ALABAMA LIFE AND HEALTH
INSURANCE EXAM QUESTIONS
&CORRECT ANSWERS WITH DETAILED
RATIONALES
Block 1: Fundamentals & Safety (Questions 1-50)
1. A nurse is preparing to administer a blood transfusion to a client. Which
action is the priority before initiating the transfusion?
A. Verify the client's blood type with the blood bank.
B. Assess the client's vital signs.
C. Obtain the client's signed informed consent.
D. Ensure a patent IV line with 0.9% normal saline.
Correct Answer: C
Rationale: The priority is to ensure that informed consent has been obtained,
as a blood transfusion is a procedure with significant risks. The other steps
are important but occur after consent is verified.
2. A client is on fall precautions. Which intervention is most appropriate for
this client?
A. Keep all four side rails up at all times.
B. Place the bed in the lowest position.
,C. Encourage the client to wear non-skid socks.
D. Keep the call light within reach.
Correct Answer: B
Rationale: Placing the bed in the lowest position reduces the distance of a
potential fall and is a primary environmental safety measure. All side rails up
can be a restraint.
3. The nurse is caring for a client with an indwelling Foley catheter. Which
finding indicates a possible infection?
A. Clear, yellow urine.
B. Client reports bladder fullness.
C. Foul-smelling, cloudy urine.
D. Urine output of 50 mL/hr.
Correct Answer: C
Rationale: Cloudy, foul-smelling urine is a classic sign of a urinary tract
infection. Fever and suprapubic pain are also signs.
4. A client is prescribed NPO (nothing by mouth) for surgery. The nurse finds
the client drinking a glass of water. What is the nurse's priority action?
A. Take the water away and document the incident.
B. Notify the surgical team and anesthesiologist.
C. Tell the client it is okay and continue preparing for surgery.
D. Flush the IV line with normal saline.
Correct Answer: B
Rationale: Aspiration is a major risk during surgery if the stomach is not
empty. The surgeon and anesthesiologist must be notified immediately to
determine if surgery needs to be delayed or canceled.
,5. The nurse is performing hand hygiene. Which statement is correct
regarding the use of alcohol-based hand rub?
A. It is effective against all pathogens, including spores.
B. It should be used when hands are visibly soiled.
C. It should be used before and after contact with a client.
D. It should be rinsed off with water after use.
Correct Answer: C
Rationale: Alcohol-based hand rub is the preferred method for routine
decontamination when hands are not visibly soiled. It is used before and after
client contact.
6. Which client is at highest risk for developing a pressure injury?
A. A 45-year-old with a fractured leg in traction.
B. A 70-year-old with urinary incontinence and limited mobility.
C. A 30-year-old postoperative appendectomy client.
D. A 60-year-old with hypertension.
Correct Answer: B
Rationale: The combination of incontinence (which macerates skin) and
immobility is the highest risk factor, especially in an older adult.
7. A client refuses a prescribed medication. What is the nurse's best initial
response?
A. Crush the medication and mix it with applesauce.
B. Explain the purpose of the medication and listen to the client's concerns.
C. Inform the client that the healthcare provider will be notified immediately.
D. Document the refusal and discard the medication.
, Correct Answer: B
Rationale: Assessment is the first step. The nurse must explore the reason for
refusal, which may be due to side effects, fear, or cost. Education and
therapeutic communication are key.
8. The nurse is applying restraints to a client. Which action demonstrates a
correct understanding of their use?
A. Tie the restraints to the side rail of the bed.
B. Ensure the restraints are tight enough to prevent movement.
C. Document the client's behavior leading to the restraints.
D. Remove the restraints every 4 hours for skin assessment.
Correct Answer: C
Rationale: Proper documentation includes the behavior that necessitated the
restraint, the type used, and the client's response. Restraints should be tied to
the bed frame, not the side rails, and removed at least every 2 hours.
9. A nurse is preparing to insert a nasogastric (NG) tube. Which position is
most appropriate for the client?
A. Supine with head flat.
B. High-Fowler's position.
C. Left side-lying.
D. Trendelenburg position.
Correct Answer: B
Rationale: High-Fowler's position facilitates passage of the tube into the
stomach by aligning the esophagus with the pharynx and reducing the risk of
aspiration.
