PNR 104/PNR104 Final Exam V2 | Basic
Skills, Quality & Safety in Nursing
Practice Q&A with Rationale | Fortis
College
1. A nurse is preparing to transfer a client from a bed to a chair. Which action by the nurse
demonstrates proper body mechanics?
A. Flexing the knees and hips before lifting
B. Keeping the feet close together to maintain balance
C. Twisting the torso while moving the client
D. Bending at the waist to lift the client
Correct Answer: A
Expert Explanation: Flexing the knees and hips lowers the nurse’s center of gravity and
utilizes the strong muscles of the legs rather than the back. Bending at the waist or twisting
the torso increases the risk of lumbar injury. Keeping the feet apart provides a wider base
of support, which is essential for stability during patient transfers.
2. When performing hand hygiene with an alcohol-based hand rub, which action is required
for effectiveness?
A. Rinsing the hands with warm water after application
B. Rubbing hands together until the solution is dry
,C. Using a paper towel to spread the gel
D. Applying only a pea-sized amount of the product
Correct Answer: B
Expert Explanation: For alcohol-based rubs to be effective, the nurse must rub all surfaces
of the hands until the product has completely evaporated. Rinsing the hands would remove
the antiseptic properties of the rub before they can work. An adequate amount of product
must be used to cover all surfaces, and using a paper towel is unnecessary and
counterproductive.
3. A nurse is caring for a client with a localized infection. Which of the following is a systemic
sign of infection that the nurse should monitor for?
A. Edema at the site of injury
B. Pain or tenderness upon palpation
C. Redness or erythema around the wound
D. Fever and malaise
Correct Answer: D
Expert Explanation: Fever and malaise are systemic indicators that an infection has
spread or is affecting the entire body. Localized signs like edema, redness, and pain are
confined to the specific area of injury or infection. Monitoring for systemic signs is critical
as they may indicate the development of sepsis or a more serious clinical condition.
, 4. Which QSEN competency focuses on the nurse’s ability to minimize risk of harm to patients
and providers through both system effectiveness and individual performance?
A. Patient-Centered Care
B. Safety
C. Evidence-Based Practice
D. Informatics
Correct Answer: B
Expert Explanation: The Safety competency within QSEN emphasizes the prevention of
errors and the promotion of a culture of safety. It involves recognizing both individual
behaviors and organizational structures that contribute to or mitigate risks. By applying
this competency, nurses ensure that care environments are secure for both the healthcare
team and the patients they serve.
5. A nurse is documenting in a client’s medical record. Which of the following entries is the
most objective?
A. Client seems very depressed today
B. Client ate a good portion of his breakfast
C. Client’s skin is warm and dry to the touch
D. Client is complaining too much about pain
Correct Answer: C
Skills, Quality & Safety in Nursing
Practice Q&A with Rationale | Fortis
College
1. A nurse is preparing to transfer a client from a bed to a chair. Which action by the nurse
demonstrates proper body mechanics?
A. Flexing the knees and hips before lifting
B. Keeping the feet close together to maintain balance
C. Twisting the torso while moving the client
D. Bending at the waist to lift the client
Correct Answer: A
Expert Explanation: Flexing the knees and hips lowers the nurse’s center of gravity and
utilizes the strong muscles of the legs rather than the back. Bending at the waist or twisting
the torso increases the risk of lumbar injury. Keeping the feet apart provides a wider base
of support, which is essential for stability during patient transfers.
2. When performing hand hygiene with an alcohol-based hand rub, which action is required
for effectiveness?
A. Rinsing the hands with warm water after application
B. Rubbing hands together until the solution is dry
,C. Using a paper towel to spread the gel
D. Applying only a pea-sized amount of the product
Correct Answer: B
Expert Explanation: For alcohol-based rubs to be effective, the nurse must rub all surfaces
of the hands until the product has completely evaporated. Rinsing the hands would remove
the antiseptic properties of the rub before they can work. An adequate amount of product
must be used to cover all surfaces, and using a paper towel is unnecessary and
counterproductive.
3. A nurse is caring for a client with a localized infection. Which of the following is a systemic
sign of infection that the nurse should monitor for?
A. Edema at the site of injury
B. Pain or tenderness upon palpation
C. Redness or erythema around the wound
D. Fever and malaise
Correct Answer: D
Expert Explanation: Fever and malaise are systemic indicators that an infection has
spread or is affecting the entire body. Localized signs like edema, redness, and pain are
confined to the specific area of injury or infection. Monitoring for systemic signs is critical
as they may indicate the development of sepsis or a more serious clinical condition.
, 4. Which QSEN competency focuses on the nurse’s ability to minimize risk of harm to patients
and providers through both system effectiveness and individual performance?
A. Patient-Centered Care
B. Safety
C. Evidence-Based Practice
D. Informatics
Correct Answer: B
Expert Explanation: The Safety competency within QSEN emphasizes the prevention of
errors and the promotion of a culture of safety. It involves recognizing both individual
behaviors and organizational structures that contribute to or mitigate risks. By applying
this competency, nurses ensure that care environments are secure for both the healthcare
team and the patients they serve.
5. A nurse is documenting in a client’s medical record. Which of the following entries is the
most objective?
A. Client seems very depressed today
B. Client ate a good portion of his breakfast
C. Client’s skin is warm and dry to the touch
D. Client is complaining too much about pain
Correct Answer: C
