with multiple answer choices, correct answers, and detailed
explanations.
📖 READING (45 questions)
Question 1
What is the primary purpose of a patient education handout about
insulin administration?
A. To entertain the patient with stories
B. To persuade the patient to buy a specific brand
C. To inform and instruct on proper technique
D. To describe the history of diabetes
Correct Answer: C
Explanation: Patient education materials aim to inform and instruct.
Entertainment (A), persuasion to buy (B), and history (D) are not
primary purposes.
Question 2 (Multiple Select)
Which of the following are examples of secondary sources? (Select
all that apply.)
A. A review article summarizing research on pressure ulcers
B. A meta-analysis of clinical trials
C. A nurse's original clinical notes
,D. A textbook chapter on pharmacology
E. A patient's lab results
Correct Answers: A, B, and D
Explanation: Secondary sources summarize or analyze primary
sources (reviews, meta-analyses, textbooks). C and E are primary
sources.
Question 3 (Inference)
"The patient reported shortness of breath for three days. On
auscultation, crackles were heard in both lung bases. Oxygen
saturation was 88% on room air."
What can be inferred?
A. The patient has a pneumothorax.
B. The patient likely has fluid in the lungs (pulmonary edema or
pneumonia).
C. The patient is hyperventilating.
D. The patient's oxygen saturation is normal.
Correct Answer: B
Explanation: Crackles + low SpO2 + dyspnea suggest fluid in lungs.
A (pneumothorax) would have absent breath sounds. C is not
supported. D is false (88% is low).
,Question 4 (Multiple Select – Author's Purpose)
An article titled "Ten Steps to Reduce Medication Errors" is most
likely written to: (Select all that apply.)
A. Persuade readers to change practice
B. Inform about error reduction strategies
C. Entertain with error stories
D. Provide a step-by-step guide
E. Criticize current practices
Correct Answers: A, B, and D
Explanation: "Ten steps" suggests instructional/informative (B, D)
and persuasive to adopt (A). C is not primary; E may be implied but
not main purpose.
Question 5 (Sequence)
Place the stages of wound healing in order (1=first):
____ Remodeling (maturation)
____ Proliferation (granulation)
____ Hemostasis
____ Inflammatory
Correct Answer: 3, 4, 2, 1 (Hemostasis → Inflammatory →
Proliferation → Remodeling)
Explanation: Standard wound healing sequence: bleeding stops,
inflammation cleans, new tissue forms, then strengthens.
, Question 6 (Multiple Select – Supporting Details)
Which details support the claim "hand hygiene is the most effective
way to prevent healthcare-associated infections"? (Select all that
apply.)
A. "Studies show a 50% reduction in HAIs after implementing hand
hygiene campaigns."
B. "Hand sanitizer kills 99.9% of common pathogens in 15 seconds."
C. "Gloves should be changed between patients."
D. "Alcohol-based rubs are more effective than soap against some
viruses."
E. "Hand washing takes at least 20 seconds."
Correct Answers: A, B, and D
Explanation: A directly shows effectiveness. B and D provide
mechanisms of effectiveness. C and E are related but don't directly
support "most effective way."
Question 7 (Context Clue)
"The patient's mental status was obtunded; he responded only to
sternal rub and had no spontaneous speech."
Obtunded most nearly means:
A. Alert and oriented
B. Agitated
C. Diminished alertness, difficult to arouse
D. Unconscious
Correct Answer: C