NSG 111- Test #1 Safety: Patient
Identification and Standard Protocol
Exam Questions with correct Answers
2025/2026
Standard protocol exceptions for every patient encounter (before each skill): 1ST STEP -
ANS-1. verify physician's orders if skill is a dependent or collaborative nursing intervention.
independent nursing interventions may be verified with the nursing care plan, computer, or
primary nurse. VERIFY ORDER
Standard protocol exceptions for every patient encounter (before each skill): 2ND STEP -
ANS-2. assemble equipment e.g. gloves and complete necessary patient charges if needed and
bring into room ASSEMBLE EQUIPMENT
Standard protocol exceptions for every patient encounter (before each skill): 3RD STEP -
ANS-3. introduce yourself to client, including your name, and title of role INTRODUCE
YOURSELF (NAME, TITLE)
Standard protocol exceptions for every patient encounter (before each skill): 4TH STEP -
ANS-identify client by comparing patient's I.D bracelet to ensure the correct patient IDENTIFY
CLIENT
STEP 1 IN PATIENT IDENTIFICATION - ANS-A. ask the patient to state his/her full name
STEP 2 IN PATIENT IDENTIFICATION - ANS-B. compare the patient stated full name against
the patient's full name present on the patient's identification bracelet for accuracy
STEP 3 IN PATIENT IDENTIFICATION - ANS-C. address the patient by his/her FIRST AND
LAST NAME
STEP 4 IN PATIENT IDENTIFICATION - ANS-D. compare the patient name and medical record
or account number on the identification bracelet to another pre-printed information source
(computer)
Standard protocol exceptions for every patient encounter (before each skill): 5TH STEP -
ANS-5. explain the purpose of the procedure in terms the client can understand EXPLAIN
PURPOSE OF PROCEDURE
, Standard protocol exceptions for every patient encounter (before each skill): 6TH STEP -
ANS-6. if client or family question why treatment is being done, the care provider is to stop,
listen, and report to charge nurse before carrying out the order STOP AND REPORT TO
CHARGE NURSE IF CLIENT QUESTIONS PROCEDURE
Standard protocol exceptions for every patient encounter (before each skill): 7TH STEP -
ANS-7. provide privacy for client. position and drape client as needed. PROVIDE PRIVACY
Standard protocol exceptions for every patient encounter (before each skill): 8TH STEP -
ANS-8. provide adequate lighting for the procedure PROVIDE ADEQUATE LIGHTING
Standard protocol exceptions for every patient encounter (before each skill): 9TH STEP -
ANS-9. preform hand hygiene per protocol PREFORM HAND HYGIENE
Standard protocol exceptions for every patient encounter (before each skill): 10TH STEP -
ANS-10. adjust the bed to appropriate height, and lower side rail nearest to you ADJUST BED
HEIGHT
Standard protocol exceptions for every patient encounter (during the skill): 1ST STEP - ANS-1.
promote patient independent decision making and involvement
Standard protocol exceptions for every patient encounter (during the skill): 2ND STEP - ANS-2.
assess patient tolerance being alert for signs and symptoms of fatigue
Standard protocol exceptions for every patient encounter (during the skill): 3RD STEP - ANS-3.
ensure comfort and warmth as much as possible
Standard protocol exceptions for every patient encounter (completion protocol-end of skill):1ST
STEP - ANS-1. assist client to a position of comfort, and place needed items within reach
Standard protocol exceptions for every patient encounter (completion protocol-end of skill):2ND
STEP - ANS-2. be certain client has a way to call for help and knows how to use it (call bell)
Standard protocol exceptions for every patient encounter (completion protocol-end of skill):3RD
STEP - ANS-3. raise side rails as applicable, and lower the bed to the lowest position
Standard protocol exceptions for every patient encounter (completion protocol-end of skill):4TH
STEP - ANS-4. dispose of soiled supplies and equipment
Standard protocol exceptions for every patient encounter (completion protocol-end of skill):5TH
STEP - ANS-5. preform hand hygiene as indicated by the situation, after client contact
Identification and Standard Protocol
Exam Questions with correct Answers
2025/2026
Standard protocol exceptions for every patient encounter (before each skill): 1ST STEP -
ANS-1. verify physician's orders if skill is a dependent or collaborative nursing intervention.
