1. Which of the following is the most effective way to prevent the
spread of infections in a healthcare setting?
A. Using hand sanitizers frequently
B. Wearing gloves at all times
C. Proper handwashing and hygiene
D. Isolating infected patients
Answer: C
Rationale: Proper hand hygiene is the most effective measure in
preventing the spread of infections, as it removes germs from hands
that could otherwise be transmitted to patients and surfaces.
2. Which of the following is an appropriate intervention for a patient
experiencing a panic attack?
A. Administering a sedative medication immediately
B. Encouraging the patient to focus on slow, deep breaths
C. Ignoring the symptoms and allowing the patient time to calm down
D. Increasing environmental stimuli to distract the patient
Answer: B
Rationale: Encouraging the patient to focus on slow, deep breaths helps
reduce hyperventilation and calms the autonomic nervous system
during a panic attack.
,3. When assessing a patient’s respiratory status, which of the following
findings is most indicative of hypoxia?
A. Oxygen saturation of 95%
B. Respiratory rate of 12 breaths per minute
C. Cyanosis around the lips and fingers
D. Clear lung sounds on auscultation
Answer: C
Rationale: Cyanosis, the bluish discoloration of the skin or mucous
membranes, is a key sign of hypoxia, indicating inadequate oxygen
levels in the blood.
4. A nurse is caring for a patient who is post-operative and
experiencing nausea. Which intervention is most appropriate to relieve
the symptoms?
A. Offering the patient food immediately
B. Administering prescribed antiemetic medication
C. Encouraging the patient to drink large amounts of fluid
D. Increasing the room temperature to promote comfort
Answer: B
Rationale: Administering antiemetic medication as prescribed is the
most effective way to manage post-operative nausea and prevent
complications such as dehydration or discomfort.
, 5. Which of the following interventions is most appropriate for a
patient with a nasogastric (NG) tube who is receiving enteral
nutrition?
A. Checking the tube placement every 8 hours
B. Aspirating the tube to check for residual before each feeding
C. Restricting fluid intake to prevent diarrhea
D. Flushing the tube with a small amount of water before and after
each use
Answer: D
Rationale: Flushing the NG tube with water before and after each use
ensures it remains patent and prevents clogging, which is a common
complication in enteral nutrition.
6. Which of the following is a priority for a nurse when caring for a
patient with a fractured leg in a cast?
A. Elevating the leg to reduce swelling
B. Encouraging the patient to walk as soon as possible
C. Applying heat to the affected area to alleviate pain
D. Limiting fluid intake to prevent edema
Answer: A
Rationale: Elevating the leg helps to reduce swelling and improve
circulation, which is critical during the initial stages after a fracture.
spread of infections in a healthcare setting?
A. Using hand sanitizers frequently
B. Wearing gloves at all times
C. Proper handwashing and hygiene
D. Isolating infected patients
Answer: C
Rationale: Proper hand hygiene is the most effective measure in
preventing the spread of infections, as it removes germs from hands
that could otherwise be transmitted to patients and surfaces.
2. Which of the following is an appropriate intervention for a patient
experiencing a panic attack?
A. Administering a sedative medication immediately
B. Encouraging the patient to focus on slow, deep breaths
C. Ignoring the symptoms and allowing the patient time to calm down
D. Increasing environmental stimuli to distract the patient
Answer: B
Rationale: Encouraging the patient to focus on slow, deep breaths helps
reduce hyperventilation and calms the autonomic nervous system
during a panic attack.
,3. When assessing a patient’s respiratory status, which of the following
findings is most indicative of hypoxia?
A. Oxygen saturation of 95%
B. Respiratory rate of 12 breaths per minute
C. Cyanosis around the lips and fingers
D. Clear lung sounds on auscultation
Answer: C
Rationale: Cyanosis, the bluish discoloration of the skin or mucous
membranes, is a key sign of hypoxia, indicating inadequate oxygen
levels in the blood.
4. A nurse is caring for a patient who is post-operative and
experiencing nausea. Which intervention is most appropriate to relieve
the symptoms?
A. Offering the patient food immediately
B. Administering prescribed antiemetic medication
C. Encouraging the patient to drink large amounts of fluid
D. Increasing the room temperature to promote comfort
Answer: B
Rationale: Administering antiemetic medication as prescribed is the
most effective way to manage post-operative nausea and prevent
complications such as dehydration or discomfort.
, 5. Which of the following interventions is most appropriate for a
patient with a nasogastric (NG) tube who is receiving enteral
nutrition?
A. Checking the tube placement every 8 hours
B. Aspirating the tube to check for residual before each feeding
C. Restricting fluid intake to prevent diarrhea
D. Flushing the tube with a small amount of water before and after
each use
Answer: D
Rationale: Flushing the NG tube with water before and after each use
ensures it remains patent and prevents clogging, which is a common
complication in enteral nutrition.
6. Which of the following is a priority for a nurse when caring for a
patient with a fractured leg in a cast?
A. Elevating the leg to reduce swelling
B. Encouraging the patient to walk as soon as possible
C. Applying heat to the affected area to alleviate pain
D. Limiting fluid intake to prevent edema
Answer: A
Rationale: Elevating the leg helps to reduce swelling and improve
circulation, which is critical during the initial stages after a fracture.
