NSG 3100L Fundamental Concepts and Skills in
Nursing Practice I Lab Comprehensive Practice
Exam Version 2 with Rationales and Study Guide
for Fall 2026 Nursing Students
TABLE OF CONTENTS
Topic Questions
1 Hand Hygiene and Personal Protective Equipment Questions 1 to 15
2 Patient Positioning and Mobility Questions 16 to 30
3 Bedmaking and Patient Comfort Questions 31 to 40
4 Specimen Collection Questions 41 to 55
5 Urinary Catheterization Questions 56 to 70
6 Enema Administration and Bowel Care Questions 71 to 80
7 Oxygen Therapy Setup Questions 81 to 95
8 Suctioning Questions 96 to 105
9 Wound Dressing Change Questions 106 to 120
10 Nasogastric Tube Insertion and Care Questions 121 to 135
11 IV Therapy and Blood Administration Questions 136 to 155
12 Medication Administration Questions 156 to 175
13 Emergency Procedures Questions 176 to 190
14 Documentation and Reporting Questions 191 to 200
Brief Study Tips by Topic
SECTION 1 HAND HYGIENE AND PERSONAL PROTECTIVE
EQUIPMENT
Questions 1 to 15
Question 1
A nursing student is preparing to perform a sterile procedure. The student has
washed hands with antimicrobial soap and water and is now applying sterile
gloves. The student touches the outside of the glove with bare fingers while
putting it on. Which action should the student take
A Remove the contaminated glove and apply a new sterile glove
B Continue with the procedure because the outside of the glove is sterile
,
C Use the contaminated glove because the inside is still sterile
D Apply a second sterile glove over the contaminated one
E Continue the procedure but document the contamination
Answer A Remove the contaminated glove and apply a new sterile glove
Rationale The outside of a sterile glove is considered sterile and should not be
touched with bare fingers. Touching the outside contaminates the glove. The
student must remove the contaminated glove and apply a new sterile glove to
maintain a sterile field. Continuing the procedure would compromise sterility
and increase infection risk.
Question 2
A nurse is preparing to enter a patient's room on contact precautions. The
nurse has donned a gown and gloves. The nurse's gloved hand touches the
face while adjusting the mask. Which action should the nurse take
A Change the gloves because they are now contaminated
B Continue into the room without changing gloves
C Remove the gown and gloves and start over
D Wipe the gloves with an alcohol wipe
E Change the mask and continue
Answer A Change the gloves because they are now contaminated
Rationale Touching the face with gloved hands contaminates the gloves. The
nurse should remove the gloves and apply new gloves before entering the
room. Continuing without changing gloves would spread microorganisms to
the patient and environment. The gown may still be used if not contaminated.
Question 3
A nurse is teaching a patient about respiratory hygiene and cough etiquette.
Which statement by the patient indicates understanding of these infection
prevention measures
A I will cough into a tissue and dispose of it properly
B I will cover my mouth with my hand when I cough
C I will turn my head away from others when I cough
D I will hold my breath when I need to cough
E I will cough into the air to avoid touching my face
,
Answer A I will cough into a tissue and dispose of it properly
Rationale Coughing into a tissue and disposing of it properly is the
recommended method for respiratory hygiene. Covering the mouth with
hands can spread microorganisms to surfaces. Turning the head does not
prevent droplet spread. Holding the breath is not possible or effective.
Coughing into the air spreads droplets.
Question 4
A nurse is preparing to perform hand hygiene before a sterile procedure. The
nurse notices that the hands are not visibly soiled. Which hand hygiene
method should the nurse use
A Alcohol-based hand rub
B Antimicrobial soap and water
C Plain soap and water
D Alcohol-based hand rub followed by soap and water
E Antimicrobial hand wipes
Answer A Alcohol-based hand rub
Rationale Alcohol-based hand rub is appropriate when hands are not visibly
soiled. It is more effective and less time-consuming than soap and water for
routine hand hygiene. Soap and water should be used when hands are visibly
soiled or after caring for patients with spore-forming organisms.
