NUR 230 FINAL EXAM QUESTIONS AND
ANSWERS LATEST UPDATE 2026 |
GRADED A+
SECTION 1: INFECTION CONTROL & HAND HYGIENE
Questions 1–15
Question 1
When performing hand hygiene using an antiseptic hand rub, the nurse would continue to rub
for how long?
A) Until the hands are completely covered with the antiseptic
B) For about five seconds after applying the antiseptic
C) Until the antiseptic has evaporated from the skin
D) For several minutes to allow the antiseptic to work
Correct answer: C
Rationale: The nurse should continue rubbing hands together for 15-20 seconds or until the
antiseptic has completely evaporated from the skin. This ensures proper disinfection and allows
the alcohol-based product to work effectively .
Question 2
The nurse is required to wear a gown, gloves, goggles, and mask as personal protective
equipment (PPE) when caring for an assigned patient. Which of the following would the nurse
put on first?
A) Gown
B) Gloves
,C) Mask
D) Goggles
Correct answer: A
Rationale: The correct order for donning PPE is: gown first, then mask, then goggles, and finally
gloves. The gown is put on first to protect the nurse's clothing and provide a barrier before other
equipment is applied .
Question 3
The nurse is removing a gown after providing care to a patient. Which of the following would the
nurse do first?
A) Unfasten the ties at the neck and back
B) Pull the gown away from the body
C) Allow the gown to fall away from the shoulders
D) Turn the gown inside out
Correct answer: A
Rationale: When removing a gown, the nurse should first unfasten the ties at the neck and back.
This allows the gown to be removed without contaminating the nurse's uniform. The gown
should then be pulled away from the body and rolled inside out .
Question 4
The nurse would appropriately choose an antiseptic hand rub to perform hand hygiene for which
situation?
A) When hands are not visibly soiled
B) When body fluids are on the hands
C) Before eating
D) After using the restroom
Correct answer: A
Rationale: Antiseptic hand rubs (alcohol-based hand sanitizers) are appropriate when hands are
not visibly soiled. Soap and water must be used when hands are visibly dirty, after using the
restroom, or when body fluids are present .
,Question 5
A nursing instructor is preparing to teach a class on asepsis and hand hygiene. Which of the
following would the instructor include?
A) The sink is considered a contaminated surface
B) Antiseptic hand rubs are less effective than soap and water
C) Bar soap is preferred over liquid soap for hand washing
D) A forceful stream of water helps remove microorganisms from the hand
Correct answer: A
Rationale: The sink is considered a contaminated surface. The interior of the sink harbors
microorganisms, and water splashing from the sink can contaminate the nurse. That's why
nurses should avoid touching the sink and keep their uniform away from it .
Question 6
There is some question about the use of appropriate transmission-based precautions when
caring for a patient. Some of the nurses are wearing PPEs and others are not. Which of the
following would be most appropriate?
A) Consulting the agency's infection control manual
B) Asking the physician about the patient's condition
C) Checking the medication record for use of antibiotics
D) Checking with the other staff nurses on the unit
Correct answer: A
Rationale: The agency's infection control manual provides the official, evidence-based
guidelines for transmission-based precautions. This is the most authoritative and appropriate
source for resolving questions about PPE requirements .
Question 7
What is the most serious complication of tube feedings?
, A) Aspirated stomach content
B) Fluid imbalance
C) Tube displacement
D) Dehydration
Correct answer: A
Rationale: Aspiration of stomach contents is the most serious complication of tube feedings as it
can lead to aspiration pneumonia, respiratory distress, and potentially death. Prevention
includes elevating the head of the bed to 30-45 degrees and checking gastric residual volumes .
SECTION 2: MATERNAL-NEWBORN NURSING
Questions 16–45
Question 16
A client at 12 weeks gestation asks when she will likely feel fetal movement. The nurse's best
response is:
A) 8-10 weeks
B) 12-14 weeks
C) 16-20 weeks
D) 24-28 weeks
Correct answer: C
Rationale: Quickening (the first fetal movement perceived by the mother) typically occurs
between 16-20 weeks in primigravidas (first pregnancy) and earlier (14-16 weeks) in
multigravidas. A posterior placenta may delay perception .
