all sections fully populated. Each question includes multiple answer
choices, the correct answer(s), and a detailed explanation.
📖 READING (45 questions – complete)
Question 1
What is the main idea of a text about hand hygiene?
A. Soap is better than hand sanitizer.
B. Proper hand hygiene reduces healthcare-associated infections.
C. Nurses should wash hands for 5 seconds.
D. Hand lotion prevents skin breakdown.
Correct Answer: B
Explanation: The main idea is the central point. B states the overall
purpose. A, C, and D are too specific or unsupported.
Question 2 (Multiple Select)
Which of the following are examples of tertiary sources? (Select all
that apply.)
A. An encyclopedia entry about diabetes
B. A textbook summary of nursing theories
C. A patient’s original medical record
D. A index or bibliography
E. A diary from a Civil War nurse
,Correct Answers: A, B, and D
Explanation: Tertiary sources compile and summarize
primary/secondary sources (encyclopedias, textbooks, indexes). C
and E are primary sources.
Question 3
"The patient's oxygen saturation dropped to 82% on room air. After
applying 2L nasal cannula, it rose to 94% within 5 minutes."
What can be inferred?
A. The patient has pneumonia.
B. Supplemental oxygen improved oxygenation.
C. The patient will need intubation.
D. Nasal cannula is always effective.
Correct Answer: B
Explanation: The data shows oxygen saturation improved with
supplemental oxygen. A, C, and D are unsupported assumptions.
Question 4 (Multiple Select)
Which of the following describe the author's purpose in a passage
titled "Five Reasons to Get the Flu Vaccine"? (Select all that apply.)
A. To persuade
B. To entertain
C. To inform
,D. To describe a process
E. To argue a position
Correct Answers: A, C, and E
Explanation: "Five reasons" suggests persuasion/argument (A, E)
and factual information (C). Not entertainment (B) or pure process
description (D).
Question 5 (Sequence)
Place the following steps of the nursing process in order (1=first):
____ Evaluation
____ Assessment
____ Implementation
____ Planning
____ Diagnosis
Correct Answer: 2, 1, 4, 3, 5
(Assessment→Diagnosis→Planning→Implementation→Evaluation)
Explanation: ADPIE is the standard nursing process order.
Question 6 (Multiple Select)
Which details support the claim that "sleep deprivation impairs
clinical judgment"? (Select all that apply.)
A. "Nurses working 12+ hours made 3x more medication errors."
B. "Sleep is essential for memory consolidation."
, C. "After 17 hours awake, performance equals a BAC of 0.05%."
D. "Most nurses prefer 8-hour shifts."
E. "Fatigue slows reaction time by 50%."
Correct Answers: A, C, and E
Explanation: A, C, and E directly link sleep loss to impaired
performance/judgment. B is general, D is preference not evidence.
Question 7 (Context Clue)
*"The patient's condition was labile, with blood pressure fluctuating
between 80/50 and 190/100 within hours."*
The word labile most nearly means:
A. Stable
B. Unpredictable or fluctuating
C. Improving
D. Life-threatening
Correct Answer: B
Explanation: "Fluctuating" provides the context clue. Labile means
changing rapidly and often.
Question 8 (Multiple Select – Bias)
Which of the following show confirmation bias? (Select all that
apply.)
A. A nurse only recalls studies that support her preferred treatment.