Nursing Q&A | Nursing
**1. During a clinical rotation, a nursing student observes a registered nurse
(RN) administering medication to a patient. The RN checks the patient's
identification band, verifies the medication order, and asks the patient to
state their name and date of birth. Which "Right" of medication
administration is the RN primarily demonstrating through these actions?**
A) Right medication
B) Right dose
C) Right patient
D) Right route
Correct Answer: C) Right patient
Rationale: The "Right Patient" is verified by using two patient identifiers (e.g.,
name and date of birth) and checking the ID band against the medication
administration record (MAR). This critical safety step prevents medication
errors by ensuring the drug is given to the intended recipient. The other
rights involve verifying the medication itself, the dose, and the route.
**2. A nursing student is caring for a patient who has just been diagnosed
with type 2 diabetes. The patient states, "I don't understand why I have to
change my diet; I feel fine." According to the nursing process, which action
should the nurse take FIRST to address the patient's statement?**
A) Provide the patient with a detailed written diet plan and schedule a follow-
up appointment
B) Assess the patient's current understanding of diabetes, dietary habits, and
readiness to learn
C) Explain the pathophysiology of diabetes and the long-term complications
of poor glycemic control
D) Contact the dietitian to arrange a consultation for comprehensive
nutritional counseling
,Correct Answer: B) Assess the patient's current understanding of diabetes,
dietary habits, and readiness to learn
Rationale: The nursing process begins with Assessment (ADPIE: Assess,
Diagnose, Plan, Implement, Evaluate). Before implementing teaching or
interventions, the nurse must gather data about the patient's knowledge,
beliefs, and readiness. This ensures that subsequent education is tailored to
the patient's needs and learning style, promoting engagement and
adherence.
**3. A nurse is documenting in a patient's electronic health record. Which
action ensures compliance with the Health Insurance Portability and
Accountability Act (HIPAA)?**
A) Discussing the patient's condition with family members in the waiting
room
B) Logging off the computer immediately after documenting
C) Sharing the patient's medical information on social media
D) Leaving the patient's chart open on the computer screen
Correct Answer: B) Logging off the computer immediately after documenting
Rationale: HIPAA requires safeguards to protect patient health information.
Logging off the computer prevents unauthorized access to the electronic
health record. Discussing patient information in public places, posting on
social media, or leaving charts open are all HIPAA violations that compromise
patient confidentiality.
**4. According to Maslow's hierarchy of needs, which patient need should the
nurse prioritize when planning care?**
A) The need for self-esteem and recognition
,B) The need for love and belonging
C) The need for air, food, and water
D) The need for safety and security
Correct Answer: C) The need for air, food, and water
Rationale: Maslow's hierarchy places physiological needs (air, food, water,
shelter) at the most basic and foundational level. These needs must be met
before the patient can focus on higher-level needs such as safety, love and
belonging, and self-esteem. Prioritizing physiological needs is essential for
survival and stability.
**5. A nurse is preparing to delegate a task to an unlicensed assistive
personnel (UAP). Which of the following tasks is most appropriate to
delegate?**
A) Assessing a patient's lung sounds
B) Administering oral medications
C) Assisting a patient with ambulation
D) Creating the nursing care plan
Correct Answer: C) Assisting a patient with ambulation
Rationale: UAPs may assist with activities of daily living (ADLs) such as
ambulation, bathing, and feeding. Assessment, medication administration,
and care planning require licensed nursing judgment and cannot be
delegated to UAPs. The nurse remains responsible for the overall care and
supervision of delegated tasks.
**6. Which of the following is the most effective method for preventing the
spread of infection in healthcare settings?**
, A) Wearing gloves for all patient contacts
B) Hand hygiene before and after patient contact
C) Using personal protective equipment (PPE)
D) Isolating all patients with infections
Correct Answer: B) Hand hygiene before and after patient contact
Rationale: Hand hygiene is the single most effective measure to prevent the
spread of infection. While gloves and PPE are important, they do not replace
the need for thorough hand washing. Proper hand hygiene breaks the chain
of infection and protects both patients and healthcare workers.
**7. The Nurse Practice Act is important because it:**
A) Sets hospital rules for nurses
B) Defines the scope and practice of nursing
C) Establishes nurse-patient communication guidelines
D) Controls healthcare policy
Correct Answer: B) Defines the scope and practice of nursing
Rationale: The Nurse Practice Act is a state law that legally defines the scope
of nursing practice, establishes standards of care, and protects the public by
ensuring that nurses are qualified to practice safely. It is the foundation for
nursing regulation and professional accountability.
**8. What is the primary purpose of evidence-based practice in nursing?**
A) To reduce nurse burnout and turnover
B) To improve patient outcomes using current best evidence
C) To increase hospital revenue and efficiency