2026 UPDATE
FOUNDATIONS AND 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 58
4-option multiple choice; correct answer and
Format
detailed rationale after each item
fundamentals, lifespan care, adult health
Focus nursing, medication safety, clinical judgment,
patient teaching, and nursing skills
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: The Evolution of Nursing
1. To assess risk related to health literacy, which approach is most useful?
A. reconcile medication, dose, route, timing, allergies, and labs
B. match task complexity with scope and patient stability
C. assess preferred language and literacy needs
D. assess organism and mode of transmission
Answer: C. assess preferred language and literacy needs
Rationale: The most useful evaluation is assess preferred language and literacy needs. These
data help assess health literacy, guide treatment, and detect deterioration or complications such
as medication or self-care error.
2. When older adult safety becomes a concern, which nursing response is most
appropriate?
A. assess for delirium and reversible causes promptly
B. document after care is provided
C. stop and verify identity before proceeding
D. use open-ended, nonjudgmental therapeutic communication
Answer: A. assess for delirium and reversible causes promptly
Rationale: The priority is to assess for delirium and reversible causes promptly. This action
directly addresses the immediate problem associated with older adult safety and helps reduce
the risk of delayed recognition of acute illness.
3. Which complication is the priority concern when infection prevention is not
addressed?
A. communication and legal risk
B. missed concerns or unsafe plan
C. unsafe delegation
D. healthcare-associated infection
Answer: D. healthcare-associated infection
Rationale: Healthcare-associated infection is a major complication associated with infection
prevention. Nursing care therefore emphasizes early recognition and the priority action to use
indicated standard and transmission-based precautions.
, 4. Which patient statement indicates correct understanding of teaching related to
documentation?
A. bring medications or use a written schedule
B. avoid judgmental labels and unapproved abbreviations
C. ask the patient to state identifiers rather than confirming a suggested name
D. ask questions before sedating medication is given
Answer: B. avoid judgmental labels and unapproved abbreviations
Rationale: This instruction (avoid judgmental labels and unapproved abbreviations) supports
safer self-management of documentation and helps reduce the risk of communication and legal
risk.
5. While reviewing The Evolution of Nursing, which statement best reflects safe practice
related to patient identification?
A. stable predictable task appropriate to assistive personnel
B. patient can explain purpose, major risks, benefits, and alternatives
C. two approved identifiers before medication or procedures
D. difficulty explaining a new care plan in own words
Answer: C. two approved identifiers before medication or procedures
Rationale: The finding 'two approved identifiers before medication or procedures' is the best
match for patient identification. Recognizing this pattern supports timely clinical judgment and
helps the nurse watch for wrong-patient treatment.
6. Which information should be gathered to evaluate medication safety safely?
A. reconcile medication, dose, route, timing, allergies, and labs
B. assess organism and mode of transmission
C. assess preferred language and literacy needs
D. record assessment, intervention, and patient response
Answer: A. reconcile medication, dose, route, timing, allergies, and labs
Rationale: The most useful evaluation is reconcile medication, dose, route, timing, allergies,
and labs. These data help assess medication safety, guide treatment, and detect deterioration
or complications such as preventable adverse drug event.
7. When falls becomes a concern, which nursing response is most appropriate?
A. use plain language and teach-back
B. notify the provider if questions remain before signing
FOUNDATIONS AND 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 58
4-option multiple choice; correct answer and
Format
detailed rationale after each item
fundamentals, lifespan care, adult health
Focus nursing, medication safety, clinical judgment,
patient teaching, and nursing skills
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: The Evolution of Nursing
1. To assess risk related to health literacy, which approach is most useful?
A. reconcile medication, dose, route, timing, allergies, and labs
B. match task complexity with scope and patient stability
C. assess preferred language and literacy needs
D. assess organism and mode of transmission
Answer: C. assess preferred language and literacy needs
Rationale: The most useful evaluation is assess preferred language and literacy needs. These
data help assess health literacy, guide treatment, and detect deterioration or complications such
as medication or self-care error.
2. When older adult safety becomes a concern, which nursing response is most
appropriate?
A. assess for delirium and reversible causes promptly
B. document after care is provided
C. stop and verify identity before proceeding
D. use open-ended, nonjudgmental therapeutic communication
Answer: A. assess for delirium and reversible causes promptly
Rationale: The priority is to assess for delirium and reversible causes promptly. This action
directly addresses the immediate problem associated with older adult safety and helps reduce
the risk of delayed recognition of acute illness.
3. Which complication is the priority concern when infection prevention is not
addressed?
A. communication and legal risk
B. missed concerns or unsafe plan
C. unsafe delegation
D. healthcare-associated infection
Answer: D. healthcare-associated infection
Rationale: Healthcare-associated infection is a major complication associated with infection
prevention. Nursing care therefore emphasizes early recognition and the priority action to use
indicated standard and transmission-based precautions.
, 4. Which patient statement indicates correct understanding of teaching related to
documentation?
A. bring medications or use a written schedule
B. avoid judgmental labels and unapproved abbreviations
C. ask the patient to state identifiers rather than confirming a suggested name
D. ask questions before sedating medication is given
Answer: B. avoid judgmental labels and unapproved abbreviations
Rationale: This instruction (avoid judgmental labels and unapproved abbreviations) supports
safer self-management of documentation and helps reduce the risk of communication and legal
risk.
5. While reviewing The Evolution of Nursing, which statement best reflects safe practice
related to patient identification?
A. stable predictable task appropriate to assistive personnel
B. patient can explain purpose, major risks, benefits, and alternatives
C. two approved identifiers before medication or procedures
D. difficulty explaining a new care plan in own words
Answer: C. two approved identifiers before medication or procedures
Rationale: The finding 'two approved identifiers before medication or procedures' is the best
match for patient identification. Recognizing this pattern supports timely clinical judgment and
helps the nurse watch for wrong-patient treatment.
6. Which information should be gathered to evaluate medication safety safely?
A. reconcile medication, dose, route, timing, allergies, and labs
B. assess organism and mode of transmission
C. assess preferred language and literacy needs
D. record assessment, intervention, and patient response
Answer: A. reconcile medication, dose, route, timing, allergies, and labs
Rationale: The most useful evaluation is reconcile medication, dose, route, timing, allergies,
and labs. These data help assess medication safety, guide treatment, and detect deterioration
or complications such as preventable adverse drug event.
7. When falls becomes a concern, which nursing response is most appropriate?
A. use plain language and teach-back
B. notify the provider if questions remain before signing
