PNR 104/PNR104 Final Exam V1 | Basic
Skills, Quality & Safety in Nursing
Practice Q&A with Rationale | Fortis
College
1. When preparing to lift a heavy object, which action by the nurse demonstrates proper
body mechanics?
A. Bending at the waist with knees locked
B. Flexing the knees and keeping the back straight
C. Keeping the feet close together to narrow the base of support
D. Holding the object at arm’s length away from the body
Correct Answer: B
Expert Explanation: Proper body mechanics involve using the large muscles of the legs
rather than the back. Flexing the knees and keeping the back straight allows the nurse to
maintain a stable center of gravity. This practice prevents musculoskeletal injuries which
are common in the nursing profession.
2. A nurse is caring for a patient on Contact Precautions. What is the correct sequence for
removing Personal Protective Equipment (PPE)?
A. Mask, gown, goggles, gloves
B. Gloves, goggles, gown, mask
,C. Gown, gloves, mask, goggles
D. Goggles, mask, gloves, gown
Correct Answer: B
Expert Explanation: The removal of PPE should follow a sequence that minimizes the risk
of self-contamination. Gloves are considered the most contaminated and are removed first,
followed by eye protection and the gown. The mask is removed last to ensure the nurse
does not inhale pathogens during the doffing process.
3. The nurse is assessing a patient’s radial pulse and notes it is irregular. What is the most
appropriate next action?
A. Document the finding as normal for an older adult
B. Wait 5 minutes and recheck the radial pulse
C. Administer a PRN dose of heart medication
D. Assess the apical pulse for one full minute
Correct Answer: D
Expert Explanation: When a peripheral pulse is irregular, the apical pulse must be
assessed for a full 60 seconds to obtain the most accurate heart rate. This allows the nurse
to identify the actual heart rhythm and any pulse deficit that may exist. Accurate
assessment is critical for determining the patient’s hemodynamic stability.
, 4. Which acronym should the nurse remember to prioritize actions in the event of a fire in a
patient care area?
A. PASS
B. ADPIE
C. SBAR
D. RACE
Correct Answer: D
Expert Explanation: The RACE acronym stands for Rescue, Alarm, Confine, and Extinguish
or Evacuate. It provides a structured priority list to ensure patient safety and efficient fire
response. Following this protocol helps prevent panic and ensures the most critical steps
are taken first.
5. A nurse is performing a bed bath for a client. In which direction should the nurse wash the
client’s extremities?
A. Distal to proximal to promote venous return
B. Proximal to distal to move bacteria away from the heart
C. Side to side to ensure all skin surfaces are covered
D. It does not matter as long as the skin is cleaned
Correct Answer: A
Skills, Quality & Safety in Nursing
Practice Q&A with Rationale | Fortis
College
1. When preparing to lift a heavy object, which action by the nurse demonstrates proper
body mechanics?
A. Bending at the waist with knees locked
B. Flexing the knees and keeping the back straight
C. Keeping the feet close together to narrow the base of support
D. Holding the object at arm’s length away from the body
Correct Answer: B
Expert Explanation: Proper body mechanics involve using the large muscles of the legs
rather than the back. Flexing the knees and keeping the back straight allows the nurse to
maintain a stable center of gravity. This practice prevents musculoskeletal injuries which
are common in the nursing profession.
2. A nurse is caring for a patient on Contact Precautions. What is the correct sequence for
removing Personal Protective Equipment (PPE)?
A. Mask, gown, goggles, gloves
B. Gloves, goggles, gown, mask
,C. Gown, gloves, mask, goggles
D. Goggles, mask, gloves, gown
Correct Answer: B
Expert Explanation: The removal of PPE should follow a sequence that minimizes the risk
of self-contamination. Gloves are considered the most contaminated and are removed first,
followed by eye protection and the gown. The mask is removed last to ensure the nurse
does not inhale pathogens during the doffing process.
3. The nurse is assessing a patient’s radial pulse and notes it is irregular. What is the most
appropriate next action?
A. Document the finding as normal for an older adult
B. Wait 5 minutes and recheck the radial pulse
C. Administer a PRN dose of heart medication
D. Assess the apical pulse for one full minute
Correct Answer: D
Expert Explanation: When a peripheral pulse is irregular, the apical pulse must be
assessed for a full 60 seconds to obtain the most accurate heart rate. This allows the nurse
to identify the actual heart rhythm and any pulse deficit that may exist. Accurate
assessment is critical for determining the patient’s hemodynamic stability.
, 4. Which acronym should the nurse remember to prioritize actions in the event of a fire in a
patient care area?
A. PASS
B. ADPIE
C. SBAR
D. RACE
Correct Answer: D
Expert Explanation: The RACE acronym stands for Rescue, Alarm, Confine, and Extinguish
or Evacuate. It provides a structured priority list to ensure patient safety and efficient fire
response. Following this protocol helps prevent panic and ensures the most critical steps
are taken first.
5. A nurse is performing a bed bath for a client. In which direction should the nurse wash the
client’s extremities?
A. Distal to proximal to promote venous return
B. Proximal to distal to move bacteria away from the heart
C. Side to side to ensure all skin surfaces are covered
D. It does not matter as long as the skin is cleaned
Correct Answer: A
