Which action is most important to prevent falls in an elderly patient?
A. Keep all lights off at night
B. Keep bed in high position
C. Ensure call light is within reach
D. Leave the patient unattended in the bathroom - ✅✅C. Ensure call light is within reach
A patient with tuberculosis is admitted. What type of precautions are required?
A. Contact
B. Droplet
C. Airborne
D. Standard only - ✅✅C. Airborne
Which is a therapeutic communication technique?
A. "Don't worry, everything will be fine."
B. "Tell me more about how you've been feeling."
C. "You should really calm down."
D. "Let's change the topic." - ✅✅B. "Tell me more about how you've been feeling."
A patient is unresponsive and has no pulse. What is your first action?
A. Start chest compressions
B. Call the family
C. Check temperature
D. Document findings - ✅✅A. Start chest compressions
,A nurse is caring for a patient on contact precautions. Which personal protective equipment (PPE) is
required?
A. Surgical mask only
B. Gloves and gown
C. Gloves and gown
D. N95 respirator only - ✅✅C. Gloves and gown
Rationale: Contact precautions require gloves and gown. N95 is for airborne precautions.
Which of the following is an example of objective data?
A. "I feel dizzy."
B. "I think I have a fever."
C. Temperature of 101.2°F
D. "My chest feels tight."
Rationale: Objective data are observable and measurable; the temperature is objective. - ✅✅C.
Temperature of 101.2°F
Rationale: Objective data are observable and measurable; the temperature is objective.
A nurse uses the SBAR technique to report a change in a patient's condition. What does the "R" stand
for?
A. Report
B. Record
C. Recall
D. Recommendation
Rationale: "R" stands for Recommendation, where the nurse suggests actions or next steps. - ✅✅D.
Recommendation
, Rationale: "R" stands for Recommendation, where the nurse suggests actions or next steps.
Which statement demonstrates therapeutic communication?
A. "It's not that bad, you'll be fine."
B. "Can you tell me more about how you're feeling today?"
C. "Let's talk about something else."
D. "You should be grateful things aren't worse."
Rationale: Therapeutic communication uses open-ended questions to encourage expression. - ✅✅B.
"Can you tell me more about how you're feeling today?"
Rationale: Therapeutic communication uses open-ended questions to encourage expression.
A patient appears confused. What is the best way to communicate?
A. Use medical terms
B. Speak rapidly and clearly
C. Use short, simple sentences
D. Shout so they understand - ✅✅C. Use short, simple sentences
Rationale: Simple, clear language helps reduce confusion.
Which action should a nurse prioritize when entering a patient's room for the first time?
A. Perform hand hygiene
B. Take the patient's blood pressure
C. Place items within reach
D. Assess oxygen saturation
Rationale: Hand hygiene is the first and most important step to prevent infection. - ✅✅A. Perform
hand hygiene
Rationale: Hand hygiene is the first and most important step to prevent infection.