NURS 103 FUNDAMENTALS OF
NURSING WEEK 5 COMPREHENSIVE
QUIZ 2026
1. When assessing a patient with a pressure injury, the nurse observes full-thickness tissue
loss where subcutaneous fat is visible, but bone, tendon, and muscle are not exposed. What
stage is this injury?
A. Stage 1
B. Stage 2
C. Stage 4
D. Stage 3
Answer: D
Conceptual Explanation: Stage 3 pressure injuries involve full-thickness skin loss
involving damage to or necrosis of subcutaneous tissue that may extend down to, but not
through, underlying fascia.
2. A nurse is preparing to administer an intramuscular injection to an obese patient. Which
needle length is most appropriate to ensure the medication reaches the muscle?
A. 5/8 inch
,B. 1.5 inches
C. 1 inch
D. 2 inches
Answer: B
Conceptual Explanation: For obese patients, a longer needle (1.5 to 3 inches depending
on the site) is required to penetrate the subcutaneous layer and reach the muscle tissue.
3. Which of the following is the priority nursing intervention when a patient is experiencing
an anaphylactic reaction to a medication?
A. Administering antihistamines
B. Assessing blood pressure
C. Maintaining a patent airway
D. Documenting the reaction
Answer: C
Conceptual Explanation: Airway management is always the priority in an anaphylactic
reaction to ensure oxygenation, as edema can quickly lead to respiratory arrest.
4. A patient has a Braden Scale score of 12. What does this score indicate regarding the
patient’s risk for pressure injuries?
A. High risk
B. Very high risk
, C. Moderate risk
D. Low risk
Answer: A
Conceptual Explanation: A Braden Scale score of 10-12 indicates a high risk for
developing pressure injuries; lower scores indicate higher risk.
5. During the assessment of a patient’s radial pulse, the nurse notes the rhythm is irregular.
What is the next best action by the nurse?
A. Document the finding as normal
B. Report the finding to the provider immediately
C. Measure the apical pulse for one full minute
D. Re-assess the radial pulse for 30 seconds
Answer: C
Conceptual Explanation: When a peripheral pulse is irregular, the apical pulse should be
assessed for one full minute to determine the actual heart rate and identify deficits.
6. A nurse is caring for a patient on bed rest. Which physiological change is a common
complication of immobility?
A. Increased cardiac output
B. Increased peristalsis
C. Improved glucose tolerance
NURSING WEEK 5 COMPREHENSIVE
QUIZ 2026
1. When assessing a patient with a pressure injury, the nurse observes full-thickness tissue
loss where subcutaneous fat is visible, but bone, tendon, and muscle are not exposed. What
stage is this injury?
A. Stage 1
B. Stage 2
C. Stage 4
D. Stage 3
Answer: D
Conceptual Explanation: Stage 3 pressure injuries involve full-thickness skin loss
involving damage to or necrosis of subcutaneous tissue that may extend down to, but not
through, underlying fascia.
2. A nurse is preparing to administer an intramuscular injection to an obese patient. Which
needle length is most appropriate to ensure the medication reaches the muscle?
A. 5/8 inch
,B. 1.5 inches
C. 1 inch
D. 2 inches
Answer: B
Conceptual Explanation: For obese patients, a longer needle (1.5 to 3 inches depending
on the site) is required to penetrate the subcutaneous layer and reach the muscle tissue.
3. Which of the following is the priority nursing intervention when a patient is experiencing
an anaphylactic reaction to a medication?
A. Administering antihistamines
B. Assessing blood pressure
C. Maintaining a patent airway
D. Documenting the reaction
Answer: C
Conceptual Explanation: Airway management is always the priority in an anaphylactic
reaction to ensure oxygenation, as edema can quickly lead to respiratory arrest.
4. A patient has a Braden Scale score of 12. What does this score indicate regarding the
patient’s risk for pressure injuries?
A. High risk
B. Very high risk
, C. Moderate risk
D. Low risk
Answer: A
Conceptual Explanation: A Braden Scale score of 10-12 indicates a high risk for
developing pressure injuries; lower scores indicate higher risk.
5. During the assessment of a patient’s radial pulse, the nurse notes the rhythm is irregular.
What is the next best action by the nurse?
A. Document the finding as normal
B. Report the finding to the provider immediately
C. Measure the apical pulse for one full minute
D. Re-assess the radial pulse for 30 seconds
Answer: C
Conceptual Explanation: When a peripheral pulse is irregular, the apical pulse should be
assessed for one full minute to determine the actual heart rate and identify deficits.
6. A nurse is caring for a patient on bed rest. Which physiological change is a common
complication of immobility?
A. Increased cardiac output
B. Increased peristalsis
C. Improved glucose tolerance
