Nursing Quiz
Questions: 16 · 10 minutes
1. During a shift, a patient drinks 240 mL, receives 120 mL of IV fluid, urinates 200 mL, and vomits 50 mL. What is the documented net fluid balance for this period?
A negative fluid balance of 110 mL
A positive fluid balance of 210 mL
A positive fluid balance of 110 mL
A positive fluid balance of 310 mL
2. A patient develops chills and shortness of breath shortly after a blood transfusion begins. What is the nurse's first action?
Slow the transfusion and reassess the patient in five minutes
Stop the transfusion and maintain IV access according to protocol
Give the prescribed antipyretic before contacting anyone
Finish the current unit, then send the blood bag for testing
3. Which task is generally most appropriate for a nurse to delegate to trained assistive personnel for a stable patient?
Performing the initial assessment after admission
Obtaining and reporting routine vital signs
Teaching the patient about a newly prescribed medication
Evaluating whether a treatment plan is effective
4. Which statement best describes when nurses should perform hand hygiene during routine patient care?
Before patient contact, but not afterward if gloves remained intact
Only after contact with blood or other body fluids
Before and after patient contact, including when gloves are used
Only when hands look visibly soiled
5. In the SBAR communication framework, what does the letter R represent?
Response
Record
Review
Recommendation
6. Which precautions are appropriate for a patient with suspected infectious pulmonary tuberculosis?
Contact precautions with gloves as the primary protection
Airborne precautions with an appropriate respirator and isolation room
Droplet precautions with a standard surgical mask only
Protective isolation to shield the patient from staff respiratory flora
7. A conscious patient with diabetes has a blood glucose of 58 mg/dL and can swallow safely. What is the usual initial response?
Give about 15 g of fast-acting carbohydrate and recheck in about 15 minutes
Administer long-acting insulin to stabilize the glucose level
Give a high-protein meal and recheck in one hour
Restrict oral intake until the glucose rises without treatment
8. Which observation means a sterile field should be considered contaminated?
A sterile item is placed near the center of the field
The field is prepared immediately before the procedure
A sterile-gloved hand remains above waist level
Part of the field drops below waist level and out of view
9. Intact skin with localized, non-blanchable redness over a bony prominence is most consistent with which pressure injury stage?
Unstageable
Stage 2
Stage 3
Stage 1
10. After caring for a patient with suspected Clostridioides difficile infection, which hand-hygiene method is preferred when leaving the room?
Wash thoroughly with soap and water
Use alcohol-based hand rub until it evaporates
Rinse with water only because gloves were worn
Clean the gloves with disinfectant before removing them
11. After receiving an opioid, a patient is difficult to arouse and has a respiratory rate of 8 breaths per minute. What is the priority response?
Let the patient sleep and reassess at the next scheduled medication round
Give the next opioid dose later at half strength without contacting the team
Offer oral fluids and encourage the patient to walk
Withhold further opioid, support breathing, summon urgent help, and follow the naloxone protocol
12. During morning care, a patient suddenly develops facial droop, slurred speech, and weakness in one arm. What is the priority nursing response?
Activate the stroke or emergency response process and establish the last-known-well time
Help the patient rest and repeat the assessment after the next meal
Offer oral fluids in case dehydration is causing the symptoms
Complete routine documentation before notifying the clinical team
13. Where should a urinary drainage bag be positioned for a patient with an indwelling catheter?
On the bed beside the patient for easy observation
At bladder level to prevent excessive drainage
Below bladder level, secured appropriately, and off the floor
Above bladder level whenever the patient is repositioned
14. A pulse oximeter suddenly reads 88%, but the patient is speaking comfortably and shows no obvious distress. What is the best initial response?
Document the reading as the patient's new baseline
Assess the patient and check probe placement, signal quality, and perfusion
Immediately apply the highest available oxygen flow
Wait until the next scheduled observation to repeat the measurement
15. A patient preparing for surgery says, “I signed the consent form, but I still do not understand the main risks.” What is the nurse's most appropriate action?
Pause the process and notify the responsible clinician so the patient's questions can be addressed
Ask a family member to interpret the consent information
Witness the signature without further action because the form is complete
Explain every surgical risk independently so the procedure stays on schedule
16. Before giving an antibiotic, the nurse sees that the patient's record lists an allergy to the same medication class. What should the nurse do?
Administer it because medications on the chart have already been approved
Ask the patient to decide whether the allergy was serious enough to matter
Hold the dose and clarify the order and allergy information before administration
Give half the dose and monitor closely for a reaction