Bank 2024/2025 | Questions and Answers
with Rationale | Latest Edition | Already
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Q1: A nurse is caring for a client who just had abdominal surgery. Which intervention is
the highest priority?
a) Ambulating the client
b) Assessing vital signs
c) Monitoring for infection
d) Administering pain medication
Answer: b) Assessing vital signs
Rationale: Vital signs help identify immediate complications, such as bleeding or shock.
Safety and physiological stability take priority over other interventions.
Q2: Which action by the nurse is an example of using proper body mechanics?
a) Bending at the knees when lifting a client
b) Twisting the torso while lifting
c) Lifting a client alone without assistance
d) Reaching over a bedside table to move a client
Answer: a) Bending at the knees when lifting a client
Rationale: Bending at the knees and keeping the back straight prevents musculoskeletal
injury.
Q3: A nurse enters a client’s room and notices smoke. What is the first action according
to RACE?
a) Rescue the client
b) Activate the fire alarm
c) Contain the fire
d) Extinguish the fire
Answer: a) Rescue the client
Rationale: RACE: Rescue, Alarm, Contain, Extinguish. Life safety comes first.
,Q4: Which of the following is a high-alert medication that requires verification by two
nurses?
a) Heparin
b) Acetaminophen
c) Ibuprofen
d) Loratadine
Answer: a) Heparin
Rationale: High-alert medications have a higher risk of causing harm if given incorrectly.
Q5: A nurse is preparing to administer a medication orally. What is the first step?
a) Verify the medication order
b) Ask the client to take the medication
c) Prepare the medication on the cart
d) Document administration
Answer: a) Verify the medication order
Rationale: Always check the order first to ensure the right medication is given to the
right client.
Q6: The nurse is caring for a client with neutropenia. Which precaution is required?
a) Neutropenic (protective) precautions
b) Droplet precautions
c) Airborne precautions
d) Contact precautions
Answer: a) Neutropenic (protective) precautions
Rationale: Protect the client from infection due to low white blood cell count.
Q7: When using a fire extinguisher, the acronym PASS stands for:
a) Pull, Aim, Squeeze, Sweep
b) Push, Alert, Spray, Stop
c) Protect, Assist, Squeeze, Sweep
d) Pull, Activate, Spray, Safety
Answer: a) Pull, Aim, Squeeze, Sweep
Rationale: PASS guides proper extinguisher use to contain fires safely.
Q8: A nurse notes a medication error. The appropriate action is to:
a) Notify the provider and follow facility protocol
b) Ignore it if the client seems fine
c) Wait until the end of the shift to document
d) Call the client’s family first
Answer: a) Notify the provider and follow facility protocol
Rationale: Prompt action is necessary to ensure client safety and proper documentation.
, Q9: A client reports feeling dizzy while getting out of bed. What is the priority
intervention?
a) Assist the client back to bed and assess vital signs
b) Ask the client to wait and stand still
c) Notify the provider immediately
d) Give the client a glass of water
Answer: a) Assist the client back to bed and assess vital signs
Rationale: Preventing falls and assessing for orthostatic hypotension are priority.
Q10: Which patient is at highest risk for falls?
a) An 82-year-old client with a history of dizziness
b) A 25-year-old postoperative client
c) A 40-year-old client with mild anxiety
d) A 50-year-old client with seasonal allergies
Answer: a) An 82-year-old client with a history of dizziness
Rationale: Advanced age and dizziness increase fall risk.
Q11: When preparing a sterile field, which action breaks sterile technique?
a) Reaching across a sterile field
b) Opening sterile gloves properly
c) Keeping sterile items above waist level
d) Donning a mask before the procedure
Answer: a) Reaching across a sterile field
Rationale: Reaching across contaminates the sterile field.
Q12: Which action demonstrates proper hand hygiene?
a) Lathering hands for at least 20 seconds
b) Rinsing hands briefly under cold water
c) Using hand sanitizer before gloves only
d) Wearing gloves instead of washing hands
Answer: a) Lathering hands for at least 20 seconds
Rationale: Effective handwashing reduces risk of infection.
Q13: A nurse is applying restraints. Which is an appropriate action?
a) Secure restraints to the bed frame, not the side rails
b) Tie restraints tightly to prevent all movement
c) Apply restraints only at night
d) Leave restraints in place until discharge