Nursing Fundamentals Mega Test Bank (150
Questions)
1. A nurse is preparing to administer a subcutaneous injection.
Which site is most appropriate?
a. Deltoid
b. Ventrogluteal
c. Abdomen
d. Vastus lateralis
c. Abdomen
The abdomen is the preferred site for subcutaneous injections because
it has a layer of fat, absorbs medication consistently, and is easily
accessible.
2. The nurse is calculating a patient’s intake and output. Which of
the following is included in output?
a. Oral fluids
b. Urine
c. Ice chips
d. Broth
b. Urine
Output includes all fluids that leave the body, such as urine, vomitus,
and drainage from wounds or tubes.
3. A nurse is assessing a patient’s vital signs. Which temperature
reading indicates a fever?
a. 36.4°C (97.5°F)
b. 37.0°C (98.6°F)
c. 38.3°C (100.9°F)
d. 35.8°C (96.4°F)
,c. 38.3°C (100.9°F)
A temperature above 38°C (100.4°F) is considered a fever.
4. When performing hand hygiene, the nurse should rub hands
together for at least:
a. 5 seconds
b. 10 seconds
c. 15 seconds
d. 20 seconds
d. 20 seconds
The CDC recommends rubbing hands for at least 20 seconds to
effectively remove pathogens.
5. A patient is on strict bed rest. Which nursing intervention
prevents venous thromboembolism?
a. Encouraging deep breathing exercises
b. Applying antiembolism stockings
c. Providing oral hydration
d. Administering antipyretics
b. Applying antiembolism stockings
Antiembolism stockings promote venous return and reduce the risk of
blood clots in immobile patients.
6. Which action demonstrates proper use of a fire extinguisher in a
hospital?
a. Pull, Aim, Squeeze, Sweep
b. Push, Aim, Squeeze, Sweep
c. Pull, Aim, Spray, Sweep
d. Pull, Activate, Spray, Sweep
,a. Pull, Aim, Squeeze, Sweep
PASS is the correct procedure for using a fire extinguisher: Pull the pin,
Aim at the base, Squeeze the handle, and Sweep side to side.
7. Which of the following is a correct nursing diagnosis?
a. Hypertension related to high sodium intake
b. Risk for infection related to decreased immunity
c. Fever related to bacterial infection
d. Diabetes mellitus related to insulin deficiency
b. Risk for infection related to decreased immunity
A nursing diagnosis identifies patient problems that nurses can
address independently. “Risk for infection” is correct because it
focuses on potential patient needs.
8. The nurse is teaching a patient about fall prevention at home.
Which intervention is most appropriate?
a. Wearing socks on slippery floors
b. Using a cane even if unsteady
c. Keeping walkways clear of obstacles
d. Standing on a chair to reach items
c. Keeping walkways clear of obstacles
Removing hazards from pathways reduces the risk of falls at home.
9. A nurse is assessing a patient’s pain using the numeric rating
scale. The patient reports a pain score of 8. This indicates:
a. Mild pain
b. Moderate pain
c. Severe pain
d. No pain
, c. Severe pain
A pain score of 7–10 indicates severe pain, requiring prompt
intervention.
10. Which of the following is the most accurate method to
assess an adult patient’s pulse?
a. Carotid artery for 15 seconds, multiply by 4
b. Radial artery for 30 seconds, multiply by 2
c. Radial artery for 1 full minute
d. Brachial artery for 10 seconds, multiply by 6
c. Radial artery for 1 full minute
Measuring pulse for a full minute is most accurate, especially if
irregularities are suspected.
11. The nurse is caring for a patient with a nasogastric tube.
Which action prevents aspiration?
a. Positioning the patient supine
b. Elevating the head of the bed 30–45 degrees
c. Administering a large bolus of feeding rapidly
d. Clamping the tube after feeding
b. Elevating the head of the bed 30–45 degrees
Elevation of the head reduces the risk of aspiration during tube
feeding.
