ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES
Q & A 2026|INSTANT DOWNLOAD PDF
1. Which of the following are components of the nursing
process?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
E. Medication administration
Answer: A, B, C, D
Rationale: The nursing process includes assessment, diagnosis,
planning, implementation, and evaluation. Medication
administration is part of implementation but not a separate
component.
2. Which interventions are appropriate for a patient at risk for
falls?
A. Keeping the bed in the lowest position
B. Using a bed alarm
C. Encouraging the patient to walk without assistance
D. Ensuring the call light is within reach
,Answer: A, B, D
Rationale: Fall prevention includes lowering the bed, using
alarms, and maintaining accessibility. Walking without
assistance is unsafe for at-risk patients.
3. Which are normal vital signs for an adult?
A. Temperature: 37°C
B. Pulse: 110 bpm
C. Respiratory rate: 16 breaths/min
D. Blood pressure: 120/80 mmHg
Answer: A, C, D
Rationale: Normal adult ranges: Temp 36–37.5°C, Pulse 60–100
bpm, Respiration 12–20/min, BP 90/60–120/80 mmHg.
4. Which are examples of standard precautions?
A. Hand hygiene before and after patient care
B. Wearing gloves when touching blood or body fluids
C. Placing all patients in isolation
D. Proper disposal of sharps
Answer: A, B, D
Rationale: Standard precautions prevent infection spread: hand
hygiene, gloves, and sharps disposal. Isolation is used only for
certain infections.
,5. Which are signs of hypoxia?
A. Cyanosis
B. Restlessness
C. Bradypnea
D. Tachycardia
Answer: A, B, D
Rationale: Hypoxia presents with cyanosis, restlessness, and
increased heart/respiratory rate, not bradypnea (slow
breathing).
6. Which interventions help prevent pressure ulcers?
A. Repositioning every 2 hours
B. Using pressure-relieving devices
C. Keeping skin dry
D. Encouraging high-calorie diet
Answer: A, B, C
Rationale: Pressure ulcer prevention includes repositioning,
pressure relief, and skin care. Diet is supportive but not primary
prevention.
7. Which of the following are normal age-related changes in
the elderly?
A. Decreased skin elasticity
B. Increased cardiac output
, C. Reduced renal function
D. Slower reflexes
Answer: A, C, D
Rationale: Aging decreases skin elasticity, renal function, and
slows reflexes; cardiac output typically decreases.
8. Which are signs of dehydration in a patient?
A. Dry mucous membranes
B. Hypotension
C. Bradycardia
D. Poor skin turgor
Answer: A, B, D
Rationale: Dehydration shows dry mucous membranes, low BP,
and poor skin turgor. Heart rate usually increases (tachycardia),
not decreases.
9. Which are examples of patient-centered care?
A. Involving patients in care planning
B. Providing culturally sensitive care
C. Ignoring patient preferences
D. Educating patients about their conditions
Answer: A, B, D
Rationale: Patient-centered care involves collaboration,