NURS 104L FUNDAMENTALS OF
NURSING SKILLS LAB - WEEK 3
COMPREHENSIVE FINAL REVIEW 2026
1. A nurse is preparing to assess a patient’s blood pressure. Which action should the nurse
take to ensure an accurate reading?
A. Use a cuff with a bladder width that is 20% of the arm circumference.
B. Measure the blood pressure immediately after the patient finishes a meal.
C. Deflate the cuff at a rate of 5 to 10 mmHg per second.
D. Position the patient’s arm at the level of the heart.
Answer: D
Conceptual Explanation: To ensure accuracy, the arm should be supported at heart level.
A cuff width should be 40% of the arm circumference, and the deflation rate should be 2-3
mmHg per heartbeat.
2. When performing hand hygiene with an alcohol-based hand rub, the nurse should continue
rubbing the hands together until when?
A. The alcohol product is completely dry.
B. The hands feel damp but not wet.
,C. At least 10 seconds have passed.
D. Visible soil is no longer present.
Answer: A
Conceptual Explanation: Alcohol-based hand rubs must be rubbed until completely dry to
be effective. If hands are visibly soiled, soap and water must be used instead.
3. A nurse is caring for a patient on Airborne Precautions. Which of the following sets of
personal protective equipment (PPE) is required before entering the room?
A. N95 respirator and negative pressure room.
B. Gloves and goggles only.
C. Gown, gloves, and a standard surgical mask.
D. Surgical mask and face shield.
Answer: A
Conceptual Explanation: Airborne precautions (e.g., for TB or Measles) require a private
negative-pressure room and an N95 respirator mask.
4. Which of the following is the correct order for removing PPE (Doffing) after caring for a
patient in isolation?
A. Gloves, Mask, Goggles, Gown.
B. Mask, Gown, Goggles, Gloves.
C. Gown, Mask, Goggles, Gloves.
, D. Gloves, Goggles, Gown, Mask.
Answer: D
Conceptual Explanation: The standard sequence for doffing is gloves (most
contaminated), followed by goggles/face shield, gown, and finally the mask/respirator.
5. A patient has a pulse deficit of 12 beats per minute. How did the nurse calculate this value?
A. By subtracting the diastolic pressure from the systolic pressure.
B. By adding the radial and carotid pulses together.
C. By dividing the apical pulse by the respiratory rate.
D. By subtracting the radial pulse from the apical pulse.
Answer: D
Conceptual Explanation: A pulse deficit is the difference between the apical pulse and the
radial pulse, often indicating that heart contractions are not reaching the periphery.
6. Which stage of a pressure injury is characterized by full-thickness skin loss with visible
adipose tissue and epibole (rolled wound edges)?
A. Stage 2
B. Unstageable
C. Stage 4
D. Stage 3
NURSING SKILLS LAB - WEEK 3
COMPREHENSIVE FINAL REVIEW 2026
1. A nurse is preparing to assess a patient’s blood pressure. Which action should the nurse
take to ensure an accurate reading?
A. Use a cuff with a bladder width that is 20% of the arm circumference.
B. Measure the blood pressure immediately after the patient finishes a meal.
C. Deflate the cuff at a rate of 5 to 10 mmHg per second.
D. Position the patient’s arm at the level of the heart.
Answer: D
Conceptual Explanation: To ensure accuracy, the arm should be supported at heart level.
A cuff width should be 40% of the arm circumference, and the deflation rate should be 2-3
mmHg per heartbeat.
2. When performing hand hygiene with an alcohol-based hand rub, the nurse should continue
rubbing the hands together until when?
A. The alcohol product is completely dry.
B. The hands feel damp but not wet.
,C. At least 10 seconds have passed.
D. Visible soil is no longer present.
Answer: A
Conceptual Explanation: Alcohol-based hand rubs must be rubbed until completely dry to
be effective. If hands are visibly soiled, soap and water must be used instead.
3. A nurse is caring for a patient on Airborne Precautions. Which of the following sets of
personal protective equipment (PPE) is required before entering the room?
A. N95 respirator and negative pressure room.
B. Gloves and goggles only.
C. Gown, gloves, and a standard surgical mask.
D. Surgical mask and face shield.
Answer: A
Conceptual Explanation: Airborne precautions (e.g., for TB or Measles) require a private
negative-pressure room and an N95 respirator mask.
4. Which of the following is the correct order for removing PPE (Doffing) after caring for a
patient in isolation?
A. Gloves, Mask, Goggles, Gown.
B. Mask, Gown, Goggles, Gloves.
C. Gown, Mask, Goggles, Gloves.
, D. Gloves, Goggles, Gown, Mask.
Answer: D
Conceptual Explanation: The standard sequence for doffing is gloves (most
contaminated), followed by goggles/face shield, gown, and finally the mask/respirator.
5. A patient has a pulse deficit of 12 beats per minute. How did the nurse calculate this value?
A. By subtracting the diastolic pressure from the systolic pressure.
B. By adding the radial and carotid pulses together.
C. By dividing the apical pulse by the respiratory rate.
D. By subtracting the radial pulse from the apical pulse.
Answer: D
Conceptual Explanation: A pulse deficit is the difference between the apical pulse and the
radial pulse, often indicating that heart contractions are not reaching the periphery.
6. Which stage of a pressure injury is characterized by full-thickness skin loss with visible
adipose tissue and epibole (rolled wound edges)?
A. Stage 2
B. Unstageable
C. Stage 4
D. Stage 3
