Saudi Prometric Nursing Fundamentals of Nursing 3 — Questions and Answers
Question 1: The nurse is assessing skin turgor. Where is the best site to assess skin turgor in an adult?
- Forearm or sternum (Correct answer)
- Back of the hand
- Abdomen
- Forehead
Correct answer: Forearm or sternum
In adults, skin turgor is best assessed on the forearm or sternum because the skin in these areas is less affected by aging. The back of the hand is less reliable in elderly patients due to normal age-related skin changes.
Question 2: Which of the following is an example of a tertiary prevention intervention?
- Rehabilitation after a stroke (Correct answer)
- Mammography screening
- Childhood immunization
- Health education on smoking cessation
Correct answer: Rehabilitation after a stroke
Tertiary prevention aims to reduce the impact of an established disease by restoring function and preventing complications. Rehabilitation after stroke is a classic example. Primary prevention prevents disease; secondary prevention detects it early.
Question 3: A patient is placed on contact precautions. Which personal protective equipment (PPE) is required upon entering the room?
- Gloves and gown (Correct answer)
- Mask and gloves
- Gown and mask
- N95 respirator and gloves
Correct answer: Gloves and gown
Contact precautions require gloves and a gown to be worn when entering the patient's room, as they prevent transmission of pathogens through direct or indirect contact with the patient or their environment.
Question 4: A nurse is administering an intramuscular injection to an adult. Which site is preferred to avoid injury to the sciatic nerve?
- Ventrogluteal site (Correct answer)
- Dorsogluteal site
- Deltoid muscle
- Vastus lateralis
Correct answer: Ventrogluteal site
The ventrogluteal site is now preferred for IM injections in adults because it is free of major nerves and blood vessels. The dorsogluteal site is associated with risk of sciatic nerve injury and is no longer recommended.
Question 5: When teaching a patient with limited health literacy, the nurse should:
- Use plain language and teach-back method (Correct answer)
- Provide detailed written pamphlets
- Use medical terminology for accuracy
- Limit teaching to one session
Correct answer: Use plain language and teach-back method
The teach-back method (asking patients to repeat information in their own words) is the most effective strategy for verifying understanding, especially with patients with limited health literacy. Plain language removes barriers.
Question 6: Which of the following vital sign values in an adult requires immediate nursing intervention?
- Oxygen saturation of 88% (Correct answer)
- Blood pressure of 118/76 mmHg
- Pulse of 72 beats per minute
- Temperature of 37.2°C
Correct answer: Oxygen saturation of 88%
An oxygen saturation of 88% is significantly below the normal range of 95–100% and indicates hypoxemia, requiring immediate intervention such as supplemental oxygen and physician notification.
Saudi Prometric Nursing Fundamentals of Nursing 3
The nurse is assessing skin turgor.
Where is the best site to assess skin turgor in an adult?