Below are 20 original questions and answers on
Physiological Integrity (Basic Care & Comfort,
Pharmacological & Parenteral Therapies,
Reduction of Risk Potential, Physiological
Adaptation)dated 2026
.Safe and Effective Care Environment
1. A nurse is preparing to administer a blood transfusion. Which action should the nurse take
first?
A. Verify the client's identity with two identifiers.
B. Obtain the client's vital signs.
C. Prime the tubing with 0.9% sodium chloride.
D. Check the blood product with a second nurse.
Answer: B
Rationale: Obtaining baseline vital signs is the first step before starting a transfusion to
establish a comparison for detecting a transfusion reaction. Identity verification and double-
checking the blood product are also critical, but baseline vitals come first. Priming tubing is
done after verification.
2. A nurse is caring for a client with Clostridioides difficile. Which action is most important?
A. Wear a mask when entering the room.
B. Use alcohol-based hand rub after care.
, C. Place the client in a negative-pressure room.
D. Wear gloves and a gown when providing care.
Answer: D
Rationale: C. difficile requires contact precautions, so gloves and gown are essential. Alcohol-
based hand rub is ineffective against C. diff spores; soap and water must be used. A negative-
pressure room is for airborne precautions (e.g., TB). A mask is not required for contact
precautions.
3. A nurse is delegating tasks to an LPN and a UAP. Which task is appropriate for the UAP?
A. Administering oral medications.
B. Ambulating a stable client.
C. Performing a sterile dressing change.
D. Teaching a client about a new diet.
Answer: B
Rationale: UAPs can perform tasks that do not require nursing judgment, such as ambulating a
stable client. Medication administration and sterile dressing changes are LPN/RN
responsibilities. Teaching is an RN responsibility.
Health Promotion and Maintenance
4. A nurse is teaching a prenatal client about folic acid. Which statement indicates
understanding?
A. "I should take 400 mcg daily before and during pregnancy."
B. "I only need folic acid after the first trimester."
C. "Folic acid prevents gestational diabetes."
Physiological Integrity (Basic Care & Comfort,
Pharmacological & Parenteral Therapies,
Reduction of Risk Potential, Physiological
Adaptation)dated 2026
.Safe and Effective Care Environment
1. A nurse is preparing to administer a blood transfusion. Which action should the nurse take
first?
A. Verify the client's identity with two identifiers.
B. Obtain the client's vital signs.
C. Prime the tubing with 0.9% sodium chloride.
D. Check the blood product with a second nurse.
Answer: B
Rationale: Obtaining baseline vital signs is the first step before starting a transfusion to
establish a comparison for detecting a transfusion reaction. Identity verification and double-
checking the blood product are also critical, but baseline vitals come first. Priming tubing is
done after verification.
2. A nurse is caring for a client with Clostridioides difficile. Which action is most important?
A. Wear a mask when entering the room.
B. Use alcohol-based hand rub after care.
, C. Place the client in a negative-pressure room.
D. Wear gloves and a gown when providing care.
Answer: D
Rationale: C. difficile requires contact precautions, so gloves and gown are essential. Alcohol-
based hand rub is ineffective against C. diff spores; soap and water must be used. A negative-
pressure room is for airborne precautions (e.g., TB). A mask is not required for contact
precautions.
3. A nurse is delegating tasks to an LPN and a UAP. Which task is appropriate for the UAP?
A. Administering oral medications.
B. Ambulating a stable client.
C. Performing a sterile dressing change.
D. Teaching a client about a new diet.
Answer: B
Rationale: UAPs can perform tasks that do not require nursing judgment, such as ambulating a
stable client. Medication administration and sterile dressing changes are LPN/RN
responsibilities. Teaching is an RN responsibility.
Health Promotion and Maintenance
4. A nurse is teaching a prenatal client about folic acid. Which statement indicates
understanding?
A. "I should take 400 mcg daily before and during pregnancy."
B. "I only need folic acid after the first trimester."
C. "Folic acid prevents gestational diabetes."
