1. Which of the following is the best method for preventing the spread
of infection in a healthcare setting?
A. Wearing gloves at all times
B. Using alcohol-based hand sanitizers
C. Practicing proper hand hygiene
D. Isolating infected patients
Answer: c) Practicing proper hand hygiene
Rationale: Proper hand hygiene, including hand washing and using
alcohol-based hand sanitizers, is the most effective method for
preventing the spread of infections.
2. What should the nurse do if a patient’s blood pressure reading is
190/110 mmHg?
A. Reassure the patient and document the result
B. Retake the blood pressure after a few minutes
C. Administer antihypertensive medication immediately
D. Notify the healthcare provider of the elevated reading
Answer: d) Notify the healthcare provider of the elevated reading
Rationale: A reading of 190/110 mmHg is considered hypertensive
crisis, and immediate intervention by a healthcare provider is
necessary.
,3. A nurse is assessing a patient's vital signs. Which of the following
findings would be considered abnormal in a healthy adult?
A. Heart rate of 90 beats per minute
B. Blood pressure of 110/70 mmHg
C. Respiratory rate of 24 breaths per minute
D. Temperature of 101.2°F (38.4°C)
Answer: d) Temperature of 101.2°F (38.4°C)
Rationale: A temperature of 101.2°F (38.4°C) is considered a fever and
suggests an infection or other illness.
4. 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.
, 5. What should the nurse do if a patient experiences a severe allergic
reaction to a medication?
A. Administer more of the medication to counteract the reaction
B. Discontinue the medication immediately and notify the healthcare
provider
C. Administer an over-the-counter antihistamine
D. Encourage the patient to drink fluids
Answer: b) Discontinue the medication immediately and notify the
healthcare provider
Rationale: If a severe allergic reaction occurs, the nurse should stop the
medication, monitor the patient’s vital signs, and notify the healthcare
provider.
6. A nurse is caring for a patient receiving chemotherapy. Which of the
following is an appropriate intervention for managing nausea related to
chemotherapy?
A. Administer antiemetics as prescribed
B. Increase the patient's fluid intake
C. Encourage the patient to eat large meals
D. Avoid all oral fluids
Answer: a) Administer antiemetics as prescribed
Rationale: Antiemetics help control nausea and vomiting, which are
common side effects of chemotherapy.
of infection in a healthcare setting?
A. Wearing gloves at all times
B. Using alcohol-based hand sanitizers
C. Practicing proper hand hygiene
D. Isolating infected patients
Answer: c) Practicing proper hand hygiene
Rationale: Proper hand hygiene, including hand washing and using
alcohol-based hand sanitizers, is the most effective method for
preventing the spread of infections.
2. What should the nurse do if a patient’s blood pressure reading is
190/110 mmHg?
A. Reassure the patient and document the result
B. Retake the blood pressure after a few minutes
C. Administer antihypertensive medication immediately
D. Notify the healthcare provider of the elevated reading
Answer: d) Notify the healthcare provider of the elevated reading
Rationale: A reading of 190/110 mmHg is considered hypertensive
crisis, and immediate intervention by a healthcare provider is
necessary.
,3. A nurse is assessing a patient's vital signs. Which of the following
findings would be considered abnormal in a healthy adult?
A. Heart rate of 90 beats per minute
B. Blood pressure of 110/70 mmHg
C. Respiratory rate of 24 breaths per minute
D. Temperature of 101.2°F (38.4°C)
Answer: d) Temperature of 101.2°F (38.4°C)
Rationale: A temperature of 101.2°F (38.4°C) is considered a fever and
suggests an infection or other illness.
4. 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.
, 5. What should the nurse do if a patient experiences a severe allergic
reaction to a medication?
A. Administer more of the medication to counteract the reaction
B. Discontinue the medication immediately and notify the healthcare
provider
C. Administer an over-the-counter antihistamine
D. Encourage the patient to drink fluids
Answer: b) Discontinue the medication immediately and notify the
healthcare provider
Rationale: If a severe allergic reaction occurs, the nurse should stop the
medication, monitor the patient’s vital signs, and notify the healthcare
provider.
6. A nurse is caring for a patient receiving chemotherapy. Which of the
following is an appropriate intervention for managing nausea related to
chemotherapy?
A. Administer antiemetics as prescribed
B. Increase the patient's fluid intake
C. Encourage the patient to eat large meals
D. Avoid all oral fluids
Answer: a) Administer antiemetics as prescribed
Rationale: Antiemetics help control nausea and vomiting, which are
common side effects of chemotherapy.
