1. A nurse is preparing to administer a medication via the sublingual
route. Which of the following instructions should the nurse give the
patient?
A. "Swallow the tablet immediately after placing it under your tongue."
B. "Place the tablet under your tongue and allow it to dissolve
completely."
C. "Crush the tablet before placing it under your tongue."
D. "Chew the tablet thoroughly before swallowing."
Answer: b) "Place the tablet under your tongue and allow it to dissolve
completely."
Rationale: Sublingual medications should be allowed to dissolve under
the tongue to facilitate rapid absorption into the bloodstream.
2. The nurse is caring for a patient with a fever. Which of the following
is an appropriate nursing intervention?
A. Provide the patient with a blanket to keep warm
B. Administer antipyretics as ordered
C. Withhold fluids to prevent dehydration
D. Encourage the patient to stay in a hot environment
Answer: b) Administer antipyretics as ordered
,Rationale: Antipyretics help to reduce fever and provide comfort. The
nurse should ensure the patient is not overheated, as this could worsen
the condition.
3. The nurse is preparing to administer a medication via the
intradermal route. Which of the following actions is most appropriate?
A. Insert the needle at a 90-degree angle
B. Use a 1.5-inch needle for injection
C. Inject the medication into the subcutaneous tissue
D. Insert the needle at a 10-15 degree angle
Answer: d) Insert the needle at a 10-15 degree angle
Rationale: Intradermal injections are administered at a shallow angle
(10-15 degrees) to ensure the medication is placed just below the
epidermis.
4. Which of the following is the primary purpose of hand hygiene in
nursing practice?
A. To reduce the spread of infectious diseases
B. To ensure patient comfort
C. To improve nurse-patient relationships
D. To maintain sterile conditions in the environment
Answer: a) To reduce the spread of infectious diseases
, Rationale: Hand hygiene is one of the most effective ways to prevent
the spread of infectious diseases, especially in healthcare settings. It
reduces the transmission of pathogens from person to person.
5. The nurse is administering a blood transfusion. Which of the
following is the most important action to take during the first 15
minutes of transfusion?
A. Monitor the patient’s vital signs
B. Ensure the blood is compatible with the patient’s type
C. Check the patient’s identification band
D. Confirm the transfusion rate is correct
Answer: a) Monitor the patient’s vital signs
Rationale: Close monitoring of vital signs during the initial transfusion
period helps detect early signs of a transfusion reaction.
6. Which of the following is an appropriate intervention for a patient
experiencing severe nausea and vomiting?
A. Encourage the patient to eat solid foods immediately
B. Administer antiemetics as prescribed
C. Offer the patient large amounts of water
D. Avoid providing any food or liquids
Answer: b) Administer antiemetics as prescribed
route. Which of the following instructions should the nurse give the
patient?
A. "Swallow the tablet immediately after placing it under your tongue."
B. "Place the tablet under your tongue and allow it to dissolve
completely."
C. "Crush the tablet before placing it under your tongue."
D. "Chew the tablet thoroughly before swallowing."
Answer: b) "Place the tablet under your tongue and allow it to dissolve
completely."
Rationale: Sublingual medications should be allowed to dissolve under
the tongue to facilitate rapid absorption into the bloodstream.
2. The nurse is caring for a patient with a fever. Which of the following
is an appropriate nursing intervention?
A. Provide the patient with a blanket to keep warm
B. Administer antipyretics as ordered
C. Withhold fluids to prevent dehydration
D. Encourage the patient to stay in a hot environment
Answer: b) Administer antipyretics as ordered
,Rationale: Antipyretics help to reduce fever and provide comfort. The
nurse should ensure the patient is not overheated, as this could worsen
the condition.
3. The nurse is preparing to administer a medication via the
intradermal route. Which of the following actions is most appropriate?
A. Insert the needle at a 90-degree angle
B. Use a 1.5-inch needle for injection
C. Inject the medication into the subcutaneous tissue
D. Insert the needle at a 10-15 degree angle
Answer: d) Insert the needle at a 10-15 degree angle
Rationale: Intradermal injections are administered at a shallow angle
(10-15 degrees) to ensure the medication is placed just below the
epidermis.
4. Which of the following is the primary purpose of hand hygiene in
nursing practice?
A. To reduce the spread of infectious diseases
B. To ensure patient comfort
C. To improve nurse-patient relationships
D. To maintain sterile conditions in the environment
Answer: a) To reduce the spread of infectious diseases
, Rationale: Hand hygiene is one of the most effective ways to prevent
the spread of infectious diseases, especially in healthcare settings. It
reduces the transmission of pathogens from person to person.
5. The nurse is administering a blood transfusion. Which of the
following is the most important action to take during the first 15
minutes of transfusion?
A. Monitor the patient’s vital signs
B. Ensure the blood is compatible with the patient’s type
C. Check the patient’s identification band
D. Confirm the transfusion rate is correct
Answer: a) Monitor the patient’s vital signs
Rationale: Close monitoring of vital signs during the initial transfusion
period helps detect early signs of a transfusion reaction.
6. Which of the following is an appropriate intervention for a patient
experiencing severe nausea and vomiting?
A. Encourage the patient to eat solid foods immediately
B. Administer antiemetics as prescribed
C. Offer the patient large amounts of water
D. Avoid providing any food or liquids
Answer: b) Administer antiemetics as prescribed