Question 17
A nurse is teaching a prenatal class about expected weight gain. For a woman with normal BMI,
the recommended total weight gain is:
A) 11-20 lbs
B) 15-25 lbs
C) 25-35 lbs
ANSWERS LATEST UPDATE 2026 |
GRADED A+
SECTION 1: INFECTION CONTROL & HAND HYGIENE
Questions 1–15
Question 1
When performing hand hygiene using an antiseptic hand rub, the nurse would continue to rub
for how long?
A) Until the hands are completely covered with the antiseptic
B) For about five seconds after applying the antiseptic
C) Until the antiseptic has evaporated from the skin
D) For several minutes to allow the antiseptic to work
Correct answer: C
Rationale: The nurse should continue rubbing hands together for 15-20 seconds or until the
antiseptic has completely evaporated from the skin. This ensures proper disinfection and allows
the alcohol-based product to work effectively .
Question 2
The nurse is required to wear a gown, gloves, goggles, and mask as personal protective
equipment (PPE) when caring for an assigned patient. Which of the following would the nurse
put on first?
A) Gown
B) Gloves
,C) Mask
D) Goggles
Correct answer: A
Rationale: The correct order for donning PPE is: gown first, then mask, then goggles, and finally
gloves. The gown is put on first to protect the nurse's clothing and provide a barrier before other
equipment is applied .
Question 3
The nurse is removing a gown after providing care to a patient. Which of the following would the
nurse do first?
A) Unfasten the ties at the neck and back
B) Pull the gown away from the body
C) Allow the gown to fall away from the shoulders
D) Turn the gown inside out
Correct answer: A
Rationale: When removing a gown, the nurse should first unfasten the ties at the neck and back.
This allows the gown to be removed without contaminating the nurse's uniform. The gown
should then be pulled away from the body and rolled inside out .
Question 4
The nurse would appropriately choose an antiseptic hand rub to perform hand hygiene for which
situation?
A) When hands are not visibly soiled
B) When body fluids are on the hands
C) Before eating
D) After using the restroom
Correct answer: A
Rationale: Antiseptic hand rubs (alcohol-based hand sanitizers) are appropriate when hands are
not visibly soiled. Soap and water must be used when hands are visibly dirty, after using the
restroom, or when body fluids are present .
,Question 5
A nursing instructor is preparing to teach a class on asepsis and hand hygiene. Which of the
following would the instructor include?
A) The sink is considered a contaminated surface
B) Antiseptic hand rubs are less effective than soap and water
C) Bar soap is preferred over liquid soap for hand washing
D) A forceful stream of water helps remove microorganisms from the hand
Correct answer: A
Rationale: The sink is considered a contaminated surface. The interior of the sink harbors
microorganisms, and water splashing from the sink can contaminate the nurse. That's why
nurses should avoid touching the sink and keep their uniform away from it .
Question 6
There is some question about the use of appropriate transmission-based precautions when
caring for a patient. Some of the nurses are wearing PPEs and others are not. Which of the
following would be most appropriate?
A) Consulting the agency's infection control manual
B) Asking the physician about the patient's condition
C) Checking the medication record for use of antibiotics
D) Checking with the other staff nurses on the unit
Correct answer: A
Rationale: The agency's infection control manual provides the official, evidence-based
guidelines for transmission-based precautions. This is the most authoritative and appropriate
source for resolving questions about PPE requirements .
Question 7
What is the most serious complication of tube feedings?
, A) Aspirated stomach content
B) Fluid imbalance
C) Tube displacement
D) Dehydration
Correct answer: A
Rationale: Aspiration of stomach contents is the most serious complication of tube feedings as it
can lead to aspiration pneumonia, respiratory distress, and potentially death. Prevention
includes elevating the head of the bed to 30-45 degrees and checking gastric residual volumes .
SECTION 2: MATERNAL-NEWBORN NURSING
Questions 16–45
Question 16
A client at 12 weeks gestation asks when she will likely feel fetal movement. The nurse's best
response is:
A) 8-10 weeks
B) 12-14 weeks
C) 16-20 weeks
D) 24-28 weeks
Correct answer: C
Rationale: Quickening (the first fetal movement perceived by the mother) typically occurs
between 16-20 weeks in primigravidas (first pregnancy) and earlier (14-16 weeks) in
multigravidas. A posterior placenta may delay perception .
Question 17
A nurse is teaching a prenatal class about expected weight gain. For a woman with normal BMI,
the recommended total weight gain is:
A) 11-20 lbs
B) 15-25 lbs
C) 25-35 lbs
