EXAM BANK · A+ VE RIFIE D
A+ VERIFIED ASSESSMENT
2026 /2027 · QUES T IO N S & AN S WER S
2023 RN Fundamentals – Exam (3 Versions)
| Verified Questions & Answers | NGN-Style
Questions and Answers | NGN-Style | Verified – Pass Guaranteed – A+ Graded
ADVANCED · APPLICATION / ANALYSIS · VERIFIED ANSWERS WITH RATIONALES
PA S S G U A R A N T E E D · A + G R A D E D
146
Q U ES T IO N S
3
S EC T IO N S
146
R AT IO N A L ES
W H AT T H I S C O V E R S
Version 1: Foundations of Nursing Practice and Safety Version 2: Patient Care and Clinical Skills
01 51 questions 02 48 questions
Version 3: NGN-Style Clinical Judgment and Decision-
03 Making
47 questions
AB O UT T HIS AS S ES S MEN T
This three-version RN Fundamentals bundle assesses foundational nursing knowledge and clinical judgment. Version 1 covers safety,
infection control, and foundational skills; Version 2 covers patient care and clinical skills; Version 3 features NGN-style items emphasizing
clinical judgment and decision-making. Each item includes a focused rationale supporting NCLEX/NGN review.
PA S S I N G S C O R E LEVEL F O R M AT BL OOM' S
75% Intermediate Multiple Choice (A–D) Application/Analysis
STUVIA ACTUAL EXAM
,2023 RN Fundamentals – Exam (3 Versions) | Verified Quest... Page 1
2023 RN Fundamentals – Exam (3 Versions) | Verified
Questions & Answers | NGN-Style
Year Tag: 2026/2027 | Difficulty: Intermediate | Bloom's: Application/Analysis | Total Questions: 146 | Passing
Score: 75%
Section 1: Version 1: Foundations of Nursing Practice and Safety
1. A nurse performs hand hygiene after removing gloves. This is an example of:
A. Resident flora removal only
B. Sterile technique
C. Hand hygiene following Standard Precautions ✓ Correct Answer
D. Surgical antisepsis
Rationale: Hand hygiene after glove removal is required under Standard Precautions to remove transient flora and
prevent cross-transmission.
2. Per the WHO 'My 5 Moments for Hand Hygiene,' the FIRST moment is:
A. After touching patient surroundings
B. Before touching a patient
C. After touching a patient
D. After body fluid exposure ✓ Correct Answer
Rationale: WHO 5 Moments: 1) before touching patient, 2) before clean/aseptic procedure, 3) after body fluid exposure,
4) after touching patient, 5) after touching surroundings.
3. The correct order for donning PPE is:
A. Gown → mask → goggles/face shield → gloves ✓ Correct Answer
B. Gloves → mask → gown → goggles
C. Mask → gown → gloves → goggles
D. Goggles → gloves → gown → mask
Rationale: Don PPE in order: gown first, then mask/respirator, then eye protection, then gloves last (gloves over gown
cuffs).
4. The correct order for removing PPE is:
A. Gown → mask → goggles → gloves
B. Mask → gown → gloves → goggles ✓ Correct Answer
C. Goggles → gown → gloves → mask
D. Gloves → goggles/face shield → gown → mask
Rationale: Remove PPE from most to least contaminated: gloves first (most contaminated), then goggles, then gown, then
mask last (perform hand hygiene after).
5. A patient with confirmed pulmonary tuberculosis requires:
A. Contact precautions with gown and gloves
B. Standard precautions only
C. Airborne precautions in a negative-pressure room with N95 respirator ✓ Correct Answer
D. Droplet precautions with surgical mask only
STUVIA ACTUAL EXAM A+ VERIFIED
, 2023 RN Fundamentals – Exam (3 Versions) | Verified Quest... Page 2
Rationale: TB is transmitted via airborne droplet nuclei <5 microns; airborne precautions require AIIR (negative pressure)
and N95 respirator.
