NSG 3130 EXAM 2 FUNDAMENTAL CONCEPTS NURSING
PRACTICE II 2026/2027 | 100+ Questions and Correct
Answers | Latest Practice Test | Pass Guaranteed - A+
Graded
Domain 1: Safety & Infection Control (15 Questions)
Q1: A 68-year-old patient with Clostridioides difficile (C. diff) infection is being admitted
to the medical-surgical unit. The nurse is preparing the room and planning care. Which
action by the nurse demonstrates correct understanding of transmission-based
precautions?
A. Place the patient in a private room and wear a surgical mask when entering the room.
B. Place the patient in a private room with the door closed and wear a gown and gloves
for all patient contact; perform hand hygiene with soap and water. [CORRECT]
C. Place the patient in a private room with negative pressure ventilation and wear an
N95 respirator.
D. Place the patient in any available room and wear a gown, gloves, and face shield for
all patient contact.
Correct Answer: B
Rationale: C. difficile is transmitted via the fecal-oral route and requires Contact
Precautions. The patient must be placed in a private room (or cohort with another C. diff
patient), and healthcare workers must wear gowns and gloves for all patient contact.
,Crucially, alcohol-based hand sanitizers are ineffective against C. diff spores; soap and
water must be used for hand hygiene. Option A is incorrect because a surgical mask is
unnecessary for contact precautions (droplet precautions require masks). Option C
describes Airborne Precautions (negative pressure, N95), which is inappropriate for C.
diff. Option D is incorrect because any available room violates isolation requirements,
and face shields are unnecessary unless splash risk exists.
Q2: A nurse is preparing to insert a Foley catheter on a patient in Contact Precautions
for MRSA. After donning appropriate PPE and performing hand hygiene, which action
demonstrates proper medical asepsis during the procedure?
A. Clean the perineal area from back to front using the same motion for all strokes.
B. Use sterile gloves and maintain sterile technique throughout catheter insertion while
keeping the sterile field below waist level. [CORRECT]
C. Touch the sterile catheter with clean gloves if the sterile gloves become
contaminated.
D. Place the sterile drape so that the edge hangs over the side of the bed for easy
access.
Correct Answer: B
Rationale: Medical asepsis requires sterile technique for invasive procedures like
catheterization. Sterile gloves must be used, and the sterile field must be maintained
(kept above waist level, not below). Option A violates principles of perineal cleaning
(should be front to back to prevent contamination from anal area). Option C violates
sterile technique—once sterile gloves are contaminated, they must be changed;
,touching a sterile catheter with clean gloves contaminates it. Option D is incorrect
because sterile fields must not hang over edges where they can become contaminated
by contact with non-sterile surfaces.
Q3: A nurse witnesses a needlestick injury after recapping a used syringe. Which is the
priority nursing action?
A. Immediately wash the area with soap and water and report to employee health.
[CORRECT]
B. Apply pressure to the wound and continue patient care activities.
C. Wait until the end of the shift to report the incident if no bleeding occurs.
D. Disinfect the wound with alcohol and apply a bandage without reporting.
Correct Answer: A
Rationale: Immediate washing with soap and water is the first priority to reduce viral
load exposure. Reporting to employee health is mandatory for post-exposure
prophylaxis evaluation and follow-up. Option B delays critical first aid and infection
prevention. Option C is a serious safety violation—needlesticks must be reported
immediately regardless of bleeding. Option D is inadequate because alcohol is not the
recommended first step (soap and water is preferred), and failure to report violates
OSHA standards and hospital policy, potentially delaying necessary prophylaxis.
, Q4: A patient with tuberculosis is being transported to the radiology department. Which
action by the nurse ensures safety of other patients and staff during transport?
A. Apply an oxygen mask to the patient during transport to prevent droplet spread.
B. Have the patient wear a surgical mask and notify receiving department of Airborne
Precautions status. [CORRECT]
C. Place the patient in a negative pressure room in radiology without additional
precautions.
D. Transport the patient without a mask to minimize patient anxiety.
Correct Answer: B
Rationale: Patients with suspected or confirmed tuberculosis require Airborne
Precautions. During transport, the patient must wear a surgical mask (not N95—the
mask is to protect others from the patient, not the patient from others). The receiving
department must be notified to prepare appropriate isolation. Option A is incorrect
because oxygen masks do not filter exhaled air. Option C is incomplete—notification is
essential. Option D is a serious safety violation that places others at risk for exposure to
Mycobacterium tuberculosis.
Q5: A nurse is assessing a confused, agitated patient who repeatedly attempts to
remove their IV line and climb out of bed. The physician orders wrist restraints. Which
nursing action demonstrates appropriate, safe application of restraints?
A. Apply restraints tightly enough that the patient cannot slip their hands out, securing
to the bed frame.
