10 exam-style questions with answers and explanations, straight from our 1,030-question bank. Tap an answer to check yourself. When you're ready, take the scored version in the free practice test.
The QE exam has 150 questions and runs 2 hours 45 minutes.
These 10 free QE questions are organized by exam domain, so you can see how each part of the CGFNS Qualifying Exam blueprint is tested. Reveal the answer and explanation under each question.
Domain 1: Patients, Families, Communities, and Professionalism 14% of exam
Question 1
A patient is due for surgery in one hour and has already signed the consent form. When asked what the operation involves, the patient describes a procedure different from the one prescribed. Which action should the nurse take FIRST?
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Correct answer: C - Inform the surgeon so that consent can be revisited
Question 2
A woman who speaks limited English needs teaching before discharge. Her adult son offers to interpret and the patient nods in agreement. Which action is MOST appropriate?
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Correct answer: A - Arrange a trained interpreter and invite the son to stay
Question 3
After a confirmed case of pulmonary tuberculosis, a nurse screens the patient's household contacts and starts treatment for those found to be infected. This activity is BEST classified as:
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Correct answer: B - Secondary prevention, because it detects disease early and treats it
Domain 2: Ethics 6% of exam
Question 4
A 78-year-old woman with capacity declines a recommended blood transfusion, stating that she understands she may die without it. Her son asks the nurse to persuade her. Which action is MOST consistent with ethical practice?
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Correct answer: D - Respect her decision and confirm her understanding of the risks
Domain 3: Leadership and Personal Responsibility 5% of exam
Question 5
A recruitment agency offers overseas nursing posts on condition that applicants pay a large placement fee and leave their passports with the agency until it is repaid. According to international guidance on the recruitment of health personnel, this practice is:
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Correct answer: C - Unacceptable, because fees and passport retention exploit the worker
Domain 4: Education and Research 10% of exam
Question 6
A patient has been taught to self-administer insulin before discharge. Which action BEST confirms that the patient can carry out the technique safely at home?
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Correct answer: A - Observe the patient prepare and give the injection unaided
Question 7
A trial comparing two wound dressings reports a mean difference in healing time of 0.4 days, with a 95% confidence interval of -0.3 to 1.1 days. What does this result indicate?
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Correct answer: D - The difference is not statistically significant, as zero is included
Domain 5: Technology and Innovation 5% of exam
Question 8
An electronic prescribing system generates an alert recommending a medication dose that the nurse believes is unsafe given the patient's renal function. Which action is MOST appropriate?
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Correct answer: B - Withhold the dose and discuss the concern with the prescriber
Domain 6: Health Promotion and Maintenance 20% of exam
Question 9
Two hours after a vaginal birth, a woman has soaked two perineal pads within 15 minutes. On palpation her uterus feels soft. Which action should the nurse take FIRST?
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Correct answer: A - Massage the uterine fundus
Question 10
An 82-year-old man admitted with a chest infection was fully oriented on admission. Overnight he became confused and agitated; by the morning he is lucid again. Which explanation is MOST likely?
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Correct answer: C - Delirium secondary to the acute infection