QUESTIONS COMPLETE WITH 100% VERIFIED ANSWERS
1. What is the correct order of the nursing process?
A) Planning, Assessment, Implementation, Diagnosis, Evaluation
B) Assessment, Diagnosis, Planning, Implementation, Evaluation
C) Diagnosis, Assessment, Planning, Evaluation, Implementation
D) Assessment, Planning, Diagnosis, Implementation, Evaluation
Correct Answer: B
Rationale: The nursing process follows a specific sequence: Assessment
(collect data), Diagnosis (analyze data), Planning (develop goals),
Implementation (carry out plan), and Evaluation (measure outcomes).
This systematic, rational method provides individualized nursing care .
2. A nurse is preparing to administer oral medications to a client.
Which action demonstrates the best practice for preventing
medication errors?
A) Administer all medications at the same time
B) Compare the medication label with the MAR at the bedside
C) Verify the client's name using two identifiers before administration
D) Ask the client if they recognize the medication
Correct Answer: C
Rationale: Using two patient identifiers (e.g., name and date of birth) is
a standard safety practice to ensure correct patient identification and
reduce medication errors .
,3. Which of the following is the most effective way to break the chain
of infection?
A) Wearing gloves for all patient contact
B) Proper hand hygiene before and after patient care
C) Using disposable equipment only
D) Placing all patients on contact precautions
Correct Answer: B
Rationale: Hand hygiene is the single most effective measure to prevent
transmission of pathogens in healthcare settings .
4. A client with suspected tuberculosis is admitted. The nurse should
place the client in which type of room?
A) Standard private room
B) Airborne infection isolation room (negative pressure)
C) Contact precautions room
D) Droplet precautions room
Correct Answer: B
Rationale: Tuberculosis is transmitted via airborne particles and requires
airborne precautions, including a negative pressure isolation room and
N95 respirator .
5. The nurse is caring for a patient who had abdominal surgery and
has developed an infection in the wound while hospitalized. Which
agent is most likely the cause of the infection?
A) Virus
B) Bacterium
C) Fungus
D) Spore
,Correct Answer: B
Rationale: Surgical site infections are most commonly caused by
bacteria, often Staphylococcus aureus or gram-negative organisms .
6. What is the recommended length of time for hand hygiene with
soap and water?
A) 5-10 seconds
B) 15-20 seconds
C) 20-30 seconds
D) 45-60 seconds
Correct Answer: C
Rationale: The CDC and WHO recommend washing hands with soap and
water for 20-30 seconds to effectively remove pathogens .
7. Which patient requires droplet precautions?
A) Patient with tuberculosis
B) Patient with influenza
C) Patient with MRSA wound infection
D) Patient with Clostridium difficile
Correct Answer: B
Rationale: Influenza is transmitted via respiratory droplets. Droplet
precautions require a surgical mask when within 3 feet of the patient .
8. Which statement by a nursing student indicates correct
understanding of standard precautions?
A) "Standard precautions are only used for patients with known
infections."
B) "Standard precautions apply to blood and body fluids only."
, C) "Standard precautions should be used for all patients regardless of
diagnosis."
D) "Standard precautions replace the need for transmission-based
precautions."
Correct Answer: C
Rationale: Standard precautions apply to all patients in all healthcare
settings, regardless of diagnosis or presumed infection status, to
minimize transmission risk .
9. A nurse is applying wrist restraints to a patient. Which action is
most appropriate?
A) Apply the restraints tightly to prevent movement
B) Tie the restraints to the bed frame using a quick-release knot
C) Secure the restraints to the side rails
D) Leave the restraints loose enough for the patient to remove them
Correct Answer: B
Rationale: Restraints should be tied to the bed frame (not side rails)
using a quick-release knot, with 1-2 fingers of space between the
restraint and the patient's wrist .
10. A patient who has been on bed rest for several days stands up and
reports feeling dizzy. The nurse notes a drop in blood pressure. This is
most consistent with:
A) Hypertension
B) Orthostatic hypotension
C) Hyperglycemia
D) Cardiac arrhythmia
Correct Answer: B