Comprehensive Resource To Help You Ace 2026-2027 Exams
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1. What is the appropriate needle length for a subcutaneous (subQ) injection?
A. 1/4"
B. 5/8" – 1"
C. 1.5"
D. 2"
Rationale: Subcutaneous injections target the fatty tissue layer, requiring a shorter
needle than intramuscular injections.
2. A patient on heparin is at greatest risk of bleeding when also taking which
type of medication?
A. Antibiotics
B. NSAIDs
C. Antihistamines
D. Antacids
Rationale: NSAIDs inhibit platelet function and can irritate the GI lining,
compounding heparin's anticoagulant effect and increasing bleeding risk.
3. The doctor orders a medication PO, but it arrives from pharmacy in injectable
form. What should the nurse do?
,A. Administer it IM instead
B. Call the pharmacy to clarify/get the correct route
C. Give it orally by mixing with juice
D. Withhold the dose entirely without follow-up
Rationale: A route discrepancy must be clarified with pharmacy/prescriber rather
than improvising an alternate administration method.
4. Is it acceptable to hide medication in food for a patient who routinely refuses
it?
A. Yes, if it's for the patient's own good
B. No
C. Yes, but only with family permission
D. Yes, if documented afterward
Rationale: Covertly administering medication violates patient autonomy and
informed consent, regardless of intent.
5. Should the nurse rub the skin after administering an insulin injection?
A. Yes, to promote absorption
B. No
C. Yes, but only for 10 seconds
D. Only for obese patients
Rationale: Rubbing the injection site can affect insulin absorption rates and is not
recommended after subcutaneous insulin administration.
6. A patient in negative pressure isolation for TB coughs up a large amount of
bloody sputum. What is the most important way for the nurse to protect
themselves?
,A. Surgical mask and gloves only
B. N95 respirator, gloves, face shield, and gown
C. Gloves only
D. Standard mask and eye protection
Rationale: TB is airborne, requiring N95 respiratory protection, and the presence
of blood adds a need for full barrier precautions (gown, gloves, face/eye shield).
7. A nurse is caring for several patients on contact precautions. Is it acceptable
to cohort them in the same room?
A. No, contact precaution patients can never share a room
B. Yes, if they have the same disease/infection
C. Yes, regardless of diagnosis
D. Only if one patient is asymptomatic
Rationale: Cohorting is appropriate specifically when patients share the same
infectious organism, preventing cross-contamination with different pathogens.
8. A patient with an infection transmitted via oral/fecal route has a glove tear
during care. What should the nurse do?
A. Continue care and change gloves after finishing
B. Remove the glove, wash hands, put on fresh gloves, and finish care
C. Apply hand sanitizer over the torn glove and continue
D. Leave the room to find a new set of PPE before addressing the tear
Rationale: A glove tear breaks the barrier protection immediately, requiring
prompt hand hygiene and re-gloving before continuing care.
9. A patient on isolation attempts to leave their isolation room. What should the
nurse implement?
, A. Physically restrain the patient
B. Talk with the patient to find ways to reduce loneliness
C. Immediately sedate the patient
D. Ignore the behavior if it happens only once
Rationale: Isolation often causes psychological distress; addressing the underlying
loneliness/isolation feelings is a therapeutic, patient-centered approach rather
than punitive measures.
10. How does the nurse know hand hygiene teaching was effective?
A. The patient washes hands only when reminded
B. The patient states they should use soap, water, and friction
C. The patient uses hot water only
D. The patient avoids hand hygiene equipment
Rationale: Verbalizing the correct technique (soap, water, friction) demonstrates
the patient has retained and understood the teaching.
11. How can a nurse reduce anxiety in a 3-year-old child who is in isolation?
A. Avoid explaining the PPE to prevent confusion
B. Put on the mask, gloves, and gown in view of the child
C. Rush through PPE application quickly
D. Have a stranger demonstrate the PPE instead
Rationale: Allowing the child to see the PPE being applied helps demystify the
process and reduce fear, an important developmental consideration for young
children.
12. What is the correct order for doffing (removing) PPE?