NR-226: Fundamentals: Patient Care questions
and answers with rationales 2025
1. Which position is best for a patient experiencing difficulty
breathing?
a. Supine
b. Fowler’s
c. Prone
d. Trendelenburg
Fowler’s position promotes lung expansion by allowing the
diaphragm to drop and increasing chest expansion.
2. Which is the most effective way to prevent the spread of
infection?
a. Wearing gloves at all times
b. Proper hand hygiene
c. Using antiseptic sprays
d. Wearing masks
Hand hygiene removes pathogens before they can be transmitted
to patients or surfaces.
3. When transferring a patient from bed to chair, what is the first
action?
a. Move the chair to the opposite side of the bed
b. Place a gait belt
c. Assess the patient’s ability to assist
d. Lower the bed to the lowest position
, Assessment ensures safe transfer techniques tailored to the
patient’s mobility.
4. Which type of precaution is required for a patient with
tuberculosis?
a. Droplet
b. Contact
c. Airborne
d. Standard
Airborne precautions prevent inhalation of tiny infectious particles
like Mycobacterium tuberculosis.
5. What is the correct order for removing personal protective
equipment?
a. Gown, gloves, mask, goggles
b. Gloves, gown, goggles, mask
c. Goggles, gown, gloves, mask
d. Gloves, goggles, gown, mask
This order prevents contamination by removing the most soiled
items first.
6. The first step in providing oral care to an unconscious patient is
to:
a. Place in high Fowler’s position
b. Place the patient in side-lying position
c. Use a toothbrush
d. Moisten the lips
Side-lying prevents aspiration by allowing secretions to drain out
of the mouth.
,7. A nurse should use sterile technique when:
a. Bathing a patient
b. Inserting a urinary catheter
c. Taking a blood pressure
d. Feeding a patient
Sterile technique prevents introduction of microorganisms into
sterile body sites.
8. Which pulse site is used in adults for routine vital signs?
a. Carotid
b. Brachial
c. Radial
d. Femoral
The radial pulse is accessible, safe, and commonly used for routine
checks.
9. What is the best way to confirm correct placement of a
nasogastric tube?
a. Auscultating over the stomach
b. Checking residual volume
c. X-ray confirmation
d. Observing patient tolerance
X-ray is the gold standard for verifying NG tube placement.
10. Which is the most accurate method for measuring core body
temperature?
a. Oral
b. Tympanic
c. Axillary
, d. Rectal
Rectal temperature closely reflects core temperature.
11. The best action for preventing pressure ulcers is to:
a. Increase caloric intake
b. Reposition frequently
c. Massage over bony prominences
d. Use only cotton sheets
Frequent repositioning relieves pressure and promotes circulation.
12. Before ambulating a patient after surgery, the nurse should:
a. Give a glass of water
b. Assess for orthostatic hypotension
c. Apply sequential compression devices
d. Provide a cane
Orthostatic hypotension can cause falls; assessment helps prevent
injury.
13. Which bed position promotes drainage after oral surgery?
a. Side-lying
b. Supine
c. Semi-Fowler’s
d. Trendelenburg
Side-lying prevents aspiration of secretions after oral surgery.
14. When providing perineal care to a female patient, the nurse
should clean from:
a. Back to front
b. Circular motions
c. Front to back
d. Side to side
and answers with rationales 2025
1. Which position is best for a patient experiencing difficulty
breathing?
a. Supine
b. Fowler’s
c. Prone
d. Trendelenburg
Fowler’s position promotes lung expansion by allowing the
diaphragm to drop and increasing chest expansion.
2. Which is the most effective way to prevent the spread of
infection?
a. Wearing gloves at all times
b. Proper hand hygiene
c. Using antiseptic sprays
d. Wearing masks
Hand hygiene removes pathogens before they can be transmitted
to patients or surfaces.
3. When transferring a patient from bed to chair, what is the first
action?
a. Move the chair to the opposite side of the bed
b. Place a gait belt
c. Assess the patient’s ability to assist
d. Lower the bed to the lowest position
, Assessment ensures safe transfer techniques tailored to the
patient’s mobility.
4. Which type of precaution is required for a patient with
tuberculosis?
a. Droplet
b. Contact
c. Airborne
d. Standard
Airborne precautions prevent inhalation of tiny infectious particles
like Mycobacterium tuberculosis.
5. What is the correct order for removing personal protective
equipment?
a. Gown, gloves, mask, goggles
b. Gloves, gown, goggles, mask
c. Goggles, gown, gloves, mask
d. Gloves, goggles, gown, mask
This order prevents contamination by removing the most soiled
items first.
6. The first step in providing oral care to an unconscious patient is
to:
a. Place in high Fowler’s position
b. Place the patient in side-lying position
c. Use a toothbrush
d. Moisten the lips
Side-lying prevents aspiration by allowing secretions to drain out
of the mouth.
,7. A nurse should use sterile technique when:
a. Bathing a patient
b. Inserting a urinary catheter
c. Taking a blood pressure
d. Feeding a patient
Sterile technique prevents introduction of microorganisms into
sterile body sites.
8. Which pulse site is used in adults for routine vital signs?
a. Carotid
b. Brachial
c. Radial
d. Femoral
The radial pulse is accessible, safe, and commonly used for routine
checks.
9. What is the best way to confirm correct placement of a
nasogastric tube?
a. Auscultating over the stomach
b. Checking residual volume
c. X-ray confirmation
d. Observing patient tolerance
X-ray is the gold standard for verifying NG tube placement.
10. Which is the most accurate method for measuring core body
temperature?
a. Oral
b. Tympanic
c. Axillary
, d. Rectal
Rectal temperature closely reflects core temperature.
11. The best action for preventing pressure ulcers is to:
a. Increase caloric intake
b. Reposition frequently
c. Massage over bony prominences
d. Use only cotton sheets
Frequent repositioning relieves pressure and promotes circulation.
12. Before ambulating a patient after surgery, the nurse should:
a. Give a glass of water
b. Assess for orthostatic hypotension
c. Apply sequential compression devices
d. Provide a cane
Orthostatic hypotension can cause falls; assessment helps prevent
injury.
13. Which bed position promotes drainage after oral surgery?
a. Side-lying
b. Supine
c. Semi-Fowler’s
d. Trendelenburg
Side-lying prevents aspiration of secretions after oral surgery.
14. When providing perineal care to a female patient, the nurse
should clean from:
a. Back to front
b. Circular motions
c. Front to back
d. Side to side
