NURS 103 FUNDAMENTALS OF
NURSING WEEK 8 COMPREHENSIVE
QUIZ 2026
1. During the assessment phase of the nursing process, which of the following is considered
subjective data?
A. The client’s blood pressure is 140/90 mmHg.
B. The client’s skin is warm and dry to the touch.
C. The client has a 2 cm laceration on the left thumb.
D. The client states, ‘I feel like my heart is racing.’
Answer: D
Conceptual Explanation: Subjective data are information from the client’s point of view,
such as feelings, perceptions, or concerns. Objective data are observable and measurable
signs.
2. A nurse is preparing to administer an intramuscular injection using the Z-track method.
What is the primary purpose of this technique?
A. To increase the speed of medication absorption.
,B. To decrease the pain associated with the needle insertion.
C. To reduce the risk of hitting a bone.
D. To prevent the medication from leaking into the subcutaneous tissue.
Answer: D
Conceptual Explanation: The Z-track method is used to seal medication within the muscle
and prevent it from tracking back into the subcutaneous tissue, which reduces irritation
and staining.
3. When assessing a client for orthostatic hypotension, which finding indicates a positive
result?
A. An increase in diastolic blood pressure by 10 mmHg when moving from sitting to
standing.
B. A decrease in systolic blood pressure by 20 mmHg when moving from lying to standing.
C. A decrease in heart rate by 15 beats per minute when changing positions.
D. An increase in systolic blood pressure by 20 mmHg after two minutes of standing.
Answer: B
Conceptual Explanation: Orthostatic hypotension is defined as a drop in systolic BP of at
least 20 mmHg or a drop in diastolic BP of at least 10 mmHg within 3 minutes of standing.
, 4. A client is diagnosed with a Clostridium difficile (C. diff) infection. Which infection control
measure is most appropriate?
A. Use of alcohol-based hand rub for hand hygiene.
B. Performing hand hygiene with soap and water after client contact.
C. Wearing a mask and goggles when entering the room.
D. Standard precautions only since the client is in a private room.
Answer: B
Conceptual Explanation: C. diff spores are resistant to alcohol-based hand sanitizers.
Physical scrubbing with soap and water is required to mechanically remove the spores
from the hands.
5. A nurse identifies that a client is in the ‘Planning’ phase of the nursing process. Which
activity is the nurse likely performing?
A. Performing a physical assessment of the client’s integumentary system.
B. Revising the care plan based on the client’s response to therapy.
C. Administering a scheduled dose of intravenous antibiotics.
D. Setting measurable, client-centered goals and expected outcomes.
Answer: D
Conceptual Explanation: The planning phase involves prioritizing problems, setting goals,
and choosing nursing interventions.
NURSING WEEK 8 COMPREHENSIVE
QUIZ 2026
1. During the assessment phase of the nursing process, which of the following is considered
subjective data?
A. The client’s blood pressure is 140/90 mmHg.
B. The client’s skin is warm and dry to the touch.
C. The client has a 2 cm laceration on the left thumb.
D. The client states, ‘I feel like my heart is racing.’
Answer: D
Conceptual Explanation: Subjective data are information from the client’s point of view,
such as feelings, perceptions, or concerns. Objective data are observable and measurable
signs.
2. A nurse is preparing to administer an intramuscular injection using the Z-track method.
What is the primary purpose of this technique?
A. To increase the speed of medication absorption.
,B. To decrease the pain associated with the needle insertion.
C. To reduce the risk of hitting a bone.
D. To prevent the medication from leaking into the subcutaneous tissue.
Answer: D
Conceptual Explanation: The Z-track method is used to seal medication within the muscle
and prevent it from tracking back into the subcutaneous tissue, which reduces irritation
and staining.
3. When assessing a client for orthostatic hypotension, which finding indicates a positive
result?
A. An increase in diastolic blood pressure by 10 mmHg when moving from sitting to
standing.
B. A decrease in systolic blood pressure by 20 mmHg when moving from lying to standing.
C. A decrease in heart rate by 15 beats per minute when changing positions.
D. An increase in systolic blood pressure by 20 mmHg after two minutes of standing.
Answer: B
Conceptual Explanation: Orthostatic hypotension is defined as a drop in systolic BP of at
least 20 mmHg or a drop in diastolic BP of at least 10 mmHg within 3 minutes of standing.
, 4. A client is diagnosed with a Clostridium difficile (C. diff) infection. Which infection control
measure is most appropriate?
A. Use of alcohol-based hand rub for hand hygiene.
B. Performing hand hygiene with soap and water after client contact.
C. Wearing a mask and goggles when entering the room.
D. Standard precautions only since the client is in a private room.
Answer: B
Conceptual Explanation: C. diff spores are resistant to alcohol-based hand sanitizers.
Physical scrubbing with soap and water is required to mechanically remove the spores
from the hands.
5. A nurse identifies that a client is in the ‘Planning’ phase of the nursing process. Which
activity is the nurse likely performing?
A. Performing a physical assessment of the client’s integumentary system.
B. Revising the care plan based on the client’s response to therapy.
C. Administering a scheduled dose of intravenous antibiotics.
D. Setting measurable, client-centered goals and expected outcomes.
Answer: D
Conceptual Explanation: The planning phase involves prioritizing problems, setting goals,
and choosing nursing interventions.