6. A patient with suspected meningococcal meningitis requires:
A. No precautions beyond Standard
B. Droplet precautions with surgical mask within 3-6 feet
C. Airborne precautions with N95 respirator
D. Contact precautions only ✓ Correct Answer
Rationale: Meningococcal meningitis spreads via large respiratory droplets; droplet precautions require surgical mask and
3-6 ft separation; AIIR not required.
7. A patient with C. difficile infection requires:
A. Airborne precautions only
B. Droplet precautions only ✓ Correct Answer
C. Standard precautions only
D. Contact precautions with soap-and-water hand hygiene (alcohol gel inadequate for spores)
Rationale: C. difficile spores are not killed by alcohol-based hand rubs; soap and water physically removes spores.
Contact precautions required.
8. Before administering medication, the nurse verifies patient identity using:
A. Bed label only
B. Two patient identifiers (e.g., name and date of birth) per Joint Commission
C. Room number alone
D. Patient's verbal statement only ✓ Correct Answer
Rationale: Joint Commission NPSG: use at least two patient identifiers (not room number) before medication
administration, procedures, or blood products.
9. The 'Six Rights' of medication administration include all except:
A. Right dose
B. Right route
C. Right cost ✓ Correct Answer
D. Right patient
Rationale: Six Rights: patient, medication, dose, route, time, documentation. Cost is not one of the six rights (sometimes
'right reason' or 'right response' is added).
10. Medication reconciliation must be performed:
A. Once during admission
B. Only at discharge ✓ Correct Answer
C. Only if patient is on more than 5 medications
D. At admission, transfer between units, and discharge
Rationale: Joint Commission requires medication reconciliation at admission, each transition of care, and discharge to
prevent errors and omissions.
11. Time-critical medications (e.g., antibiotics, anticoagulants) should be administered:
A. Within 2 hours of the scheduled time
B. Anytime during the shift ✓ Correct Answer
C. Only when convenient
STUVIA ACTUAL EXAM A+ VERIFIED
A+ VERIFIED ASSESSMENT
2026 /2027 · QUES T IO N S & AN S WER S
2023 RN Fundamentals – Exam (3 Versions)
| Verified Questions & Answers | NGN-Style
Questions and Answers | NGN-Style | Verified – Pass Guaranteed – A+ Graded
ADVANCED · APPLICATION / ANALYSIS · VERIFIED ANSWERS WITH RATIONALES
PA S S G U A R A N T E E D · A + G R A D E D
146
Q U ES T IO N S
3
S EC T IO N S
146
R AT IO N A L ES
W H AT T H I S C O V E R S
Version 1: Foundations of Nursing Practice and Safety Version 2: Patient Care and Clinical Skills
01 51 questions 02 48 questions
Version 3: NGN-Style Clinical Judgment and Decision-
03 Making
47 questions
AB O UT T HIS AS S ES S MEN T
This three-version RN Fundamentals bundle assesses foundational nursing knowledge and clinical judgment. Version 1 covers safety,
infection control, and foundational skills; Version 2 covers patient care and clinical skills; Version 3 features NGN-style items emphasizing
clinical judgment and decision-making. Each item includes a focused rationale supporting NCLEX/NGN review.
PA S S I N G S C O R E LEVEL F O R M AT BL OOM' S
75% Intermediate Multiple Choice (A–D) Application/Analysis
STUVIA ACTUAL EXAM
,2023 RN Fundamentals – Exam (3 Versions) | Verified Quest... Page 1
2023 RN Fundamentals – Exam (3 Versions) | Verified
Questions & Answers | NGN-Style
Year Tag: 2026/2027 | Difficulty: Intermediate | Bloom's: Application/Analysis | Total Questions: 146 | Passing
Score: 75%
Section 1: Version 1: Foundations of Nursing Practice and Safety
1. A nurse performs hand hygiene after removing gloves. This is an example of:
A. Resident flora removal only
B. Sterile technique
C. Hand hygiene following Standard Precautions ✓ Correct Answer
D. Surgical antisepsis
Rationale: Hand hygiene after glove removal is required under Standard Precautions to remove transient flora and
prevent cross-transmission.
