All Free Fundamentals of Nursing MCQs with Answers

Every Fundamentals of Nursing question in the bank, across all chapters, each with the correct answer and a written explanation. Free and unlimited, with no account needed.

500 questions · page 13 of 25

  • A. Gloves replace hand hygiene when they remain intact
  • B. Hand hygiene is needed before applying and after removing gloves
  • C. Hand hygiene is needed only when gloves become visibly torn
  • D. Hand hygiene is unnecessary if the patient has no fever

Explanation: Gloves do not replace hand hygiene because hands may become contaminated during glove removal or through small defects.

Correct answer: Hand hygiene is needed before applying and after removing gloves
Hard
  • A. Place the patient in a negative-pressure room and use an N95 respirator
  • B. Place the patient in a single room and use a surgical mask only
  • C. Place the patient with other coughing patients and use gloves
  • D. Place the patient in a positive-pressure room and use a surgical mask

Explanation: Chickenpox requires airborne and contact precautions because the varicella-zoster virus can spread through airborne particles and direct…

Correct answer: Place the patient in a negative-pressure room and use an N95 respirator
  • A. They are used only for patients with a confirmed infection
  • B. They are used for every patient when contact with body fluids is possible
  • C. They require an N95 respirator for every patient encounter
  • D. They replace the need for additional isolation precautions

Explanation: Standard precautions apply to all patients and are based on the possibility of contact with blood, body fluids, non-intact skin or mucous…

Correct answer: They are used for every patient when contact with body fluids is possible
Hard
  • A. Clean from the most contaminated area toward the least contaminated area
  • B. Clean from the least contaminated area toward the most contaminated area
  • C. Use the same gauze for every area if it remains moist
  • D. Clean the wound and surrounding skin with one circular motion

Explanation: Cleaning from the least contaminated area toward the most contaminated area prevents organisms from being carried into cleaner tissue.

Correct answer: Clean from the least contaminated area toward the most contaminated area
Hard
  • A. Hold the bottle opening above the basin without touching it
  • B. Rest the bottle opening on the basin rim while pouring
  • C. Touch the bottle opening to the inside of the basin
  • D. Pour the saline back into the bottle if excess remains

Explanation: The bottle opening must remain above and not touch the sterile basin, because contact would contaminate the opening and the field.

Correct answer: Hold the bottle opening above the basin without touching it
Moderate
  • A. Gloves and a fluid-resistant gown only
  • B. Gloves, a fluid-resistant gown, mask and eye protection
  • C. An N95 respirator and shoe covers only
  • D. A surgical cap and shoe covers without hand protection

Explanation: A mask and eye protection protect the mucous membranes of the nose, mouth and eyes from splashes, while gloves and a gown protect the skin…

Correct answer: Gloves, a fluid-resistant gown, mask and eye protection
Moderate
  • A. Place it directly in a disinfectant solution
  • B. Rinse and clean it according to the facility procedure before processing
  • C. Wrap it immediately and send it for storage
  • D. Wipe it with a dry cloth and use it again

Explanation: Cleaning removes organic material and allows the disinfectant or sterilisation process to contact the instrument surface effectively.

Correct answer: Rinse and clean it according to the facility procedure before processing
  • A. A used disposable syringe with the needle attached
  • B. A blood-stained cotton swab without a sharp edge
  • C. A used disposable patient gown
  • D. An empty intravenous fluid bag

Explanation: A used syringe with its needle attached can puncture skin and must go directly into a puncture-resistant sharps container.

Correct answer: A used disposable syringe with the needle attached
  • A. Use the same cleaning cloth for the table and nearby clean equipment
  • B. Wear appropriate protective equipment and use an approved disinfectant
  • C. Spray disinfectant into the air around the table
  • D. Move the table to another patient's bedside before cleaning

Explanation: The nurse uses appropriate PPE and an approved disinfectant according to the product instructions and facility policy.

