1. What is the most important action a nurse can take to reduce the risk of
infection for a hospitalized patient?
A. Administer prescribed antibiotics on time
B. Ensure hand hygiene is performed frequently
C. Place the patient in isolation
D. Offer pain management routinely
Answer: B. Ensure hand hygiene is performed frequently
Rationale: Hand hygiene is the most effective measure to prevent the spread of infection. Proper
hand washing prevents transmission of harmful microorganisms.
2. Which of the following is a sign of hypoglycemia?
A. Increased thirst
B. Tachycardia
C. Rapid, deep breathing
D. Hot, dry skin
Answer: B. Tachycardia
Rationale: Tachycardia is a common symptom of hypoglycemia, which occurs when blood
sugar levels drop below normal.
3. A nurse is caring for a patient receiving opioid pain medication. Which of the
following is a priority assessment?
A. Respiratory rate
B. Skin integrity
C. Electrolyte levels
D. Bowel sounds
Answer: A. Respiratory rate
Rationale: Opioids can cause respiratory depression, so monitoring the respiratory rate is critical
to prevent life-threatening complications.
4. What is the primary purpose of using a pressure-relieving mattress?
A. To enhance patient comfort
B. To promote mobility
,C. To prevent pressure ulcers
D. To manage chronic pain
Answer: C. To prevent pressure ulcers
Rationale: Pressure-relieving mattresses help reduce pressure on vulnerable areas, thereby
preventing the development of pressure ulcers in immobile patients.
5. A nurse is teaching a patient with a newly diagnosed chronic illness about self-
management. Which of the following strategies is most important to emphasize?
A. Seeking immediate medical attention for every minor symptom
B. Developing a strong support system
C. Avoiding any physical activity or exercise
D. Focusing solely on prescribed medications
Answer: B. Developing a strong support system
Rationale: A strong support system is essential for coping with chronic illness, providing
emotional support and practical assistance.
6. Which of the following is the correct action for a nurse to take when
administering medication through a nasogastric tube?
A. Flush the tube with water before and after administering the medication
B. Administer the medication in large amounts of water
C. Crush all medications to administer through the tube
D. Use a syringe to administer the medication directly without water
Answer: A. Flush the tube with water before and after administering the medication
Rationale: Flushing the tube before and after administering medications helps ensure the tube
remains patent and prevents clogging.
7. A nurse is caring for a postoperative patient who has developed a fever. Which
of the following is the most likely cause of the fever?
A. Dehydration
B. Wound infection
C. Allergic reaction
D. Anxiety
, Answer: B. Wound infection
Rationale: Fever after surgery is often indicative of infection, especially if accompanied by
signs such as redness or discharge at the wound site.
8. A patient with a history of asthma is admitted with wheezing and shortness of
breath. Which action should the nurse take first?
A. Administer a bronchodilator as prescribed
B. Encourage deep breathing exercises
C. Assess the patient’s oxygen saturation level
D. Obtain a sputum sample
Answer: A. Administer a bronchodilator as prescribed
Rationale: A bronchodilator should be administered first to relieve airway constriction and
improve breathing.
9. Which of the following is the priority when caring for a patient with a pressure
ulcer?
A. Change the patient’s position frequently
B. Administer pain medication before dressing changes
C. Provide a high-protein diet
D. Keep the ulcer area dry and clean
Answer: A. Change the patient’s position frequently
Rationale: Frequent position changes relieve pressure on the ulcer, promoting healing and
preventing further skin breakdown.
10. Which of the following is the most effective way to prevent the spread of
infection in a healthcare setting?
A. Wearing gloves at all times
B. Using hand sanitizer after patient care
C. Cleaning equipment after each use
D. Practicing proper hand hygiene
Answer: D. Practicing proper hand hygiene
Rationale: Hand hygiene is the single most effective method to prevent the transmission of
infections in healthcare settings.
infection for a hospitalized patient?
A. Administer prescribed antibiotics on time
B. Ensure hand hygiene is performed frequently
C. Place the patient in isolation
D. Offer pain management routinely
Answer: B. Ensure hand hygiene is performed frequently
Rationale: Hand hygiene is the most effective measure to prevent the spread of infection. Proper
hand washing prevents transmission of harmful microorganisms.
2. Which of the following is a sign of hypoglycemia?
A. Increased thirst
B. Tachycardia
C. Rapid, deep breathing
D. Hot, dry skin
Answer: B. Tachycardia
Rationale: Tachycardia is a common symptom of hypoglycemia, which occurs when blood
sugar levels drop below normal.
3. A nurse is caring for a patient receiving opioid pain medication. Which of the
following is a priority assessment?
A. Respiratory rate
B. Skin integrity
C. Electrolyte levels
D. Bowel sounds
Answer: A. Respiratory rate
Rationale: Opioids can cause respiratory depression, so monitoring the respiratory rate is critical
to prevent life-threatening complications.
4. What is the primary purpose of using a pressure-relieving mattress?
A. To enhance patient comfort
B. To promote mobility
,C. To prevent pressure ulcers
D. To manage chronic pain
Answer: C. To prevent pressure ulcers
Rationale: Pressure-relieving mattresses help reduce pressure on vulnerable areas, thereby
preventing the development of pressure ulcers in immobile patients.
5. A nurse is teaching a patient with a newly diagnosed chronic illness about self-
management. Which of the following strategies is most important to emphasize?
A. Seeking immediate medical attention for every minor symptom
B. Developing a strong support system
C. Avoiding any physical activity or exercise
D. Focusing solely on prescribed medications
Answer: B. Developing a strong support system
Rationale: A strong support system is essential for coping with chronic illness, providing
emotional support and practical assistance.
6. Which of the following is the correct action for a nurse to take when
administering medication through a nasogastric tube?
A. Flush the tube with water before and after administering the medication
B. Administer the medication in large amounts of water
C. Crush all medications to administer through the tube
D. Use a syringe to administer the medication directly without water
Answer: A. Flush the tube with water before and after administering the medication
Rationale: Flushing the tube before and after administering medications helps ensure the tube
remains patent and prevents clogging.
7. A nurse is caring for a postoperative patient who has developed a fever. Which
of the following is the most likely cause of the fever?
A. Dehydration
B. Wound infection
C. Allergic reaction
D. Anxiety
, Answer: B. Wound infection
Rationale: Fever after surgery is often indicative of infection, especially if accompanied by
signs such as redness or discharge at the wound site.
8. A patient with a history of asthma is admitted with wheezing and shortness of
breath. Which action should the nurse take first?
A. Administer a bronchodilator as prescribed
B. Encourage deep breathing exercises
C. Assess the patient’s oxygen saturation level
D. Obtain a sputum sample
Answer: A. Administer a bronchodilator as prescribed
Rationale: A bronchodilator should be administered first to relieve airway constriction and
improve breathing.
9. Which of the following is the priority when caring for a patient with a pressure
ulcer?
A. Change the patient’s position frequently
B. Administer pain medication before dressing changes
C. Provide a high-protein diet
D. Keep the ulcer area dry and clean
Answer: A. Change the patient’s position frequently
Rationale: Frequent position changes relieve pressure on the ulcer, promoting healing and
preventing further skin breakdown.
10. Which of the following is the most effective way to prevent the spread of
infection in a healthcare setting?
A. Wearing gloves at all times
B. Using hand sanitizer after patient care
C. Cleaning equipment after each use
D. Practicing proper hand hygiene
Answer: D. Practicing proper hand hygiene
Rationale: Hand hygiene is the single most effective method to prevent the transmission of
infections in healthcare settings.
