1. Which of the following is considered the first line of defense in breaking the chain of infection?

A. Vaccination

B. Antibiotics

C. Standard precautions

D. Isolation

✅ Answer: C

2. What is the recommended minimum duration for washing hands with soap and water?

A. 10 seconds

B. 20 seconds

C. 30 seconds

D. 1 minute

✅ Answer: B

3. Which item is NOT considered personal protective equipment (PPE)?

A. Gloves

B. Stethoscope

C. Gown

D. Face shield

✅ Answer: B

4. When is hand hygiene required?

B. After using the restroom

C. After coughing or sneezing

D. All of the above

✅ Answer: D

5. Which type of PPE protects against airborne pathogens?

A. Gloves

B. Surgical mask

C. Respirator

D. Safety goggles

✅ Answer: C

6. What is the correct sequence for donning PPE?

A. Mask → Gown → Gloves

B. Gown → Mask → Gloves

C. Gloves → Gown → Mask

D. Mask → Gloves → Gown

✅ Answer: B

7. What is the first item to be removed when doffing PPE?

A. Gown
B. Mask

C. Gloves

D. Face shield

✅ Answer: C

8. Which of the following is a standard precaution?

A. Wearing PPE only for infected patients

B. Avoiding contact with patients

C. Using PPE based on anticipated exposure

D. Disinfecting only surgical rooms

✅ Answer: C

9. What is the best alternative to soap and water if unavailable?

A. Vinegar

B. Alcohol-based hand sanitizer

C. Lemon juice

D. Hand wipes

✅ Answer: B

10. Face shields are mainly used to protect:

A. The ears

B. The back of the head

D. The neck

✅ Answer: C

11. The outer surface of PPE is considered:

A. Sterile

B. Harmless

C. Contaminated

D. Dry

✅ Answer: C

12. When should gloves be used in standard precautions?

A. When touching sterile packages

B. During phone conversations

C. When expecting contact with body fluids

D. Always, for every task

✅ Answer: C

13. Proper glove removal involves:

A. Removing both gloves at once

B. Grabbing the outside of the glove and peeling

C. Washing gloves first

✅ Answer: B

14. Which PPE protects from chemical splashes and flying debris?

A. Gloves

B. Gown

C. Goggles

D. Shoes

✅ Answer: C

15. Which PPE should be worn if blood splashes are expected?

A. Face mask and gloves

B. Face shield, gown, gloves

C. Gloves only

D. Head cap

✅ Answer: B

16. When creating a sterile field, items should be kept:

A. On the floor

B. Below waist level

C. At or above waist level

D. On the patient's bed

17. Which is TRUE about sterile fields?

A. You can turn your back to it

B. Edges of sterile packages are always sterile

C. Talking over a sterile field is allowed

D. Wet or torn barriers are considered contaminated

✅ Answer: D

18. What is considered unsterile on a sterile package?

A. The center of the surface

B. The inner lining

C. The edges

D. The bottom layer

✅ Answer: C

19. Which action should be avoided over a sterile field?

A. Using sterile gloves

B. Opening sterile instruments

C. Talking or sneezing

D. Using sterile drapes

✅ Answer: C
20. What should be done immediately after removing PPE?

A. Leave the patient’s room

B. Sit down

C. Perform hand hygiene

D. Touch your face

✅ Answer: C

21. Which scenario requires glove use?

A. Reading a chart

B. Touching a patient’s wound

C. Talking with a patient

D. Measuring blood pressure

✅ Answer: B

22. Donning gowns includes ensuring it:

A. Covers only the front

B. Is open at the front

C. Covers torso, arms, and wraps around back

D. Is loose-fitting

✅ Answer: C
23. How should contaminated gloves be discarded?

A. With regular trash

B. In designated medical waste

C. In laundry

D. Kept for reuse

✅ Answer: B

24. Face masks must:

A. Be loose

B. Be below the chin only

C. Fit snugly to the face

D. Have no nose band

✅ Answer: C

25. What type of protection do safety shoes provide?

A. Head protection

B. Respiratory protection

C. Foot protection

D. Eye protection

✅ Answer: C
26. Gloves in standard precautions should:

