Culture & Communication
Clue: “Best first step if a patient prefers a language you do not speak.”
Correct response: Request a professional interpreter.
Clue: “Best action after removing gloves.”
Correct response: Perform hand hygiene.
Clue: “First step before helping a patient ambulate.”
Correct response: Assess strength, dizziness history, orthostatic vitals, and put on non-slip footwear.
Clue: “Normal adult resting RR range.”
Correct response: 12–20 breaths per minute
Clue: “First step when a patient’s respiratory status is deteriorating at shift change.”
Correct response: Reassess the patient and notify the RN/MD with SBAR.
Clue: “If a patient refuses a procedure due to cultural beliefs, the nurse should:”
Correct response: Explore reasons, assess risks/benefits, involve patient/family and document refusal; offer alternatives if safe.
Clue: “When should airborne precautions be used?”
Correct response: For diseases transmitted by airborne droplet nuclei (e.g., TB, measles, varicella).
Clue: “When lifting an object from the floor, you should:”
Correct response: Use legs, keep back straight, keep object close, avoid twisting.
Clue: “Best place to assess peripheral perfusion quickly.”
Correct response: Capillary refill and distal pulses (e.g., fingernail beds).
Clue: “Tool to organize data and identify priority problems quickly.”
Correct response: Nursing process/problem list with priority ranking.
Clue: “Nonverbal behavior that may mean discomfort in some cultures”
Correct response: Avoiding eye contact.
Clue: “Sterile technique is required for:”
Correct response: Insertion of urinary catheter in an operating room or sterile wound packing—procedures that enter sterile body spaces.
Clue: “Least restrictive intervention for patient who wanders at night.”
Correct response: Place personal items within reach, bed alarm, reorientation, involve family; use sitter before restraints.
Clue: “An irregularly irregular pulse suggests:”
Correct response: Atrial fibrillation.
Clue: “When an LPN notices a new order to change a care plan, what is the appropriate action?”
Correct response: Ask the RN about the rationale and if the order is implemented; carry out tasks within scope after clarification.
Clue: “Teach-back is best described as:”
Correct response: Asking the patient to demonstrate or explain back key points to confirm understanding.
Clue: “Most effective single action to prevent transmission of hospital pathogens.”
Correct response: Proper and timely hand hygiene.
Clue: “Appropriate immediate action when a patient begins to fall.”
Correct response: Ease them to ground using legs, protect head, call for help—do not try to hold them upright.
Clue: “When measuring manual BP, you should:”
Correct response: Use correctly sized cuff and place cuff at heart level; inflate to 20–30 mmHg above palpated systolic.
Clue: “A quick method to communicate urgent clinical changes to the MD using a concise structured format.”
Correct response: SBAR (Situation, Background, Assessment, Recommendation).