Nursing Fundamentals

Which two patient identifiers must be used before medication administration?

What is the correct order for donning PPE for contact precautions?

A patient requires 1,000 mL of normal saline over 8 hours using a pump. What rate (mL/hr) should you set?

For a suspected transfusion reaction with fever and back pain, what is the nurse’s first action?

Which statement best demonstrates therapeutic communication with an anxious patient?

Which oxygen device provides the most precise, fixed FiO₂?

Which action is safest when lifting a patient from bed to chair?

What is the correct technique for an intradermal injection?

Using a blood pressure cuff that is too small will cause what error?

Which task is appropriate to delegate to an unlicensed assistive personnel (UAP)?

Where should a urinary drainage bag be positioned for a patient with an indwelling catheter?

Which action maintains a sterile field during a procedure?

Which finding defines orthostatic hypotension when moving from supine to standing?

What is the priority intervention to reduce aspiration risk during enteral feeding?

A provider orders acetaminophen 650 mg PO q6h PRN. Tablets are 325 mg. How many tablets should be given per dose?

What is the correct method to obtain a sterile urine specimen from a Foley catheter?

What is the most reliable method to verify NG tube placement before the first feeding?

After caring for a patient with C. difficile on contact precautions, which hand hygiene method is required?

What needle gauge and length are appropriate for an adult deltoid IM injection?

Which principle is correct regarding the use of restraints?

Using macrodrip tubing (15 gtt/mL), how many gtt/min are needed to infuse 500 mL over 4 hours?

Which statement reflects best practice for medication documentation?

Which condition may cause a falsely high pulse oximetry reading?

Which position is best for administering a cleansing enema?

A patient reports new severe chest pain. What is the nurse’s first action?

What is the correct sequence for doffing PPE after contact precautions?

An order reads hydromorphone 0.5 mg IV now. The vial is 1 mg/mL. What volume should you administer?

Which intervention best prevents pressure injuries in a bedbound patient?

A conscious adult has blood glucose 3.0 mmol/L (54 mg/dL). What is the first action?

Which wound-cleansing technique is correct?

What is the appropriate flow range for a simple face mask?

What is the correct sequence for fire extinguisher use?

Which situation requires delaying an oral temperature measurement?

What is the best method to verify understanding after teaching metered-dose inhaler use?

Using macrodrip 20 gtt/mL, how many gtt/min to infuse 1,000 mL over 6 hours?

Which pain assessment tool is most appropriate for a nonverbal older adult with dementia?

Immediately after Foley insertion, which action reduces CAUTI risk?

A 70-kg patient requires heparin at 18 units/kg/hr. The IV bag is 25,000 units in 500 mL. What pump rate (mL/hr) is correct?

What is the correct technique when preparing regular insulin and NPH in one syringe?

Which structured communication tool ensures clear transfer during handoff?

What is the safest way to verify patient identity before blood transfusion?

Which isolation is required for measles (rubeola)?

What is the first action if a patient begins to fall during ambulation?

How long should you wash hands with soap and water when visibly soiled?

Which option is the best site for subcutaneous insulin in adults when rotating within one region?

A patient has a new wrist restraint order. What is the priority nursing action?

What does the RACE acronym mean in fire safety?

Which step is correct before radial arterial puncture for ABG?

What is the most accurate way to measure liquid meds for oral administration?

Which patient position is best to insert a rectal suppository?

Which instruction is correct for incentive spirometer use?

How should a sterile solution bottle be handled after opening?

Which situation requires droplet precautions?

What is the priority when a patient reports new shortness of breath?

Calculate: Infuse 750 mL over 6 hours using 15 gtt/mL tubing. What is gtt/min?

Which statement shows effective teach-back?

What action reduces CAUTI risk during routine care?

What is the correct angle for subcutaneous heparin injection with 5/8″ needle and average habitus?

Which task is appropriate for an LPN/LVN under RN supervision?

How should contaminated linens be handled?

Which finding indicates possible fluid volume deficit?

