NR 226: Fundamentals of Patient Care - Week 6 Quiz 2026
|Chamberlain
1. A nurse is caring for a client with a history of dysphagia. Which intervention is
most appropriate to prevent aspiration during mealtime?
A. Positioning the client in a high-Fowler’s position during and after meals.
B. Encouraging the client to use a straw for all liquids.
C. Instructing the client to tilt their head back while swallowing.
D. Providing thin liquids to make swallowing easier.
Answer: A
Rationale: High-Fowler’s position (90 degrees) uses gravity to help the food bolus move
down the esophagus and reduces the risk of aspiration. Straws and tilting the head back
can increase the risk of aspiration.
2. When assessing a client’s abdomen, in which order should the nurse perform
the physical assessment techniques?
A. Inspection, Palpation, Percussion, Auscultation
B. Inspection, Percussion, Auscultation, Palpation
C. Inspection, Auscultation, Percussion, Palpation
D. Auscultation, Inspection, Palpation, Percussion
Answer: C
Rationale: For abdominal assessment, the sequence is Inspection, Auscultation,
Percussion, and then Palpation. Auscultating before percussion or palpation ensures that
bowel sounds are not artificially stimulated or altered by touch.
,3. A nurse is reviewing a client’s laboratory results. Which value is the most
sensitive indicator of recent nutritional status?
A. Serum Albumin
B. Hemoglobin
C. Serum Prealbumin
D. Total Cholesterol
Answer: C
Rationale: Prealbumin has a much shorter half-life (about 2 days) compared to albumin
(21 days), making it a more sensitive indicator of acute changes in nutritional status.
4. Which type of urinary incontinence is characterized by the involuntary loss of
urine associated with a sudden increase in intra-abdominal pressure, such as
coughing or sneezing?
A. Urge incontinence
B. Stress incontinence
C. Reflex incontinence
D. Functional incontinence
Answer: B
Rationale: Stress incontinence occurs when physical movement or activity (coughing,
sneezing, running) puts pressure on the bladder, causing leakage.
5. A client is prescribed a clear liquid diet. Which of the following items can the
nurse safely include on the meal tray?
A. Orange juice with pulp
B. Vanilla ice cream
C. Cream of mushroom soup
D. Apple juice
Answer: D
, Rationale: A clear liquid diet consists of fluids that are transparent to light and liquid at
room temperature, such as apple juice, broth, and gelatin. Pulp and dairy are not allowed.
6. What is the primary goal of administering a surfactant-containing stool
softener like docusate sodium?
A. Stimulating peristalsis by irritating the bowel mucosa.
B. Lowering the surface tension of stool to allow water to penetrate.
C. Increasing the bulk of the stool with fiber.
D. Providing rapid evacuation of the large intestine.
Answer: B
Rationale: Stool softeners are surfactants that allow water and lipids to penetrate the
stool, making it softer and easier to pass without stimulating peristalsis directly.
7. A nurse is inserting an indwelling urinary catheter for a female client. Which
action is essential to maintain surgical asepsis?
A. Cleaning the labia from back to front.
B. Keeping the sterile field in the nurse’s line of vision.
C. Testing the catheter balloon with tap water.
D. Touching the outside of the sterile glove with the bare hand.
Answer: B
Rationale: Maintaining surgical asepsis requires keeping the sterile field within sight at all
times to prevent accidental contamination. Cleaning should be front to back.
8. A client has a new colostomy. Which stoma appearance should the nurse
report to the provider immediately?
A. Pink and moist
B. Bright red and slightly swollen
C. Pale or purple in color
D. Small amount of oozing blood when cleaned
Answer: C
|Chamberlain
1. A nurse is caring for a client with a history of dysphagia. Which intervention is
most appropriate to prevent aspiration during mealtime?
A. Positioning the client in a high-Fowler’s position during and after meals.
B. Encouraging the client to use a straw for all liquids.
C. Instructing the client to tilt their head back while swallowing.
D. Providing thin liquids to make swallowing easier.
Answer: A
Rationale: High-Fowler’s position (90 degrees) uses gravity to help the food bolus move
down the esophagus and reduces the risk of aspiration. Straws and tilting the head back
can increase the risk of aspiration.
2. When assessing a client’s abdomen, in which order should the nurse perform
the physical assessment techniques?
A. Inspection, Palpation, Percussion, Auscultation
B. Inspection, Percussion, Auscultation, Palpation
C. Inspection, Auscultation, Percussion, Palpation
D. Auscultation, Inspection, Palpation, Percussion
Answer: C
Rationale: For abdominal assessment, the sequence is Inspection, Auscultation,
Percussion, and then Palpation. Auscultating before percussion or palpation ensures that
bowel sounds are not artificially stimulated or altered by touch.
,3. A nurse is reviewing a client’s laboratory results. Which value is the most
sensitive indicator of recent nutritional status?
A. Serum Albumin
B. Hemoglobin
C. Serum Prealbumin
D. Total Cholesterol
Answer: C
Rationale: Prealbumin has a much shorter half-life (about 2 days) compared to albumin
(21 days), making it a more sensitive indicator of acute changes in nutritional status.
4. Which type of urinary incontinence is characterized by the involuntary loss of
urine associated with a sudden increase in intra-abdominal pressure, such as
coughing or sneezing?
A. Urge incontinence
B. Stress incontinence
C. Reflex incontinence
D. Functional incontinence
Answer: B
Rationale: Stress incontinence occurs when physical movement or activity (coughing,
sneezing, running) puts pressure on the bladder, causing leakage.
5. A client is prescribed a clear liquid diet. Which of the following items can the
nurse safely include on the meal tray?
A. Orange juice with pulp
B. Vanilla ice cream
C. Cream of mushroom soup
D. Apple juice
Answer: D
, Rationale: A clear liquid diet consists of fluids that are transparent to light and liquid at
room temperature, such as apple juice, broth, and gelatin. Pulp and dairy are not allowed.
6. What is the primary goal of administering a surfactant-containing stool
softener like docusate sodium?
A. Stimulating peristalsis by irritating the bowel mucosa.
B. Lowering the surface tension of stool to allow water to penetrate.
C. Increasing the bulk of the stool with fiber.
D. Providing rapid evacuation of the large intestine.
Answer: B
Rationale: Stool softeners are surfactants that allow water and lipids to penetrate the
stool, making it softer and easier to pass without stimulating peristalsis directly.
7. A nurse is inserting an indwelling urinary catheter for a female client. Which
action is essential to maintain surgical asepsis?
A. Cleaning the labia from back to front.
B. Keeping the sterile field in the nurse’s line of vision.
C. Testing the catheter balloon with tap water.
D. Touching the outside of the sterile glove with the bare hand.
Answer: B
Rationale: Maintaining surgical asepsis requires keeping the sterile field within sight at all
times to prevent accidental contamination. Cleaning should be front to back.
8. A client has a new colostomy. Which stoma appearance should the nurse
report to the provider immediately?
A. Pink and moist
B. Bright red and slightly swollen
C. Pale or purple in color
D. Small amount of oozing blood when cleaned
Answer: C
