1|Page
, NURSING FUNDAMENTALS 2E (OPEN RN, 2024) BY SUSAN
RICCI – FULL NCLEX TEST BANK | 380 QUESTIONS WITH
ANSWERS & EXPLANATIONS | OPEN RN PRESS
Table of Contents by Module
Module Title Question Range
Module 1 Introduction to Nursing Practice 1–20
Module 2 Legal and Ethical Aspects of Nursing 21–40
Module 3 Communication 41–60
Module 4 The Nursing Process 61–80
Module 5 Cognitive Impairments 81–100
Module 6 Sensory Impairments 101–120
Module 7 Oxygenation 121–140
Module 8 Infection 141–160
Module 9 Integumentary System 161–180
Module 10 Comfort (Pain & Symptom Management) 181–200
Module 11 Sleep and Rest 201–220
Module 12 Mobility 221–240
Module 13 Nutrition 241–260
Module 14 Fluids and Electrolytes 261–280
Module 15 Elimination 281–300
Module 16 Elimination (Urinary & Bowel Focus) 301–320
Module 17 Grief and Loss 321–340
Module 18 Spirituality 341–360
Module 19 Care of the Older Adult 361–380
2|Page
,Module 1: Scope of Practice
1. Which of the following organizations defines the scope of practice for nurses within each
state?
A. American Nurses Association (ANA)
B. World Health Organization (WHO)
C. National League for Nursing (NLN)
D. State Board of Nursing
Answer: D. State Board of Nursing
Explanation: The State Board of Nursing enforces each state’s Nurse Practice Act and sets the
legal scope of practice for nurses within that jurisdiction.
2. A nursing student is asked to adjust an IV drip rate without supervision. What is the
most appropriate action?
A. Adjust the drip rate as ordered
B. Politely refuse and notify the instructor
C. Ask a peer to help
D. Ignore the request and walk away
Answer: B. Politely refuse and notify the instructor
Explanation: Students must always practice under supervision. Performing tasks independently
can violate legal and ethical standards.
3. What is the most accurate definition of "Scope of Practice"?
A. Services that nurses perform if they feel confident
B. Services defined by each healthcare facility
C. Services legally permitted by licensure
D. Any care provided by a certified nurse
Answer: C. Services legally permitted by licensure
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, Explanation: Scope of Practice is defined as the services that a trained professional is legally
allowed to perform based on licensure and regulations.
4. Which of the following tasks is outside the legal scope of practice for a Licensed Practical
Nurse (LPN)?
A. Administering oral medications
B. Assisting in data collection
C. Diagnosing client conditions
D. Reinforcing health teaching
Answer: C. Diagnosing client conditions
Explanation: Diagnosing is within the RN's role. LPNs cannot interpret data or diagnose clients.
5. Which document should a nurse consult to understand their legal boundaries for
practice?
A. The American Nurses Credentialing Center guide
B. The facility orientation manual
C. The Nurse Practice Act
D. A nursing journal
Answer: C. The Nurse Practice Act
Explanation: The Nurse Practice Act defines the legal scope of practice for each state and is the
primary regulatory guide for nurses.
6. A nurse who performs a task not permitted by their license may be subject to which
consequence?
A. Extra documentation
B. Verbal warning
C. License revocation
D. Peer evaluation
4|Page
, NURSING FUNDAMENTALS 2E (OPEN RN, 2024) BY SUSAN
RICCI – FULL NCLEX TEST BANK | 380 QUESTIONS WITH
ANSWERS & EXPLANATIONS | OPEN RN PRESS
Table of Contents by Module
Module Title Question Range
Module 1 Introduction to Nursing Practice 1–20
Module 2 Legal and Ethical Aspects of Nursing 21–40
Module 3 Communication 41–60
Module 4 The Nursing Process 61–80
Module 5 Cognitive Impairments 81–100
Module 6 Sensory Impairments 101–120
Module 7 Oxygenation 121–140
Module 8 Infection 141–160
Module 9 Integumentary System 161–180
Module 10 Comfort (Pain & Symptom Management) 181–200
Module 11 Sleep and Rest 201–220
Module 12 Mobility 221–240
Module 13 Nutrition 241–260
Module 14 Fluids and Electrolytes 261–280
Module 15 Elimination 281–300
Module 16 Elimination (Urinary & Bowel Focus) 301–320
Module 17 Grief and Loss 321–340
Module 18 Spirituality 341–360
Module 19 Care of the Older Adult 361–380
2|Page
,Module 1: Scope of Practice
1. Which of the following organizations defines the scope of practice for nurses within each
state?
A. American Nurses Association (ANA)
B. World Health Organization (WHO)
C. National League for Nursing (NLN)
D. State Board of Nursing
Answer: D. State Board of Nursing
Explanation: The State Board of Nursing enforces each state’s Nurse Practice Act and sets the
legal scope of practice for nurses within that jurisdiction.
2. A nursing student is asked to adjust an IV drip rate without supervision. What is the
most appropriate action?
A. Adjust the drip rate as ordered
B. Politely refuse and notify the instructor
C. Ask a peer to help
D. Ignore the request and walk away
Answer: B. Politely refuse and notify the instructor
Explanation: Students must always practice under supervision. Performing tasks independently
can violate legal and ethical standards.
3. What is the most accurate definition of "Scope of Practice"?
A. Services that nurses perform if they feel confident
B. Services defined by each healthcare facility
C. Services legally permitted by licensure
D. Any care provided by a certified nurse
Answer: C. Services legally permitted by licensure
3|Page
, Explanation: Scope of Practice is defined as the services that a trained professional is legally
allowed to perform based on licensure and regulations.
4. Which of the following tasks is outside the legal scope of practice for a Licensed Practical
Nurse (LPN)?
A. Administering oral medications
B. Assisting in data collection
C. Diagnosing client conditions
D. Reinforcing health teaching
Answer: C. Diagnosing client conditions
Explanation: Diagnosing is within the RN's role. LPNs cannot interpret data or diagnose clients.
5. Which document should a nurse consult to understand their legal boundaries for
practice?
A. The American Nurses Credentialing Center guide
B. The facility orientation manual
C. The Nurse Practice Act
D. A nursing journal
Answer: C. The Nurse Practice Act
Explanation: The Nurse Practice Act defines the legal scope of practice for each state and is the
primary regulatory guide for nurses.
6. A nurse who performs a task not permitted by their license may be subject to which
consequence?
A. Extra documentation
B. Verbal warning
C. License revocation
D. Peer evaluation
4|Page
