NCLEX style practice final exam #2 for RSNG-1413

1. A nurse is caring for a patient who reports chest pain. Which action should the nurse take first?

• Notify the provider
• Administer oxygen
• Obtain vital signs
• Perform an ECG

Answer explanation

Assessment (vitals) must precede interventions in suspected cardiac events.

2. Which of the following reflects the nurse’s role as an advocate?

• Withholding information from the patient to avoid anxiety
• Supporting the patient’s decision to refuse treatment
• Making choices for the patient
• Following orders without question

Answer explanation

Advocacy protects patient autonomy and supports informed choice.

3. Which component is essential in writing an accurate nursing diagnosis?

• Pathophysiology
• Medical condition
• Nursing judgment based on assessment data
• Physician’s order

Answer explanation

Nursing diagnoses are based on patient assessment and clinical reasoning.

4. A nurse assigns vital sign measurement to an unlicensed assistive personnel (UAP). What is the nurse’s responsibility afterward?

• Verify the accuracy of the readings
• Assume data is correct
• Document without review
• Delegate assessment

Answer explanation

The nurse remains accountable for delegated tasks and must validate results.

5. Which of the following are professional nursing organizations?

• American Nurses Association (ANA)
• National League for Nursing (NLN)
• National Student Nurses Association (NSNA)
• American Medical Association (AMA)
• Texas Board of Nursing (BON)

Answer explanation

These groups regulate, educate, and advocate for nursing practice and standards.

6. Which statement about the ANA Standards of Practice is accurate?

• They apply only to hospital nurses
• They define competent nursing care and accountability
• They are optional suggestions
• They apply only to advanced practice nurses

Answer explanation

ANA Standards outline the professional responsibilities and expectations for all nurses.

7. The nurse notes redness and swelling around an IV site. What is the nurse’s priority action?

• Continue infusion
• Remove IV immediately
• Apply heat
• Document findings only

Answer explanation

Redness and swelling indicate phlebitis or infiltration; stop infusion to prevent injury.

8. Which is an example of a secondary prevention activity?

• Immunization
• Physical therapy
• Mammogram screening
• Rehabilitation

Answer explanation

Secondary prevention detects early disease (screening).

9. A nurse prepares to discharge a patient prescribed multiple new medications. What is the most effective teaching method?

• Provide written instructions only
• Demonstrate and have patient repeat back
• Give instructions once verbally
• Tell family to explain later

Answer explanation

Teach-back confirms understanding and ensures safe self-care.

10. Which element of the nursing process ensures individualized care?

• Assessment
• Planning
• Evaluation
• Diagnosis

Answer explanation

The planning step tailors goals and interventions to specific patient needs.