12. Which sign indicates hypoxia in a patient?
a. Bradycardia
b. Cyanosis
c. Hyperthermia
d. Hypotension
Questions)
1. A nurse is preparing to administer a subcutaneous injection.
Which site is most appropriate?
a. Deltoid
b. Ventrogluteal
c. Abdomen
d. Vastus lateralis
c. Abdomen
The abdomen is the preferred site for subcutaneous injections because
it has a layer of fat, absorbs medication consistently, and is easily
accessible.
2. The nurse is calculating a patient’s intake and output. Which of
the following is included in output?
a. Oral fluids
b. Urine
c. Ice chips
d. Broth
b. Urine
Output includes all fluids that leave the body, such as urine, vomitus,
and drainage from wounds or tubes.
3. A nurse is assessing a patient’s vital signs. Which temperature
reading indicates a fever?
a. 36.4°C (97.5°F)
b. 37.0°C (98.6°F)
c. 38.3°C (100.9°F)
d. 35.8°C (96.4°F)
,c. 38.3°C (100.9°F)
A temperature above 38°C (100.4°F) is considered a fever.
4. When performing hand hygiene, the nurse should rub hands
together for at least:
a. 5 seconds
b. 10 seconds
c. 15 seconds
d. 20 seconds
d. 20 seconds
The CDC recommends rubbing hands for at least 20 seconds to
effectively remove pathogens.
5. A patient is on strict bed rest. Which nursing intervention
prevents venous thromboembolism?
a. Encouraging deep breathing exercises
b. Applying antiembolism stockings
c. Providing oral hydration
d. Administering antipyretics
b. Applying antiembolism stockings
Antiembolism stockings promote venous return and reduce the risk of
blood clots in immobile patients.
6. Which action demonstrates proper use of a fire extinguisher in a
hospital?
a. Pull, Aim, Squeeze, Sweep
b. Push, Aim, Squeeze, Sweep
c. Pull, Aim, Spray, Sweep
d. Pull, Activate, Spray, Sweep
,a. Pull, Aim, Squeeze, Sweep
PASS is the correct procedure for using a fire extinguisher: Pull the pin,
Aim at the base, Squeeze the handle, and Sweep side to side.
7. Which of the following is a correct nursing diagnosis?
a. Hypertension related to high sodium intake
b. Risk for infection related to decreased immunity
c. Fever related to bacterial infection
d. Diabetes mellitus related to insulin deficiency
b. Risk for infection related to decreased immunity
A nursing diagnosis identifies patient problems that nurses can
address independently. “Risk for infection” is correct because it
focuses on potential patient needs.
8. The nurse is teaching a patient about fall prevention at home.
Which intervention is most appropriate?
a. Wearing socks on slippery floors
b. Using a cane even if unsteady
c. Keeping walkways clear of obstacles
d. Standing on a chair to reach items
c. Keeping walkways clear of obstacles
Removing hazards from pathways reduces the risk of falls at home.
9. A nurse is assessing a patient’s pain using the numeric rating
scale. The patient reports a pain score of 8. This indicates:
a. Mild pain
b. Moderate pain
c. Severe pain
d. No pain
, c. Severe pain
A pain score of 7–10 indicates severe pain, requiring prompt
intervention.
10. Which of the following is the most accurate method to
assess an adult patient’s pulse?
a. Carotid artery for 15 seconds, multiply by 4
b. Radial artery for 30 seconds, multiply by 2
c. Radial artery for 1 full minute
d. Brachial artery for 10 seconds, multiply by 6
c. Radial artery for 1 full minute
Measuring pulse for a full minute is most accurate, especially if
irregularities are suspected.
11. The nurse is caring for a patient with a nasogastric tube.
Which action prevents aspiration?
a. Positioning the patient supine
b. Elevating the head of the bed 30–45 degrees
c. Administering a large bolus of feeding rapidly
d. Clamping the tube after feeding
b. Elevating the head of the bed 30–45 degrees
Elevation of the head reduces the risk of aspiration during tube
feeding.
12. Which sign indicates hypoxia in a patient?
a. Bradycardia
b. Cyanosis
c. Hyperthermia
d. Hypotension