1. What is the primary purpose of patient advocacy in nursing practice?
A. To ensure patients follow medical instructions
B. To ensure the healthcare system operates efficiently
C. To protect and promote the rights and well-being of patients
D. To educate patients about medical procedures
Answer: c) To protect and promote the rights and well-being of
patients
Rationale: Patient advocacy ensures that patients receive the best care
possible, with respect for their rights, needs, and preferences.
2. The nurse is caring for a patient with a history of seizures. Which of
the following is an appropriate intervention for seizure precautions?
A. Keep the bed in a low position with padded side rails
B. Administer anticonvulsant medications routinely
C. Restrict fluid intake to prevent electrolyte imbalances
D. Use a soft pillow to support the patient’s head
Answer: a) Keep the bed in a low position with padded side rails
Rationale: Seizure precautions include ensuring the patient’s safety by
lowering the bed and using padded side rails to prevent injury during a
seizure.
,3. Which of the following is an example of subjective data?
A. Blood pressure reading
B. X-ray results
C. Patient's statement of pain
D. Oxygen saturation level
Answer: c) Patient's statement of pain
Rationale: Subjective data comes from the patient’s perspective, such as
feelings, sensations, and experiences. A patient’s report of pain is a
subjective symptom.
4. When administering an intramuscular injection, which of the
following is the most appropriate site for the nurse to use?
A. Abdomen
B. Forearm
C. Dorsogluteal
D. Ventrogluteal
Answer: d) Ventrogluteal
Rationale: The ventrogluteal site is preferred for intramuscular
injections as it is free of major blood vessels and nerves.
5. Which of the following is an appropriate nursing intervention for a
patient experiencing anxiety?
A. Encourage the patient to avoid discussing their feelings
, B. Provide distractions to keep the patient busy
C. Use therapeutic communication to explore the patient’s feelings
D. Ignore the patient's complaints to avoid reinforcing their anxiety
Answer: c) Use therapeutic communication to explore the patient’s
feelings
Rationale: Therapeutic communication allows the patient to express
their concerns, which can help reduce anxiety and build trust.
6. The nurse is preparing to administer a medication via the
intradermal route. Which of the following actions is most appropriate?
A. Insert the needle at a 90-degree angle
B. Use a 1.5-inch needle for injection
C. Inject the medication into the subcutaneous tissue
D. Insert the needle at a 10-15 degree angle
Answer: d) Insert the needle at a 10-15 degree angle
Rationale: Intradermal injections are administered at a shallow angle
(10-15 degrees) to ensure the medication is placed just below the
epidermis.
7. The nurse is educating a patient on the importance of adhering to a
prescribed treatment regimen. Which of the following is an effective
strategy?
A. Disregard the patient’s preferences to promote compliance
A. To ensure patients follow medical instructions
B. To ensure the healthcare system operates efficiently
C. To protect and promote the rights and well-being of patients
D. To educate patients about medical procedures
Answer: c) To protect and promote the rights and well-being of
patients
Rationale: Patient advocacy ensures that patients receive the best care
possible, with respect for their rights, needs, and preferences.
2. The nurse is caring for a patient with a history of seizures. Which of
the following is an appropriate intervention for seizure precautions?
A. Keep the bed in a low position with padded side rails
B. Administer anticonvulsant medications routinely
C. Restrict fluid intake to prevent electrolyte imbalances
D. Use a soft pillow to support the patient’s head
Answer: a) Keep the bed in a low position with padded side rails
Rationale: Seizure precautions include ensuring the patient’s safety by
lowering the bed and using padded side rails to prevent injury during a
seizure.
,3. Which of the following is an example of subjective data?
A. Blood pressure reading
B. X-ray results
C. Patient's statement of pain
D. Oxygen saturation level
Answer: c) Patient's statement of pain
Rationale: Subjective data comes from the patient’s perspective, such as
feelings, sensations, and experiences. A patient’s report of pain is a
subjective symptom.
4. When administering an intramuscular injection, which of the
following is the most appropriate site for the nurse to use?
A. Abdomen
B. Forearm
C. Dorsogluteal
D. Ventrogluteal
Answer: d) Ventrogluteal
Rationale: The ventrogluteal site is preferred for intramuscular
injections as it is free of major blood vessels and nerves.
5. Which of the following is an appropriate nursing intervention for a
patient experiencing anxiety?
A. Encourage the patient to avoid discussing their feelings
, B. Provide distractions to keep the patient busy
C. Use therapeutic communication to explore the patient’s feelings
D. Ignore the patient's complaints to avoid reinforcing their anxiety
Answer: c) Use therapeutic communication to explore the patient’s
feelings
Rationale: Therapeutic communication allows the patient to express
their concerns, which can help reduce anxiety and build trust.
6. The nurse is preparing to administer a medication via the
intradermal route. Which of the following actions is most appropriate?
A. Insert the needle at a 90-degree angle
B. Use a 1.5-inch needle for injection
C. Inject the medication into the subcutaneous tissue
D. Insert the needle at a 10-15 degree angle
Answer: d) Insert the needle at a 10-15 degree angle
Rationale: Intradermal injections are administered at a shallow angle
(10-15 degrees) to ensure the medication is placed just below the
epidermis.
7. The nurse is educating a patient on the importance of adhering to a
prescribed treatment regimen. Which of the following is an effective
strategy?
A. Disregard the patient’s preferences to promote compliance