independent nursing interventions may be verified with the nursing care plan, computer, or
primary nurse. VERIFY ORDER
Standard protocol exceptions for every patient encounter (before each skill): 2ND STEP -
ANS-2. assemble equipment e.g. gloves and complete necessary patient charges if needed and
bring into room ASSEMBLE EQUIPMENT
Standard protocol exceptions for every patient encounter (before each skill): 3RD STEP -
ANS-3. introduce yourself to client, including your name, and title of role INTRODUCE
YOURSELF (NAME, TITLE)
Standard protocol exceptions for every patient encounter (before each skill): 4TH STEP -
ANS-identify client by comparing patient's I.D bracelet to ensure the correct patient IDENTIFY
CLIENT
STEP 1 IN PATIENT IDENTIFICATION - ANS-A. ask the patient to state his/her full name
STEP 2 IN PATIENT IDENTIFICATION - ANS-B. compare the patient stated full name against
the patient's full name present on the patient's identification bracelet for accuracy
STEP 3 IN PATIENT IDENTIFICATION - ANS-C. address the patient by his/her FIRST AND
LAST NAME
STEP 4 IN PATIENT IDENTIFICATION - ANS-D. compare the patient name and medical record
or account number on the identification bracelet to another pre-printed information source
(computer)
Standard protocol exceptions for every patient encounter (before each skill): 5TH STEP -
ANS-5. explain the purpose of the procedure in terms the client can understand EXPLAIN
PURPOSE OF PROCEDURE
, Standard protocol exceptions for every patient encounter (before each skill): 6TH STEP -
ANS-6. if client or family question why treatment is being done, the care provider is to stop,
listen, and report to charge nurse before carrying out the order STOP AND REPORT TO
CHARGE NURSE IF CLIENT QUESTIONS PROCEDURE
Standard protocol exceptions for every patient encounter (before each skill): 7TH STEP -
ANS-7. provide privacy for client. position and drape client as needed. PROVIDE PRIVACY
Standard protocol exceptions for every patient encounter (before each skill): 8TH STEP -
ANS-8. provide adequate lighting for the procedure PROVIDE ADEQUATE LIGHTING
Standard protocol exceptions for every patient encounter (before each skill): 9TH STEP -
ANS-9. preform hand hygiene per protocol PREFORM HAND HYGIENE
Standard protocol exceptions for every patient encounter (before each skill): 10TH STEP -
ANS-10. adjust the bed to appropriate height, and lower side rail nearest to you ADJUST BED
HEIGHT
Standard protocol exceptions for every patient encounter (during the skill): 1ST STEP - ANS-1.
promote patient independent decision making and involvement
Standard protocol exceptions for every patient encounter (during the skill): 2ND STEP - ANS-2.
assess patient tolerance being alert for signs and symptoms of fatigue
Standard protocol exceptions for every patient encounter (during the skill): 3RD STEP - ANS-3.
ensure comfort and warmth as much as possible
Standard protocol exceptions for every patient encounter (completion protocol-end of skill):1ST
STEP - ANS-1. assist client to a position of comfort, and place needed items within reach
Standard protocol exceptions for every patient encounter (completion protocol-end of skill):2ND
STEP - ANS-2. be certain client has a way to call for help and knows how to use it (call bell)
Standard protocol exceptions for every patient encounter (completion protocol-end of skill):3RD
STEP - ANS-3. raise side rails as applicable, and lower the bed to the lowest position
Standard protocol exceptions for every patient encounter (completion protocol-end of skill):4TH
STEP - ANS-4. dispose of soiled supplies and equipment
Standard protocol exceptions for every patient encounter (completion protocol-end of skill):5TH
STEP - ANS-5. preform hand hygiene as indicated by the situation, after client contact
