NURS 101L Fundamentals of Nursing Skills Lab Module Exam 1 (Week
3) 2026 |WCU
1. A nurse is caring for a client with Clostridium difficile (C. diff). Which hand
hygiene method is mandatory after providing direct care?
A. Alcohol-based hand sanitizer
B. Antiseptic hand wipes
C. Soap and water washing for at least 15 seconds
D. Hydrogen peroxide hand rub
Answer: C
Rationale: Alcohol-based hand rubs are ineffective against C. difficile spores; the
mechanical friction of soap and water is required to remove them.
2. When assessing a client’s blood pressure, the nurse chooses a cuff that is too
narrow for the client’s arm. What impact will this have on the reading?
A. Difficulty hearing Korotkoff sounds
B. A falsely low reading
C. No change in the reading
D. A falsely high reading
Answer: D
Rationale: A cuff that is too small or too narrow will result in a falsely high blood pressure
reading.
,3. The nurse is preparing a sterile field for a dressing change. Which area of the
sterile field is considered contaminated?
A. The center of the sterile drape
B. The 1-inch (2.5 cm) border around the edge
C. The top surface of the drape
D. The items placed in the center of the field
Answer: B
Rationale: In surgical asepsis, the 1-inch (2.5 cm) border around the edge of a sterile field
is considered contaminated.
4. Which of the following is the correct sequence for donning personal
protective equipment (PPE)?
A. Gloves, Gown, Mask, Goggles
B. Gown, Mask, Goggles, Gloves
C. Gown, Mask, Gloves, Goggles
D. Mask, Goggles, Gown, Gloves
Answer: B
Rationale: The standard donning sequence to prevent contamination is: Gown, Mask,
Goggles/Shield, and then Gloves last.
5. A nurse is removing PPE after caring for a client on contact precautions.
Which item should be removed first?
A. Mask
B. Gown
C. Gloves
D. Goggles
Answer: C
Rationale: Gloves are the most contaminated item and should be removed first, followed
by goggles, gown, and then the mask.
, 6. A nurse is measuring a client’s rectal temperature. Which of the following is a
contraindication for this route?
A. A client with a low platelet count
B. Nasal congestion
C. A client who is unconscious
D. A client who has just finished a hot meal
Answer: A
Rationale: Rectal temperatures are contraindicated in clients with bleeding disorders or
low platelet counts (thrombocytopenia) due to the risk of tissue trauma and bleeding.
7. How is a pulse deficit calculated?
A. Subtracting the radial pulse rate from the apical pulse rate
B. Subtracting the diastolic pressure from the systolic pressure
C. Subtracting the respiratory rate from the pulse rate
D. Adding the apical and radial pulse rates together
Answer: A
Rationale: A pulse deficit is the difference between the apical pulse and the radial pulse,
often indicating that heart contractions are too weak to produce a palpable peripheral
pulse.
8. A client is suspected of having pulmonary tuberculosis. Which precautions
should the nurse implement?
A. Airborne precautions
B. Droplet precautions
C. Standard precautions only
D. Contact precautions
Answer: A
Rationale: Tuberculosis requires airborne precautions, which include a private room with
negative pressure and the use of an N95 respirator.
3) 2026 |WCU
1. A nurse is caring for a client with Clostridium difficile (C. diff). Which hand
hygiene method is mandatory after providing direct care?
A. Alcohol-based hand sanitizer
B. Antiseptic hand wipes
C. Soap and water washing for at least 15 seconds
D. Hydrogen peroxide hand rub
Answer: C
Rationale: Alcohol-based hand rubs are ineffective against C. difficile spores; the
mechanical friction of soap and water is required to remove them.
2. When assessing a client’s blood pressure, the nurse chooses a cuff that is too
narrow for the client’s arm. What impact will this have on the reading?
A. Difficulty hearing Korotkoff sounds
B. A falsely low reading
C. No change in the reading
D. A falsely high reading
Answer: D
Rationale: A cuff that is too small or too narrow will result in a falsely high blood pressure
reading.
,3. The nurse is preparing a sterile field for a dressing change. Which area of the
sterile field is considered contaminated?
A. The center of the sterile drape
B. The 1-inch (2.5 cm) border around the edge
C. The top surface of the drape
D. The items placed in the center of the field
Answer: B
Rationale: In surgical asepsis, the 1-inch (2.5 cm) border around the edge of a sterile field
is considered contaminated.
4. Which of the following is the correct sequence for donning personal
protective equipment (PPE)?
A. Gloves, Gown, Mask, Goggles
B. Gown, Mask, Goggles, Gloves
C. Gown, Mask, Gloves, Goggles
D. Mask, Goggles, Gown, Gloves
Answer: B
Rationale: The standard donning sequence to prevent contamination is: Gown, Mask,
Goggles/Shield, and then Gloves last.
5. A nurse is removing PPE after caring for a client on contact precautions.
Which item should be removed first?
A. Mask
B. Gown
C. Gloves
D. Goggles
Answer: C
Rationale: Gloves are the most contaminated item and should be removed first, followed
by goggles, gown, and then the mask.
, 6. A nurse is measuring a client’s rectal temperature. Which of the following is a
contraindication for this route?
A. A client with a low platelet count
B. Nasal congestion
C. A client who is unconscious
D. A client who has just finished a hot meal
Answer: A
Rationale: Rectal temperatures are contraindicated in clients with bleeding disorders or
low platelet counts (thrombocytopenia) due to the risk of tissue trauma and bleeding.
7. How is a pulse deficit calculated?
A. Subtracting the radial pulse rate from the apical pulse rate
B. Subtracting the diastolic pressure from the systolic pressure
C. Subtracting the respiratory rate from the pulse rate
D. Adding the apical and radial pulse rates together
Answer: A
Rationale: A pulse deficit is the difference between the apical pulse and the radial pulse,
often indicating that heart contractions are too weak to produce a palpable peripheral
pulse.
8. A client is suspected of having pulmonary tuberculosis. Which precautions
should the nurse implement?
A. Airborne precautions
B. Droplet precautions
C. Standard precautions only
D. Contact precautions
Answer: A
Rationale: Tuberculosis requires airborne precautions, which include a private room with
negative pressure and the use of an N95 respirator.
