1. When assessing a patient’s pulse, the nurse should document
which of the following?
A. Rate and rhythm
B. Intensity and depth
C. Temperature and texture
D. Quality and frequency
Answer: A
Rationale: Pulse assessment includes rate (beats per minute) and
rhythm (regular or irregular).
2. A nurse is preparing a sterile field. Which action
contaminates the field?
A. Holding sterile objects above waist level
B. Turning away from the field
C. Keeping the field dry
D. Opening sterile packages away from the field
Answer: B
Rationale: Turning away from a sterile field compromises its
sterility as it cannot be monitored.
3. A nurse is caring for a patient with dysphagia. Which
intervention is most appropriate to prevent aspiration during
meals?
A. Encourage the patient to lie flat after eating
B. Provide thin liquids for easier swallowing
C. Position the patient in a high-Fowler’s position
D. Allow the patient to eat quickly
Answer: C
Rationale: Positioning the patient in a high-Fowler’s position
reduces the risk of aspiration during swallowing.
4. 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.
5. Which of the following is a primary prevention strategy?
A. Pap smear
B. Vaccination
C. Blood pressure monitoring
D. Rehabilitation therapy
Answer: B
Rationale: Vaccination is a primary prevention method that aims to
prevent disease before it occurs.
6. What is the recommended depth for chest compressions in
adult CPR?
A. At least 1 inch
B. At least 2 inches
C. 3-4 inches
D. Less than 2 inches
Answer: B
Rationale: Chest compressions should be at least 2 inches deep to
ensure adequate circulation during CPR.
7. 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.
8. A nurse is providing discharge teaching to a patient with a
new colostomy. Which statement indicates understanding by
the patient?
A. "I will use alcohol to clean around the stoma."
B. "I should empty the pouch when it is half full."
C. "I can remove the pouch once a week for cleaning."
which of the following?
A. Rate and rhythm
B. Intensity and depth
C. Temperature and texture
D. Quality and frequency
Answer: A
Rationale: Pulse assessment includes rate (beats per minute) and
rhythm (regular or irregular).
2. A nurse is preparing a sterile field. Which action
contaminates the field?
A. Holding sterile objects above waist level
B. Turning away from the field
C. Keeping the field dry
D. Opening sterile packages away from the field
Answer: B
Rationale: Turning away from a sterile field compromises its
sterility as it cannot be monitored.
3. A nurse is caring for a patient with dysphagia. Which
intervention is most appropriate to prevent aspiration during
meals?
A. Encourage the patient to lie flat after eating
B. Provide thin liquids for easier swallowing
C. Position the patient in a high-Fowler’s position
D. Allow the patient to eat quickly
Answer: C
Rationale: Positioning the patient in a high-Fowler’s position
reduces the risk of aspiration during swallowing.
4. 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.
5. Which of the following is a primary prevention strategy?
A. Pap smear
B. Vaccination
C. Blood pressure monitoring
D. Rehabilitation therapy
Answer: B
Rationale: Vaccination is a primary prevention method that aims to
prevent disease before it occurs.
6. What is the recommended depth for chest compressions in
adult CPR?
A. At least 1 inch
B. At least 2 inches
C. 3-4 inches
D. Less than 2 inches
Answer: B
Rationale: Chest compressions should be at least 2 inches deep to
ensure adequate circulation during CPR.
7. 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.
8. A nurse is providing discharge teaching to a patient with a
new colostomy. Which statement indicates understanding by
the patient?
A. "I will use alcohol to clean around the stoma."
B. "I should empty the pouch when it is half full."
C. "I can remove the pouch once a week for cleaning."
