1. 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.
2. What is the most important action a nurse can take to prevent
medication errors?
a) Double-checking the patient’s identity
b) Writing the prescription clearly
c) Asking the patient about allergies
d) Verifying the medication with another nurse
Answer: d) Verifying the medication with another nurse
Rationale: Verifying medications with a colleague is a safety measure
that helps to reduce errors in the medication administration process.
3. Which of the following is an example of subjective data?
a) Blood pressure reading
b) X-ray results
c) Patient's statement of pain
d) Oxygen saturation level
Answer: c) Patient's statement of pain
Rationale: Subjective data comes from the patient’s perspective, such
,as feelings, sensations, and experiences. A patient’s report of pain is a
subjective symptom.
4. What is the primary purpose of a nurse performing a physical
assessment?
a) To confirm a diagnosis
b) To establish a therapeutic relationship
c) To gather data on the patient's health status
d) To document health history
Answer: c) To gather data on the patient's health status
Rationale: Physical assessment provides objective data about the
patient’s physical health, helping to identify potential issues that need
to be addressed.
5. 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.
6. The nurse is caring for a patient who is at risk for falls. Which
of the following interventions is most effective in reducing this
risk?
a) Keep the bed in the highest position
, b) Use a bed alarm system
c) Administer sedatives to promote sleep
d) Restrict the patient's mobility
Answer: b) Use a bed alarm system
Rationale: Bed alarms are an effective tool for preventing falls by
alerting the nurse when the patient attempts to get out of bed, thereby
reducing fall risk.
7. Which of the following is an example of a sterile technique?
a) Performing a wound dressing change
b) Taking a blood pressure measurement
c) Cleaning a patient’s skin with antiseptic solution
d) Inserting a urinary catheter
Answer: d) Inserting a urinary catheter
Rationale: Inserting a urinary catheter is an invasive procedure that
requires sterile technique to prevent introducing infections into the
urinary tract.
8. A patient is receiving morphine for pain relief. The nurse
notices that the patient is becoming increasingly drowsy. What
should the nurse do next?
a) Withhold the next dose of morphine
b) Increase the morphine dosage
c) Monitor the patient’s respiratory rate
d) Administer naloxone immediately
Answer: c) Monitor the patient’s respiratory rate
Rationale: Morphine can cause respiratory depression, and the nurse
should monitor for this potentially life-threatening side effect before
taking further action.
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.
2. What is the most important action a nurse can take to prevent
medication errors?
a) Double-checking the patient’s identity
b) Writing the prescription clearly
c) Asking the patient about allergies
d) Verifying the medication with another nurse
Answer: d) Verifying the medication with another nurse
Rationale: Verifying medications with a colleague is a safety measure
that helps to reduce errors in the medication administration process.
3. Which of the following is an example of subjective data?
a) Blood pressure reading
b) X-ray results
c) Patient's statement of pain
d) Oxygen saturation level
Answer: c) Patient's statement of pain
Rationale: Subjective data comes from the patient’s perspective, such
,as feelings, sensations, and experiences. A patient’s report of pain is a
subjective symptom.
4. What is the primary purpose of a nurse performing a physical
assessment?
a) To confirm a diagnosis
b) To establish a therapeutic relationship
c) To gather data on the patient's health status
d) To document health history
Answer: c) To gather data on the patient's health status
Rationale: Physical assessment provides objective data about the
patient’s physical health, helping to identify potential issues that need
to be addressed.
5. 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.
6. The nurse is caring for a patient who is at risk for falls. Which
of the following interventions is most effective in reducing this
risk?
a) Keep the bed in the highest position
, b) Use a bed alarm system
c) Administer sedatives to promote sleep
d) Restrict the patient's mobility
Answer: b) Use a bed alarm system
Rationale: Bed alarms are an effective tool for preventing falls by
alerting the nurse when the patient attempts to get out of bed, thereby
reducing fall risk.
7. Which of the following is an example of a sterile technique?
a) Performing a wound dressing change
b) Taking a blood pressure measurement
c) Cleaning a patient’s skin with antiseptic solution
d) Inserting a urinary catheter
Answer: d) Inserting a urinary catheter
Rationale: Inserting a urinary catheter is an invasive procedure that
requires sterile technique to prevent introducing infections into the
urinary tract.
8. A patient is receiving morphine for pain relief. The nurse
notices that the patient is becoming increasingly drowsy. What
should the nurse do next?
a) Withhold the next dose of morphine
b) Increase the morphine dosage
c) Monitor the patient’s respiratory rate
d) Administer naloxone immediately
Answer: c) Monitor the patient’s respiratory rate
Rationale: Morphine can cause respiratory depression, and the nurse
should monitor for this potentially life-threatening side effect before
taking further action.