INSURANCE EXAM QUESTIONS
&CORRECT ANSWERS WITH DETAILED
RATIONALES
Block 1: Fundamentals & Safety (Questions 1-50)
1. A nurse is preparing to administer a blood transfusion to a client. Which
action is the priority before initiating the transfusion?
A. Verify the client's blood type with the blood bank.
B. Assess the client's vital signs.
C. Obtain the client's signed informed consent.
D. Ensure a patent IV line with 0.9% normal saline.
Correct Answer: C
Rationale: The priority is to ensure that informed consent has been obtained,
as a blood transfusion is a procedure with significant risks. The other steps
are important but occur after consent is verified.
2. A client is on fall precautions. Which intervention is most appropriate for
this client?
A. Keep all four side rails up at all times.
B. Place the bed in the lowest position.
,C. Encourage the client to wear non-skid socks.
D. Keep the call light within reach.
Correct Answer: B
Rationale: Placing the bed in the lowest position reduces the distance of a
potential fall and is a primary environmental safety measure. All side rails up
can be a restraint.
3. The nurse is caring for a client with an indwelling Foley catheter. Which
finding indicates a possible infection?
A. Clear, yellow urine.
B. Client reports bladder fullness.
C. Foul-smelling, cloudy urine.
D. Urine output of 50 mL/hr.
Correct Answer: C
Rationale: Cloudy, foul-smelling urine is a classic sign of a urinary tract
infection. Fever and suprapubic pain are also signs.
4. A client is prescribed NPO (nothing by mouth) for surgery. The nurse finds
the client drinking a glass of water. What is the nurse's priority action?
A. Take the water away and document the incident.
B. Notify the surgical team and anesthesiologist.
C. Tell the client it is okay and continue preparing for surgery.
D. Flush the IV line with normal saline.
Correct Answer: B
Rationale: Aspiration is a major risk during surgery if the stomach is not
empty. The surgeon and anesthesiologist must be notified immediately to
determine if surgery needs to be delayed or canceled.
,5. The nurse is performing hand hygiene. Which statement is correct
regarding the use of alcohol-based hand rub?
A. It is effective against all pathogens, including spores.
B. It should be used when hands are visibly soiled.
C. It should be used before and after contact with a client.
D. It should be rinsed off with water after use.
Correct Answer: C
Rationale: Alcohol-based hand rub is the preferred method for routine
decontamination when hands are not visibly soiled. It is used before and after
client contact.
6. Which client is at highest risk for developing a pressure injury?
A. A 45-year-old with a fractured leg in traction.
B. A 70-year-old with urinary incontinence and limited mobility.
C. A 30-year-old postoperative appendectomy client.
D. A 60-year-old with hypertension.
Correct Answer: B
Rationale: The combination of incontinence (which macerates skin) and
immobility is the highest risk factor, especially in an older adult.
7. A client refuses a prescribed medication. What is the nurse's best initial
response?
A. Crush the medication and mix it with applesauce.
B. Explain the purpose of the medication and listen to the client's concerns.
C. Inform the client that the healthcare provider will be notified immediately.
D. Document the refusal and discard the medication.
, Correct Answer: B
Rationale: Assessment is the first step. The nurse must explore the reason for
refusal, which may be due to side effects, fear, or cost. Education and
therapeutic communication are key.
8. The nurse is applying restraints to a client. Which action demonstrates a
correct understanding of their use?
A. Tie the restraints to the side rail of the bed.
B. Ensure the restraints are tight enough to prevent movement.
C. Document the client's behavior leading to the restraints.
D. Remove the restraints every 4 hours for skin assessment.
Correct Answer: C
Rationale: Proper documentation includes the behavior that necessitated the
restraint, the type used, and the client's response. Restraints should be tied to
the bed frame, not the side rails, and removed at least every 2 hours.
9. A nurse is preparing to insert a nasogastric (NG) tube. Which position is
most appropriate for the client?
A. Supine with head flat.
B. High-Fowler's position.
C. Left side-lying.
D. Trendelenburg position.
Correct Answer: B
Rationale: High-Fowler's position facilitates passage of the tube into the
stomach by aligning the esophagus with the pharynx and reducing the risk of
aspiration.
