Saudi Prometric Nursing Fundamentals of Nursing 1 — Questions and Answers
Question 1: What is the correct sequence of steps in the nursing process?
- Assessment, Diagnosis, Planning, Implementation, Evaluation (Correct answer)
- Diagnosis, Assessment, Planning, Evaluation, Implementation
- Planning, Assessment, Diagnosis, Implementation, Evaluation
- Assessment, Planning, Diagnosis, Implementation, Evaluation
Correct answer: Assessment, Diagnosis, Planning, Implementation, Evaluation
The nursing process follows ADPIE: Assessment (collecting data), Diagnosis (identifying problems), Planning (setting goals), Implementation (carrying out interventions), and Evaluation (assessing outcomes).
Question 2: Which position is most appropriate for a patient in respiratory distress?
- High Fowler's (90 degrees) (Correct answer)
- Supine
- Trendelenburg
- Prone
Correct answer: High Fowler's (90 degrees)
High Fowler's position (90-degree head elevation) maximizes lung expansion by allowing the diaphragm to descend and reducing pressure on the chest, making breathing easier.
Question 3: The nurse is performing hand hygiene. What is the minimum recommended duration for rubbing hands with alcohol-based hand rub?
- 20–30 seconds (Correct answer)
- 5–10 seconds
- 60 seconds
- 15 seconds
Correct answer: 20–30 seconds
WHO guidelines recommend rubbing hands with alcohol-based hand rub for 20–30 seconds, covering all surfaces, until hands are dry. This duration ensures effective reduction of microbial load.
Question 4: Which of the following is a subjective finding during patient assessment?
- Patient reports pain of 8/10 (Correct answer)
- Blood pressure of 150/90 mmHg
- Temperature of 38.5°C
- Respiratory rate of 22 breaths per minute
Correct answer: Patient reports pain of 8/10
Subjective data is information reported by the patient that cannot be directly measured, such as pain, nausea, or dizziness. Objective data includes measurable vital signs and physical findings.
Question 5: A nurse is preparing to administer a medication. Which of the 'rights' of medication administration is verified by checking the patient's ID band?
- Right patient (Correct answer)
- Right medication
- Right dose
- Right route
Correct answer: Right patient
Checking the patient's ID band verifies the right patient, one of the 10 rights of medication administration. At least two patient identifiers should be used before administering any medication.
Question 6: What does the term 'iatrogenic' mean in a clinical context?
- Caused by medical treatment or healthcare providers (Correct answer)
- Caused by the patient's own behavior
- Caused by genetic factors
- Caused by environmental exposure
Correct answer: Caused by medical treatment or healthcare providers
Iatrogenic refers to illness, injury, or adverse effects that result from medical examination, treatment, or intervention by healthcare providers. Examples include hospital-acquired infections and medication side effects.
Saudi Prometric Nursing Fundamentals of Nursing 1
What is the correct sequence of steps in the nursing process?