1. Nursing Process
A nurse is collecting data about a patient’s pain level. Which step of the nursing process is this?
A. Diagnosis
B. Planning
C. Assessment
D. Evaluation
Answer: C. Assessment
Rationale: Assessment involves collecting subjective and objective data.
2. Prioritization (ABCs)
Which patient should the nurse assess first?
A. Patient requesting pain medication
B. Patient with O₂ saturation of 88%
C. Patient needing assistance walking
D. Patient scheduled for discharge
Answer: B. Patient with O₂ saturation of 88%
Rationale: Airway/Breathing takes priority (ABCs).
, 3. Vital Signs
Which respiratory rate is normal for an adult?
A. 8 breaths/min
B. 12 breaths/min
C. 28 breaths/min
D. 35 breaths/min
Answer: B. 12 breaths/min
Rationale: Normal adult RR = 12–20 breaths/min.
4. Infection Control
Which action requires sterile technique?
A. Administering oral meds
B. Changing a surgical dressing
C. Taking temperature
D. Feeding a patient
Answer: B. Changing a surgical dressing
Rationale: Open wounds require sterile technique.
5. Delegation
Which task can be delegated to assistive personnel?
A. Assess lung sounds
B. Administer IV meds
C. Measure vital signs
D. Develop care plan
Answer: C. Measure vital signs
Rationale: Routine, non-judgment tasks can be delegated.
6. Pain Management
A patient reports pain 8/10. What is the priority action?