Fundamentals of Patient Care Practice
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1. Which action is most important when first entering a patient’s room?
A. Adjust the bed height
B. Review the medication list
C. Perform hand hygiene
D. Ask about pain level
Answer: C. Perform hand hygiene
Rationale: Hand hygiene is the most effective method for preventing the
spread of infection and protecting both the patient and healthcare
provider.
2. A nursing assistant should identify a patient using:
A. Room number only
B. Bed number and diagnosis
C. Two patient identifiers
D. Patient’s physician name
Answer: C. Two patient identifiers
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Rationale: National patient safety standards require the use of at least two
identifiers, such as name and date of birth, before providing care.
3. Which vital sign result should be reported immediately?
A. Temperature of 98.6°F
B. Pulse rate of 76 bpm
C. Respiratory rate of 8 breaths/min
D. Blood pressure of 118/76 mmHg
Answer: C. Respiratory rate of 8 breaths/min
Rationale: A respiratory rate below normal may indicate respiratory
depression and requires immediate attention.
4. What is the normal adult pulse rate range?
A. 20–40 bpm
B. 40–60 bpm
C. 60–100 bpm
D. 100–140 bpm
Answer: C. 60–100 bpm
Rationale: The normal resting pulse rate for adults is typically between 60
and 100 beats per minute.
5. Which position is best for a patient experiencing difficulty breathing?
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A. Supine
B. Fowler’s position
C. Trendelenburg position
D. Prone position
Answer: B. Fowler’s position
Rationale: Fowler’s position promotes lung expansion and improves
breathing.
6. What is the primary purpose of standard precautions?
A. Reduce hospital costs
B. Protect healthcare workers only
C. Prevent transmission of infection
D. Limit patient movement
Answer: C. Prevent transmission of infection
Rationale: Standard precautions are designed to reduce the spread of
infectious organisms in healthcare settings.
7. Which piece of equipment is used to measure blood pressure?
A. Thermometer
B. Pulse oximeter
C. Sphygmomanometer
D. Stethoscope only
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Answer: C. Sphygmomanometer
Rationale: A sphygmomanometer is the device used to measure blood
pressure.
8. A patient’s oxygen saturation is 88%. What should the caregiver do
first?
A. Ignore the reading
B. Reassess the patient and notify the nurse
C. Offer food
D. Encourage exercise
Answer: B. Reassess the patient and notify the nurse
Rationale: Oxygen saturation below normal may indicate hypoxia and
requires prompt assessment and reporting.
9. Which action helps prevent pressure ulcers?
A. Limiting fluid intake
B. Repositioning the patient regularly
C. Using hot water baths
D. Keeping the patient seated all day
Answer: B. Repositioning the patient regularly
Rationale: Frequent repositioning reduces prolonged pressure on tissues
and helps prevent skin breakdown.
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