A. Be reused

B. Be worn only by surgeons

C. Be used based on patient interaction

D. Replace hand hygiene

✅ Answer: C

27. Removing a face mask should be done by:

A. Touching the front

B. Pulling from the chin

C. Using the ear loops or ties

D. Removing gloves first

✅ Answer: C

28. Which is NOT a principle of infection prevention?

A. Hand hygiene

B. Use of PPE

C. Ignoring sterile field rules

D. Standard precautions

✅ Answer: C

29. Why is PPE selection important?

B. It reduces cost

C. It’s based on exposure risk

D. It is optional

✅ Answer: C

30. Which item is last to be donned when preparing for patient care?

A. Gloves

B. Gown

C. Mask

D. Goggles

✅ Answer: A

1. Which of the following is the first step in the nursing process?

A. Planning

B. Assessment

C. Diagnosis

D. Evaluation

✅ Answer: B

2. Which step of the nursing process involves setting measurable client goals?

A. Assessment

B. Diagnosis

C. Planning
D. Implementation

✅ Answer: C

3. Which of the following is NOT a source of assessment data?

A. Client

B. Family

C. Social media

D. Health records

✅ Answer: C

4. What type of assessment is performed during a life-threatening situation?

A. Initial

B. Emergency

C. Time-lapsed

D. Focused

✅ Answer: B

5. What is the purpose of nursing diagnosis?

A. Determine the cause of disease

B. Predict patient length of stay

C. Identify patient responses to health problems

D. Prescribe medical treatments

6. Which of the following is a risk nursing diagnosis?

A. Impaired skin integrity

B. Ineffective breathing pattern

C. Risk for infection

D. Activity intolerance

✅ Answer: C

7. Which component is NOT part of a nursing diagnosis?

A. Etiology

B. Medication

C. Problem

D. Defining characteristics

✅ Answer: B

8. A goal that describes an expected measurable outcome is part of which process?

A. Diagnosis

B. Planning

C. Evaluation

D. Assessment

✅ Answer: B
9. Which planning type is developed at patient admission?

A. Ongoing

B. Discharge

C. Initial

D. Continuous

✅ Answer: C

10. Which action is part of the implementation phase?

A. Collecting patient history

B. Giving a medication

C. Writing a diagnosis

D. Evaluating a lab result

✅ Answer: B

11. What is the main goal of implementation?

A. Plan discharge

B. Prevent documentation errors

C. Carry out interventions

D. Create care plans

✅ Answer: C
12. Which of the following is a direct care intervention?

A. Documenting care

B. Updating records

C. Performing wound dressing

D. Cleaning the room

✅ Answer: C

13. Evaluating a patient's progress toward expected outcomes is part of:

A. Assessment

B. Implementation

C. Evaluation

D. Planning

✅ Answer: C

14. Which type of assessment compares current data with previous data?

A. Focused

B. Initial

C. Emergency

D. Time-lapsed

✅ Answer: D
15. Which term refers to the reason or cause of a nursing diagnosis?

A. Symptom

B. Etiology

C. Prognosis

D. Outcome

✅ Answer: B

16. Which of the following is a wellness nursing diagnosis?

A. Risk for falls

B. Readiness for enhanced self-esteem

C. Impaired skin integrity

D. Ineffective airway clearance

✅ Answer: B

17. Nursing interventions must be:

A. General

B. Vague

C. Clearly stated and goal-directed

D. Physician-approved only

✅ Answer: C

18. Which diagnosis type involves a cluster of actual or risk problems?

B. Syndrome

C. Possible

D. Actual

✅ Answer: B

19. Subjective data are collected during which part of assessment?

A. Nursing history

B. Lab analysis

C. Diagnostic testing

D. Physical examination

✅ Answer: A

20. The holistic approach in nursing includes all EXCEPT:

A. Body

B. Mind

C. Spirit

D. Income

✅ Answer: D

21. An example of a short-term goal is:

A. “Patient will quit smoking within 6 months.”

C. “Patient will maintain BP under 120/80 for life.”

D. “Patient will reduce weight over the next year.”

✅ Answer: B

22. Which is an example of indirect care intervention?

A. Assisting with feeding

B. Turning a patient

C. Infection control planning

D. Administering oxygen

✅ Answer: C

23. How should a nurse respond to unmet patient outcomes?

A. Ignore the plan

B. Reassess and modify the plan

C. Discharge the patient

D. Repeat the same actions

✅ Answer: B

24. What is the correct order of the nursing process?

A. Diagnosis → Evaluation → Implementation → Planning → Assessment

B. Planning → Assessment → Diagnosis → Evaluation → Implementation

D. Evaluation → Planning → Assessment → Diagnosis → Implementation

✅ Answer: C

25. Which statement about the nursing process is TRUE?

A. It ends with evaluation

B. It is linear and unchangeable

C. It is cyclical and patient-centered

D. It is only used in hospitals

✅ Answer: C

26. Which tool is used for holistic nursing assessment?

A. ABC approach

B. Marjorie Gordon’s 11 patterns

C. SOAP note

D. SBAR

✅ Answer: B

27. Which of the following is an actual diagnosis?

A. Risk for injury

B. Impaired gas exchange

C. Readiness for enhanced sleep

✅ Answer: B

28. When setting priorities, which diagnosis should be addressed first?

A. Risk for falls

B. Pain

C. Ineffective coping

D. Deficient knowledge

✅ Answer: B

29. Which step comes immediately after planning?

A. Evaluation

B. Assessment

C. Implementation

D. Diagnosis

✅ Answer: C

30. A nursing diagnosis of “Impaired tissue integrity” would likely come from which data source?

A. X-ray report

B. Subjective pain scale

C. Wound observation during assessment

D. Financial records
✅ Answer: C

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