1. What is the correct sequence for removing personal
protective equipment (PPE)?
A. Gloves, gown, mask, goggles
B. Mask, gloves, gown, goggles
C. Gloves, goggles, gown, mask
D. Gown, gloves, mask, goggles
Answer: C
Rationale: The correct sequence minimizes the risk of
contamination, starting with the most soiled items.
2. A nurse is caring for a patient with left-sided weakness
following a stroke. Which intervention promotes safe mobility?
A. Place the cane on the patient’s left side
B. Place the cane on the patient’s right side
C. Have the patient hold the cane with both hands
D. Avoid using assistive devices for ambulation
Answer: B
Rationale: The cane should be placed on the patient’s stronger side
(right side in this case) to provide better support and stability.
3. A nurse is educating a patient about the importance of hand
hygiene. Which of the following methods is most effective in
preventing infection?
A. Wearing gloves at all times
B. Using hand sanitizer every hour
C. Proper handwashing with soap and water
D. Rinsing hands under running water
Answer: C
Rationale: Handwashing with soap and water is the most effective
method for removing microorganisms, preventing the spread of
infection.
4. Which intervention is most appropriate for a patient at risk
of developing deep vein thrombosis (DVT)?
A. Elevating the legs on a pillow
B. Applying warm compresses to the legs
C. Encouraging ambulation
, D. Restricting fluid intake
Answer: C
Rationale: Regular ambulation promotes circulation and reduces the
risk of DVT.
5. A patient with a history of chronic obstructive pulmonary
disease (COPD) is receiving oxygen at 4 L/min via nasal
cannula. The patient reports increased dyspnea. What is the
nurse’s priority action?
A. Increase oxygen flow rate to 6 L/min
B. Notify the healthcare provider immediately
C. Assess the patient’s respiratory status
D. Switch to a non-rebreather mask
Answer: C
Rationale: Assessing respiratory status allows the nurse to
determine the cause of the increased dyspnea before taking further
action.
6. The nurse is assessing for cyanosis in a dark-skinned
patient. Where is the best place to assess?
A. Fingernails
B. Palms of the hands
C. Oral mucosa
D. Sclera
Answer: C
Rationale: Cyanosis in dark-skinned patients is best observed in
areas with less pigmentation, such as the oral mucosa or conjunctiva.
7. A nurse is preparing to administer a subcutaneous injection
of insulin. What is the correct angle for insertion?
A. 15 degrees
B. 30 degrees
C. 45-90 degrees
D. 90 degrees only
Answer: C
Rationale: Subcutaneous injections are administered at a 45- to 90-
degree angle, depending on the patient’s body mass.
8. When performing a physical assessment, the nurse uses the
protective equipment (PPE)?
A. Gloves, gown, mask, goggles
B. Mask, gloves, gown, goggles
C. Gloves, goggles, gown, mask
D. Gown, gloves, mask, goggles
Answer: C
Rationale: The correct sequence minimizes the risk of
contamination, starting with the most soiled items.
2. A nurse is caring for a patient with left-sided weakness
following a stroke. Which intervention promotes safe mobility?
A. Place the cane on the patient’s left side
B. Place the cane on the patient’s right side
C. Have the patient hold the cane with both hands
D. Avoid using assistive devices for ambulation
Answer: B
Rationale: The cane should be placed on the patient’s stronger side
(right side in this case) to provide better support and stability.
3. A nurse is educating a patient about the importance of hand
hygiene. Which of the following methods is most effective in
preventing infection?
A. Wearing gloves at all times
B. Using hand sanitizer every hour
C. Proper handwashing with soap and water
D. Rinsing hands under running water
Answer: C
Rationale: Handwashing with soap and water is the most effective
method for removing microorganisms, preventing the spread of
infection.
4. Which intervention is most appropriate for a patient at risk
of developing deep vein thrombosis (DVT)?
A. Elevating the legs on a pillow
B. Applying warm compresses to the legs
C. Encouraging ambulation
, D. Restricting fluid intake
Answer: C
Rationale: Regular ambulation promotes circulation and reduces the
risk of DVT.
5. A patient with a history of chronic obstructive pulmonary
disease (COPD) is receiving oxygen at 4 L/min via nasal
cannula. The patient reports increased dyspnea. What is the
nurse’s priority action?
A. Increase oxygen flow rate to 6 L/min
B. Notify the healthcare provider immediately
C. Assess the patient’s respiratory status
D. Switch to a non-rebreather mask
Answer: C
Rationale: Assessing respiratory status allows the nurse to
determine the cause of the increased dyspnea before taking further
action.
6. The nurse is assessing for cyanosis in a dark-skinned
patient. Where is the best place to assess?
A. Fingernails
B. Palms of the hands
C. Oral mucosa
D. Sclera
Answer: C
Rationale: Cyanosis in dark-skinned patients is best observed in
areas with less pigmentation, such as the oral mucosa or conjunctiva.
7. A nurse is preparing to administer a subcutaneous injection
of insulin. What is the correct angle for insertion?
A. 15 degrees
B. 30 degrees
C. 45-90 degrees
D. 90 degrees only
Answer: C
Rationale: Subcutaneous injections are administered at a 45- to 90-
degree angle, depending on the patient’s body mass.
8. When performing a physical assessment, the nurse uses the
