1. Which action best demonstrates the nurse’s role as a patient advocate?
A. Administering medication on time
B. Teaching a patient how to change a wound dressing
C. Speaking to a physician on behalf of a patient's concerns
D. Assisting a patient with daily hygiene
✅ Answer: C. Speaking to a physician on behalf of a patient's concerns
Explanation: Advocacy involves protecting the patient’s rights and expressing
their concerns when they cannot. Speaking to the physician ensures the patient’s
voice is heard.
2. What is the primary purpose of hand hygiene?
A. To maintain nurse appearance
B. To remove all dirt
C. To prevent the spread of infection
D. To reduce dry skin
✅ Answer: C. To prevent the spread of infection
Explanation: Hand hygiene is the most effective way to break the chain of
infection in healthcare settings.
3. A patient is on contact precautions. What personal protective equipment
(PPE) is essential before entering the room?
A. Mask only
B. Gloves and gown
,C. Gloves only
D. Gloves, gown, and mask
✅ Answer: B. Gloves and gown
Explanation: Contact precautions require gloves and gown to prevent
transmission through direct or indirect contact.
4. When lifting a heavy object, the nurse should:
A. Keep legs straight and bend at the waist
B. Use a wide base of support and bend at the knees
C. Twist the torso while lifting
D. Keep feet together
✅ Answer: B. Use a wide base of support and bend at the knees
Explanation: Proper body mechanics help prevent injury by distributing weight
evenly and using the legs, not the back.
5. Which of the following is a subjective sign of illness?
A. Fever of 102°F
B. Rash
C. Nausea
D. Swelling
✅ Answer: C. Nausea
Explanation: Subjective data is what the patient reports; nausea is a feeling that
only the patient can describe.
6. What is the first step in the nursing process?
A. Planning
B. Diagnosis
C. Implementation
D. Assessment
✅ Answer: D. Assessment
Explanation: The nursing process starts with gathering information to form a
baseline for patient care.
,7. Which practice prevents pressure ulcers?
A. Applying restraints
B. Turning the patient every two hours
C. Keeping the bed flat at all times
D. Limiting fluid intake
✅ Answer: B. Turning the patient every two hours
Explanation: Repositioning helps relieve pressure on vulnerable areas of the
skin, preventing ulcers.
8. When feeding a patient with dysphagia, what is the safest position?
A. Supine
B. Prone
C. Sitting upright at 90 degrees
D. Left lateral
✅ Answer: C. Sitting upright at 90 degrees
Explanation: This position reduces the risk of aspiration during swallowing.
9. What is the most important action when transferring a patient from bed
to wheelchair?
A. Asking the patient to jump
B. Using a gait belt
C. Pulling the patient by the arms
D. Lifting without assistance
✅ Answer: B. Using a gait belt
Explanation: A gait belt provides support and reduces the risk of injury to both
patient and nurse.
10. A patient is incontinent. What should the nurse do to maintain skin
integrity?
A. Reduce fluid intake
B. Keep the patient in one position
C. Apply barrier cream and perform frequent perineal care
D. Ignore the issue unless the skin breaks
, ✅ Answer: C. Apply barrier cream and perform frequent perineal care
Explanation: Protecting skin from moisture and irritation prevents breakdown.
11. Which is a sign of hypoxia?
A. Flushed skin
B. Cyanosis
C. Increased appetite
D. Bradycardia
✅ Answer: B. Cyanosis
Explanation: Cyanosis (bluish tint) indicates inadequate oxygen delivery to
tissues.
12. What is the correct technique for cleaning dentures?
A. Use hot water and bleach
B. Scrub vigorously with a hard brush
C. Brush with warm water over a towel in the sink
D. Leave them in mouthwash overnight
✅ Answer: C. Brush with warm water over a towel in the sink
Explanation: The towel prevents breakage if dropped; warm water and a soft
brush are recommended.
13. Before giving a bed bath, what is the nurse’s priority?
A. Gather all supplies
B. Explain the procedure
C. Lower the bed rails
D. Ask if the patient is hungry
✅ Answer: B. Explain the procedure
Explanation: Patient understanding reduces anxiety and encourages
cooperation.
