NUR1025 MICDTERM EXAM WITH CORRECT
DETAILED SOLUTIONS 2025/2026
1. What is the primary purpose of performing hand hygiene before patient care?
A. To save time during procedures
B. To prevent the spread of infection
C. To improve patient comfort
D. To reduce paperwork
Answer: B. To prevent the spread of infection
Rationale: Hand hygiene is the single most effective method to reduce the
transmission of pathogens and prevent healthcare-associated infections.
2. Which vital sign indicates a patient may be in shock?
A. Blood pressure 120/80 mmHg
B. Pulse 110 bpm
C. Respiratory rate 16/min
D. Temperature 36.8°C
Answer: B. Pulse 110 bpm
Rationale: Tachycardia is an early indicator of shock as the body attempts to
maintain perfusion.
3. When documenting a patient’s care, which practice is correct?
A. Using abbreviations without clarification
B. Documenting interventions after completing the shift
C. Documenting objectively and immediately after care
D. Omitting details to save time
Answer: C. Documenting objectively and immediately after care
,Rationale: Accurate, timely, and objective documentation ensures proper
communication and legal protection.
4. Which route of medication administration has the fastest onset of action?
A. Oral
B. Subcutaneous
C. Intravenous
D. Intramuscular
Answer: C. Intravenous
Rationale: IV administration delivers the drug directly into the bloodstream for
rapid effect.
5. What is the primary goal of patient education?
A. To reduce nursing workload
B. To empower patients to manage their health
C. To ensure patient compliance only
D. To complete documentation
Answer: B. To empower patients to manage their health
Rationale: Patient education enhances autonomy and improves health outcomes.
6. Which action is priority when a patient reports chest pain?
A. Document the complaint
B. Assess vital signs and notify the provider
C. Give a snack
D. Ask the patient to rest quietly
Answer: B. Assess vital signs and notify the provider
Rationale: Chest pain may indicate a life-threatening condition requiring
immediate assessment and intervention.
,7. Which patient is at highest risk for developing pressure ulcers?
A. Active 25-year-old
B. Bedridden 70-year-old
C. Ambulatory 50-year-old
D. Pediatric patient
Answer: B. Bedridden 70-year-old
Rationale: Immobility and advanced age increase the risk of skin breakdown and
pressure ulcers.
8. What is the correct order for donning personal protective equipment (PPE)?
A. Gloves, gown, mask, goggles
B. Mask, gown, goggles, gloves
C. Gown, mask, goggles, gloves
D. Goggles, mask, gown, gloves
Answer: C. Gown, mask, goggles, gloves
Rationale: Following the correct sequence prevents contamination during patient
care.
9. What is the normal range for adult respiratory rate?
A. 8–12/min
B. 12–20/min
C. 20–28/min
D. 28–36/min
Answer: B. 12–20/min
Rationale: Adult respiration rate within 12–20 breaths per minute is considered
normal.
, 10. Which nursing action demonstrates patient-centered care?
A. Following only hospital policies
B. Considering patient preferences in care planning
C. Completing tasks as quickly as possible
D. Ignoring cultural differences
Answer: B. Considering patient preferences in care planning
Rationale: Patient-centered care respects individual values, needs, and
preferences.
11. What is the purpose of the nursing process?
A. To increase paperwork
B. To guide individualized patient care
C. To replace medical orders
D. To reduce nursing responsibility
Answer: B. To guide individualized patient care
Rationale: The nursing process ensures systematic assessment, planning,
implementation, and evaluation of care.
12. Which technique is appropriate for preventing aspiration in a patient with
dysphagia?
A. Feeding while patient is lying flat
B. Offering large boluses of food
C. Sitting the patient upright during meals
D. Giving thin liquids only
Answer: C. Sitting the patient upright during meals
Rationale: Upright positioning promotes safe swallowing and reduces the risk of
aspiration.
DETAILED SOLUTIONS 2025/2026
1. What is the primary purpose of performing hand hygiene before patient care?
A. To save time during procedures
B. To prevent the spread of infection
C. To improve patient comfort
D. To reduce paperwork
Answer: B. To prevent the spread of infection
Rationale: Hand hygiene is the single most effective method to reduce the
transmission of pathogens and prevent healthcare-associated infections.
2. Which vital sign indicates a patient may be in shock?
A. Blood pressure 120/80 mmHg
B. Pulse 110 bpm
C. Respiratory rate 16/min
D. Temperature 36.8°C
Answer: B. Pulse 110 bpm
Rationale: Tachycardia is an early indicator of shock as the body attempts to
maintain perfusion.
3. When documenting a patient’s care, which practice is correct?
A. Using abbreviations without clarification
B. Documenting interventions after completing the shift
C. Documenting objectively and immediately after care
D. Omitting details to save time
Answer: C. Documenting objectively and immediately after care
,Rationale: Accurate, timely, and objective documentation ensures proper
communication and legal protection.
4. Which route of medication administration has the fastest onset of action?
A. Oral
B. Subcutaneous
C. Intravenous
D. Intramuscular
Answer: C. Intravenous
Rationale: IV administration delivers the drug directly into the bloodstream for
rapid effect.
5. What is the primary goal of patient education?
A. To reduce nursing workload
B. To empower patients to manage their health
C. To ensure patient compliance only
D. To complete documentation
Answer: B. To empower patients to manage their health
Rationale: Patient education enhances autonomy and improves health outcomes.
6. Which action is priority when a patient reports chest pain?
A. Document the complaint
B. Assess vital signs and notify the provider
C. Give a snack
D. Ask the patient to rest quietly
Answer: B. Assess vital signs and notify the provider
Rationale: Chest pain may indicate a life-threatening condition requiring
immediate assessment and intervention.
,7. Which patient is at highest risk for developing pressure ulcers?
A. Active 25-year-old
B. Bedridden 70-year-old
C. Ambulatory 50-year-old
D. Pediatric patient
Answer: B. Bedridden 70-year-old
Rationale: Immobility and advanced age increase the risk of skin breakdown and
pressure ulcers.
8. What is the correct order for donning personal protective equipment (PPE)?
A. Gloves, gown, mask, goggles
B. Mask, gown, goggles, gloves
C. Gown, mask, goggles, gloves
D. Goggles, mask, gown, gloves
Answer: C. Gown, mask, goggles, gloves
Rationale: Following the correct sequence prevents contamination during patient
care.
9. What is the normal range for adult respiratory rate?
A. 8–12/min
B. 12–20/min
C. 20–28/min
D. 28–36/min
Answer: B. 12–20/min
Rationale: Adult respiration rate within 12–20 breaths per minute is considered
normal.
, 10. Which nursing action demonstrates patient-centered care?
A. Following only hospital policies
B. Considering patient preferences in care planning
C. Completing tasks as quickly as possible
D. Ignoring cultural differences
Answer: B. Considering patient preferences in care planning
Rationale: Patient-centered care respects individual values, needs, and
preferences.
11. What is the purpose of the nursing process?
A. To increase paperwork
B. To guide individualized patient care
C. To replace medical orders
D. To reduce nursing responsibility
Answer: B. To guide individualized patient care
Rationale: The nursing process ensures systematic assessment, planning,
implementation, and evaluation of care.
12. Which technique is appropriate for preventing aspiration in a patient with
dysphagia?
A. Feeding while patient is lying flat
B. Offering large boluses of food
C. Sitting the patient upright during meals
D. Giving thin liquids only
Answer: C. Sitting the patient upright during meals
Rationale: Upright positioning promotes safe swallowing and reduces the risk of
aspiration.
