CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES Q&A |INSTANT DOWNLOAD PDF
1. Which component is most essential in establishing
therapeutic nurse–patient communication?
A. Giving advice
B. Asking closed questions
C. Active listening
D. Changing the subject
Correct Answer: C. Active listening
Rationale: Active listening allows the nurse to fully understand
patient concerns and promotes trust and accurate information
gathering.
2. Which vital sign change is most indicative of early
hypovolemic shock?
A. Bradycardia
B. Hypotension
C. Tachycardia
D. Hypothermia
Correct Answer: C. Tachycardia
Rationale: Tachycardia occurs early as the body attempts to
compensate for decreased circulating blood volume.
,3. Which infection control method is required when caring for
a patient with tuberculosis?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
Correct Answer: C. Airborne precautions
Rationale: Tuberculosis spreads via airborne particles requiring
specialized respirators and negative-pressure rooms.
4. What is the primary purpose of the nursing process?
A. Replace physician orders
B. Provide systematic patient care
C. Eliminate documentation
D. Speed patient discharge
Correct Answer: B. Provide systematic patient care
Rationale: The nursing process (assessment, diagnosis,
planning, implementation, evaluation) ensures structured and
individualized care.
5. Which site is most appropriate for measuring core body
temperature?
A. Oral
,B. Tympanic
C. Rectal
D. Axillary
Correct Answer: C. Rectal
Rationale: Rectal temperatures most closely reflect core body
temperature.
6. Which electrolyte imbalance is most commonly associated
with cardiac arrhythmias?
A. Hypercalcemia
B. Hypokalemia
C. Hypermagnesemia
D. Hyponatremia
Correct Answer: B. Hypokalemia
Rationale: Low potassium affects cardiac conduction and
increases risk for arrhythmias.
7. Which position improves oxygenation in patients with
respiratory distress?
A. Supine
B. Fowler’s position
C. Trendelenburg
D. Lithotomy
Correct Answer: B. Fowler’s position
, Rationale: Fowler’s position allows lung expansion and reduces
pressure on the diaphragm.
8. Which nursing action best prevents pressure ulcers?
A. Applying heat
B. Limiting fluid intake
C. Repositioning every 2 hours
D. Restricting mobility
Correct Answer: C. Repositioning every 2 hours
Rationale: Frequent repositioning reduces prolonged pressure
on skin and tissues.
9. Which laboratory value best indicates kidney function?
A. Hemoglobin
B. Creatinine
C. Albumin
D. Calcium
Correct Answer: B. Creatinine
Rationale: Creatinine levels reflect kidney filtration ability.
10. Which stage of the nursing process involves setting patient
goals?
A. Assessment
B. Diagnosis