14. How should the nurse assess circulation in an extremity with a cast?
A. Measure length of limb
B. Check for odor
A. Administering medication on time
B. Teaching a patient how to change a wound dressing
C. Speaking to a physician on behalf of a patient's concerns
D. Assisting a patient with daily hygiene
✅ Answer: C. Speaking to a physician on behalf of a patient's concerns
Explanation: Advocacy involves protecting the patient’s rights and expressing
their concerns when they cannot. Speaking to the physician ensures the patient’s
voice is heard.
2. What is the primary purpose of hand hygiene?
A. To maintain nurse appearance
B. To remove all dirt
C. To prevent the spread of infection
D. To reduce dry skin
✅ Answer: C. To prevent the spread of infection
Explanation: Hand hygiene is the most effective way to break the chain of
infection in healthcare settings.
3. A patient is on contact precautions. What personal protective equipment
(PPE) is essential before entering the room?
A. Mask only
B. Gloves and gown
,C. Gloves only
D. Gloves, gown, and mask
✅ Answer: B. Gloves and gown
Explanation: Contact precautions require gloves and gown to prevent
transmission through direct or indirect contact.
4. When lifting a heavy object, the nurse should:
A. Keep legs straight and bend at the waist
B. Use a wide base of support and bend at the knees
C. Twist the torso while lifting
D. Keep feet together
✅ Answer: B. Use a wide base of support and bend at the knees
Explanation: Proper body mechanics help prevent injury by distributing weight
evenly and using the legs, not the back.
5. Which of the following is a subjective sign of illness?
A. Fever of 102°F
B. Rash
C. Nausea
D. Swelling
✅ Answer: C. Nausea
Explanation: Subjective data is what the patient reports; nausea is a feeling that
only the patient can describe.
6. What is the first step in the nursing process?
A. Planning
B. Diagnosis
C. Implementation
D. Assessment
✅ Answer: D. Assessment
Explanation: The nursing process starts with gathering information to form a
baseline for patient care.
,7. Which practice prevents pressure ulcers?
A. Applying restraints
B. Turning the patient every two hours
C. Keeping the bed flat at all times
D. Limiting fluid intake
✅ Answer: B. Turning the patient every two hours
Explanation: Repositioning helps relieve pressure on vulnerable areas of the
skin, preventing ulcers.
8. When feeding a patient with dysphagia, what is the safest position?
A. Supine
B. Prone
C. Sitting upright at 90 degrees
D. Left lateral
✅ Answer: C. Sitting upright at 90 degrees
Explanation: This position reduces the risk of aspiration during swallowing.
9. What is the most important action when transferring a patient from bed
to wheelchair?
A. Asking the patient to jump
B. Using a gait belt
C. Pulling the patient by the arms
D. Lifting without assistance
✅ Answer: B. Using a gait belt
Explanation: A gait belt provides support and reduces the risk of injury to both
patient and nurse.
10. A patient is incontinent. What should the nurse do to maintain skin
integrity?
A. Reduce fluid intake
B. Keep the patient in one position
C. Apply barrier cream and perform frequent perineal care
D. Ignore the issue unless the skin breaks
, ✅ Answer: C. Apply barrier cream and perform frequent perineal care
Explanation: Protecting skin from moisture and irritation prevents breakdown.
11. Which is a sign of hypoxia?
A. Flushed skin
B. Cyanosis
C. Increased appetite
D. Bradycardia
✅ Answer: B. Cyanosis
Explanation: Cyanosis (bluish tint) indicates inadequate oxygen delivery to
tissues.
12. What is the correct technique for cleaning dentures?
A. Use hot water and bleach
B. Scrub vigorously with a hard brush
C. Brush with warm water over a towel in the sink
D. Leave them in mouthwash overnight
✅ Answer: C. Brush with warm water over a towel in the sink
Explanation: The towel prevents breakage if dropped; warm water and a soft
brush are recommended.
13. Before giving a bed bath, what is the nurse’s priority?
A. Gather all supplies
B. Explain the procedure
C. Lower the bed rails
D. Ask if the patient is hungry
✅ Answer: B. Explain the procedure
Explanation: Patient understanding reduces anxiety and encourages
cooperation.
14. How should the nurse assess circulation in an extremity with a cast?
A. Measure length of limb
B. Check for odor