What is the priority intervention for aspiration precautions in a stroke patient with dysphagia?

Best practice for cleaning a wound with multiple staples?

Which vital sign change is most concerning after opioid administration?

A potassium chloride IV is prescribed at 10 mEq in 100 mL over 1 hour via pump. What rate is correct?

What is the safest method to move a patient up in bed with two caregivers?

Which action prevents needle-stick injuries?

How should an oxygen cylinder be stored?

Which symptom suggests latex allergy in a healthcare worker?

Which practice reduces aspiration during oral care in an unconscious patient?

Calculate mL/hr: 1,200 mL D5W over 10 hours via pump.

Which statement is correct about contact-plus precautions (e.g., C. difficile)?

What is the preferred site for intramuscular vaccine in infants?

Which lab requires immediate provider notification?

What is the first nursing action for a malfunctioning infusion pump alarming “occlusion”?

Which patient requires standard precautions only?

Which behavior aligns with professional boundaries?

A nurse receives a verbal order. What ensures accuracy?

Which position aids venous return in hypotension without respiratory distress?

Calculate dose: Order is cefazolin 1 g IV; pharmacy supplies 2 g/100 mL. How many mL will you administer?

What is the appropriate flow range for a nonrebreather mask in an adult?

What is the preferred intramuscular vaccine site for a toddler?

After IV opioid analgesia, when should pain be reassessed?

Which urine output suggests adequate renal perfusion in an adult?

What is the best position for inserting a nasogastric tube?

Before applying restraints, which alternative is most appropriate?

What is the correct method to remove soiled gloves?

When opening a sterile package on a table, which flap is opened first?

Which procedure requires sterile technique?

Which postoperative finding is most urgent to address first?

How should a new dressing be labeled?

Which situation contraindicates an oral temperature?

Which teaching is correct for a patient on warfarin?

Which PPE is best when performing oral suctioning with splash risk?

In poor peripheral perfusion, which oximeter sensor is preferred?

How should a patient with active pulmonary TB be transported?

The order is amoxicillin 375 mg PO; tablets are 250 mg scored. What should you give?

Calculate gtt/min: 250 mL over 2 hours with 10 gtt/mL tubing.

What pump rate is needed to infuse 60 mL over 30 minutes?

Which medication safety rule is correct?

After a medication error, how should charting be completed?

A neutropenic patient spikes a temperature of 38.5°C. What is the priority?

What is a critical nursing step before giving digoxin?

What instruction helps reduce orthostatic symptoms?

For gastric tube feeds, what should be done with aspirated gastric contents (unless contraindicated)?

What is the best way to conduct patient education across a language barrier?

Which pain scale is best for a nonverbal toddler post-op?

How much solution is used for a tuberculin skin test (PPD) intradermally?

When providing eye care, in which direction should you wipe?

When should an N95 respirator be removed after caring for airborne isolation?

How should epistaxis (nosebleed) be managed initially?

After a patient fall, what is the first nursing action?

Which task should NOT be delegated to a UAP?

What is an early sign of hypoxia in adults?

What Foley catheter size is typical for an adult female?

For a known latex allergy, which action is essential?

Which foot-care teaching is correct for diabetes?

Before open suctioning a tracheostomy, what should be done?

What process ensures correct patient, procedure, and site before an invasive procedure?

What are the correct adult chest compression targets in BLS?

Which action is correct if a patient wears a “latex allergy” band and needs a urinary catheter?

For oral temperature measurement, which situation requires choosing a different route?

Which isolation is required for varicella (chickenpox)?

What is the first step after a needlestick injury?

Which abbreviation should be avoided in medication orders?

Which practice reduces look-alike/sound-alike (LASA) medication errors?

What is the safest lubricant for nasal cannula prongs?

During a seizure, what is the priority?

Which practice is correct when handling sharps containers?

Which wound drainage description is most concerning?

Which side should be avoided for BP and venipuncture after left mastectomy with node dissection?

