NR 224: Fundamentals of Nursing | Week 7 Quiz 2026 |Chamberlain
1. A nurse is caring for a patient who is experiencing difficulty breathing. Which
of the following is an early sign of hypoxia?
A. Cyanosis
B. Hypotension
C. Bradycardia
D. Restlessness
Answer: D
Rationale: Restlessness and anxiety are early signs of hypoxia as the brain responds to
decreasing oxygen levels. Cyanosis and bradycardia are late signs.
2. When administering a cleansing enema, which position should the nurse
place the patient in?
A. High-Fowler’s
B. Prone
C. Left-lateral Sim’s
D. Lithotomy
Answer: C
Rationale: The left-lateral Sim’s position allows the enema solution to flow by gravity into
the sigmoid colon and rectum.
,3. Which of the following interventions is most effective in preventing Catheter-
Associated Urinary Tract Infections (CAUTI)?
A. Maintaining a closed drainage system
B. Keeping the drainage bag above the level of the bladder
C. Cleaning the catheter with antiseptic every 4 hours
D. Encouraging the patient to hold their urine
Answer: A
Rationale: A closed drainage system is critical to prevent the entry of bacteria into the
urinary tract.
4. A nurse identifies a pressure injury that has partial-thickness skin loss
involving the epidermis and dermis, presenting as a shallow open ulcer. How
should the nurse stage this?
A. Stage 1
B. Stage 4
C. Stage 3
D. Stage 2
Answer: D
Rationale: Stage 2 pressure injuries involve partial-thickness loss of skin with a visible
pink/red wound bed or a serum-filled blister.
5. What is the maximum recommended flow rate for a patient using a nasal
cannula?
A. 2 L/min
B. 6 L/min
C. 4 L/min
D. 10 L/min
Answer: B
, Rationale: A nasal cannula is typically used for flow rates of 1 to 6 L/min; higher rates can
dry out the mucosa and do not significantly increase oxygen delivery.
6. A patient has a new ileostomy. What type of stool consistency should the
nurse expect to observe?
A. Formed and brown
B. Liquid and continuous
C. Semi-formed and soft
D. Hard and infrequent
Answer: B
Rationale: Since the ileostomy bypasses the large intestine where water is absorbed, the
output is typically liquid and continuous.
7. Which assessment finding indicates that a patient is experiencing urinary
retention?
A. Large amounts of dilute urine
B. Pain in the suprapubic area and small frequent voids
C. Burning sensation during urination
D. Inability to control the urge to void
Answer: B
Rationale: Urinary retention often presents with bladder distention, discomfort, and
‘overflow’ voiding (small amounts frequently).
8. The nurse is performing tracheostomy care. Which action is essential for
maintaining safety?
A. Applying suction for 30 seconds at a time
B. Using sterile technique for the inner cannula
C. Removing the old ties before securing the new ones
D. Cleaning the stoma with hydrogen peroxide only
Answer: B
1. A nurse is caring for a patient who is experiencing difficulty breathing. Which
of the following is an early sign of hypoxia?
A. Cyanosis
B. Hypotension
C. Bradycardia
D. Restlessness
Answer: D
Rationale: Restlessness and anxiety are early signs of hypoxia as the brain responds to
decreasing oxygen levels. Cyanosis and bradycardia are late signs.
2. When administering a cleansing enema, which position should the nurse
place the patient in?
A. High-Fowler’s
B. Prone
C. Left-lateral Sim’s
D. Lithotomy
Answer: C
Rationale: The left-lateral Sim’s position allows the enema solution to flow by gravity into
the sigmoid colon and rectum.
,3. Which of the following interventions is most effective in preventing Catheter-
Associated Urinary Tract Infections (CAUTI)?
A. Maintaining a closed drainage system
B. Keeping the drainage bag above the level of the bladder
C. Cleaning the catheter with antiseptic every 4 hours
D. Encouraging the patient to hold their urine
Answer: A
Rationale: A closed drainage system is critical to prevent the entry of bacteria into the
urinary tract.
4. A nurse identifies a pressure injury that has partial-thickness skin loss
involving the epidermis and dermis, presenting as a shallow open ulcer. How
should the nurse stage this?
A. Stage 1
B. Stage 4
C. Stage 3
D. Stage 2
Answer: D
Rationale: Stage 2 pressure injuries involve partial-thickness loss of skin with a visible
pink/red wound bed or a serum-filled blister.
5. What is the maximum recommended flow rate for a patient using a nasal
cannula?
A. 2 L/min
B. 6 L/min
C. 4 L/min
D. 10 L/min
Answer: B
, Rationale: A nasal cannula is typically used for flow rates of 1 to 6 L/min; higher rates can
dry out the mucosa and do not significantly increase oxygen delivery.
6. A patient has a new ileostomy. What type of stool consistency should the
nurse expect to observe?
A. Formed and brown
B. Liquid and continuous
C. Semi-formed and soft
D. Hard and infrequent
Answer: B
Rationale: Since the ileostomy bypasses the large intestine where water is absorbed, the
output is typically liquid and continuous.
7. Which assessment finding indicates that a patient is experiencing urinary
retention?
A. Large amounts of dilute urine
B. Pain in the suprapubic area and small frequent voids
C. Burning sensation during urination
D. Inability to control the urge to void
Answer: B
Rationale: Urinary retention often presents with bladder distention, discomfort, and
‘overflow’ voiding (small amounts frequently).
8. The nurse is performing tracheostomy care. Which action is essential for
maintaining safety?
A. Applying suction for 30 seconds at a time
B. Using sterile technique for the inner cannula
C. Removing the old ties before securing the new ones
D. Cleaning the stoma with hydrogen peroxide only
Answer: B
