis.
C. Metabolic alkalosis.
D. Respiratory alkalosis.
🔴 RATIONALE: Elevated PaCO2 with low pH indicates respiratory acidosis.
6. A nurse is teaching a client about a low-sodium diet. Which food should be avoided?
🟢 A. Canned soup.
B. Fresh fruit.
, C. Brown rice.
D. Steamed broccoli.
🔴 RATIONALE: Canned soup is high in sodium.
7. Which action is correct when applying restraints?
A. Tie to side rails.
B. Leave unattended.
🟢 C. Check circulation every 15 minutes.
D. Use as punishment.
🔴 RATIONALE: Circulation checks every 15 minutes are required for restraints.
8. A nurse is caring for a client with C. difficile. Which hand hygiene is required?
A. Alcohol rub.
🟢 B. Soap and water.
C. Sanitizer only.
D. No hand hygiene.
🔴 RATIONALE: Soap and water removes spores.
9. Which is a legal document that appoints someone to make healthcare decisions?
A. Living will.
🟢 B. Durable power of attorney for health care.
C. Informed consent.
D. Do not resuscitate order.
🔴 RATIONALE: Durable power of attorney for health care appoints a proxy.
10. A nurse is assessing a client with hypoxia. Which is the earliest sign?
🟢 A. Restlessness.
B. Cyanosis.
C. Bradycardia.
D. Coma.
🔴 RATIONALE: Restlessness is an early sign of hypoxia.
