Latest Update 2026 | 100% Correct Answers | Actual
Exam Prep
1. A patient with a suspected spinal injury needs to be transferred from a bed to
a stretcher. Which technique should be employed to ensure their safety?
Log rolling technique
Assisted standing technique
Direct lift technique
Pivot transfer technique
2. A new mother is struggling with breastfeeding her newborn baby. What is
one of the primary roles of the RN in providing breastfeeding support?
Monitoring the baby's weight
Administering formula feedings
Scheduling follow-up appointments
Offering emotional support and guidance
3. What is the primary purpose of assistive devices in nursing care?
To aid patients in performing daily activities and enhance their
independence.
To assist in surgical procedures.
To monitor vital signs.
To provide medication administration.
4. What is the first step in the process of evaluating outcomes in evidence-
based practice (EBP)?
, Asking a clinical question
Evaluating outcomes
Obtaining research literature
Integrating evidence with expertise
5. Describe the significance of continuous evaluation in pain management for
patients at the end of life.
Continuous evaluation only applies to patients with chronic pain.
Continuous evaluation ensures that pain management strategies are
effective and adjusted as needed to enhance patient comfort.
Continuous evaluation is unnecessary if the patient is stable.
Continuous evaluation focuses solely on medication side effects.
6. In a scenario where a patient is unable to communicate verbally, which
patient care technique should the nurse prioritize?
Documentation of patient history.
Hygiene care to maintain cleanliness.
Proper positioning to ensure comfort.
Effective communication through alternative methods.
7. What should be monitored before and during the treatment of
hypocalcemia?
Blood pressure
Serum glucose levels
Heart rate
Serum calcium levels
,8. Describe the rationale behind the safety protocols for administering KCl
intravenously.
KCl can be given in any form as long as the patient is monitored.
KCl can be administered quickly to save time in emergencies.
The protocols are mainly for documentation purposes and do not
affect patient safety.
The safety protocols for KCl administration are designed to prevent
hyperkalemia and cardiac complications by ensuring proper
dilution and controlled infusion rates.
9. Describe the significance of informed consent in nursing practice.
Informed consent is only necessary for surgical procedures.
Informed consent is not required if the patient is unconscious.
Informed consent allows nurses to make decisions on behalf of
patients.
Informed consent ensures that patients are fully aware of and agree
to the treatment options presented to them.
10. Describe the significance of range of motion (ROM) in the assessment of a
patient's mobility.
Range of motion (ROM) is used to measure a patient's blood pressure
and heart rate.
Range of motion (ROM) is important for assessing a patient's
nutritional needs.
Range of motion (ROM) is significant as it evaluates the flexibility
and movement capabilities of joints, which are crucial for mobility.
, Range of motion (ROM) is primarily focused on psychological well-
being.
11. In a scenario where a nurse encounters a patient from a different cultural
background, what steps should the nurse take to ensure culturally competent
care?
The nurse should ask the patient to change their beliefs to fit the
healthcare system.
The nurse should assess the patient's cultural beliefs, communicate
respectfully, and adapt care practices to align with those beliefs.
The nurse should ignore the patient's cultural background and follow
standard procedures.
The nurse should only provide care based on their own cultural
beliefs.
12. What are the four key components evaluated in a comprehensive pain
assessment?
Quality, duration, emotional response, and patient history
Intensity, location, emotional response, and treatment history
Intensity, location, duration, and quality of pain
Type, frequency, duration, and emotional response
13. If a nurse forgets to flush the G-tube before administering the feeding
formula, what potential complication could arise?
Clogging of the G-tube
Increased absorption of the formula
Improved patient comfort