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Q1: The local hospital launched a fall-prevention initiative that included hourly rounding,
non-slip socks, and bedside alarm systems. Within three months, patient falls on the
medical-surgical unit decreased by 40%. Nurses reported that patients felt safer and
more confident when ambulating with assistance. What is the main idea of this
passage?
A. Hospitals should rely solely on alarm systems to prevent falls
B. A comprehensive fall-prevention program reduced patient falls and improved patient
confidence [CORRECT]
C. Non-slip socks are more effective than any other safety intervention
D. Patient falls only occur on medical-surgical units
Correct Answer: B
Rationale: The best answer is B because the passage focuses on how the initiative as a
whole led to fewer falls and better patient confidence. The other choices either narrow
the focus too much or make claims the passage doesn't support.
Q2: Using the same passage about the hospital's fall-prevention initiative, which detail
from the text best supports the claim that the program was effective?
A. Nurses worked overtime during the three-month period
B. Falls on the unit decreased by 40% [CORRECT]
C. The hospital purchased new socks for all units
D. Patients were required to use walkers at all times
Correct Answer: B
,Rationale: This choice is correct because the 40% decrease in falls is concrete data that
directly demonstrates the program's success. The passage doesn't mention overtime,
mandatory walkers, or sock purchases for all units.
Q3: A nursing student reads the following sentence in a textbook: "While alcohol-based
hand sanitizers are convenient, thorough handwashing with soap and water remains the
most reliable method for removing certain pathogens, including Clostridioides difficile
spores." What is the author's primary purpose in this section?
A. To discourage the use of hand sanitizers in all clinical settings
B. To emphasize that soap-and-water handwashing is still essential despite sanitizer
availability [CORRECT]
C. To argue that C. difficile is the only infection worth worrying about
D. To describe the chemical composition of soap
Correct Answer: B
Rationale: The best answer is B because the author is comparing two methods and
highlighting that handwashing remains the gold standard for certain organisms, not
dismissing sanitizers entirely.
Q4: In a patient discharge handout, the following sentence appears: "After your
procedure, you may experience mild discomfort, which typically subsides within 48
hours." What does the word "subsides" most likely mean in this context?
A. Worsens considerably
B. Returns unexpectedly
C. Decreases or lessens [CORRECT]
D. Spreads to other areas
Correct Answer: C
Rationale: This matches the principle that "subsides" means to diminish or die down,
which is what patients hope to hear about post-procedure discomfort.
Q5: A nurse is reading a research abstract that compares two wound care protocols.
The abstract states that Protocol A resulted in faster healing times but required more
frequent dressing changes, while Protocol B had slower healing but needed fewer
changes. What type of text structure is the author primarily using?
A. Cause and effect
B. Compare and contrast [CORRECT]
C. Chronological order
, D. Problem and solution
Correct Answer: B
Rationale: The best answer is B because the author is placing two protocols side by side
and examining their differences, which is the definition of compare-and-contrast
structure.
Q6: A hospital memo states: "All staff must complete the new electronic health record
training module by March 15. Failure to complete the module will result in suspension of
system access until compliance is achieved." What is the tone of this memo?
A. Casual and conversational
B. Formal and directive [CORRECT]
C. Humorous and entertaining
D. Apologetic and uncertain
Correct Answer: B
Rationale: This choice is correct because the memo uses mandatory language like
"must" and "will result in suspension," which reflects a formal, authoritative tone rather
than a friendly or uncertain one.
Q7: A therapeutic diet recipe reads: "First, steam the vegetables until tender. Next,
season with herbs but no salt. Finally, portion into four equal servings and refrigerate
within two hours." If a nurse is instructing a patient to prepare this dish, which step
comes immediately after steaming the vegetables?
A. Portion into four equal servings
B. Season with herbs but no salt [CORRECT]
C. Refrigerate within two hours
D. Add salt to taste
Correct Answer: B
Rationale: The best answer is B because the word "next" signals the very next step in the
sequence, which is seasoning. Adding salt contradicts the instructions, and refrigerating
is the final step.
Q8: A passage about childhood nutrition states: "While some parents believe fruit juice
is a healthy alternative to soda, many pediatricians warn that juice contains nearly as
much sugar and lacks the fiber found in whole fruit." Which statement best represents
the underlying theme?
A. Parents should eliminate all beverages except water