PNR 104/PNR104 Exam 1 V3 | Basic Skills,
Quality & Safety in Nursing Practice Q&A
with Rationale | Fortis College
1. A nurse is providing care for a patient based on the principles established by Florence
Nightingale. Which action should the nurse prioritize to promote healing according to this
theory?
A. Administering high-dose antibiotic therapy.
B. Teaching the patient about surgical interventions.
C. Focusing solely on the psychological aspects of recovery.
D. Ensuring the patient’s environment is clean, well-ventilated, and quiet.
Correct Answer: D
Expert Explanation: Florence Nightingale’s environmental theory emphasizes that the
nurse’s primary role is to manipulate the environment to facilitate the body’s natural
healing processes. This includes providing fresh air, pure water, efficient drainage,
cleanliness, and light. By maintaining a supportive environment, the nurse helps the patient
recover more effectively.
2. When documenting in a patient’s medical record, the nurse realizes an error has been
made. What is the most appropriate action for the nurse to take to correct this error?
A. Draw a single line through the error, write ‘error’, and initial it.
,B. Scribble out the entry until it is completely unreadable.
C. Use white-out to cover the mistake and write over it.
D. Discard the page and rewrite the entire record.
Correct Answer: A
Expert Explanation: Legal standards for nursing documentation require that errors be
corrected in a way that remains transparent. Drawing a single line through the entry
ensures the original text is still visible, which is crucial for legal integrity. Using correction
fluid or erasing entries is prohibited because it can appear as though the nurse is
attempting to hide information.
3. The nurse is preparing to perform hand hygiene. According to the Centers for Disease
Control and Prevention (CDC), what is the minimum duration the nurse should rub their
hands together with soap?
A. 5 seconds
B. 20 seconds
C. 10 seconds
D. 60 seconds
Correct Answer: B
Expert Explanation: The CDC recommends scrubbing hands with soap for at least 20
seconds to effectively remove transient microorganisms. This duration ensures that all
, surfaces of the hands and fingers are thoroughly cleaned. Proper hand hygiene is the single
most important intervention in preventing the spread of infection.
4. Which of the following data collected during a nursing assessment is considered objective
data?
A. The patient reports feeling dizzy when standing up.
B. The patient’s blood pressure is 142/88 mmHg.
C. The patient states they have a throbbing headache.
D. The patient complains of nausea after eating.
Correct Answer: B
Expert Explanation: Objective data consists of observable and measurable signs that can
be verified by another person. Blood pressure readings are obtained through physical
measurement and are not dependent on the patient’s perception. Subjective data,
conversely, includes the patient’s feelings and symptoms that cannot be directly measured
by the nurse.
5. A nurse is caring for a patient with a diagnosis of active Tuberculosis (TB). Which type of
transmission-based precautions must the nurse implement?
A. Airborne precautions
B. Contact precautions
C. Droplet precautions
Quality & Safety in Nursing Practice Q&A
with Rationale | Fortis College
1. A nurse is providing care for a patient based on the principles established by Florence
Nightingale. Which action should the nurse prioritize to promote healing according to this
theory?
A. Administering high-dose antibiotic therapy.
B. Teaching the patient about surgical interventions.
C. Focusing solely on the psychological aspects of recovery.
D. Ensuring the patient’s environment is clean, well-ventilated, and quiet.
Correct Answer: D
Expert Explanation: Florence Nightingale’s environmental theory emphasizes that the
nurse’s primary role is to manipulate the environment to facilitate the body’s natural
healing processes. This includes providing fresh air, pure water, efficient drainage,
cleanliness, and light. By maintaining a supportive environment, the nurse helps the patient
recover more effectively.
2. When documenting in a patient’s medical record, the nurse realizes an error has been
made. What is the most appropriate action for the nurse to take to correct this error?
A. Draw a single line through the error, write ‘error’, and initial it.
,B. Scribble out the entry until it is completely unreadable.
C. Use white-out to cover the mistake and write over it.
D. Discard the page and rewrite the entire record.
Correct Answer: A
Expert Explanation: Legal standards for nursing documentation require that errors be
corrected in a way that remains transparent. Drawing a single line through the entry
ensures the original text is still visible, which is crucial for legal integrity. Using correction
fluid or erasing entries is prohibited because it can appear as though the nurse is
attempting to hide information.
3. The nurse is preparing to perform hand hygiene. According to the Centers for Disease
Control and Prevention (CDC), what is the minimum duration the nurse should rub their
hands together with soap?
A. 5 seconds
B. 20 seconds
C. 10 seconds
D. 60 seconds
Correct Answer: B
Expert Explanation: The CDC recommends scrubbing hands with soap for at least 20
seconds to effectively remove transient microorganisms. This duration ensures that all
, surfaces of the hands and fingers are thoroughly cleaned. Proper hand hygiene is the single
most important intervention in preventing the spread of infection.
4. Which of the following data collected during a nursing assessment is considered objective
data?
A. The patient reports feeling dizzy when standing up.
B. The patient’s blood pressure is 142/88 mmHg.
C. The patient states they have a throbbing headache.
D. The patient complains of nausea after eating.
Correct Answer: B
Expert Explanation: Objective data consists of observable and measurable signs that can
be verified by another person. Blood pressure readings are obtained through physical
measurement and are not dependent on the patient’s perception. Subjective data,
conversely, includes the patient’s feelings and symptoms that cannot be directly measured
by the nurse.
5. A nurse is caring for a patient with a diagnosis of active Tuberculosis (TB). Which type of
transmission-based precautions must the nurse implement?
A. Airborne precautions
B. Contact precautions
C. Droplet precautions