Question 5
A nurse is caring for a patient with Clostridium difficile infection. The nurse
is preparing to leave the room after providing care. Which hand hygiene
method should the nurse use after removing gloves and gown
A Antimicrobial soap and water
B Alcohol-based hand rub only
C Plain soap and water
D Alcohol-based hand rub followed by antimicrobial soap and water
E Antimicrobial wipes
Answer A Antimicrobial soap and water
Rationale Clostridium difficile spores are not effectively killed by alcohol-
based hand rub. The nurse should use antimicrobial soap and water for hand
,
hygiene after caring for a patient with C difficile. This ensures mechanical
removal of spores. Alcohol-based hand rub is not sufficient for spore-forming
organisms.
Question 6
A nursing student is practicing donning personal protective equipment. The
student puts on gloves before the gown. The instructor provides corrective
feedback. Which statement by the instructor explains the correct order
A Gloves should be put on last after all other PPE
B Gloves should be put on first because they are the most important
C Gloves and gown should be put on at the same time
D The order does not matter as long as all PPE is worn
E Gloves should be put on before the mask
Answer A Gloves should be put on last after all other PPE
Rationale The correct order for donning PPE is gown first, then mask, then
eye protection, then gloves. Gloves are put on last to prevent contamination.
The gown is put on first to cover the body. Masks and eye protection are put
on before gloves to ensure proper fit.
Question 7
A nurse is preparing to remove PPE after caring for a patient on contact
precautions. The nurse has removed gloves and gown and is now removing
the eye protection. Which technique should the nurse use to remove eye
protection safely
A Touch the earpieces or headband to remove it
B Touch the front of the eye protection to remove it
C Pull the eye protection down and off
D Remove the eye protection by the edges
E Fold the eye protection and place it in the trash
Answer A Touch the earpieces or headband to remove it
Rationale The nurse should remove eye protection by touching the earpieces
or headband only. The front of the eye protection is contaminated and should
not be touched. Pulling it down could contaminate the face. Removing by the
edges may not avoid contamination.
Nursing Practice I Lab Comprehensive Practice
Exam Version 2 with Rationales and Study Guide
for Fall 2026 Nursing Students
TABLE OF CONTENTS
Topic Questions
1 Hand Hygiene and Personal Protective Equipment Questions 1 to 15
2 Patient Positioning and Mobility Questions 16 to 30
3 Bedmaking and Patient Comfort Questions 31 to 40
4 Specimen Collection Questions 41 to 55
5 Urinary Catheterization Questions 56 to 70
6 Enema Administration and Bowel Care Questions 71 to 80
7 Oxygen Therapy Setup Questions 81 to 95
8 Suctioning Questions 96 to 105
9 Wound Dressing Change Questions 106 to 120
10 Nasogastric Tube Insertion and Care Questions 121 to 135
11 IV Therapy and Blood Administration Questions 136 to 155
12 Medication Administration Questions 156 to 175
13 Emergency Procedures Questions 176 to 190
14 Documentation and Reporting Questions 191 to 200
Brief Study Tips by Topic
SECTION 1 HAND HYGIENE AND PERSONAL PROTECTIVE
EQUIPMENT
Questions 1 to 15
Question 1
A nursing student is preparing to perform a sterile procedure. The student has
washed hands with antimicrobial soap and water and is now applying sterile
gloves. The student touches the outside of the glove with bare fingers while
putting it on. Which action should the student take
A Remove the contaminated glove and apply a new sterile glove
B Continue with the procedure because the outside of the glove is sterile
,
C Use the contaminated glove because the inside is still sterile
D Apply a second sterile glove over the contaminated one
E Continue the procedure but document the contamination
Answer A Remove the contaminated glove and apply a new sterile glove
Rationale The outside of a sterile glove is considered sterile and should not be
touched with bare fingers. Touching the outside contaminates the glove. The
student must remove the contaminated glove and apply a new sterile glove to
maintain a sterile field. Continuing the procedure would compromise sterility
and increase infection risk.
