Nursing Unit Operations Practice Exam:
150 Questions with Answers and
Rationales EXAM REVIEWS WITH
COMPLETE ACTUAL EXAM QUESTIONS
AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
1. The primary purpose of a nursing unit shift report is to:
A. Replace documentation in the medical record
B. Review hospital financial reports
C. Ensure continuity of patient care
D. Evaluate physician performance
Answer: C. Ensure continuity of patient care
Rationale: Shift reports communicate essential patient information to
maintain safe and continuous care.
2. Which document is considered a legal record of patient care?
A. Personal notebook
B. Verbal report
C. Patient health record
D. Sticky note
Answer: C. Patient health record
Rationale: The patient health record is the official legal
documentation of care provided.
,3. The nurse manager is primarily responsible for:
A. Diagnosing diseases
B. Unit leadership and staff management
C. Dispensing medications
D. Conducting surgery
Answer: B. Unit leadership and staff management
Rationale: Nurse managers oversee staffing, quality improvement,
budgeting, and unit operations.
4. Which communication method is recommended during handoff?
A. Casual conversation
B. SBAR format
C. Text messaging
D. Personal opinion
Answer: B. SBAR format
Rationale: SBAR (Situation, Background, Assessment,
Recommendation) standardizes communication and improves patient
safety.
5. Which task may be delegated to a nursing assistant?
A. Initial patient assessment
B. Medication administration
C. Assisting with bathing
D. Developing care plans
Answer: C. Assisting with bathing
Rationale: Nursing assistants may perform routine, non-invasive care
under supervision.
,6. Incident reports are completed primarily to:
A. Punish employees
B. Improve quality and patient safety
C. Replace chart documentation
D. Bill insurance companies
Answer: B. Improve quality and patient safety
Rationale: Incident reports identify system issues and promote quality
improvement.
7. Which infection control practice is most effective?
A. Wearing gloves only
B. Hand hygiene
C. Wearing shoe covers
D. Closing patient doors
Answer: B. Hand hygiene
Rationale: Proper hand hygiene is the single most effective method of
preventing healthcare-associated infections.
8. A nurse discovers a fire in a patient room. According to RACE, the
first action is to:
A. Activate the alarm
B. Rescue anyone in immediate danger
C. Contain the fire
D. Extinguish the fire
Answer: B. Rescue anyone in immediate danger
Rationale: RACE begins with Rescue to protect lives immediately.
, 9. Which colour container is commonly used for biohazard waste?
A. Blue
B. Green
C. Red
D. White
Answer: C. Red
Rationale: Red biohazard containers are designated for infectious
medical waste.
10. The main purpose of patient rounding is to:
A. Increase paperwork
B. Reduce falls and improve satisfaction
C. Limit patient interaction
D. Reduce staffing needs
Answer: B. Reduce falls and improve satisfaction
Rationale: Purposeful rounding addresses patient needs proactively
and improves outcomes.
11. Which department supplies sterile instruments?
A. Dietary
B. Central Sterile Services
C. Pharmacy
D. Laundry
Answer: B. Central Sterile Services
Rationale: Central Sterile Services sterilizes and distributes reusable
medical equipment.
150 Questions with Answers and
Rationales EXAM REVIEWS WITH
COMPLETE ACTUAL EXAM QUESTIONS
AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
1. The primary purpose of a nursing unit shift report is to:
A. Replace documentation in the medical record
B. Review hospital financial reports
C. Ensure continuity of patient care
D. Evaluate physician performance
Answer: C. Ensure continuity of patient care
Rationale: Shift reports communicate essential patient information to
maintain safe and continuous care.
2. Which document is considered a legal record of patient care?
A. Personal notebook
B. Verbal report
C. Patient health record
D. Sticky note
Answer: C. Patient health record
Rationale: The patient health record is the official legal
documentation of care provided.
,3. The nurse manager is primarily responsible for:
A. Diagnosing diseases
B. Unit leadership and staff management
C. Dispensing medications
D. Conducting surgery
Answer: B. Unit leadership and staff management
Rationale: Nurse managers oversee staffing, quality improvement,
budgeting, and unit operations.
4. Which communication method is recommended during handoff?
A. Casual conversation
B. SBAR format
C. Text messaging
D. Personal opinion
Answer: B. SBAR format
Rationale: SBAR (Situation, Background, Assessment,
Recommendation) standardizes communication and improves patient
safety.
5. Which task may be delegated to a nursing assistant?
A. Initial patient assessment
B. Medication administration
C. Assisting with bathing
D. Developing care plans
Answer: C. Assisting with bathing
Rationale: Nursing assistants may perform routine, non-invasive care
under supervision.
,6. Incident reports are completed primarily to:
A. Punish employees
B. Improve quality and patient safety
C. Replace chart documentation
D. Bill insurance companies
Answer: B. Improve quality and patient safety
Rationale: Incident reports identify system issues and promote quality
improvement.
7. Which infection control practice is most effective?
A. Wearing gloves only
B. Hand hygiene
C. Wearing shoe covers
D. Closing patient doors
Answer: B. Hand hygiene
Rationale: Proper hand hygiene is the single most effective method of
preventing healthcare-associated infections.
8. A nurse discovers a fire in a patient room. According to RACE, the
first action is to:
A. Activate the alarm
B. Rescue anyone in immediate danger
C. Contain the fire
D. Extinguish the fire
Answer: B. Rescue anyone in immediate danger
Rationale: RACE begins with Rescue to protect lives immediately.
, 9. Which colour container is commonly used for biohazard waste?
A. Blue
B. Green
C. Red
D. White
Answer: C. Red
Rationale: Red biohazard containers are designated for infectious
medical waste.
10. The main purpose of patient rounding is to:
A. Increase paperwork
B. Reduce falls and improve satisfaction
C. Limit patient interaction
D. Reduce staffing needs
Answer: B. Reduce falls and improve satisfaction
Rationale: Purposeful rounding addresses patient needs proactively
and improves outcomes.
11. Which department supplies sterile instruments?
A. Dietary
B. Central Sterile Services
C. Pharmacy
D. Laundry
Answer: B. Central Sterile Services
Rationale: Central Sterile Services sterilizes and distributes reusable
medical equipment.
