PNR 104/PNR104 Exam 4 V2 | Basic Skills,
Quality & Safety in Nursing Practice Q&A
with Rationale | Fortis College
1. When preparing to perform a sterile procedure, which action by the nurse would violate
the principles of surgical asepsis?
A. Holding sterile objects above the waist level.
B. Opening the outermost flap of a sterile kit away from the body.
C. Reaching across the sterile field to pick up an instrument.
D. Keeping a 1-inch border around the sterile field as non-sterile.
Correct Answer: C
Expert Explanation: Reaching across a sterile field is a major break in aseptic technique as
it risks contamination from the nurse’s non-sterile clothing or skin. The nurse should move
around the field to maintain a clear line of sight and avoid crossing the sterile area.
Maintaining surgical asepsis is essential to prevent healthcare-associated infections during
invasive procedures.
2. A nurse is caring for a patient on fall precautions. Which of the following is the priority
nursing intervention?
A. Place the bed in the highest position to facilitate easy exit.
B. Ensure the call light is within reach and the patient knows how to use it.
,C. Apply soft wrist restraints to prevent the patient from climbing out of bed.
D. Keep all four side rails up at all times.
Correct Answer: B
Expert Explanation: Ensuring the call light is within reach promotes patient safety and
autonomy by allowing them to ask for help before attempting to move. High bed positions
and four side rails are considered safety hazards or restraints, which can increase the risk
of injury. Prioritizing communication tools is a key component of the QSEN safety
competency.
3. Which phase of the nursing process involves the nurse determining if the patient’s goals
and outcomes have been met?
A. Assessment
B. Planning
C. Evaluation
D. Implementation
Correct Answer: C
Expert Explanation: Evaluation is the final step of the nursing process where the nurse
compares the patient’s current status with the desired outcomes. If goals are not met, the
nurse must reassess the patient and modify the care plan accordingly. This continuous loop
ensures that nursing care remains effective and patient-centered.
, 4. A nurse observes a fire in a patient’s room. According to the RACE acronym, which action
should the nurse take first?
A. Extinguish the fire using a fire extinguisher.
B. Activate the fire alarm system.
C. Confine the fire by closing the doors.
D. Rescue the patient from immediate danger.
Correct Answer: D
Expert Explanation: In the RACE acronym, the letter ‘R’ stands for Rescue, which takes
priority over all other actions during a fire. The nurse must first ensure that any individuals
in immediate danger are moved to a safe location. Only after the patient is safe should the
nurse proceed to activate the alarm, confine the fire, and attempt to extinguish it.
5. Which of the following is a primary goal of the Quality and Safety Education for Nurses
(QSEN) project?
A. To reduce the cost of healthcare in hospital settings.
B. To prepare future nurses with knowledge and skills to improve healthcare quality.
C. To eliminate the need for documentation in nursing practice.
D. To replace registered nurses with automated technology.
Correct Answer: B
Quality & Safety in Nursing Practice Q&A
with Rationale | Fortis College
1. When preparing to perform a sterile procedure, which action by the nurse would violate
the principles of surgical asepsis?
A. Holding sterile objects above the waist level.
B. Opening the outermost flap of a sterile kit away from the body.
C. Reaching across the sterile field to pick up an instrument.
D. Keeping a 1-inch border around the sterile field as non-sterile.
Correct Answer: C
Expert Explanation: Reaching across a sterile field is a major break in aseptic technique as
it risks contamination from the nurse’s non-sterile clothing or skin. The nurse should move
around the field to maintain a clear line of sight and avoid crossing the sterile area.
Maintaining surgical asepsis is essential to prevent healthcare-associated infections during
invasive procedures.
2. A nurse is caring for a patient on fall precautions. Which of the following is the priority
nursing intervention?
A. Place the bed in the highest position to facilitate easy exit.
B. Ensure the call light is within reach and the patient knows how to use it.
,C. Apply soft wrist restraints to prevent the patient from climbing out of bed.
D. Keep all four side rails up at all times.
Correct Answer: B
Expert Explanation: Ensuring the call light is within reach promotes patient safety and
autonomy by allowing them to ask for help before attempting to move. High bed positions
and four side rails are considered safety hazards or restraints, which can increase the risk
of injury. Prioritizing communication tools is a key component of the QSEN safety
competency.
3. Which phase of the nursing process involves the nurse determining if the patient’s goals
and outcomes have been met?
A. Assessment
B. Planning
C. Evaluation
D. Implementation
Correct Answer: C
Expert Explanation: Evaluation is the final step of the nursing process where the nurse
compares the patient’s current status with the desired outcomes. If goals are not met, the
nurse must reassess the patient and modify the care plan accordingly. This continuous loop
ensures that nursing care remains effective and patient-centered.
, 4. A nurse observes a fire in a patient’s room. According to the RACE acronym, which action
should the nurse take first?
A. Extinguish the fire using a fire extinguisher.
B. Activate the fire alarm system.
C. Confine the fire by closing the doors.
D. Rescue the patient from immediate danger.
Correct Answer: D
Expert Explanation: In the RACE acronym, the letter ‘R’ stands for Rescue, which takes
priority over all other actions during a fire. The nurse must first ensure that any individuals
in immediate danger are moved to a safe location. Only after the patient is safe should the
nurse proceed to activate the alarm, confine the fire, and attempt to extinguish it.
5. Which of the following is a primary goal of the Quality and Safety Education for Nurses
(QSEN) project?
A. To reduce the cost of healthcare in hospital settings.
B. To prepare future nurses with knowledge and skills to improve healthcare quality.
C. To eliminate the need for documentation in nursing practice.
D. To replace registered nurses with automated technology.
Correct Answer: B
