Question 01: Post-Tonsillectomy Nursing Care

When caring for a child post-tonsillectomy, the nurse should do which of the following?

  • [ ] Encourage gargling with warm saline water

  • [✓] Observe for continuous swallowing (CORRECT)

  • [ ] Apply warm compresses to the throat

  • [ ] Apply cold compresses to the throat

Question 02: Antidote for Heparin Anticoagulation

A patient who is admitted with deep vein thrombosis (DVT) has an order for heparin administration using an infusion controller. Which medication should be kept available for a patient being treated with heparin?

  • [ ] Naloxone (Narcan)

  • [ ] Flumazenil (Romazicon)

  • [ ] Vitamin K

  • [✓] Protamine sulfate (CORRECT)

Question 03: Professional Ethics & HIPAA

Two nurses talking about a patient's condition in the elevator may lead to an invasion of:

  • [ ] Confidentiality

  • [ ] Autonomy

  • [✓] Privacy (CORRECT)

  • [ ] Veracity

Question 04: Occupational Exposure to Bloodborne Pathogens

When caring for a patient diagnosed with viral hepatitis B, the healthcare provider experiences a needle stick with a contaminated needle. Which of the following actions should the healthcare provider do first?

  • [✓] Wash the area thoroughly with soap and water (CORRECT)

  • [ ] Make an appointment with the infection control department

  • [ ] Put the needle in a biohazard bag for testing

  • [ ] Report to the emergency department

Question 05: Hyperlipidemia Dietary Management

What instruction should a nurse provide to a patient who has a high serum cholesterol level?

  • [ ] Use sour cream

  • [ ] Use butter

  • [ ] Eat more red meat

  • [✓] Use skim milk (CORRECT)

Question 06: Enteral Feeding Positioning

A client with decreased mental status is ordered to receive a tube feeding. The nurse knows the best position for the patient once the feeding has finished is:

  • [✓] Right side with head of the bed elevated (CORRECT)

  • [ ] Semi-Fowler’s

  • [ ] Left side with head of the bed elevated

  • [ ] High-Fowler’s

Question 07: Therapeutic Communication in Chronic Illness

Client is a 22-year-old client. Newly diagnosed with Diabetes Mellitus Type I, this transition in health status was stressful to the client and his family. The best communication method to assess the meaning of transition to the client and his family is:

  • [] “This disease will make changes in your life; do you think this will be easy?” 

  • [✓ ] “Draw a picture to me how you see your life before and after the diagnosis” (CORRECT)

  • [ ] “I think it will be a bad journey with the disease. How will you cope”

  • [ ] “Well, how you see your future with the disease. Are you going to marry?”

Question 08: Transfusion Reaction Protocol

A nurse just started a blood transfusion for a client with a hemoglobin of 6.0 g/dL. The patient says, "I feel hot, my stomach hurts, and I am having difficulty breathing." What should be the nurse’s first action?

  • [ ] Notify the physician immediately

  • [✓] Stop the infusion (CORRECT)

  • [ ] Take vital signs

  • [ ] Call a code

Question 09: Medication Administration Prioritization

The nurse is assigned for the following four patients. Which patient should receive medication first?

  • [ ] A patient with an apical pulse of 72 receiving Lanoxin (Digoxin) PO daily

  • [ ] A patient with abdominal surgery receiving Plasil (metoclopramide) IM every 4 hours PRN for nausea and vomiting

  • [ ] A client with pneumonia receiving Ampicillin IV every 6 hours

  • [✓] A patient with labored respirations receiving a stat dose of IV Lasix (furosemide) (CORRECT)

Question 10: Environmental Safety & Fall Prevention

Which one of the followings is a precaution that may help to minimize risk of falling down for patient in hospital?

  • [ ] Maintain call light away from reach

  • [ ] Place the hospital bed in high position when a patient is resting in bed

  • [ ] Keep the bed in low position when the patient is transferring out of bed

  • [✓] Have sturdy handrails in patient bathrooms, rooms, and hallways (CORRECT)

Question 11: Seizure Precautions & Patient Safety

While dealing with an epileptic patient, which one of the following is an appropriate precaution?

  • [ ] Take a bath instead of a shower when alone

  • [✓] Do not iron when alone (CORRECT)

  • [ ] Minimize drug dose when seizure frequency is decreased

  • [ ] Maximize drug dose when seizure frequency is increased

Question 12: Hospital Fall Risk Assessment Protocols

Falls is a major accident, if you are a staff nurse in the hospital and you want to use the protocol for fall prevention. Which situation is incorrect regarding fall prevention?

  • [✓] High risk clients only should be screened and assessed for falls risk upon admission (CORRECT)

  • [ ] Fall assessment should be repeated whenever the client's condition is marked with significant physical and/or psychological or cognitive changes

  • [ ] When a client is screened and assessed as a falls risk client, special interventions to prevent falls must be immediately initiated, communicated and documented

  • [ ] A history of falls in the past, particularly more recent and frequent falls, aging population, infants and young children should be addressed and affect the score of fall risk

Question 13: Diabetes Safety Instructions

Tamara is a staff nurse assigned for patient with diabetes, what are the appropriate precautions she should be aware of?

  • [✓] Advise the patient: Never take medication for diabetes if you are not sure when your next meal is (CORRECT)

  • [ ] Advise the patient to reuse needles but not to share needles with others

  • [ ] Advise the patient to dispose needles in a waste bin or plastic bag

  • [ ] Advise the patient to take someone else's medication if your medication is not available

Question 14: Post-Mydriatic Eye Drop Care

As a nurse in an ophthalmology clinic after giving dilating eye drop for diagnostic procedure, which advice you should give to the patient?

  • [ ] You should read some instructions after procedure

  • [✓] You shouldn't drive the car after procedure (CORRECT)

  • [ ] It is preferable to come to the clinic alone for same procedure next time

  • [ ] Bright light is good environment after procedure

Question 15: Environmental Modifications for Visual Impairment

For patient with visual deficit which situation is correct regarding safety precautions?

  • [✓] Keep emergency numbers in large font near the patient (CORRECT)

  • [ ] Keep large furniture near main foot traffic areas

  • [ ] Keep rugs in the area to prevent slips

  • [ ] Wax floors. Use glare products to clean and polish floors

Last modified: Sunday, 18 October 2026, 7:10 AM