ADN Exam Questions With Answers and detailed Rationales
Question 1.
When a fire occurs in a patient’s room, what is the nurse’s first priority according to the
RACE acronym?
A. Activate the fire alarm system
B. Extinguish the fire using the nearest extinguisher
C. Contain the fire by closing doors and windows
D. Rescue and remove the patient from immediate danger
Correct Answer: D. Rescue and remove the patient from immediate danger
Explanation: The RACE acronym stands for Rescue, Alarm, Contain, and Extinguish. The
first step is always to rescue individuals in immediate danger.
Question 2.
A nurse is preparing to use a fire extinguisher. What does the ‘P’ in the PASS acronym
represent?
A. Pull the pin
B. Position the nozzle
C. Press the handle
D. Push the lever
Correct Answer: A. Pull the pin
Explanation: The PASS acronym for fire extinguisher use stands for Pull the pin, Aim at
the base of the fire, Squeeze the handle, and Sweep from side to side.
Question 3.
Which of the following is a physical hazard in the healthcare environment that most
commonly leads to patient injury?
A. Falls
B. Medication errors
C. Infection exposure
D. Radiation exposure
Correct Answer: A. Falls
Explanation: Falls are the most common cause of patient injury in the healthcare setting,
especially among older adults and those with mobility issues.
, Question 4.
A nurse is assessing a patient’s risk for falls using the Morse Fall Scale. Which factor would
increase the patient’s score?
A. The patient is oriented to person, place, and time
B. The patient has an IV line in place
C. The patient uses a cane for ambulation
D. The patient has a history of falling within the last 3 months
Correct Answer: D. The patient has a history of falling within the last 3 months
Explanation: History of falling is a major component of the Morse Fall Scale. Using an
assistive device and having an IV also increase the score, but a history of falls is a primary
risk indicator.
Question 5.
A patient is placed in bilateral wrist restraints. How often must the nurse assess the
patient’s skin integrity and neurovascular status?
A. Every 2 hours
B. Every 1 hour
C. Every 30 minutes
D. Every 4 hours
Correct Answer: A. Every 2 hours
Explanation: Standard safety protocols require the assessment of a restrained patient
every 2 hours for skin integrity, circulation, and the need for continued restraint.
Question 6.
Which action should the nurse take first when a patient is experiencing a tonic-clonic
seizure?
A. Insert a padded tongue blade into the mouth
B. Restrain the patient’s limbs to prevent injury
C. Administer oxygen via a non-rebreather mask
D. Turn the patient to a side-lying position
Correct Answer: D. Turn the patient to a side-lying position
Explanation: The priority during a seizure is airway protection and safety. Turning the
patient to their side helps prevent aspiration of secretions.
Question 1.
When a fire occurs in a patient’s room, what is the nurse’s first priority according to the
RACE acronym?
A. Activate the fire alarm system
B. Extinguish the fire using the nearest extinguisher
C. Contain the fire by closing doors and windows
D. Rescue and remove the patient from immediate danger
Correct Answer: D. Rescue and remove the patient from immediate danger
Explanation: The RACE acronym stands for Rescue, Alarm, Contain, and Extinguish. The
first step is always to rescue individuals in immediate danger.
Question 2.
A nurse is preparing to use a fire extinguisher. What does the ‘P’ in the PASS acronym
represent?
A. Pull the pin
B. Position the nozzle
C. Press the handle
D. Push the lever
Correct Answer: A. Pull the pin
Explanation: The PASS acronym for fire extinguisher use stands for Pull the pin, Aim at
the base of the fire, Squeeze the handle, and Sweep from side to side.
Question 3.
Which of the following is a physical hazard in the healthcare environment that most
commonly leads to patient injury?
A. Falls
B. Medication errors
C. Infection exposure
D. Radiation exposure
Correct Answer: A. Falls
Explanation: Falls are the most common cause of patient injury in the healthcare setting,
especially among older adults and those with mobility issues.
, Question 4.
A nurse is assessing a patient’s risk for falls using the Morse Fall Scale. Which factor would
increase the patient’s score?
A. The patient is oriented to person, place, and time
B. The patient has an IV line in place
C. The patient uses a cane for ambulation
D. The patient has a history of falling within the last 3 months
Correct Answer: D. The patient has a history of falling within the last 3 months
Explanation: History of falling is a major component of the Morse Fall Scale. Using an
assistive device and having an IV also increase the score, but a history of falls is a primary
risk indicator.
Question 5.
A patient is placed in bilateral wrist restraints. How often must the nurse assess the
patient’s skin integrity and neurovascular status?
A. Every 2 hours
B. Every 1 hour
C. Every 30 minutes
D. Every 4 hours
Correct Answer: A. Every 2 hours
Explanation: Standard safety protocols require the assessment of a restrained patient
every 2 hours for skin integrity, circulation, and the need for continued restraint.
Question 6.
Which action should the nurse take first when a patient is experiencing a tonic-clonic
seizure?
A. Insert a padded tongue blade into the mouth
B. Restrain the patient’s limbs to prevent injury
C. Administer oxygen via a non-rebreather mask
D. Turn the patient to a side-lying position
Correct Answer: D. Turn the patient to a side-lying position
Explanation: The priority during a seizure is airway protection and safety. Turning the
patient to their side helps prevent aspiration of secretions.
