NURX104 ESSENTIALS OF NURSING CARE: HEALTH SAFETY – COMPREHENSIVE QUESTIONS
AND ANSWERS | VERIFIED AND WELL-DETAILED ANSWERS | DETAILED EXPLANATIONS
AND RATIONALES | COMPLETE EXAM PREPARATION STUDY GUIDE | PRACTICE QUESTIONS
| LATEST EXAM UPDATE
* CORE DOMAINS
*
• Fundamentals of Nursing Care and Patient Safety
• Infection Prevention and Control
• Safety, Risk Assessment, and Accident Prevention
• Vital Signs, Assessment, and Clinical Monitoring
• Medication Safety and Basic Therapeutic Care
• Mobility, Positioning, Falls, and Pressure-Injury Prevention
• Emergency Preparedness and Basic First Aid
• Nutrition, Hydration, Elimination, and Personal Hygiene
• Communication, Documentation, Ethics, and Safe Nursing Practice
• Occupational, Environmental, and Equipment Safety
* INTRODUCTION
*
This assessment is designed to develop and evaluate essential knowledge and practical
reasoning in nursing care, health, and patient safety. The questions assess foundational
concepts, terminology, procedures, infection prevention, assessment, medication safety,
mobility, emergency care, communication, documentation, and professional responsibilities.
Multiple-choice questions are used to test both knowledge and the ability to apply principles
to realistic nursing situations. Understanding the rationale behind safe practices is essential
because nurses must recognize risks, prioritize patient needs, prevent avoidable harm, and
respond appropriately to changing conditions. The assessment therefore combines
foundational, intermediate, advanced, and scenario-based questions to support effective
examination preparation and practical nursing decision-making.
SECTION ONE: QUESTIONS 1–100
Question 1. Which statement best describes the primary purpose of nursing care?
A. To diagnose every disease affecting the patient
B. To promote health, prevent illness, provide care, and support recovery
C. To replace all functions performed by physicians
D. To provide treatment without considering patient preferences
Correct Answer: B. To promote health, prevent illness, provide care, and support recovery
,Explanation: Nursing encompasses health promotion, illness prevention, direct care,
rehabilitation, education, advocacy, and support. Safe nursing practice considers the
patient's physical, psychological, social, and functional needs.
Question 2. Which action is most important before providing direct care to a patient?
A. Adjusting the patient's bed
B. Reviewing the meal schedule
C. Performing appropriate hand hygiene
D. Completing the nursing documentation
Correct Answer: C. Performing appropriate hand hygiene
Explanation: Hand hygiene is one of the most important measures for preventing
transmission of microorganisms. It should be performed at appropriate times before and
after patient contact and according to the care being provided.
Question 3. A nurse identifies that a patient's bed is positioned too high. What is the most
appropriate safety action?
A. Leave it high to make care easier
B. Lower the bed to an appropriate safe height
C. Ask the patient to climb into the bed independently
D. Raise all four side rails
Correct Answer: B. Lower the bed to an appropriate safe height
Explanation: A safe bed height reduces the risk of falls and facilitates safe transfers. Bed
position should be adjusted according to the patient's needs and the nursing activity being
performed.
Question 4. Which assessment finding requires the most immediate nursing attention?
A. Mildly dry skin
B. Respiratory difficulty
C. Decreased appetite for one meal
D. Difficulty sleeping
Correct Answer: B. Respiratory difficulty
Explanation: Airway and breathing problems can rapidly become life-threatening. Nursing
priorities generally begin with immediate threats to airway, breathing, and circulation before
less urgent concerns.
,Question 5. What is the most appropriate purpose of a nursing assessment?
A. To collect information about the patient's health status
B. To determine the hospital's financial charges
C. To replace diagnostic testing
D. To eliminate the need for patient communication
Correct Answer: A. To collect information about the patient's health status
Explanation: Assessment involves systematic collection of subjective and objective
information. The findings help nurses identify actual or potential health problems and plan
appropriate care.
Question 6. Which information is considered subjective data?