Correct answer: Wear appropriate protective equipment and use an approved disinfectant
  • A. Direct contact transmission
  • B. Indirect contact transmission
  • C. Droplet transmission
  • D. Airborne transmission

Explanation: Indirect contact transmission occurs when microorganisms spread through a contaminated object or surface, such as a doorknob.

Correct answer: Indirect contact transmission
  • A. Temperature of 38.5°C measured orally
  • B. Blood pressure of 150/90 mmHg
  • C. Patient reports severe abdominal pain
  • D. Respiratory rate of 26 breaths per minute

Explanation: Subjective data are symptoms or feelings reported by the patient, such as pain.

Correct answer: Patient reports severe abdominal pain
  • A. The patient's own description of the pain
  • B. The patient's family member's observation
  • C. The nurse's facial expression assessment
  • D. The previous nursing shift's documentation

Explanation: The conscious patient is the primary source for subjective symptoms such as pain.

Correct answer: The patient's own description of the pain
Moderate
  • A. Document the reading as confirmed hypotension
  • B. Ask the patient to rest and repeat the measurement correctly
  • C. Administer a prescribed antihypertensive medicine
  • D. Report the reading without obtaining another measurement

Explanation: Patient movement can make a blood pressure reading inaccurate, so the nurse should allow rest and repeat the measurement using correct…

Correct answer: Ask the patient to rest and repeat the measurement correctly
  • A. Pneumonia caused by bacterial infection
  • B. Acute appendicitis with abdominal inflammation
  • C. Impaired gas exchange related to alveolar changes
  • D. Type 2 diabetes mellitus with hyperglycaemia

Explanation: Impaired gas exchange describes a patient response that nurses can assess and manage.

Correct answer: Impaired gas exchange related to alveolar changes
Easy
  • A. Offer fluids to reduce throat dryness
  • B. Assess and maintain airway patency
  • C. Complete the health history questionnaire
  • D. Teach the patient about breathing exercises

Explanation: Airway and breathing take priority because the patient has signs of threatened oxygenation.

Correct answer: Assess and maintain airway patency
  • A. Collecting the patient's health history
  • B. Formulating an individualised expected outcome
  • C. Administering the prescribed wound dressing
  • D. Determining whether the goal was achieved

Explanation: Planning includes setting priorities, writing measurable outcomes and selecting nursing interventions.

Correct answer: Formulating an individualised expected outcome
Moderate
  • A. Patient will have improved skin integrity
  • B. Patient will understand pressure injury prevention
  • C. Patient's skin will remain intact during hospitalisation
  • D. Nurse will reposition the patient regularly

Explanation: A measurable outcome identifies the patient response and a time frame, such as intact skin during hospitalisation.

Correct answer: Patient's skin will remain intact during hospitalisation
Fairly easy
  • A. The patient states that pain decreased from 8 to 3 out of 10
  • B. The nurse records that the medicine was administered
  • C. The family says that the patient looks more comfortable
  • D. The medication is listed in the treatment prescription

Explanation: Evaluation depends primarily on the patient's response compared with the expected outcome.

Correct answer: The patient states that pain decreased from 8 to 3 out of 10
  • A. Deficient fluid volume related to fluid loss
  • B. Acute gastroenteritis caused by infection
  • C. Impaired oral mucous membrane related to fever
  • D. Risk for imbalanced nutrition related to vomiting

Explanation: Dry mucous membranes, poor skin turgor and a weak pulse support an actual fluid volume deficit related to vomiting.

Correct answer: Deficient fluid volume related to fluid loss
  • A. The patient is unstable and probably has vertigo
  • B. The patient reports dizziness and has an unsteady gait
  • C. The patient is confused and cannot walk safely
  • D. The patient has a balance disorder caused by illness

Explanation: The patient's words are documented as subjective data, and the observed unsteady gait is documented as objective data.

Correct answer: The patient reports dizziness and has an unsteady gait