Exam Questions With Correct Verified
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Questions 1–50
1. A nurse is preparing to administer medication to a
patient. Which action should the nurse take first?
A. Verify the patient’s allergies B. Check the medication
dosage C. Confirm the patient’s identity using two
identifiers D. Explain the medication to the patient
Answer: C. Confirm the patient’s identity using two
identifiers
Rationale: Correct patient identification is the first priority
before administering any medication. Using two identifiers
helps prevent medication errors and ensures patient safety.
Although checking allergies, dosage, and explaining the
medication are essential, the nurse must first verify the correct
patient.
, 2. Which vital sign finding should the nurse report
immediately?
A. Temperature of 99°F (37.2°C) B. Pulse rate of 88
beats/minute C. Respiratory rate of 8 breaths/minute D.
Blood pressure of 128/76 mm Hg
Answer: C. Respiratory rate of 8 breaths/minute
Rationale: A respiratory rate of 8 breaths per minute indicates
respiratory depression and requires immediate intervention.
Normal adult respiratory rates range from 12 to 20 breaths per
minute. The other findings are within expected limits for most
adults.
3. A patient refuses a scheduled treatment. What is the
nurse’s best response?
A. Inform the patient that refusal is not allowed B. Ask
another nurse to convince the patient C. Document the
refusal and notify the provider D. Withhold all future
treatments
Answer: C. Document the refusal and notify the provider
Rationale: Patients have the legal right to refuse treatment.
The nurse should document the refusal, assess the reason for
refusal, educate the patient as needed, and notify the
healthcare provider. Forcing treatment violates patient
autonomy and ethical principles.
, 4. Which action demonstrates appropriate hand hygiene?
A. Washing hands only when visibly soiled B. Using gloves
instead of washing hands C. Performing hand hygiene
before and after patient contact D. Wearing hand lotion
before applying gloves
Answer: C. Performing hand hygiene before and after
patient contact
Rationale: Hand hygiene should be performed before and after
all patient contact to reduce the spread of microorganisms.
Gloves do not replace handwashing. Proper hand hygiene is
one of the most effective methods of infection prevention.
5. A nurse is caring for a patient on bed rest. Which
intervention helps prevent pressure injuries?
A. Restricting fluid intake B. Repositioning the patient every
2 hours C. Massaging reddened skin areas D. Elevating the
head of the bed continuously
Answer: B. Repositioning the patient every 2 hours
Rationale: Frequent repositioning reduces prolonged pressure
on tissues and helps prevent pressure injuries. Massaging
reddened areas can damage tissue further. Adequate hydration
and minimizing prolonged elevation of the head of the bed also
support skin integrity.
, 6. Which statement by a nursing student indicates
understanding of standard precautions?
A. “Standard precautions are only used for patients with
infections.” B. “Gloves are required for every patient
interaction.” C. “Standard precautions apply to all
patients.” D. “Masks are unnecessary during procedures.”
Answer: C. “Standard precautions apply to all patients.”
Rationale: Standard precautions are used with every patient
regardless of diagnosis because all blood and body fluids may
contain infectious organisms. Gloves, masks, and other
personal protective equipment are used based on anticipated
exposure risks.
7. Which position is best for a patient experiencing
difficulty breathing?
A. Supine B. Sims’ C. Fowler’s D. Trendelenburg
Answer: C. Fowler’s
Rationale: Fowler’s position promotes lung expansion and
improves breathing by elevating the head of the bed. Supine
positioning can worsen respiratory distress. Trendelenburg is
not appropriate for patients with breathing difficulty.