For tracheostomy care in the hospital, which technique is correct?

Which action is correct before mixing IV medications in the same line?

What is the minimum time for alcohol-based hand rub when hands are not visibly soiled?

What is the correct initial response to a confused patient pulling at lines?

Which patients require droplet precautions?

What is the correct action if the nonrebreather reservoir bag collapses during inspiration?

Which statement about clean catch urine specimen is correct?

Which teaching prevents aspiration for a patient with dysphagia?

Which oxygen safety rule is correct at home?

Which practice best prevents medication contamination from multi-dose vials?

Which patients need contact precautions (primary)?

Calculate mL/hr: Infuse 800 mL over 5 hours via pump.

Using 12 gtt/mL tubing, infuse 1,000 mL over 8 hours. What is gtt/min?

The order is nitroglycerin at 10 mcg/min. Bag is 50 mg in 250 mL. What pump rate?

Which statement about insulin site rotation is correct?

Which practice is correct for tourniquet use during venipuncture?

Which step improves safety when administering high-alert IV potassium?

Which statement shows correct oxygen humidification use?

What is the correct response to a patient refusing medication?

Which statement about culturally sensitive care is best?

Which item is required on a medication label prepared by the nurse?

Which principle reduces shear and skin injury when repositioning?

What is the best technique to prevent CAUTI during perineal care?

Which statement about sterile glove removal is correct?

Which practice prevents errors during verbal/phone orders?

A patient is on fall precautions. Which intervention is most effective?

Which sign most likely indicates hypoglycemia masked by beta-blockers?

Which practice is correct for TPN administration?

Calculate dose conversion: Order 0.25 mg digoxin; how many micrograms is this?

At the start of a packed RBC transfusion, how long should the nurse remain with the patient continuously?

During tracheal suctioning, how long should you allow the patient to recover with oxygen between passes?

What border of a sterile field is considered contaminated?

After using the restroom, which hand hygiene method is correct?

Before administering medications via a continuous enteral feeding tube, what is the best nursing action?

Where should ophthalmic drops be instilled to avoid corneal injury?

How should the pinna be positioned for adult ear-drop administration?

When is the best time to collect a sputum specimen for culture?

How often should incentive spirometry typically be performed while awake?

What is the most reliable indicator of a patient’s pain intensity?

Which early vital sign change most suggests acute blood loss?

When measuring orthostatic vital signs, when should blood pressure be rechecked after standing?

What is the correct instruction for sublingual nitroglycerin use during chest pain?

What needle is required when withdrawing medication from an ampule?

For peak flow monitoring in asthma, how are results recorded?

Which insulin needle choice is appropriate for subcutaneous administration in most adults?

How should a cane be used for a weak left leg?

What is the correct rule for using crutches on stairs?

What is the proper sequence when walking with a standard walker and a weak right leg?

A patient drinks 12 ounces of water. How much intake should be recorded in milliliters?

Which blood product administration limit is correct for packed RBCs?

A temperature of 38.3°C equals approximately what Fahrenheit value?

Which pain scale is most appropriate for a cooperative 5-year-old?

What is the correct procedure for disposing of excess controlled substances at the bedside?

During female catheterization, the catheter is accidentally placed in the vagina. What should you do?

How large should the skin barrier opening be for a new ostomy appliance?

Which isolation precautions are appropriate for RSV bronchiolitis?

What is the proper technique for CHG skin prep before central line dressing application?

Which writing practice improves medication safety?

Under HIPAA, which principle guides access to patient information?

How often must healthcare workers be fit-tested for N95 respirators?

Which arm should be used to measure BP in a patient with a running IV in the right arm?

Which lab test is used to monitor IV unfractionated heparin therapy?

In which patient is an oropharyngeal airway (OPA) appropriate?

How do you size a nasopharyngeal airway (NPA) before insertion?

What is the correct first action if a bottle of sterile solution is touched to the sterile field edge?

Which route provides the most accurate core temperature in adults when not contraindicated?