|Chamberlain
1. Which phase of the nursing process involves the systematic collection of data
about a patient’s health status?
A. Diagnosis
B. Planning
C. Assessment
D. Implementation
Answer: C
Rationale: Assessment is the first step of the nursing process, where the nurse collects,
organizes, validates, and documents patient data.
2. A nurse is caring for a patient with C. difficile. Which hand hygiene method is
mandatory after providing care?
A. Alcohol-based hand rub
B. Rinsing with warm water alone
C. Using sterile gloves only
D. Washing with soap and water
Answer: D
Rationale: Soap and water are required for C. difficile because alcohol-based rubs are
ineffective against the spores.
,3. Which of the following is considered subjective data?
A. The patient’s report of severe nausea
B. Blood pressure reading of 140/90
C. A visible skin rash on the forearm
D. Oxygen saturation of 94%
Answer: A
Rationale: Subjective data are the patient’s perceptions or feelings, such as pain or nausea,
which cannot be directly observed by others.
4. In which order should the nurse perform an abdominal assessment?
A. Inspection, Palpation, Percussion, Auscultation
B. Auscultation, Inspection, Palpation, Percussion
C. Palpation, Percussion, Auscultation, Inspection
D. Inspection, Auscultation, Percussion, Palpation
Answer: D
Rationale: For the abdomen, auscultation follows inspection to avoid altering bowel
sounds through percussion or palpation.
5. Which ethical principle refers to the nurse’s obligation to do no harm?
A. Beneficence
B. Non-maleficence
C. Autonomy
D. Justice
Answer: B
Rationale: Non-maleficence is the ethical duty to avoid causing harm to patients.
, 6. A nurse is using the SBAR technique to report a patient’s condition. What
does the ‘R’ stand for?
A. Reason
B. Response
C. Recommendation
D. Review
Answer: C
Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation.
7. Which type of precaution is required for a patient diagnosed with Pulmonary
Tuberculosis?
A. Contact Precautions
B. Droplet Precautions
C. Airborne Precautions
D. Standard Precautions only
Answer: C
Rationale: Tuberculosis requires airborne precautions, including a private negative-
pressure room and N95 respirator use.
8. What is the first action a nurse should take if a patient is found on the floor
after a fall?
A. Notify the provider
B. Call for help to lift the patient
C. Complete an incident report
D. Assess the patient for injuries
Answer: D
Rationale: The nurse’s first priority is always to assess the patient’s physical stability and
safety before taking administrative actions.