NSG 3100L Fundamental Concepts and Skills in
Nursing Practice I Lab Comprehensive Practice
Exam 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 inside of the glove with bare fingers while
putting it on. Which action should the student take
A Continue with the procedure because the inside of the glove is not sterile
B Remove the contaminated glove and apply a new sterile glove
,C Use the contaminated glove because it is still considered sterile on the
outside
D Apply a second sterile glove over the contaminated one
E Continue the procedure but document the contamination
Answer B Remove the contaminated glove and apply a new sterile glove
Rationale The inside of a sterile glove is not considered sterile once it has
been touched with bare fingers. 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 bare hand touches the
outside of the gown while adjusting it. Which action should the nurse take
A Continue to the patient room because the outside of the gown is
contaminated
B Change the gown because the outside is now contaminated
C Wipe the outside of the gown with an alcohol wipe
D Change gloves and continue without changing the gown
E Document that the gown was contaminated and continue
Answer B Change the gown because the outside is now contaminated
Rationale The outside of the gown is considered contaminated and should not
be touched with bare hands. The nurse should change the gown before
entering the room. Continuing would risk transferring microorganisms to the
patient or environment. The gloves should also be changed after removing the
gown.
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 cover my mouth with my hand when I cough
B I will cough into a tissue and dispose of it in the trash
C I will cough into my sleeve if I do not have a tissue
D I will turn my head away from others when I cough
,E I will not cough in front of others
Answer C I will cough into my sleeve if I do not have a tissue
Rationale Coughing into the sleeve or elbow is recommended when a tissue is
not available. Covering the mouth with hands can spread microorganisms to
surfaces. Coughing into tissues and disposing of them properly is ideal, but
the sleeve method is appropriate when tissues are unavailable. Turning away
does not prevent spread of droplets.
Question 4
A nurse is preparing to perform hand hygiene before starting a sterile
procedure. The nurse notices that the hands are visibly soiled with organic
material. 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 B Antimicrobial soap and water
Rationale When hands are visibly soiled with organic material, the nurse
should use antimicrobial soap and water. Alcohol-based hand rub is not
effective when hands are visibly soiled. Plain soap and water may not provide
sufficient antimicrobial activity for sterile procedures. Hand wipes are not
adequate.
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 Alcohol-based hand rub only
B Antimicrobial soap and water
C Plain soap and water
D Alcohol-based hand rub followed by antimicrobial soap and water
E Antimicrobial wipes
Answer B 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 in the
skills lab. The student puts on the mask before the gown. The instructor
provides corrective feedback. Which statement by the instructor explains the
correct order
A The gown should be put on first because it covers more of the body
B The mask should be put on first because it protects the airway
C Gloves should be put on first because they are the most important
D Eye protection should be put on first to protect the eyes
E The order does not matter as long as all PPE is worn
Answer A The gown should be put on first because it covers more of the body
Rationale The correct order for donning PPE is gown first, then mask, then
eye protection, then gloves. The gown is put on first to cover the body and
ensure it is not contaminated by other PPE. The mask protects the airway, but
gown first is the correct sequence. Gloves are last.
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 mask. Which technique should the nurse use to remove the mask safely
A Touch the front of the mask to remove it
B Touch the ties or elastic bands to remove it
C Pull the mask down and off in one motion
D Remove the mask by touching the edges
E Fold the mask and place it in the trash
Answer B Touch the ties or elastic bands to remove it
Rationale The nurse should remove the mask by touching the ties or elastic
bands only. The front of the mask is contaminated and should not be touched.
Nursing Practice I Lab Comprehensive Practice
Exam 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 inside of the glove with bare fingers while
putting it on. Which action should the student take
A Continue with the procedure because the inside of the glove is not sterile
B Remove the contaminated glove and apply a new sterile glove
,C Use the contaminated glove because it is still considered sterile on the
outside
D Apply a second sterile glove over the contaminated one
E Continue the procedure but document the contamination
Answer B Remove the contaminated glove and apply a new sterile glove
Rationale The inside of a sterile glove is not considered sterile once it has
been touched with bare fingers. 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 bare hand touches the
outside of the gown while adjusting it. Which action should the nurse take
A Continue to the patient room because the outside of the gown is
contaminated
B Change the gown because the outside is now contaminated
C Wipe the outside of the gown with an alcohol wipe
D Change gloves and continue without changing the gown
E Document that the gown was contaminated and continue
Answer B Change the gown because the outside is now contaminated
Rationale The outside of the gown is considered contaminated and should not
be touched with bare hands. The nurse should change the gown before
entering the room. Continuing would risk transferring microorganisms to the
patient or environment. The gloves should also be changed after removing the
gown.
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 cover my mouth with my hand when I cough
B I will cough into a tissue and dispose of it in the trash
C I will cough into my sleeve if I do not have a tissue
D I will turn my head away from others when I cough
,E I will not cough in front of others
Answer C I will cough into my sleeve if I do not have a tissue
Rationale Coughing into the sleeve or elbow is recommended when a tissue is
not available. Covering the mouth with hands can spread microorganisms to
surfaces. Coughing into tissues and disposing of them properly is ideal, but
the sleeve method is appropriate when tissues are unavailable. Turning away
does not prevent spread of droplets.
Question 4
A nurse is preparing to perform hand hygiene before starting a sterile
procedure. The nurse notices that the hands are visibly soiled with organic
material. 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 B Antimicrobial soap and water
Rationale When hands are visibly soiled with organic material, the nurse
should use antimicrobial soap and water. Alcohol-based hand rub is not
effective when hands are visibly soiled. Plain soap and water may not provide
sufficient antimicrobial activity for sterile procedures. Hand wipes are not
adequate.
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 Alcohol-based hand rub only
B Antimicrobial soap and water
C Plain soap and water
D Alcohol-based hand rub followed by antimicrobial soap and water
E Antimicrobial wipes
Answer B 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 in the
skills lab. The student puts on the mask before the gown. The instructor
provides corrective feedback. Which statement by the instructor explains the
correct order
A The gown should be put on first because it covers more of the body
B The mask should be put on first because it protects the airway
C Gloves should be put on first because they are the most important
D Eye protection should be put on first to protect the eyes
E The order does not matter as long as all PPE is worn
Answer A The gown should be put on first because it covers more of the body
Rationale The correct order for donning PPE is gown first, then mask, then
eye protection, then gloves. The gown is put on first to cover the body and
ensure it is not contaminated by other PPE. The mask protects the airway, but
gown first is the correct sequence. Gloves are last.
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 mask. Which technique should the nurse use to remove the mask safely
A Touch the front of the mask to remove it
B Touch the ties or elastic bands to remove it
C Pull the mask down and off in one motion
D Remove the mask by touching the edges
E Fold the mask and place it in the trash
Answer B Touch the ties or elastic bands to remove it
Rationale The nurse should remove the mask by touching the ties or elastic
bands only. The front of the mask is contaminated and should not be touched.