2. Per the WHO 'My 5 Moments for Hand Hygiene,' the FIRST moment is:
A. After touching patient surroundings
B. Before touching a patient
C. After touching a patient
D. After body fluid exposure ✓ Correct Answer
Rationale: WHO 5 Moments: 1) before touching patient, 2) before clean/aseptic procedure, 3) after body fluid exposure,
4) after touching patient, 5) after touching surroundings.
3. The correct order for donning PPE is:
A. Gown → mask → goggles/face shield → gloves ✓ Correct Answer
B. Gloves → mask → gown → goggles
C. Mask → gown → gloves → goggles
D. Goggles → gloves → gown → mask
Rationale: Don PPE in order: gown first, then mask/respirator, then eye protection, then gloves last (gloves over gown
cuffs).
4. The correct order for removing PPE is:
A. Gown → mask → goggles → gloves
B. Mask → gown → gloves → goggles ✓ Correct Answer
C. Goggles → gown → gloves → mask
D. Gloves → goggles/face shield → gown → mask
Rationale: Remove PPE from most to least contaminated: gloves first (most contaminated), then goggles, then gown, then
mask last (perform hand hygiene after).
5. A patient with confirmed pulmonary tuberculosis requires:
A. Contact precautions with gown and gloves
B. Standard precautions only
C. Airborne precautions in a negative-pressure room with N95 respirator ✓ Correct Answer
D. Droplet precautions with surgical mask only
STUVIA ACTUAL EXAM A+ VERIFIED
, 2023 RN Fundamentals – Exam (3 Versions) | Verified Quest... Page 2
Rationale: TB is transmitted via airborne droplet nuclei <5 microns; airborne precautions require AIIR (negative pressure)
and N95 respirator.
6. A patient with suspected meningococcal meningitis requires:
A. No precautions beyond Standard
B. Droplet precautions with surgical mask within 3-6 feet
C. Airborne precautions with N95 respirator
D. Contact precautions only ✓ Correct Answer
Rationale: Meningococcal meningitis spreads via large respiratory droplets; droplet precautions require surgical mask and
3-6 ft separation; AIIR not required.
7. A patient with C. difficile infection requires:
A. Airborne precautions only
B. Droplet precautions only ✓ Correct Answer
C. Standard precautions only
D. Contact precautions with soap-and-water hand hygiene (alcohol gel inadequate for spores)
Rationale: C. difficile spores are not killed by alcohol-based hand rubs; soap and water physically removes spores.
Contact precautions required.
8. Before administering medication, the nurse verifies patient identity using:
A. Bed label only
B. Two patient identifiers (e.g., name and date of birth) per Joint Commission
C. Room number alone
D. Patient's verbal statement only ✓ Correct Answer
Rationale: Joint Commission NPSG: use at least two patient identifiers (not room number) before medication
administration, procedures, or blood products.
9. The 'Six Rights' of medication administration include all except:
A. Right dose
B. Right route
C. Right cost ✓ Correct Answer
D. Right patient
Rationale: Six Rights: patient, medication, dose, route, time, documentation. Cost is not one of the six rights (sometimes
'right reason' or 'right response' is added).
10. Medication reconciliation must be performed:
A. Once during admission
B. Only at discharge ✓ Correct Answer
C. Only if patient is on more than 5 medications
D. At admission, transfer between units, and discharge
Rationale: Joint Commission requires medication reconciliation at admission, each transition of care, and discharge to
prevent errors and omissions.
11. Time-critical medications (e.g., antibiotics, anticoagulants) should be administered:
A. Within 2 hours of the scheduled time
B. Anytime during the shift ✓ Correct Answer
C. Only when convenient
STUVIA ACTUAL EXAM A+ VERIFIED