A. Temperature of 38.2°C
B. Blood pressure of 140/88 mmHg
C. Patient reports feeling dizzy
D. Respiratory rate of 24 breaths/minute
Correct Answer: C. Patient reports feeling dizzy
Explanation: Subjective data are symptoms or experiences reported by the patient.
Objective data are observable or measurable findings such as vital signs.
Question 7. Which is an example of objective data?
A. "I feel weak."
B. "My stomach hurts."
C. "I am anxious."
D. Oxygen saturation is 91%
Correct Answer: D. Oxygen saturation is 91%
Explanation: Oxygen saturation is a measurable physiologic finding and therefore represents
objective data.
Question 8. Which principle is central to safe patient identification?
A. Identifying patients by room number alone
B. Using appropriate patient identifiers before care
, C. Asking another patient who the person is
D. Identifying the patient only before discharge
Correct Answer: B. Using appropriate patient identifiers before care
Explanation: Correct patient identification helps prevent errors involving medications,
treatments, specimens, procedures, and documentation. Room number should not be used
as the sole identifier.
Question 9. A nurse is preparing to administer medication. Which action is essential?
A. Assume the medication is correct because it is in the medication room
B. Verify the medication against the appropriate order and patient identifiers
C. Ask another patient whether the medication looks familiar
D. Skip verification when the nurse is busy
Correct Answer: B. Verify the medication against the appropriate order and patient
identifiers
Explanation: Medication administration requires systematic verification of the medication,
patient, dose, route, timing, and other applicable safety requirements.
Question 10. Which action best demonstrates patient-centered nursing care?
A. Making decisions without involving the patient
B. Following routines regardless of patient needs
C. Incorporating patient preferences when safely possible
D. Avoiding communication to save time
Correct Answer: C. Incorporating patient preferences when safely possible
Explanation: Patient-centered care recognizes individual preferences, values, needs, and
circumstances while maintaining clinical safety and professional standards.
Question 11. Which type of precautions are used for every patient regardless of diagnosis?
A. Standard precautions
B. Airborne precautions only
C. Droplet precautions only
D. Contact precautions only
Correct Answer: A. Standard precautions
AND ANSWERS | VERIFIED AND WELL-DETAILED ANSWERS | DETAILED EXPLANATIONS
AND RATIONALES | COMPLETE EXAM PREPARATION STUDY GUIDE | PRACTICE QUESTIONS
| LATEST EXAM UPDATE
* CORE DOMAINS
*
• Fundamentals of Nursing Care and Patient Safety
• Infection Prevention and Control
• Safety, Risk Assessment, and Accident Prevention
• Vital Signs, Assessment, and Clinical Monitoring
• Medication Safety and Basic Therapeutic Care
• Mobility, Positioning, Falls, and Pressure-Injury Prevention
• Emergency Preparedness and Basic First Aid
• Nutrition, Hydration, Elimination, and Personal Hygiene
• Communication, Documentation, Ethics, and Safe Nursing Practice
• Occupational, Environmental, and Equipment Safety
* INTRODUCTION
*
This assessment is designed to develop and evaluate essential knowledge and practical
reasoning in nursing care, health, and patient safety. The questions assess foundational
concepts, terminology, procedures, infection prevention, assessment, medication safety,
mobility, emergency care, communication, documentation, and professional responsibilities.
Multiple-choice questions are used to test both knowledge and the ability to apply principles
to realistic nursing situations. Understanding the rationale behind safe practices is essential
because nurses must recognize risks, prioritize patient needs, prevent avoidable harm, and
respond appropriately to changing conditions. The assessment therefore combines
foundational, intermediate, advanced, and scenario-based questions to support effective
examination preparation and practical nursing decision-making.
SECTION ONE: QUESTIONS 1–100
Question 1. Which statement best describes the primary purpose of nursing care?
A. To diagnose every disease affecting the patient
B. To promote health, prevent illness, provide care, and support recovery
C. To replace all functions performed by physicians
D. To provide treatment without considering patient preferences
Correct Answer: B. To promote health, prevent illness, provide care, and support recovery
,Explanation: Nursing encompasses health promotion, illness prevention, direct care,
rehabilitation, education, advocacy, and support. Safe nursing practice considers the
patient's physical, psychological, social, and functional needs.
