NCLEX-RN Review Materials
Comprehensive Practice Quiz: Questions with Verified Answers
Section 1: Safe and Effective Care Environment - Management of Care (Questions 1-15)
1. A nurse is preparing to delegate tasks to unlicensed assistive personnel (UAP). Which task is
appropriate to delegate?
A) Administering medications
B) Assessing a post-operative patient
C) Ambulating a stable patient
D) Developing a care plan
Answer: C - Ambulating a stable patient is within the scope of UAP. Assessment, medication
administration, and care planning require RN judgment.
2. A patient refuses a prescribed medication. What is the nurse's best action?
A) Document the refusal and notify the provider
B) Crush the medication and hide it in food
C) Explain that the patient must take it
D) Ask family to convince the patient
Answer: A - Patients have the right to refuse treatment. Document the refusal, explore reasons,
educate about consequences, and notify the provider.
3. Which patient should the nurse assess first?
A) A diabetic patient with blood glucose of 250 mg/dL
B) A patient with chest pain radiating to the left arm
C) A post-op patient requesting pain medication
D) A patient with a temperature of 100.8°F
Answer: B - Chest pain radiating to the arm suggests possible myocardial infarction, a life-
threatening emergency requiring immediate assessment.
4. A nurse witnesses another nurse taking narcotics from the medication cart. What is the
priority action?
, A) Confront the nurse privately
B) Report to the nurse manager immediately
C) Document the incident
D) Tell other staff members
Answer: B - Patient safety is paramount. Report suspected diversion immediately to the nurse
manager following chain of command.
5. Which action requires completion of an incident report?
A) Patient refuses morning medications
B) Patient falls while ambulating to bathroom
C) Patient's family requests to speak with doctor
D) Patient complains of hospital food
Answer: B - Falls are adverse events requiring incident reports for tracking, analysis, and quality
improvement.
6. A nurse receives a physician's order that seems inappropriate. What should the nurse do?
A) Follow the order as written
B) Question the physician about the order
C) Refuse to carry out the order
D) Ask another nurse's opinion first
Answer: B - Nurses have a duty to question orders that seem inappropriate. Clarify with the
physician before implementation.
7. What is the primary purpose of informed consent?
A) To protect healthcare providers from lawsuits
B) To ensure patients understand procedures and risks
C) To document that procedures were performed
D) To meet hospital policy requirements
Answer: B - Informed consent ensures patients receive adequate information about risks,
benefits, and alternatives before agreeing to treatment.
, 8. A nurse is caring for a patient on contact precautions. Which PPE is required?
A) Mask and gloves
B) Gloves and gown
C) N95 respirator and gown
D) Face shield and gloves
Answer: B - Contact precautions require gloves and gown to prevent transmission of organisms
through direct contact.
9. Which principle reflects the ethical concept of autonomy?
A) Do no harm
B) Respect patient's right to make decisions
C) Act in the patient's best interest
D) Distribute resources fairly
Answer: B - Autonomy respects the patient's right to self-determination and making their own
healthcare decisions.
10. A patient is admitted with suspected tuberculosis. What type of isolation is required?
A) Contact precautions
B) Droplet precautions
C) Airborne precautions
D) Standard precautions only
Answer: C - Tuberculosis requires airborne precautions with negative pressure room and N95
respirator use.
11. When should a nurse use the SBAR communication technique?
A) Only during emergencies
B) When communicating with physicians about patient changes
C) Only during shift report
D) When documenting in the chart
Comprehensive Practice Quiz: Questions with Verified Answers
Section 1: Safe and Effective Care Environment - Management of Care (Questions 1-15)
1. A nurse is preparing to delegate tasks to unlicensed assistive personnel (UAP). Which task is
appropriate to delegate?
A) Administering medications
B) Assessing a post-operative patient
C) Ambulating a stable patient
D) Developing a care plan
Answer: C - Ambulating a stable patient is within the scope of UAP. Assessment, medication
administration, and care planning require RN judgment.
2. A patient refuses a prescribed medication. What is the nurse's best action?
A) Document the refusal and notify the provider
B) Crush the medication and hide it in food
C) Explain that the patient must take it
D) Ask family to convince the patient
Answer: A - Patients have the right to refuse treatment. Document the refusal, explore reasons,
educate about consequences, and notify the provider.
3. Which patient should the nurse assess first?
A) A diabetic patient with blood glucose of 250 mg/dL
B) A patient with chest pain radiating to the left arm
C) A post-op patient requesting pain medication
D) A patient with a temperature of 100.8°F
Answer: B - Chest pain radiating to the arm suggests possible myocardial infarction, a life-
threatening emergency requiring immediate assessment.
4. A nurse witnesses another nurse taking narcotics from the medication cart. What is the
priority action?
, A) Confront the nurse privately
B) Report to the nurse manager immediately
C) Document the incident
D) Tell other staff members
Answer: B - Patient safety is paramount. Report suspected diversion immediately to the nurse
manager following chain of command.
5. Which action requires completion of an incident report?
A) Patient refuses morning medications
B) Patient falls while ambulating to bathroom
C) Patient's family requests to speak with doctor
D) Patient complains of hospital food
Answer: B - Falls are adverse events requiring incident reports for tracking, analysis, and quality
improvement.
6. A nurse receives a physician's order that seems inappropriate. What should the nurse do?
A) Follow the order as written
B) Question the physician about the order
C) Refuse to carry out the order
D) Ask another nurse's opinion first
Answer: B - Nurses have a duty to question orders that seem inappropriate. Clarify with the
physician before implementation.
7. What is the primary purpose of informed consent?
A) To protect healthcare providers from lawsuits
B) To ensure patients understand procedures and risks
C) To document that procedures were performed
D) To meet hospital policy requirements
Answer: B - Informed consent ensures patients receive adequate information about risks,
benefits, and alternatives before agreeing to treatment.
, 8. A nurse is caring for a patient on contact precautions. Which PPE is required?
A) Mask and gloves
B) Gloves and gown
C) N95 respirator and gown
D) Face shield and gloves
Answer: B - Contact precautions require gloves and gown to prevent transmission of organisms
through direct contact.
9. Which principle reflects the ethical concept of autonomy?
A) Do no harm
B) Respect patient's right to make decisions
C) Act in the patient's best interest
D) Distribute resources fairly
Answer: B - Autonomy respects the patient's right to self-determination and making their own
healthcare decisions.
10. A patient is admitted with suspected tuberculosis. What type of isolation is required?
A) Contact precautions
B) Droplet precautions
C) Airborne precautions
D) Standard precautions only
Answer: C - Tuberculosis requires airborne precautions with negative pressure room and N95
respirator use.
11. When should a nurse use the SBAR communication technique?
A) Only during emergencies
B) When communicating with physicians about patient changes
C) Only during shift report
D) When documenting in the chart
