hospital-acquired infections?
A) Washing hands with soap and water
B) Wearing personal protective equipment (PPE)
C) Isolating patients with infections
D) Administering antibiotics to all patients
Answer: A) Washing hands with soap and water
Rationale: Hand hygiene, including washing with soap and water or
using hand sanitizer, is the most effective way to prevent the spread of
infections in healthcare settings.
2. A nurse is caring for a client who is post-operative and has a drain in
place. Which of the following is the nurse's priority intervention?
A) Ensuring that the drain is patent
B) Monitoring the client’s temperature regularly
C) Providing pain management
D) Ambulating the client every 4 hours
Answer: A) Ensuring that the drain is patent
Rationale: It is essential to ensure that the drain is patent and draining
properly to prevent fluid accumulation, which could lead to
complications such as infection or wound dehiscence.
3. A nurse is caring for a client who is receiving chemotherapy and
complains of nausea. Which of the following interventions is most
appropriate?
A) Encourage the client to drink water frequently
B) Administer antiemetics as prescribed
, C) Offer bland foods such as crackers and toast
D) Avoid any food or fluids until the nausea subsides
Answer: B) Administer antiemetics as prescribed
Rationale: Chemotherapy-induced nausea can be managed effectively
with prescribed antiemetics, helping to reduce the discomfort and allow
the client to eat and drink more comfortably.
4. Which of the following is a sign of hypoglycemia in a diabetic
patient?
A) Increased thirst and urination
B) Cool, clammy skin and confusion
C) Dry mouth and rapid breathing
D) Warm, flushed skin and irritability
Answer: B) Cool, clammy skin and confusion
Rationale: Hypoglycemia typically presents with signs of shakiness, cool
and clammy skin, confusion, and weakness. It is a medical emergency
that requires immediate intervention with glucose.
5. A nurse is teaching a client about the proper use of an inhaler for
asthma. Which of the following statements indicates the client
understands the teaching?
A) "I should hold my breath for 10 seconds after inhaling the
medication."
B) "I should use my inhaler only when I feel short of breath."
C) "I should use the inhaler only once a day."
D) "I can skip using my inhaler if I don’t have symptoms."