Question 2
A nurse is preparing to enter a patient's room on contact precautions. The
nurse has donned a gown and gloves. The nurse's gloved hand touches the
face while adjusting the mask. Which action should the nurse take
A Change the gloves because they are now contaminated
B Continue into the room without changing gloves
C Remove the gown and gloves and start over
D Wipe the gloves with an alcohol wipe
E Change the mask and continue
Answer A Change the gloves because they are now contaminated
Rationale Touching the face with gloved hands contaminates the gloves. The
nurse should remove the gloves and apply new gloves before entering the
room. Continuing without changing gloves would spread microorganisms to
the patient and environment. The gown may still be used if not contaminated.
Question 3
A nurse is teaching a patient about respiratory hygiene and cough etiquette.
Which statement by the patient indicates understanding of these infection
prevention measures
A I will cough into a tissue and dispose of it properly
B I will cover my mouth with my hand when I cough
C I will turn my head away from others when I cough
D I will hold my breath when I need to cough
E I will cough into the air to avoid touching my face
,
Answer A I will cough into a tissue and dispose of it properly
Rationale Coughing into a tissue and disposing of it properly is the
recommended method for respiratory hygiene. Covering the mouth with
hands can spread microorganisms to surfaces. Turning the head does not
prevent droplet spread. Holding the breath is not possible or effective.
Coughing into the air spreads droplets.
Question 4
A nurse is preparing to perform hand hygiene before a sterile procedure. The
nurse notices that the hands are not visibly soiled. Which hand hygiene
method should the nurse use
A Alcohol-based hand rub
B Antimicrobial soap and water
C Plain soap and water
D Alcohol-based hand rub followed by soap and water
E Antimicrobial hand wipes
Answer A Alcohol-based hand rub
Rationale Alcohol-based hand rub is appropriate when hands are not visibly
soiled. It is more effective and less time-consuming than soap and water for
routine hand hygiene. Soap and water should be used when hands are visibly
soiled or after caring for patients with spore-forming organisms.
Question 5
A nurse is caring for a patient with Clostridium difficile infection. The nurse
is preparing to leave the room after providing care. Which hand hygiene
method should the nurse use after removing gloves and gown
A Antimicrobial soap and water
B Alcohol-based hand rub only
C Plain soap and water
D Alcohol-based hand rub followed by antimicrobial soap and water
E Antimicrobial wipes
Answer A Antimicrobial soap and water
Rationale Clostridium difficile spores are not effectively killed by alcohol-
based hand rub. The nurse should use antimicrobial soap and water for hand
,
hygiene after caring for a patient with C difficile. This ensures mechanical
removal of spores. Alcohol-based hand rub is not sufficient for spore-forming
organisms.
Question 6
A nursing student is practicing donning personal protective equipment. The
student puts on gloves before the gown. The instructor provides corrective
feedback. Which statement by the instructor explains the correct order
A Gloves should be put on last after all other PPE
B Gloves should be put on first because they are the most important
C Gloves and gown should be put on at the same time
D The order does not matter as long as all PPE is worn
E Gloves should be put on before the mask
Answer A Gloves should be put on last after all other PPE
Rationale The correct order for donning PPE is gown first, then mask, then
eye protection, then gloves. Gloves are put on last to prevent contamination.
The gown is put on first to cover the body. Masks and eye protection are put
on before gloves to ensure proper fit.
Question 7
A nurse is preparing to remove PPE after caring for a patient on contact
precautions. The nurse has removed gloves and gown and is now removing
the eye protection. Which technique should the nurse use to remove eye
protection safely
A Touch the earpieces or headband to remove it
B Touch the front of the eye protection to remove it
C Pull the eye protection down and off
D Remove the eye protection by the edges
E Fold the eye protection and place it in the trash
Answer A Touch the earpieces or headband to remove it
Rationale The nurse should remove eye protection by touching the earpieces
or headband only. The front of the eye protection is contaminated and should
not be touched. Pulling it down could contaminate the face. Removing by the
edges may not avoid contamination.
