Travel Nursing Certification Exam Study Guide
2025/2026 || Verified Questions Bank & Correct
Solutions with Rationales
Description:
Updated Travel Nursing Certification Exam study guide for 2025/2026. Includes a verified
questions bank with correct solutions and rationales covering travel nurse regulations, patient
care, compliance, and healthcare facility standards. Designed to help nurses prepare effectively
and achieve guaranteed success on certification exams.
Keywords:
travel nursing certification exam 2025
travel nurse test prep with rationales
nursing certification verified answers
travel nurse exam study guide
travel nursing exam solutions 2026
Section 1: Core Nursing Competencies & Patient Safety (Questions 1-25)
1. A patient with heart failure is prescribed furosemide 40 mg IV push. Which nursing action is
most critical before administration?
A) Assess for pedal edema.
B) Check the patient's latest potassium level.
,C) Auscultate lung sounds for crackles.
D) Weigh the patient.
Answer Bank:
A) Assess for pedal edema.
B) Check the patient's latest potassium level.
C) Auscultate lung sounds for crackles.
D) Weigh the patient.
Rationale: Furosemide is a potassium-wasting diuretic. Administering it to a patient who is
already hypokalemic can precipitate dangerous cardiac dysrhythmias. While all actions are
relevant to managing heart failure, checking potassium is the most critical safety step prior
to this specific medication administration.
2. When preparing to administer a blood transfusion, the nurse confirms that the blood
product and patient are matched using which two identifiers?
A) The patient's room number and birth date.
B) The patient's name and medical record number.
C) The patient's diagnosis and armband.
D) The ordering physician's name and the patient's name.
Answer Bank:
A) The patient's room number and birth date.
B) The patient's name and medical record number.
C) The patient's diagnosis and armband.
D) The ordering physician's name and the patient's name.
,Rationale: Patient identifiers must be unique and not change during the hospitalization. Name
and medical record number are standard. A room number is not a safe identifier as patients can
move.
3. A patient suddenly develops signs of a pulmonary embolism (PE). The nurse anticipates the
provider will order which first-line diagnostic test?
A) Electrocardiogram (ECG)
B) Chest X-ray
C) Ventilation-Perfusion (V/Q) Scan
D) Computed Tomography Pulmonary Angiography (CTPA)
Answer Bank:
A) Electrocardiogram (ECG)
B) Chest X-ray
C) Ventilation-Perfusion (V/Q) Scan
D) Computed Tomography Pulmonary Angiography (CTPA)
Rationale: CTPA is the gold standard for diagnosing PE as it directly visualizes clots in the
pulmonary arteries. An ECG and chest X-ray are supportive but not diagnostic. A V/Q scan is
used if CTPA is contraindicated.
4. The "5 Rights" of medication administration are a fundamental safety check. They include:
A) Right patient, right drug, right dose, right route, right time.
B) Right patient, right drug, right dose, right route, right reason.
C) Right patient, right drug, right dose, right room, right time.
, D) Right patient, right drug, right dose, right route, right documentation.
Answer Bank:
A) Right patient, right drug, right dose, right route, right time.
B) Right patient, right drug, right dose, right route, right reason.
C) Right patient, right drug, right dose, right room, right time.
D) Right patient, right drug, right dose, right route, right documentation.
Rationale: The classic "5 Rights" are Patient, Drug, Dose, Route, and Time. While reason and
documentation are critically important, they are not part of the original five.
5. A patient with a head injury has a Glasglow Coma Scale (GCS) score of 7. How should the
nurse interpret this finding?
A) The patient is fully alert and oriented.
B) The patient has a moderate brain injury.
C) The patient has a severe brain injury.
D) The score is within normal limits.
Answer Bank:
A) The patient is fully alert and oriented.
B) The patient has a moderate brain injury.
C) The patient has a severe brain injury.
D) The score is within normal limits.
Rationale: A GCS score of 13-15 is mild, 9-12 is moderate, and 8 or below indicates a severe
brain injury, often requiring intubation for airway protection.
