NR224 Fundamentals of Nursing Quiz
Bank Quiz 1,Quiz 2,Quiz 3, Quiz 4 and
Quiz 5 with answers and Rationales
Quiz 1: Vital Signs, Health Assessment, and Hand Hygiene
Q1. Which of the following is the most accurate method for assessing a core body
temperature in an adult patient?
A. Axillary
B. Tympanic
C. Rectal
D. Temporal artery
Answer: C. Rectal
Rationale: Rectal temperature readings are considered the gold standard for core body
temperature assessment as they are closest to central internal temperatures. Axillary is the
least accurate, while tympanic and temporal can be affected by ambient factors.
Q2. The nurse notes a patient's radial pulse is irregular. What is the most appropriate next
action?
A. Document the finding and check again in 4 hours.
B. Count the apical pulse for one full minute.
C. Administer digoxin immediately.
D. Notify the physician stat.
Answer: B. Count the apical pulse for one full minute.
Rationale: When a peripheral pulse is irregular, the nurse must assess the apical pulse for a
full 60 seconds to accurately determine the heart rate and identify any pulse deficits.
Q3. What is the single most effective way to prevent the spread of healthcare-associated
infections (HAIs)?
,A. Wearing sterile gloves for all patient contact
B. Performing proper hand hygiene
C. Administering prophylactic antibiotics
D. Isolating all admitted patients
Answer: B. Performing proper hand hygiene
Rationale: According to the CDC and WHO, proper hand hygiene (using soap and water or
alcohol-based hand rub) remains the single most effective intervention to prevent pathogen
transmission and HAIs.
Q4. When performing hand hygiene with soap and water, how long should the nurse
friction-rub all surfaces of the hands?
A. At least 5 seconds
B. At least 10 seconds
C. At least 20 seconds
D. At least 1 minute
Answer: C. At least 20 seconds
Rationale: Friction should be applied to all hand surfaces for at least 20 seconds to
effectively mechanically dislodge and remove transient microorganisms.
Q5. A nurse is assessing a patient's blood pressure. If the blood pressure cuff is too
small/narrow, what error will occur?
A. Falsely high reading
B. Falsely low reading
C. It will not affect the reading
D. A precise core reading
Answer: A. Falsely high reading
Rationale: Using a bladder or cuff that is too narrow or short results in an underestimated
cuff pressure transmitting to the artery, leading to a falsely elevated blood pressure reading.
, Q6. Which phase of the nursing process involves establishing patient-centered goals and
expected outcomes?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
Answer: C. Planning
Rationale: During the planning phase, the nurse prioritizes diagnoses, sets patient-
centered goals, defines measurable outcomes, and chooses nursing interventions.
Q7. A patient has a respiratory rate of 26 breaths per minute. The nurse should document
this finding using which term?
A. Bradypnea
B. Eupnea
C. Tachypnea
D. Apnea
Answer: C. Tachypnea
Rationale: Tachypnea is defined as an abnormally rapid respiratory rate, typically greater
than 20 breaths per minute in an adult.
Q8. What type of safety precautions must be implemented for a patient diagnosed with
tuberculosis?
A. Standard Precautions
B. Droplet Precautions
C. Contact Precautions
D. Airborne Precautions
Answer: D. Airborne Precautions
Bank Quiz 1,Quiz 2,Quiz 3, Quiz 4 and
Quiz 5 with answers and Rationales
Quiz 1: Vital Signs, Health Assessment, and Hand Hygiene
Q1. Which of the following is the most accurate method for assessing a core body
temperature in an adult patient?
A. Axillary
B. Tympanic
C. Rectal
D. Temporal artery
Answer: C. Rectal
Rationale: Rectal temperature readings are considered the gold standard for core body
temperature assessment as they are closest to central internal temperatures. Axillary is the
least accurate, while tympanic and temporal can be affected by ambient factors.
Q2. The nurse notes a patient's radial pulse is irregular. What is the most appropriate next
action?
A. Document the finding and check again in 4 hours.
B. Count the apical pulse for one full minute.
C. Administer digoxin immediately.
D. Notify the physician stat.
Answer: B. Count the apical pulse for one full minute.
Rationale: When a peripheral pulse is irregular, the nurse must assess the apical pulse for a
full 60 seconds to accurately determine the heart rate and identify any pulse deficits.
Q3. What is the single most effective way to prevent the spread of healthcare-associated
infections (HAIs)?
,A. Wearing sterile gloves for all patient contact
B. Performing proper hand hygiene
C. Administering prophylactic antibiotics
D. Isolating all admitted patients
Answer: B. Performing proper hand hygiene
Rationale: According to the CDC and WHO, proper hand hygiene (using soap and water or
alcohol-based hand rub) remains the single most effective intervention to prevent pathogen
transmission and HAIs.
Q4. When performing hand hygiene with soap and water, how long should the nurse
friction-rub all surfaces of the hands?
A. At least 5 seconds
B. At least 10 seconds
C. At least 20 seconds
D. At least 1 minute
Answer: C. At least 20 seconds
Rationale: Friction should be applied to all hand surfaces for at least 20 seconds to
effectively mechanically dislodge and remove transient microorganisms.
Q5. A nurse is assessing a patient's blood pressure. If the blood pressure cuff is too
small/narrow, what error will occur?
A. Falsely high reading
B. Falsely low reading
C. It will not affect the reading
D. A precise core reading
Answer: A. Falsely high reading
Rationale: Using a bladder or cuff that is too narrow or short results in an underestimated
cuff pressure transmitting to the artery, leading to a falsely elevated blood pressure reading.
, Q6. Which phase of the nursing process involves establishing patient-centered goals and
expected outcomes?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
Answer: C. Planning
Rationale: During the planning phase, the nurse prioritizes diagnoses, sets patient-
centered goals, defines measurable outcomes, and chooses nursing interventions.
Q7. A patient has a respiratory rate of 26 breaths per minute. The nurse should document
this finding using which term?
A. Bradypnea
B. Eupnea
C. Tachypnea
D. Apnea
Answer: C. Tachypnea
Rationale: Tachypnea is defined as an abnormally rapid respiratory rate, typically greater
than 20 breaths per minute in an adult.
Q8. What type of safety precautions must be implemented for a patient diagnosed with
tuberculosis?
A. Standard Precautions
B. Droplet Precautions
C. Contact Precautions
D. Airborne Precautions
Answer: D. Airborne Precautions
