NURS 101L | Fundamentals of Nursing Skills Lab | Week 12 Quiz 2026
|WCU
1. When performing a sterile dressing change, the nurse notices that the
patient’s cough has caused a drop of moisture to fall onto the sterile field.
Which action is most appropriate?
A. Continue the procedure but avoid the moist area.
B. Discard the entire sterile field and start over with new supplies.
C. Wipe the moisture with a sterile gauze pad.
D. Cover the moist area with a sterile drape and proceed.
Answer: B
Rationale: Moisture that permeates a sterile field causes contamination by wicking
microorganisms from the non-sterile surface beneath. The entire field must be considered
contaminated.
2. A nurse is preparing to administer 12 units of NPH insulin and 4 units of
Regular insulin. Which step should the nurse perform first?
A. Draw up the Regular insulin first.
B. Inject 12 units of air into the NPH vial.
C. Inject 4 units of air into the Regular vial.
D. Draw up the NPH insulin first.
Answer: B
Rationale: The correct sequence for mixing insulin is to inject air into the cloudy (NPH)
vial first, then air into the clear (Regular) vial, then draw the clear, then draw the cloudy.
,3. A patient with a tracheostomy requires suctioning. During the procedure, the
nurse should limit the suctioning time to:
A. 10 to 15 seconds
B. 30 seconds
C. 5 seconds
D. 20 to 25 seconds
Answer: A
Rationale: Suctioning for longer than 15 seconds can cause significant hypoxia and vagal
stimulation leading to bradycardia.
4. Which clinical finding at an IV site most specifically indicates phlebitis rather
than infiltration?
A. Coolness of the skin around the site
B. Edema above the insertion site
C. Palpable venous cord and warmth
D. Dampness of the dressing
Answer: C
Rationale: Phlebitis is inflammation of the vein characterized by warmth, redness, and a
palpable cord. Infiltration is characterized by coolness and edema.
5. The nurse is assessing a patient’s wound and notes the presence of
‘granulation tissue’. How should this be documented?
A. Red, moist tissue composed of new blood vessels
B. Presence of necrotic slough
C. Dry, black leathery tissue
D. Purulent drainage indicating infection
Answer: A
Rationale: Granulation tissue is red, moist tissue composed of new blood vessels,
indicating progression toward healing.
, 6. What is the first action a nurse should take when an IV pump alarms
‘Occlusion’?
A. Check the tubing for kinks or closed clamps.
B. Change the IV catheter.
C. Increase the flow rate.
D. Flush the line with 10mL of saline.
Answer: A
Rationale: Assessment should always be the first step; checking for mechanical
obstructions like kinks is the least invasive first action.
7. Which position is most appropriate for a patient receiving a cleansing enema?
A. High-Fowler’s
B. Right side-lying with knees flexed
C. Left-lateral Sims’ position
D. Lithotomy
Answer: C
Rationale: The Left Sims’ position allows the enema solution to flow by gravity into the
sigmoid colon and rectum.
8. A nurse is preparing to insert a Foley catheter. After cleaning the labia
minora, what is the next step?
A. Clean the labia majora.
B. Insert the catheter 2-3 inches.
C. Clean the urethral meatus.
D. Inflate the balloon to test it.
Answer: C
Rationale: The sequence of cleaning is from the periphery to the center (meatus) to ensure
the meatus is the cleanest area before insertion.
|WCU
1. When performing a sterile dressing change, the nurse notices that the
patient’s cough has caused a drop of moisture to fall onto the sterile field.
Which action is most appropriate?
A. Continue the procedure but avoid the moist area.
B. Discard the entire sterile field and start over with new supplies.
C. Wipe the moisture with a sterile gauze pad.
D. Cover the moist area with a sterile drape and proceed.
Answer: B
Rationale: Moisture that permeates a sterile field causes contamination by wicking
microorganisms from the non-sterile surface beneath. The entire field must be considered
contaminated.
2. A nurse is preparing to administer 12 units of NPH insulin and 4 units of
Regular insulin. Which step should the nurse perform first?
A. Draw up the Regular insulin first.
B. Inject 12 units of air into the NPH vial.
C. Inject 4 units of air into the Regular vial.
D. Draw up the NPH insulin first.
Answer: B
Rationale: The correct sequence for mixing insulin is to inject air into the cloudy (NPH)
vial first, then air into the clear (Regular) vial, then draw the clear, then draw the cloudy.
,3. A patient with a tracheostomy requires suctioning. During the procedure, the
nurse should limit the suctioning time to:
A. 10 to 15 seconds
B. 30 seconds
C. 5 seconds
D. 20 to 25 seconds
Answer: A
Rationale: Suctioning for longer than 15 seconds can cause significant hypoxia and vagal
stimulation leading to bradycardia.
4. Which clinical finding at an IV site most specifically indicates phlebitis rather
than infiltration?
A. Coolness of the skin around the site
B. Edema above the insertion site
C. Palpable venous cord and warmth
D. Dampness of the dressing
Answer: C
Rationale: Phlebitis is inflammation of the vein characterized by warmth, redness, and a
palpable cord. Infiltration is characterized by coolness and edema.
5. The nurse is assessing a patient’s wound and notes the presence of
‘granulation tissue’. How should this be documented?
A. Red, moist tissue composed of new blood vessels
B. Presence of necrotic slough
C. Dry, black leathery tissue
D. Purulent drainage indicating infection
Answer: A
Rationale: Granulation tissue is red, moist tissue composed of new blood vessels,
indicating progression toward healing.
, 6. What is the first action a nurse should take when an IV pump alarms
‘Occlusion’?
A. Check the tubing for kinks or closed clamps.
B. Change the IV catheter.
C. Increase the flow rate.
D. Flush the line with 10mL of saline.
Answer: A
Rationale: Assessment should always be the first step; checking for mechanical
obstructions like kinks is the least invasive first action.
7. Which position is most appropriate for a patient receiving a cleansing enema?
A. High-Fowler’s
B. Right side-lying with knees flexed
C. Left-lateral Sims’ position
D. Lithotomy
Answer: C
Rationale: The Left Sims’ position allows the enema solution to flow by gravity into the
sigmoid colon and rectum.
8. A nurse is preparing to insert a Foley catheter. After cleaning the labia
minora, what is the next step?
A. Clean the labia majora.
B. Insert the catheter 2-3 inches.
C. Clean the urethral meatus.
D. Inflate the balloon to test it.
Answer: C
Rationale: The sequence of cleaning is from the periphery to the center (meatus) to ensure
the meatus is the cleanest area before insertion.