2025/2026 || Verified Questions Bank & Correct
Solutions with Rationales
Description:
Updated Travel Nursing Certification Exam study guide for 2025/2026. Includes a verified
questions bank with correct solutions and rationales covering travel nurse regulations, patient
care, compliance, and healthcare facility standards. Designed to help nurses prepare effectively
and achieve guaranteed success on certification exams.
Keywords:
travel nursing certification exam 2025
travel nurse test prep with rationales
nursing certification verified answers
travel nurse exam study guide
travel nursing exam solutions 2026
Section 1: Core Nursing Competencies & Patient Safety (Questions 1-25)
1. A patient with heart failure is prescribed furosemide 40 mg IV push. Which nursing action is
most critical before administration?
A) Assess for pedal edema.
B) Check the patient's latest potassium level.
,C) Auscultate lung sounds for crackles.
D) Weigh the patient.
Answer Bank:
A) Assess for pedal edema.
B) Check the patient's latest potassium level.
C) Auscultate lung sounds for crackles.
D) Weigh the patient.
Rationale: Furosemide is a potassium-wasting diuretic. Administering it to a patient who is
already hypokalemic can precipitate dangerous cardiac dysrhythmias. While all actions are
relevant to managing heart failure, checking potassium is the most critical safety step prior
to this specific medication administration.
2. When preparing to administer a blood transfusion, the nurse confirms that the blood
product and patient are matched using which two identifiers?
A) The patient's room number and birth date.
B) The patient's name and medical record number.
C) The patient's diagnosis and armband.
D) The ordering physician's name and the patient's name.
Answer Bank:
A) The patient's room number and birth date.
B) The patient's name and medical record number.
C) The patient's diagnosis and armband.
D) The ordering physician's name and the patient's name.
,Rationale: Patient identifiers must be unique and not change during the hospitalization. Name
and medical record number are standard. A room number is not a safe identifier as patients can
move.
3. A patient suddenly develops signs of a pulmonary embolism (PE). The nurse anticipates the
provider will order which first-line diagnostic test?
A) Electrocardiogram (ECG)
B) Chest X-ray
C) Ventilation-Perfusion (V/Q) Scan
D) Computed Tomography Pulmonary Angiography (CTPA)
Answer Bank:
A) Electrocardiogram (ECG)
B) Chest X-ray
C) Ventilation-Perfusion (V/Q) Scan
D) Computed Tomography Pulmonary Angiography (CTPA)
Rationale: CTPA is the gold standard for diagnosing PE as it directly visualizes clots in the
pulmonary arteries. An ECG and chest X-ray are supportive but not diagnostic. A V/Q scan is
used if CTPA is contraindicated.
4. The "5 Rights" of medication administration are a fundamental safety check. They include:
A) Right patient, right drug, right dose, right route, right time.
B) Right patient, right drug, right dose, right route, right reason.
C) Right patient, right drug, right dose, right room, right time.
, D) Right patient, right drug, right dose, right route, right documentation.
Answer Bank:
A) Right patient, right drug, right dose, right route, right time.
B) Right patient, right drug, right dose, right route, right reason.
C) Right patient, right drug, right dose, right room, right time.
D) Right patient, right drug, right dose, right route, right documentation.
Rationale: The classic "5 Rights" are Patient, Drug, Dose, Route, and Time. While reason and
documentation are critically important, they are not part of the original five.
5. A patient with a head injury has a Glasglow Coma Scale (GCS) score of 7. How should the
nurse interpret this finding?
A) The patient is fully alert and oriented.
B) The patient has a moderate brain injury.
C) The patient has a severe brain injury.
D) The score is within normal limits.
Answer Bank:
A) The patient is fully alert and oriented.
B) The patient has a moderate brain injury.
C) The patient has a severe brain injury.
D) The score is within normal limits.
Rationale: A GCS score of 13-15 is mild, 9-12 is moderate, and 8 or below indicates a severe
brain injury, often requiring intubation for airway protection.
