ANSWERS (VERIFIED ASWERS) PLUS RATIONALES Q
&A 2026 |INSTANT DOWNLOAD PDF
1. Which of the following are components of the nursing
process?
A. Assessment
B. Diagnosis
C. Implementation
D. Evaluation
Answer: A, B, C, D
Rationale: The nursing process includes assessment, diagnosis,
planning, implementation, and evaluation, forming a
systematic approach to patient care.
2. Which vital signs should the nurse monitor regularly in an
adult patient?
A. Temperature
B. Pulse
C. Respiratory rate
D. Blood pressure
Answer: A, B, C, D
Rationale: Vital signs include temperature, pulse, respiratory
rate, and blood pressure, which provide critical information
about a patient’s physiological status.
,3. The best way to prevent hospital-acquired infections is:
A. Hand hygiene
B. Using sterile gloves for all procedures
C. Cleaning equipment after use
D. Limiting patient mobility
Answer: A, C
Rationale: Hand hygiene and proper cleaning of equipment
are the most effective measures for infection prevention. Not
all procedures require sterile gloves.
4. Which statements about medication administration are
correct?
A. The nurse should check the “Five Rights”
B. Oral medications can be crushed unless contraindicated
C. Intramuscular injections require 1-inch needles for adults
D. Patients can self-administer medications without instruction
Answer: A, B
Rationale: The “Five Rights” (right patient, drug, dose, route,
time) prevent errors. Oral medications may be crushed if safe;
IM needle length depends on patient size. Patient teaching is
essential for safety.
5. Which factors affect blood pressure readings?
A. Cuff size
B. Patient position
C. Recent activity
D. Ambient room temperature
,Answer: A, B, C
Rationale: Incorrect cuff size, patient position, and activity can
alter blood pressure readings. Room temperature generally has
minimal effect.
6. A patient has a fever of 102°F. The nurse should:
A. Encourage fluids
B. Apply cold compresses
C. Administer antipyretics as ordered
D. Withhold food
Answer: A, B, C
Rationale: Fluids, cooling measures, and antipyretics help
reduce fever and prevent dehydration. Food should not
necessarily be withheld.
7. Which are signs of hypoxia?
A. Cyanosis
B. Restlessness
C. Bradycardia
D. Dyspnea
Answer: A, B, D
Rationale: Hypoxia presents with cyanosis, restlessness, and
difficulty breathing (dyspnea). Bradycardia is less common;
tachycardia is more typical.
8. When performing a patient assessment, which techniques
are used in order?
, A. Inspection
B. Palpation
C. Percussion
D. Auscultation
Answer: A, B, C, D
Rationale: Standard assessment sequence is inspection →
palpation → percussion → auscultation, except for abdominal
assessment where auscultation precedes palpation.
9. Which patients are at high risk for pressure ulcers?
A. Elderly patients
B. Immobile patients
C. Patients with diabetes
D. Patients with adequate nutrition
Answer: A, B, C
Rationale: Age, immobility, and diabetes increase risk for skin
breakdown. Adequate nutrition reduces risk.
10. The primary purpose of patient education is:
A. Prevent illness
B. Promote adherence to treatment
C. Reduce hospital readmissions
D. Entertain the patient
Answer: A, B, C
Rationale: Patient education helps prevent illness, encourage
treatment adherence, and reduce complications. It is not
meant for entertainment.