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. Which of the following is a priority nursing intervention for a
patient who is experiencing an asthma attack?
A. Administer oxygen as needed
B. Encourage the patient to cough to clear the airway
C. Offer a warm drink to relax the patient
D. Monitor the patient’s temperature
Answer: a) Administer oxygen as needed
Rationale: Administering oxygen helps to increase oxygen levels
during an asthma attack, which is crucial for patient stability.
,3. Which of the following is a priority intervention when caring for a
patient with a newly placed tracheostomy?
A. Monitor for signs of respiratory distress
B. Ensure the patient is positioned in a supine position
C. Encourage the patient to cough frequently
D. Administer sedatives to prevent agitation
Answer: a) Monitor for signs of respiratory distress
Rationale: The primary concern after a tracheostomy is airway patency
and respiratory function, so monitoring for respiratory distress is
crucial.
4. 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.
, 5. When providing care to a patient with dementia, which of the
following strategies is most effective in managing confusion?
A. Limit communication with the patient to prevent agitation
B. Use simple language and provide clear, concise instructions
C. Increase the patient’s activity level to reduce anxiety
D. Avoid making eye contact with the patient to reduce distress
Answer: b) Use simple language and provide clear, concise instructions
Rationale: Clear communication with simple language helps reduce
confusion and anxiety in patients with dementia.
6. What should the nurse do if a patient’s blood pressure reading is
190/110 mmHg?
A. Reassure the patient and document the result
B. Retake the blood pressure after a few minutes
C. Administer antihypertensive medication immediately
D. Notify the healthcare provider of the elevated reading
Answer: d) Notify the healthcare provider of the elevated reading
Rationale: A reading of 190/110 mmHg is considered hypertensive
crisis, and immediate intervention by a healthcare provider is
necessary.
7. A nurse is providing care to a patient with a spinal cord injury.
Which of the following is a priority nursing intervention?
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. Which of the following is a priority nursing intervention for a
patient who is experiencing an asthma attack?
A. Administer oxygen as needed
B. Encourage the patient to cough to clear the airway
C. Offer a warm drink to relax the patient
D. Monitor the patient’s temperature
Answer: a) Administer oxygen as needed
Rationale: Administering oxygen helps to increase oxygen levels
during an asthma attack, which is crucial for patient stability.
,3. Which of the following is a priority intervention when caring for a
patient with a newly placed tracheostomy?
A. Monitor for signs of respiratory distress
B. Ensure the patient is positioned in a supine position
C. Encourage the patient to cough frequently
D. Administer sedatives to prevent agitation
Answer: a) Monitor for signs of respiratory distress
Rationale: The primary concern after a tracheostomy is airway patency
and respiratory function, so monitoring for respiratory distress is
crucial.
4. 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.
, 5. When providing care to a patient with dementia, which of the
following strategies is most effective in managing confusion?
A. Limit communication with the patient to prevent agitation
B. Use simple language and provide clear, concise instructions
C. Increase the patient’s activity level to reduce anxiety
D. Avoid making eye contact with the patient to reduce distress
Answer: b) Use simple language and provide clear, concise instructions
Rationale: Clear communication with simple language helps reduce
confusion and anxiety in patients with dementia.
6. What should the nurse do if a patient’s blood pressure reading is
190/110 mmHg?
A. Reassure the patient and document the result
B. Retake the blood pressure after a few minutes
C. Administer antihypertensive medication immediately
D. Notify the healthcare provider of the elevated reading
Answer: d) Notify the healthcare provider of the elevated reading
Rationale: A reading of 190/110 mmHg is considered hypertensive
crisis, and immediate intervention by a healthcare provider is
necessary.
7. A nurse is providing care to a patient with a spinal cord injury.
Which of the following is a priority nursing intervention?