Question 2. Which action is most important before providing direct care to a patient?
A. Adjusting the patient's bed
B. Reviewing the meal schedule
C. Performing appropriate hand hygiene
D. Completing the nursing documentation
Correct Answer: C. Performing appropriate hand hygiene
Explanation: Hand hygiene is one of the most important measures for preventing
transmission of microorganisms. It should be performed at appropriate times before and
after patient contact and according to the care being provided.
Question 3. A nurse identifies that a patient's bed is positioned too high. What is the most
appropriate safety action?
A. Leave it high to make care easier
B. Lower the bed to an appropriate safe height
C. Ask the patient to climb into the bed independently
D. Raise all four side rails
Correct Answer: B. Lower the bed to an appropriate safe height
Explanation: A safe bed height reduces the risk of falls and facilitates safe transfers. Bed
position should be adjusted according to the patient's needs and the nursing activity being
performed.
Question 4. Which assessment finding requires the most immediate nursing attention?
A. Mildly dry skin
B. Respiratory difficulty
C. Decreased appetite for one meal
D. Difficulty sleeping
Correct Answer: B. Respiratory difficulty
Explanation: Airway and breathing problems can rapidly become life-threatening. Nursing
priorities generally begin with immediate threats to airway, breathing, and circulation before
less urgent concerns.
,Question 5. What is the most appropriate purpose of a nursing assessment?
A. To collect information about the patient's health status
B. To determine the hospital's financial charges
C. To replace diagnostic testing
D. To eliminate the need for patient communication
Correct Answer: A. To collect information about the patient's health status
Explanation: Assessment involves systematic collection of subjective and objective
information. The findings help nurses identify actual or potential health problems and plan
appropriate care.
Question 6. Which information is considered subjective data?
A. Temperature of 38.2°C
B. Blood pressure of 140/88 mmHg
C. Patient reports feeling dizzy
D. Respiratory rate of 24 breaths/minute
Correct Answer: C. Patient reports feeling dizzy
Explanation: Subjective data are symptoms or experiences reported by the patient.
Objective data are observable or measurable findings such as vital signs.
Question 7. Which is an example of objective data?
A. "I feel weak."
B. "My stomach hurts."
C. "I am anxious."
D. Oxygen saturation is 91%
Correct Answer: D. Oxygen saturation is 91%
Explanation: Oxygen saturation is a measurable physiologic finding and therefore represents
objective data.
Question 8. Which principle is central to safe patient identification?
A. Identifying patients by room number alone
B. Using appropriate patient identifiers before care
, C. Asking another patient who the person is
D. Identifying the patient only before discharge
Correct Answer: B. Using appropriate patient identifiers before care
Explanation: Correct patient identification helps prevent errors involving medications,
treatments, specimens, procedures, and documentation. Room number should not be used
as the sole identifier.
Question 9. A nurse is preparing to administer medication. Which action is essential?
A. Assume the medication is correct because it is in the medication room
B. Verify the medication against the appropriate order and patient identifiers
C. Ask another patient whether the medication looks familiar
D. Skip verification when the nurse is busy
Correct Answer: B. Verify the medication against the appropriate order and patient
identifiers
Explanation: Medication administration requires systematic verification of the medication,
patient, dose, route, timing, and other applicable safety requirements.
Question 10. Which action best demonstrates patient-centered nursing care?
A. Making decisions without involving the patient
B. Following routines regardless of patient needs
C. Incorporating patient preferences when safely possible
D. Avoiding communication to save time
Correct Answer: C. Incorporating patient preferences when safely possible
Explanation: Patient-centered care recognizes individual preferences, values, needs, and
circumstances while maintaining clinical safety and professional standards.
Question 11. Which type of precautions are used for every patient regardless of diagnosis?
A. Standard precautions
B. Airborne precautions only
C. Droplet precautions only
D. Contact precautions only
Correct Answer: A. Standard precautions
