TIA Fundamentals of Nursing 1 — Questions and Answers
Question 1: A nurse is preparing to perform hand hygiene before a procedure. Which action is correct when using alcohol-based hand rub?
- Apply to dry hands and rub for at least 15 seconds until dry (Correct answer)
- Rinse hands with water after applying the rub
- Use only when hands are visibly soiled
- Apply a small dime-sized amount and wipe off with a towel
Correct answer: Apply to dry hands and rub for at least 15 seconds until dry
Alcohol-based hand rub should be applied to dry hands and rubbed together for at least 15 seconds until completely dry.
Question 2: Which patient position is most appropriate for a client receiving a nasogastric tube feeding?
- Supine with head flat
- Semi-Fowler's at 30–45 degrees (Correct answer)
- Left lateral Sims' position
- Trendelenburg position
Correct answer: Semi-Fowler's at 30–45 degrees
Semi-Fowler's position at 30–45 degrees reduces aspiration risk during enteral feedings.
Question 3: A nurse is measuring a client's blood pressure and notices the cuff is too small. What effect will this have on the reading?
- Falsely low reading
- Falsely high reading (Correct answer)
- No effect on the reading
- Irregular pulse waveform only
Correct answer: Falsely high reading
A cuff that is too small will produce a falsely elevated blood pressure reading.
Question 4: When performing a bed bath, the nurse should wash the patient in which order?
- Perineum → face → extremities → back
- Face → neck → arms → chest → abdomen → legs → perineum → back (Correct answer)
- Back → perineum → chest → face
- Legs → abdomen → chest → face → back → perineum
Correct answer: Face → neck → arms → chest → abdomen → legs → perineum → back
The correct sequence moves from cleanest areas (face) to dirtiest (perineum, back) to prevent contamination.
Question 5: A nurse is about to administer a medication. Which of the following is the MINIMUM number of patient identifiers that should be used?
- One
- Two (Correct answer)
- Three
- Four
Correct answer: Two
At least two patient identifiers (e.g., name and date of birth) must be verified before administering any medication per The Joint Commission standards.
Question 6: A client is placed in contact precautions. Which personal protective equipment (PPE) must the nurse don before entering the room?
- Mask and eye shield only
- Gloves and gown (Correct answer)
- N95 respirator and gloves
- Gloves only
Correct answer: Gloves and gown
Contact precautions require gloves and a gown to prevent transmission of pathogens via direct or indirect contact.
TIA Fundamentals of Nursing 1
A nurse is preparing to perform hand hygiene before a procedure.
Which action is correct when using alcohol-based hand rub?