NR 226: Fundamentals of Patient Care - Week 5 Quiz 2026
|Chamberlain
1. When providing perineal care for a female patient, in which direction should
the nurse wipe?
A. Back to front
B. Circular motion around the labia
C. Side to side
D. Front to back
Answer: D
Rationale: Cleaning from front to back (urinary meatus to rectum) reduces the risk of
introducing fecal matter into the urethra, preventing UTIs.
2. Which of the following is the most effective way to break the chain of
infection?
A. Wearing a gown for all patient contact
B. Hand hygiene
C. Administering prophylactic antibiotics
D. Ensuring the patient is in a private room
Answer: B
Rationale: Hand hygiene is the single most effective method for preventing the
transmission of pathogens in healthcare settings.
,3. While performing a bed bath, the nurse notices a reddened area on the
patient’s sacrum that does not blanch. What is the priority nursing action?
A. Reposition the patient to avoid pressure on the area
B. Apply a heating pad to the area
C. Document the finding and notify the provider
D. Massage the area to increase circulation
Answer: A
Rationale: A non-blanchable reddened area indicates a Stage 1 pressure injury. The
priority is to relieve pressure to prevent further tissue damage.
4. A patient who is bedridden is at high risk for which respiratory complication?
A. Asthma
B. Hyperventilation
C. Atelectasis
D. Pneumothorax
Answer: C
Rationale: Immobility leads to decreased lung expansion, which can result in the collapse
of alveoli (atelectasis) and subsequent pneumonia.
5. What is the correct technique for assessing a patient’s radial pulse?
A. Use the tips of the first two or three fingers over the radial artery
B. Apply heavy pressure with the index and middle fingers
C. Use the thumb to feel the pulse on the inner wrist
D. Count the pulse for 10 seconds and multiply by 6
Answer: A
Rationale: Using the finger pads of the first two or three fingers allows for accurate
detection without the nurse’s own thumb pulse interfering.
, 6. The nurse is assisting a patient with a weak right side to transfer from bed to
a chair. Where should the chair be placed?
A. On the patient’s right side
B. On the patient’s left side
C. At the foot of the bed
D. Directly in front of the patient
Answer: B
Rationale: Transferring toward the stronger side (the left side in this case) allows the
patient to use their stable leg for support during the pivot.
7. What is the primary purpose of using a footboard for a patient on prolonged
bed rest?
A. To prevent deep vein thrombosis
B. To prevent foot drop
C. To improve circulation to the toes
D. To make the patient more comfortable
Answer: B
Rationale: A footboard keeps the feet in dorsal flexion, preventing the permanent
shortening of the calf muscles known as foot drop.
8. When assessing an apical pulse, where should the nurse place the
stethoscope?
A. Second intercostal space, right sternal border
B. Fourth intercostal space, left sternal border
C. Fifth intercostal space, midclavicular line
D. Second intercostal space, left sternal border
Answer: C
Rationale: The apical pulse (PMI) is best auscultated at the fifth intercostal space at the left
midclavicular line.
|Chamberlain
1. When providing perineal care for a female patient, in which direction should
the nurse wipe?
A. Back to front
B. Circular motion around the labia
C. Side to side
D. Front to back
Answer: D
Rationale: Cleaning from front to back (urinary meatus to rectum) reduces the risk of
introducing fecal matter into the urethra, preventing UTIs.
2. Which of the following is the most effective way to break the chain of
infection?
A. Wearing a gown for all patient contact
B. Hand hygiene
C. Administering prophylactic antibiotics
D. Ensuring the patient is in a private room
Answer: B
Rationale: Hand hygiene is the single most effective method for preventing the
transmission of pathogens in healthcare settings.
,3. While performing a bed bath, the nurse notices a reddened area on the
patient’s sacrum that does not blanch. What is the priority nursing action?
A. Reposition the patient to avoid pressure on the area
B. Apply a heating pad to the area
C. Document the finding and notify the provider
D. Massage the area to increase circulation
Answer: A
Rationale: A non-blanchable reddened area indicates a Stage 1 pressure injury. The
priority is to relieve pressure to prevent further tissue damage.
4. A patient who is bedridden is at high risk for which respiratory complication?
A. Asthma
B. Hyperventilation
C. Atelectasis
D. Pneumothorax
Answer: C
Rationale: Immobility leads to decreased lung expansion, which can result in the collapse
of alveoli (atelectasis) and subsequent pneumonia.
5. What is the correct technique for assessing a patient’s radial pulse?
A. Use the tips of the first two or three fingers over the radial artery
B. Apply heavy pressure with the index and middle fingers
C. Use the thumb to feel the pulse on the inner wrist
D. Count the pulse for 10 seconds and multiply by 6
Answer: A
Rationale: Using the finger pads of the first two or three fingers allows for accurate
detection without the nurse’s own thumb pulse interfering.
, 6. The nurse is assisting a patient with a weak right side to transfer from bed to
a chair. Where should the chair be placed?
A. On the patient’s right side
B. On the patient’s left side
C. At the foot of the bed
D. Directly in front of the patient
Answer: B
Rationale: Transferring toward the stronger side (the left side in this case) allows the
patient to use their stable leg for support during the pivot.
7. What is the primary purpose of using a footboard for a patient on prolonged
bed rest?
A. To prevent deep vein thrombosis
B. To prevent foot drop
C. To improve circulation to the toes
D. To make the patient more comfortable
Answer: B
Rationale: A footboard keeps the feet in dorsal flexion, preventing the permanent
shortening of the calf muscles known as foot drop.
8. When assessing an apical pulse, where should the nurse place the
stethoscope?
A. Second intercostal space, right sternal border
B. Fourth intercostal space, left sternal border
C. Fifth intercostal space, midclavicular line
D. Second intercostal space, left sternal border
Answer: C
Rationale: The apical pulse (PMI) is best auscultated at the fifth intercostal space at the left
midclavicular line.
