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Rationales 2026 Q&A | Instant
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1. What is the first step of the nursing process?
A. Planning
B. Assessment
C. Implementation
D. Evaluation
Correct Answer: B
Rationale: Assessment is the first step of the nursing process. It involves
collecting objective and subjective data to identify the patient's health status.
2. Which action is the most effective way to prevent the spread of infection?
A. Wearing gloves at all times
B. Performing hand hygiene
C. Wearing a surgical mask
D. Cleaning equipment weekly
Correct Answer: B
Rationale: Proper hand hygiene is the single most effective measure for
preventing the transmission of microorganisms.
3. Which vital sign reflects the force of blood against arterial walls?
,A. Pulse
B. Temperature
C. Blood pressure
D. Respiratory rate
Correct Answer: C
Rationale: Blood pressure measures the force exerted by circulating blood on
arterial walls.
4. Which pulse site is commonly used for routine assessment in adults?
A. Carotid
B. Radial
C. Femoral
D. Apical
Correct Answer: B
Rationale: The radial pulse is easily accessible and commonly used for routine
pulse assessment.
5. What is the normal adult oral body temperature?
A. 35.0°C (95.0°F)
B. 36.5–37.5°C (97.7–99.5°F)
C. 38.5°C (101.3°F)
D. 39.5°C (103.1°F)
Correct Answer: B
Rationale: A normal oral body temperature is generally between 36.5°C and
37.5°C (97.7–99.5°F).
6. Which term describes a body temperature above the normal range?
,A. Hypothermia
B. Fever
C. Bradycardia
D. Hypotension
Correct Answer: B
Rationale: Fever, or pyrexia, is an elevation of body temperature above the
normal range.
7. Which respiratory rate is considered normal for a healthy adult?
A. 6–10 breaths/minute
B. 12–20 breaths/minute
C. 24–30 breaths/minute
D. 30–40 breaths/minute
Correct Answer: B
Rationale: The normal resting respiratory rate for adults is 12–20 breaths per
minute.
8. Which nursing action best promotes patient safety?
A. Leaving side rails down for convenience
B. Keeping the call light within reach
C. Wearing gloves continuously
D. Limiting patient movement
Correct Answer: B
Rationale: Keeping the call light within reach allows patients to request
assistance, reducing fall risk.
9. Which abbreviation stands for "nothing by mouth"?
, A. PRN
B. NPO
C. BID
D. PO
Correct Answer: B
Rationale: NPO comes from the Latin nil per os, meaning nothing by mouth.
10. Which patient identifier should always be verified before providing care?
A. Room number only
B. Two patient identifiers
C. Bed number only
D. Diagnosis only
Correct Answer: B
Rationale: Verifying two patient identifiers helps ensure the correct patient
receives the correct care.
11. What is the purpose of documentation in nursing?
A. Increase workload
B. Provide an accurate legal and clinical record
C. Replace verbal communication
D. Eliminate the need for assessments
Correct Answer: B
Rationale: Documentation supports continuity of care and serves as a legal
record.
12. Which communication technique encourages a patient to share more
information?