FOUNDATIONS OF NURSING (NUR 104) MIDTERM EXAMINATION COMPLETE
PRACTICE TEST BANK QUESTIONS AND ANSWERS | VERIFIED SOLUTIONS |
UPDATED 2026/2027 STUDY GUIDE | NGN CLINICAL JUDGMENT & CORE NURSING
SKILLS REVIEW
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
FOUNDATIONS OF NURSING (NUR 104) MIDTERM EXAMINATION
2026/2027 EDITION
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
COMPLETE PRACTICE EXAM
50 MULTIPLE-CHOICE QUESTIONS (SET 1: QUESTIONS 1–30)
PASSING SCORE: 70%
TESTING TIME: 120 MINUTES
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
TABLE OF CONTENT
INFECTION CONTROL & ASEPSIS
PATIENT SAFETY & RISK PREVENTION
VITAL SIGNS & CLINICAL ASSESSMENT
FUNDAMENTAL NURSING PROCEDURES
PHARMACOLOGY BASICS & MEDICATION ADMINISTRATION
FLUID & ELECTROLYTE BALANCE
CLINICAL JUDGMENT & NGN PRIORITIZATION
ETHICS, LEGAL PRINCIPLES & PROFESSIONALISM
DOCUMENTATION & COMMUNICATION IN NURSING
BASIC PATHOPHYSIOLOGY APPLICATIONS
UNIVERSITY OF NURSING SCIENCES & HEALTH TRAINING BOARD || ALIGNED WITH
CURRENT NURSING CURRICULUM BLUEPRINTS || FOUNDATIONS OF NURSING CORE
COMPETENCIES || PROFESSIONAL STUDY GUIDE || 100% VERIFIED | GRADED A+ ||
COMPREHENSIVE EXAM PREPARATION || PREPARED FOR LICENSURE & ACADEMIC
EXCELLENCE || PROFESSIONAL EXAMINATION USE
INFECTION CONTROL & PATIENT SAFETY (Q1–Q10)
,Q1. A nurse enters a patient’s room and prepares to perform
wound care for a postoperative surgical site infected with MRSA.
Which action demonstrates correct infection control practice?
A. Wearing a surgical mask only
B. Applying clean gloves before entering the room
C. Performing hand hygiene before and after patient contact
D. Using sterile gloves for all routine vital signs
Correct Answer: 🔴 C. Performing hand hygiene before and after
patient contact
Explanation: 🔹 Hand hygiene is the most critical and effective
measure to prevent transmission of MRSA and other healthcare-
associated infections. Clean gloves alone do not eliminate the
need for hand hygiene. Surgical masks are insufficient unless
droplet precautions are indicated. Sterile gloves are not required
for routine vital signs.
Q2. A nursing student accidentally recaps a used needle after
administering insulin. What is the nurse’s best immediate action?
A. Dispose of needle in regular trash
B. Report the incident and follow exposure protocol
C. Rinse the needle and reuse it
D. Ignore it if no injury occurred
Correct Answer: 🔴 B. Report the incident and follow exposure
protocol
Explanation: 🔹 Needle recapping increases risk for needlestick
injury and must be reported immediately for occupational safety
procedures. Even without injury, protocol must be followed.
Q3. Which patient requires airborne precautions?
A. Patient with influenza
B. Patient with tuberculosis
C. Patient with cellulitis
D. Patient with urinary tract infection
,Correct Answer: 🔴 B. Patient with tuberculosis
Explanation: 🔹 Tuberculosis is transmitted via airborne droplets
requiring N95 respirator and negative pressure room. Other
conditions require different precautions.
Q4. A nurse is preparing to don PPE. What is the correct
sequence?
A. Mask, gown, gloves, goggles
B. Gown, mask/respirator, goggles, gloves
C. Gloves, gown, mask, goggles
D. Mask, gloves, gown, goggles
Correct Answer: 🔴 B. Gown, mask/respirator, goggles, gloves
Explanation: 🔹 Correct PPE sequence ensures protection of
mucous membranes and clothing before hand protection. Gloves
are donned last to avoid contamination.
