2026 UPDATE
ADULT HEALTH NURSING
10th Edition
Kim Cooper & Kelly Gosnell
COMPLETE ORIGINAL PRACTICE TEST BANK
1,500 Questions • Correct Answers • Detailed Rationales
NCLEX-PN & NGN • Clinical Judgment • Chapter-by-Chapter Review
,Resource Coverage
Resource Coverage
Questions 1,500
Chapters 17
4-option multiple choice; correct answer and
Format
detailed rationale after each item
LPN/LVN adult health nursing, common
Focus disorders, nursing process, safety, patient
teaching, and clinical judgment
Format Note: Questions are numbered continuously from 1 to 1,500. There is no separate
answer key; each answer and rationale follows its question.
,Chapter 1: Introduction to Anatomy and Physiology
1. During a safety review focused on Introduction to Anatomy and Physiology, which
observation is most consistent with correct older adult safety practice?
A. new allergy or major interaction discovered before administration
B. patient can explain purpose, major risks, benefits, and alternatives
C. acute change from baseline cognition
D. unsteady gait plus sedating medications
Answer: C. acute change from baseline cognition
Rationale: The finding 'acute change from baseline cognition' is the best match for older adult
safety. Recognizing this pattern supports timely clinical judgment and helps the nurse watch for
delayed recognition of acute illness.
2. To assess risk related to infection prevention, which approach is most useful?
A. reconcile medication, dose, route, timing, allergies, and labs
B. assess organism and mode of transmission
C. assess preferred language and literacy needs
D. review gait, medications, orthostasis, and environment
Answer: B. assess organism and mode of transmission
Rationale: The most useful evaluation is assess organism and mode of transmission. These
data help assess infection prevention, guide treatment, and detect deterioration or complications
such as healthcare-associated infection.
3. During a clinical-judgment review, which action should the nurse prioritize for
documentation?
A. use plain language and teach-back
B. document after care is provided
C. notify the provider if questions remain before signing
D. retain assessment, teaching, evaluation, and clinical judgment with the RN
Answer: B. document after care is provided
Rationale: The priority is to document after care is provided. This action directly addresses the
immediate problem associated with documentation and helps reduce the risk of communication
and legal risk.
, 4. The nurse identifies a breakdown in patient identification. Which consequence is most
concerning?
A. unsafe delegation
B. invalid consent
C. healthcare-associated infection
D. wrong-patient treatment
Answer: D. wrong-patient treatment
Rationale: Wrong-patient treatment is a major complication associated with patient
identification. Nursing care therefore emphasizes early recognition and the priority action to stop
and verify identity before proceeding.
5. Which patient statement indicates correct understanding of teaching related to
medication safety?
A. ask questions before sedating medication is given
B. avoid judgmental labels and unapproved abbreviations
C. keep an updated medication and allergy list
D. perform hand hygiene even when gloves are used
Answer: C. keep an updated medication and allergy list
Rationale: This instruction (keep an updated medication and allergy list) supports safer self-
management of medication safety and helps reduce the risk of preventable adverse drug event.
6. During a safety review focused on Introduction to Anatomy and Physiology, which
observation is most consistent with correct falls practice?
A. unsteady gait plus sedating medications
B. acute change from baseline cognition
C. patient expresses fear or uncertainty
D. new allergy or major interaction discovered before administration
Answer: A. unsteady gait plus sedating medications
Rationale: The finding 'unsteady gait plus sedating medications' is the best match for falls.
Recognizing this pattern supports timely clinical judgment and helps the nurse watch for injury
from a preventable fall.
7. Which information should be gathered to evaluate delegation safely?
A. match task complexity with scope and patient stability
B. compare identifiers with the order and wristband
ADULT HEALTH NURSING
10th Edition
Kim Cooper & Kelly Gosnell
COMPLETE ORIGINAL PRACTICE TEST BANK
1,500 Questions • Correct Answers • Detailed Rationales
NCLEX-PN & NGN • Clinical Judgment • Chapter-by-Chapter Review
,Resource Coverage
Resource Coverage
Questions 1,500
Chapters 17
4-option multiple choice; correct answer and
Format
detailed rationale after each item
LPN/LVN adult health nursing, common
Focus disorders, nursing process, safety, patient
teaching, and clinical judgment
Format Note: Questions are numbered continuously from 1 to 1,500. There is no separate
answer key; each answer and rationale follows its question.
,Chapter 1: Introduction to Anatomy and Physiology
1. During a safety review focused on Introduction to Anatomy and Physiology, which
observation is most consistent with correct older adult safety practice?
A. new allergy or major interaction discovered before administration
B. patient can explain purpose, major risks, benefits, and alternatives
C. acute change from baseline cognition
D. unsteady gait plus sedating medications
Answer: C. acute change from baseline cognition
Rationale: The finding 'acute change from baseline cognition' is the best match for older adult
safety. Recognizing this pattern supports timely clinical judgment and helps the nurse watch for
delayed recognition of acute illness.
2. To assess risk related to infection prevention, which approach is most useful?
A. reconcile medication, dose, route, timing, allergies, and labs
B. assess organism and mode of transmission
C. assess preferred language and literacy needs
D. review gait, medications, orthostasis, and environment
Answer: B. assess organism and mode of transmission
Rationale: The most useful evaluation is assess organism and mode of transmission. These
data help assess infection prevention, guide treatment, and detect deterioration or complications
such as healthcare-associated infection.
3. During a clinical-judgment review, which action should the nurse prioritize for
documentation?
A. use plain language and teach-back
B. document after care is provided
C. notify the provider if questions remain before signing
D. retain assessment, teaching, evaluation, and clinical judgment with the RN
Answer: B. document after care is provided
Rationale: The priority is to document after care is provided. This action directly addresses the
immediate problem associated with documentation and helps reduce the risk of communication
and legal risk.
, 4. The nurse identifies a breakdown in patient identification. Which consequence is most
concerning?
A. unsafe delegation
B. invalid consent
C. healthcare-associated infection
D. wrong-patient treatment
Answer: D. wrong-patient treatment
Rationale: Wrong-patient treatment is a major complication associated with patient
identification. Nursing care therefore emphasizes early recognition and the priority action to stop
and verify identity before proceeding.
5. Which patient statement indicates correct understanding of teaching related to
medication safety?
A. ask questions before sedating medication is given
B. avoid judgmental labels and unapproved abbreviations
C. keep an updated medication and allergy list
D. perform hand hygiene even when gloves are used
Answer: C. keep an updated medication and allergy list
Rationale: This instruction (keep an updated medication and allergy list) supports safer self-
management of medication safety and helps reduce the risk of preventable adverse drug event.
6. During a safety review focused on Introduction to Anatomy and Physiology, which
observation is most consistent with correct falls practice?
A. unsteady gait plus sedating medications
B. acute change from baseline cognition
C. patient expresses fear or uncertainty
D. new allergy or major interaction discovered before administration
Answer: A. unsteady gait plus sedating medications
Rationale: The finding 'unsteady gait plus sedating medications' is the best match for falls.
Recognizing this pattern supports timely clinical judgment and helps the nurse watch for injury
from a preventable fall.
7. Which information should be gathered to evaluate delegation safely?
A. match task complexity with scope and patient stability
B. compare identifiers with the order and wristband