PRACTICE II 2026/2027 | 100+ Questions and Correct
Answers | Latest Practice Test | Pass Guaranteed - A+
Graded
Domain 1: Safety & Infection Control (15 Questions)
Q1: A 68-year-old patient with Clostridioides difficile (C. diff) infection is being admitted
to the medical-surgical unit. The nurse is preparing the room and planning care. Which
action by the nurse demonstrates correct understanding of transmission-based
precautions?
A. Place the patient in a private room and wear a surgical mask when entering the room.
B. Place the patient in a private room with the door closed and wear a gown and gloves
for all patient contact; perform hand hygiene with soap and water. [CORRECT]
C. Place the patient in a private room with negative pressure ventilation and wear an
N95 respirator.
D. Place the patient in any available room and wear a gown, gloves, and face shield for
all patient contact.
Correct Answer: B
Rationale: C. difficile is transmitted via the fecal-oral route and requires Contact
Precautions. The patient must be placed in a private room (or cohort with another C. diff
patient), and healthcare workers must wear gowns and gloves for all patient contact.
,Crucially, alcohol-based hand sanitizers are ineffective against C. diff spores; soap and
water must be used for hand hygiene. Option A is incorrect because a surgical mask is
unnecessary for contact precautions (droplet precautions require masks). Option C
describes Airborne Precautions (negative pressure, N95), which is inappropriate for C.
diff. Option D is incorrect because any available room violates isolation requirements,
and face shields are unnecessary unless splash risk exists.
Q2: A nurse is preparing to insert a Foley catheter on a patient in Contact Precautions
for MRSA. After donning appropriate PPE and performing hand hygiene, which action
demonstrates proper medical asepsis during the procedure?
A. Clean the perineal area from back to front using the same motion for all strokes.
B. Use sterile gloves and maintain sterile technique throughout catheter insertion while
keeping the sterile field below waist level. [CORRECT]
C. Touch the sterile catheter with clean gloves if the sterile gloves become
contaminated.
D. Place the sterile drape so that the edge hangs over the side of the bed for easy
access.
Correct Answer: B
Rationale: Medical asepsis requires sterile technique for invasive procedures like
catheterization. Sterile gloves must be used, and the sterile field must be maintained
(kept above waist level, not below). Option A violates principles of perineal cleaning
(should be front to back to prevent contamination from anal area). Option C violates
sterile technique—once sterile gloves are contaminated, they must be changed;
,touching a sterile catheter with clean gloves contaminates it. Option D is incorrect
because sterile fields must not hang over edges where they can become contaminated
by contact with non-sterile surfaces.
Q3: A nurse witnesses a needlestick injury after recapping a used syringe. Which is the
priority nursing action?
A. Immediately wash the area with soap and water and report to employee health.
[CORRECT]
B. Apply pressure to the wound and continue patient care activities.
C. Wait until the end of the shift to report the incident if no bleeding occurs.
D. Disinfect the wound with alcohol and apply a bandage without reporting.
Correct Answer: A
Rationale: Immediate washing with soap and water is the first priority to reduce viral
load exposure. Reporting to employee health is mandatory for post-exposure
prophylaxis evaluation and follow-up. Option B delays critical first aid and infection
prevention. Option C is a serious safety violation—needlesticks must be reported
immediately regardless of bleeding. Option D is inadequate because alcohol is not the
recommended first step (soap and water is preferred), and failure to report violates
OSHA standards and hospital policy, potentially delaying necessary prophylaxis.
, Q4: A patient with tuberculosis is being transported to the radiology department. Which
action by the nurse ensures safety of other patients and staff during transport?
A. Apply an oxygen mask to the patient during transport to prevent droplet spread.
B. Have the patient wear a surgical mask and notify receiving department of Airborne
Precautions status. [CORRECT]
C. Place the patient in a negative pressure room in radiology without additional
precautions.
D. Transport the patient without a mask to minimize patient anxiety.
Correct Answer: B
Rationale: Patients with suspected or confirmed tuberculosis require Airborne
Precautions. During transport, the patient must wear a surgical mask (not N95—the
mask is to protect others from the patient, not the patient from others). The receiving
department must be notified to prepare appropriate isolation. Option A is incorrect
because oxygen masks do not filter exhaled air. Option C is incomplete—notification is
essential. Option D is a serious safety violation that places others at risk for exposure to
Mycobacterium tuberculosis.
Q5: A nurse is assessing a confused, agitated patient who repeatedly attempts to
remove their IV line and climb out of bed. The physician orders wrist restraints. Which
nursing action demonstrates appropriate, safe application of restraints?
A. Apply restraints tightly enough that the patient cannot slip their hands out, securing
to the bed frame.