Q5. Which action breaks sterile technique during a dressing
change?
A. Keeping sterile field above waist level
B. Reaching across sterile field
C. Opening sterile package away from body
D. Using sterile gloves properly
Correct Answer: 🔴 B. Reaching across sterile field
Explanation: 🔹 Reaching over a sterile field contaminates it due
to airborne and contact contamination risk. Proper sterile field
maintenance is essential.
Q6. A nurse finds a spill of blood in the hallway. What is the
priority action?
A. Notify housekeeping only
B. Clean with alcohol wipe
C. Apply bleach-based disinfectant with PPE
D. Ignore if dry
, Correct Answer: 🔴 C. Apply bleach-based disinfectant with PPE
Explanation: 🔹 Blood is a biohazard requiring immediate
disinfection using appropriate PPE and EPA-approved
disinfectants.
Q7. Which patient is at highest risk for hospital-acquired
infection?
A. Ambulatory diabetic patient
B. Postoperative patient with urinary catheter
C. Healthy young adult
D. Outpatient with sore throat
Correct Answer: 🔴 B. Postoperative patient with urinary catheter
Explanation: 🔹 Indwelling devices significantly increase infection
risk due to direct microbial entry pathways.
Q8. A nurse uses alcohol-based hand rub. When is it NOT
appropriate?
A. Before patient contact
B. After removing gloves
C. When hands are visibly soiled
D. Between procedures
Correct Answer: 🔴 C. When hands are visibly soiled
Explanation: 🔹 Soap and water are required when hands are
visibly dirty or contaminated with proteinaceous material.
Q9. What is the most effective method to reduce surgical site
infections?
A. Antibiotics after surgery only
B. Sterile technique and preoperative skin prep
C. Limiting visitor access only
D. Increasing room temperature
Correct Answer: 🔴 B. Sterile technique and preoperative skin
prep
PRACTICE TEST BANK QUESTIONS AND ANSWERS | VERIFIED SOLUTIONS |
UPDATED 2026/2027 STUDY GUIDE | NGN CLINICAL JUDGMENT & CORE NURSING
SKILLS REVIEW
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
FOUNDATIONS OF NURSING (NUR 104) MIDTERM EXAMINATION
2026/2027 EDITION
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
COMPLETE PRACTICE EXAM
50 MULTIPLE-CHOICE QUESTIONS (SET 1: QUESTIONS 1–30)
PASSING SCORE: 70%
TESTING TIME: 120 MINUTES
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
TABLE OF CONTENT
INFECTION CONTROL & ASEPSIS
PATIENT SAFETY & RISK PREVENTION
VITAL SIGNS & CLINICAL ASSESSMENT
FUNDAMENTAL NURSING PROCEDURES
PHARMACOLOGY BASICS & MEDICATION ADMINISTRATION
FLUID & ELECTROLYTE BALANCE
CLINICAL JUDGMENT & NGN PRIORITIZATION
ETHICS, LEGAL PRINCIPLES & PROFESSIONALISM
DOCUMENTATION & COMMUNICATION IN NURSING
BASIC PATHOPHYSIOLOGY APPLICATIONS
UNIVERSITY OF NURSING SCIENCES & HEALTH TRAINING BOARD || ALIGNED WITH
CURRENT NURSING CURRICULUM BLUEPRINTS || FOUNDATIONS OF NURSING CORE
COMPETENCIES || PROFESSIONAL STUDY GUIDE || 100% VERIFIED | GRADED A+ ||
COMPREHENSIVE EXAM PREPARATION || PREPARED FOR LICENSURE & ACADEMIC
EXCELLENCE || PROFESSIONAL EXAMINATION USE
INFECTION CONTROL & PATIENT SAFETY (Q1–Q10)
,Q1. A nurse enters a patient’s room and prepares to perform
wound care for a postoperative surgical site infected with MRSA.
