NUR155 Exam 1 Comprehensive Review and Practice Test Bank for Nursing Students 2026/2027 Study Guide Edition

2026/2027



NUR 155 Exam 1 Comprehensive
Review and Practice Test Bank for
Nursing Students 2026/2027 Study
Guide Edition

Question 1
A nurse is providing care for a patient with Clostridium difficile (C. diff) infection.
Which infection control measure is most appropriate?

A. Alcohol-based hand sanitizer is sufficient after patient care
B. Standard precautions only are required
C. Soap and water must be used for hand hygiene
D. No isolation is necessary if the patient is stable

Correct Answer: C. Soap and water must be used for hand hygiene

Rationale: C. diff produces hardy spores that are not eliminated by alcohol-based
sanitizers. Therefore, handwashing with soap and water is required to physically
remove spores. Alcohol rubs may reduce bacteria but do not destroy spores. Standard
precautions alone are insufficient because contact isolation is also required to prevent
transmission.


Question 2
Which condition occurs when bacteremia leads to a systemic infection affecting the
whole body?

A. Septicemia
B. Hypertension
C. Anemia
D. Leukocytosis

Correct Answer: A. Septicemia

Rationale: Septicemia occurs when bacteria in the bloodstream spread and cause a
systemic inflammatory response. This is more severe than bacteremia alone.
Hypertension relates to blood pressure, anemia involves low red blood cells, and
leukocytosis refers to elevated white blood cells.

,2026/2027


Question 3
What does bacteremia refer to?

A. Infection of the lungs
B. Presence of bacteria in the bloodstream
C. Viral infection of the blood
D. Low oxygen levels in blood

Correct Answer: B. Presence of bacteria in the bloodstream

Rationale: Bacteremia is defined as bacteria circulating in the blood. It may be
temporary or progress to systemic infection. It is not limited to the lungs or oxygen
levels and is not viral in nature.


Question 4
A patient weighs 200 lbs. At what point is a second healthcare worker required for
safe transfer?

A. 25 lbs
B. 35 lbs
C. 50 lbs
D. 75 lbs

Correct Answer: B. 35 lbs

Rationale: Safe patient handling guidelines recommend assistance when patients
exceed approximately 35 lbs to reduce injury risk to staff and patient. Heavier patients
require team-based or mechanical lifting. This is a safety standard in healthcare
settings.


Question 5
Which transfer technique is required for a patient with suspected spinal injury?

A. Pivot transfer
B. Log roll
C. Chair transfer
D. Assisted ambulation

Correct Answer: B. Log roll

Rationale: The log roll technique maintains spinal alignment by moving the head,
neck, and spine as one unit. This prevents further injury in spinal trauma cases. Other
methods may cause spinal misalignment and worsen injury.

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Question 6
Which PPE is required for airborne isolation precautions?

A. Surgical mask
B. N95 respirator
C. Gloves only
D. Face shield only

Correct Answer: B. N95 respirator

Rationale: Airborne pathogens require an N95 respirator due to their ability to remain
suspended in the air. Surgical masks are insufficient. Gloves or face shields alone do
not protect against inhalation of airborne particles.


Question 7
Which diseases require airborne precautions?

A. Influenza and mumps
B. Tuberculosis, measles, and varicella
C. MRSA and C. diff
D. Hepatitis A and E. coli

Correct Answer: B. Tuberculosis, measles, and varicella

Rationale: These diseases are transmitted via airborne particles that remain suspended
in air. They require specialized respiratory protection. Influenza is droplet spread,
while MRSA and C. diff are contact transmitted.


Question 8
Which infection requires contact precautions?

A. Tuberculosis
B. MRSA and C. diff
C. Measles
D. Influenza

Correct Answer: B. MRSA and C. diff

Rationale: Contact precautions are used for organisms spread by direct or indirect
contact. MRSA and C. diff contaminate surfaces and hands easily. Airborne and
droplet diseases require different precautions.

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Question 9
Which sequence represents the correct Nursing Process?

A. Diagnosis → Assessment → Planning → Implementation → Evaluation
B. Assessment → Diagnosis → Planning → Implementation → Evaluation
C. Planning → Diagnosis → Assessment → Evaluation → Implementation
D. Implementation → Assessment → Diagnosis → Planning → Evaluation

Correct Answer: B. Assessment → Diagnosis → Planning → Implementation →
Evaluation

Rationale: The nursing process is a structured clinical framework beginning with
assessment and ending with evaluation. This ensures systematic, safe, and evidence-
based patient care.


Question 10
Which component is NOT part of SMART goals?

A. Specific
B. Measurable
C. Attainable
D. Subjective

Correct Answer: D. Subjective

Rationale: SMART goals must be Specific, Measurable, Attainable, Realistic, and
Timely. Subjective goals are not measurable and therefore are not included.


Question 11
What is the correct immediate action after a needlestick injury?

A. Ignore and continue care
B. Squeeze wound and allow bleeding
C. Cover immediately without washing
D. Wait for supervisor instructions

Correct Answer: B. Squeeze wound and allow bleeding

Rationale: Immediate action includes encouraging bleeding and flushing the area to
reduce pathogen load. Delayed response increases infection risk. Reporting and
follow-up are also essential.