PNR 104/PNR104 Exam 3 V3 | Basic Skills,
Quality & Safety in Nursing Practice Q&A
with Rationale | Fortis College
1. When a nurse is preparing to perform hand hygiene after providing care to a patient
diagnosed with Clostridium difficile, which method is most effective?
A. Using an alcohol-based hand rub for 15 seconds.
B. Applying a double layer of clean gloves.
C. Wiping hands with a sterile saline-soaked gauze.
D. Washing hands with antimicrobial soap and water.
Correct Answer: D
Expert Explanation: Alcohol-based hand rubs are ineffective against spore-forming
organisms like Clostridium difficile. The physical friction of washing with soap and water is
necessary to mechanically remove the spores from the skin. This practice is a critical
component of infection control protocols in clinical settings.
2. A nurse is using the RACE acronym to respond to a small fire in a patient’s wastebasket.
What should the nurse do first?
A. Activate the fire alarm system.
B. Rescue and remove any patients in immediate danger.
C. Extinguish the fire using a portable extinguisher.
,D. Close all doors and windows to confine the fire.
Correct Answer: B
Expert Explanation: The RACE acronym stands for Rescue, Alarm, Confine, and
Extinguish. The immediate priority in any fire situation is the safety of the patients. Only
after ensuring patients are out of harm’s way should the nurse proceed to activate the
alarm and contain the fire.
3. The nurse is educating a student on the QSEN competency of Evidence-Based Practice
(EBP). Which statement best describes this competency?
A. Minimizing risk of harm to patients through system effectiveness.
B. Recognizing the patient as the source of control and full partner in care.
C. Using information and technology to communicate and mitigate error.
D. Integrating the best current evidence with clinical expertise and patient values.
Correct Answer: D
Expert Explanation: Evidence-Based Practice involves the synthesis of clinical research,
professional experience, and the unique preferences of the patient. This approach ensures
that nursing interventions are grounded in the most effective known methods. Following
EBP guidelines leads to improved patient outcomes and higher quality of care.
4. A nurse is caring for a patient who is on fall precautions. Which intervention is most
appropriate to include in the plan of care?
A. Keep all four side rails in the upright position.
, B. Ensure the call bell is within the patient’s reach.
C. Place the bed in the highest position for easy access.
D. Instruct the patient to walk to the bathroom alone.
Correct Answer: B
Expert Explanation: Ensuring the call bell is within reach allows the patient to request
assistance before attempting to get up, which reduces fall risk. Keeping all four side rails up
is often considered a physical restraint and can lead to injury if the patient tries to climb
over them. The bed should always be kept in the lowest position to minimize the distance
to the floor in case of an accidental fall.
5. Which type of isolation precaution should a nurse implement for a patient diagnosed with
Pulmonary Tuberculosis?
A. Contact Precautions
B. Droplet Precautions
C. Standard Precautions only
D. Airborne Precautions
Correct Answer: D
Expert Explanation: Tuberculosis is transmitted through small droplets that remain
suspended in the air for long periods, requiring Airborne Precautions. This includes the use
of a private room with negative pressure airflow and the requirement for healthcare
Quality & Safety in Nursing Practice Q&A
with Rationale | Fortis College
1. When a nurse is preparing to perform hand hygiene after providing care to a patient
diagnosed with Clostridium difficile, which method is most effective?
A. Using an alcohol-based hand rub for 15 seconds.
B. Applying a double layer of clean gloves.
C. Wiping hands with a sterile saline-soaked gauze.
D. Washing hands with antimicrobial soap and water.
Correct Answer: D
Expert Explanation: Alcohol-based hand rubs are ineffective against spore-forming
organisms like Clostridium difficile. The physical friction of washing with soap and water is
necessary to mechanically remove the spores from the skin. This practice is a critical
component of infection control protocols in clinical settings.
2. A nurse is using the RACE acronym to respond to a small fire in a patient’s wastebasket.
What should the nurse do first?
A. Activate the fire alarm system.
B. Rescue and remove any patients in immediate danger.
C. Extinguish the fire using a portable extinguisher.
,D. Close all doors and windows to confine the fire.
Correct Answer: B
Expert Explanation: The RACE acronym stands for Rescue, Alarm, Confine, and
Extinguish. The immediate priority in any fire situation is the safety of the patients. Only
after ensuring patients are out of harm’s way should the nurse proceed to activate the
alarm and contain the fire.
3. The nurse is educating a student on the QSEN competency of Evidence-Based Practice
(EBP). Which statement best describes this competency?
A. Minimizing risk of harm to patients through system effectiveness.
B. Recognizing the patient as the source of control and full partner in care.
C. Using information and technology to communicate and mitigate error.
D. Integrating the best current evidence with clinical expertise and patient values.
Correct Answer: D
Expert Explanation: Evidence-Based Practice involves the synthesis of clinical research,
professional experience, and the unique preferences of the patient. This approach ensures
that nursing interventions are grounded in the most effective known methods. Following
EBP guidelines leads to improved patient outcomes and higher quality of care.
4. A nurse is caring for a patient who is on fall precautions. Which intervention is most
appropriate to include in the plan of care?
A. Keep all four side rails in the upright position.
, B. Ensure the call bell is within the patient’s reach.
C. Place the bed in the highest position for easy access.
D. Instruct the patient to walk to the bathroom alone.
Correct Answer: B
Expert Explanation: Ensuring the call bell is within reach allows the patient to request
assistance before attempting to get up, which reduces fall risk. Keeping all four side rails up
is often considered a physical restraint and can lead to injury if the patient tries to climb
over them. The bed should always be kept in the lowest position to minimize the distance
to the floor in case of an accidental fall.
5. Which type of isolation precaution should a nurse implement for a patient diagnosed with
Pulmonary Tuberculosis?
A. Contact Precautions
B. Droplet Precautions
C. Standard Precautions only
D. Airborne Precautions
Correct Answer: D
Expert Explanation: Tuberculosis is transmitted through small droplets that remain
suspended in the air for long periods, requiring Airborne Precautions. This includes the use
of a private room with negative pressure airflow and the requirement for healthcare