Which action demonstrates correct infection control practice?
A. Wearing a surgical mask only
B. Applying clean gloves before entering the room
C. Performing hand hygiene before and after patient contact
D. Using sterile gloves for all routine vital signs
Correct Answer: 🔴 C. Performing hand hygiene before and after
patient contact
Explanation: 🔹 Hand hygiene is the most critical and effective
measure to prevent transmission of MRSA and other healthcare-
associated infections. Clean gloves alone do not eliminate the
need for hand hygiene. Surgical masks are insufficient unless
droplet precautions are indicated. Sterile gloves are not required
for routine vital signs.
Q2. A nursing student accidentally recaps a used needle after
administering insulin. What is the nurse’s best immediate action?
A. Dispose of needle in regular trash
B. Report the incident and follow exposure protocol
C. Rinse the needle and reuse it
D. Ignore it if no injury occurred
Correct Answer: 🔴 B. Report the incident and follow exposure
protocol
Explanation: 🔹 Needle recapping increases risk for needlestick
injury and must be reported immediately for occupational safety
procedures. Even without injury, protocol must be followed.
Q3. Which patient requires airborne precautions?
A. Patient with influenza
B. Patient with tuberculosis
C. Patient with cellulitis
D. Patient with urinary tract infection
,Correct Answer: 🔴 B. Patient with tuberculosis
Explanation: 🔹 Tuberculosis is transmitted via airborne droplets
requiring N95 respirator and negative pressure room. Other
conditions require different precautions.
Q4. A nurse is preparing to don PPE. What is the correct
sequence?
A. Mask, gown, gloves, goggles
B. Gown, mask/respirator, goggles, gloves
C. Gloves, gown, mask, goggles
D. Mask, gloves, gown, goggles
Correct Answer: 🔴 B. Gown, mask/respirator, goggles, gloves
Explanation: 🔹 Correct PPE sequence ensures protection of
mucous membranes and clothing before hand protection. Gloves
are donned last to avoid contamination.
Q5. Which action breaks sterile technique during a dressing
change?
A. Keeping sterile field above waist level
B. Reaching across sterile field
C. Opening sterile package away from body
D. Using sterile gloves properly
Correct Answer: 🔴 B. Reaching across sterile field
Explanation: 🔹 Reaching over a sterile field contaminates it due
to airborne and contact contamination risk. Proper sterile field
maintenance is essential.
Q6. A nurse finds a spill of blood in the hallway. What is the
priority action?
A. Notify housekeeping only
B. Clean with alcohol wipe
C. Apply bleach-based disinfectant with PPE
D. Ignore if dry
, Correct Answer: 🔴 C. Apply bleach-based disinfectant with PPE
Explanation: 🔹 Blood is a biohazard requiring immediate
disinfection using appropriate PPE and EPA-approved
disinfectants.
Q7. Which patient is at highest risk for hospital-acquired
infection?
A. Ambulatory diabetic patient
B. Postoperative patient with urinary catheter
C. Healthy young adult
D. Outpatient with sore throat
Correct Answer: 🔴 B. Postoperative patient with urinary catheter
Explanation: 🔹 Indwelling devices significantly increase infection
risk due to direct microbial entry pathways.
Q8. A nurse uses alcohol-based hand rub. When is it NOT
appropriate?
A. Before patient contact
B. After removing gloves
C. When hands are visibly soiled
D. Between procedures
Correct Answer: 🔴 C. When hands are visibly soiled
Explanation: 🔹 Soap and water are required when hands are
visibly dirty or contaminated with proteinaceous material.
Q9. What is the most effective method to reduce surgical site
infections?
A. Antibiotics after surgery only
B. Sterile technique and preoperative skin prep
C. Limiting visitor access only
D. Increasing room temperature
Correct Answer: 🔴 B. Sterile technique and preoperative skin
prep
