Nursing School Fundamentals of Nursing

Question 1

Which vital sign finding should be reported to the charge nurse immediately in an adult patient?

Accepted Answer

Heart rate of 112 beats per minute

Answer

A heart rate of 112 bpm indicates tachycardia, which is above the normal adult range of 60–100 bpm and requires prompt assessment.

Question 2

A nurse is preparing to perform hand hygiene. According to the CDC, how long should hands be scrubbed with soap and water?

Accepted Answer

At least 20 seconds

Answer

The CDC recommends scrubbing hands with soap and water for at least 20 seconds to effectively reduce microbial load.

Question 3

When documenting in a patient's medical record, which principle is most important?

Accepted Answer

Record entries that are accurate, timely, and objective

Answer

Accurate, timely, and objective documentation is the legal and professional standard for medical recordkeeping.

Question 4

A patient is placed in Fowler's position. At what angle is the head of the bed elevated?

Accepted Answer

45–60 degrees

Answer

Fowler's position elevates the head of the bed to 45–60 degrees, which is the standard angle for this semi-upright position.

Question 5

Which action best demonstrates respect for a patient's autonomy?

Accepted Answer

Allowing the patient to refuse treatment after being informed of the risks

Answer

Patient autonomy means the right to make informed decisions about their own care, including the right to refuse treatment.

Nursing School Practice Test