Style 2026) Questions and Answers [Verified
Answers] Plus Rationales
Question 1
A nurse is preparing to administer medications to a client. Which action is part
of the “rights” of medication administration?
A. Right documentation
B. Right diagnosis
C. Right prognosis
D. Right family
Answer: A. Right documentation
Rationale: Documentation is a core component of safe medication
administration.
Question 2
A nurse is assessing a client’s respiratory status. Which finding requires
immediate intervention?
A. Respiratory rate 8/min
B. Respiratory rate 18/min
C. Respiratory rate 20/min
D. Respiratory rate 16/min
Answer: A. Respiratory rate 8/min
Rationale: Indicates respiratory depression and risk of hypoxia.
,Question 3
A nurse is teaching hand hygiene. When should alcohol-based sanitizer be
used?
A. When hands are not visibly soiled
B. After contact with blood
C. After C. difficile exposure
D. After removing gloves with visible dirt
Answer: A. When hands are not visibly soiled
Rationale: Alcohol sanitizer is effective when no visible contamination is
present.
Question 4
A nurse is caring for a client in pain. Which pain scale is appropriate for a
conscious adult?
A. Numeric scale
B. FLACC scale
C. COMFORT scale
D. CRIES scale
Answer: A. Numeric scale
Rationale: Adults can self-report pain using a numeric scale.
Question 5
A nurse is assessing a surgical wound. Which finding indicates infection?
,A. Purulent drainage
B. Clear drainage
C. Pink tissue
D. Edges approximated
Answer: A. Purulent drainage
Rationale: Pus indicates infection.
Question 6
A nurse is caring for a client receiving oxygen therapy. Which safety measure is
essential?
A. No smoking in room
B. Use petroleum jelly
C. Use candles nearby
D. Increase open flame use
Answer: A. No smoking in room
Rationale: Oxygen supports combustion.
Question 7
A nurse is preparing to insert an IV. Which site is preferred?
A. Forearm vein
B. Foot vein
C. Area of infection
D. Joint area
Answer: A. Forearm vein
, Rationale: Forearm veins are stable and less prone to complications.
Question 8
A nurse is caring for a client with immobility. Which complication is priority?
A. Pressure ulcers
B. Increased appetite
C. Hair growth
D. Improved circulation
Answer: A. Pressure ulcers
Rationale: Immobility increases risk for skin breakdown.
Question 9
A nurse is teaching deep breathing exercises. What is the purpose?
A. Prevent atelectasis
B. Increase pain
C. Reduce oxygenation
D. Cause fatigue
Answer: A. Prevent atelectasis
Rationale: Promotes lung expansion.
Question 10
A nurse is caring for a client after surgery. Which assessment is priority?
A. Airway patency
B. Nail color