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J1 Nursing Orientation

Total questions: 10

Worksheet time: 5mins

Name
Class
Date
1.

The nurse is caring for a client who is receiving oxygen therapy for shortness of breath. Which finding is the best indicator that the oxygen therapy is effective?

a)

Respiratory rate falls from thirty to twenty‑four

b)

Pulse oximetry reads 95 percent saturation

c)

Lips appear pink without obvious cyanosis

d)

Client reports feeling less anxious now

2.

The nurse is teaching a client how to prevent infection after surgery. Which instructions should the nurse include? Select all that apply.

a)

Wash hands before and after touching the incision

b)

Keep the incision clean and dry at home

c)

Report redness, swelling, or drainage promptly

d)

Apply lotion to the incision site daily

e)

Change the dressing using clean technique only

3.

Which action is most effective in preventing the spread of infection?

a)

Wearing a mask in public areas

b)

Cleaning equipment thoroughly daily

c)

Performing hand hygiene consistently

d)

Wearing gloves during patient care

4.

Which statement by a nursing student shows understanding of proper hand hygiene?

a)

"Wearing gloves removes the need for any hand hygiene"

b)

"Hand hygiene helps reduce spread of microorganisms between patients"

c)

"Alcohol-based sanitizer replaces handwashing in every situation"

d)

"Hand hygiene is needed only when hands look dirty"

5.

A nurse is preparing to give an oral medication to a client. Which action should occur first?

a)

Identify the client with two unique identifiers

b)

Explain the medication purpose to the client

c)

Perform hand hygiene before medication preparation

d)

Don clean gloves for routine administration

6.

While observing students in clinical practice, which action requires immediate correction?

a)

Performing hand hygiene after removing gloves

b)

Using alcohol-based sanitizer before entering a client room

c)

Applying clean gloves without first performing hand hygiene

d)

Performing hand hygiene prior to a sterile procedure

7.

A nurse cares for a homeless client admitted with dehydration and malnutrition who feels lonely and fearful. Which intervention should be prioritized using Maslow’s Hierarchy of Needs?

a)

Provide a warm meal and oral rehydration fluids

b)

Arrange a social worker for housing discussion

c)

Offer printed information on community support groups

d)

Sit and explore feelings of loneliness and fear

8.

A client states they are contemplating suicide. The nurse notices the client holding a curtain chain. What is the priority action?

a)

Ask if anything changed their mood today

b)

Leave briefly to get another nurse for help

c)

Assess depression level with a standardized scale

d)

Request the client place the chain on the table

9.

A newborn born 3 hours ago to a mother with gestational diabetes is being assessed. What is the initial nursing action?

a)

Give water and dextrose in a bottle now

b)

Call the healthcare provider immediately

c)

Observe quietly for additional symptoms

d)

Determine the newborn’s blood glucose level

10.

A nurse finds a client lying supine and acutely short of breath. What is the most appropriate next nursing action?

a)

Document the assessment findings thoroughly

b)

Call the primary healthcare provider immediately

c)

Ask when the breathing problem first started

d)

Elevate the head of the bed to high Fowler’s