NR 224: Fundamentals of Nursing - Week 2 Comprehensive Quiz 2026
|Chamberlain
1. When assessing a patient’s blood pressure, using a cuff that is too narrow for
the size of the arm will result in:
A. A falsely high reading
B. A falsely low reading
C. An accurate reading as long as it is tight
D. No effect on the reading
Answer: A
Rationale: A blood pressure cuff that is too small or narrow will provide a falsely high
reading because the cuff must be inflated more to occlude the artery.
2. Which site is considered the most reliable for measuring core body
temperature?
A. Axillary
B. Rectal
C. Oral
D. Tympanic membrane
Answer: B
Rationale: The rectal route is considered the gold standard for core temperature
measurement, although the tympanic route is also close to core temperature.
,3. To assess the apical pulse, the nurse should place the diaphragm of the
stethoscope at which location?
A. Second intercostal space, right sternal border
B. Second intercostal space, left sternal border
C. Fifth intercostal space, left midclavicular line
D. Fourth intercostal space, left sternal border
Answer: C
Rationale: The apical pulse is best heard at the apex of the heart, located at the fifth
intercostal space at the left midclavicular line.
4. A patient has a pulse rate of 120 beats per minute. The nurse documents this
finding as:
A. Bradycardia
B. Eupnea
C. Tachycardia
D. Hypertension
Answer: C
Rationale: Tachycardia is defined as an abnormally elevated heart rate, usually above 100
beats per minute in adults.
5. When performing a physical assessment, the nurse uses the dorsal surface of
the hand to assess:
A. Vibrations
B. Temperature
C. Moisture
D. Tenderness
Answer: B
Rationale: The dorsal surface (back) of the hand is the most sensitive to temperature
variations because the skin is thinner there.
, 6. The nurse is preparing to assess a patient’s abdomen. In what order should
the nurse perform the assessment techniques?
A. Inspection, Palpation, Percussion, Auscultation
B. Percussion, Auscultation, Inspection, Palpation
C. Auscultation, Inspection, Palpation, Percussion
D. Inspection, Auscultation, Percussion, Palpation
Answer: D
Rationale: For the abdominal assessment, auscultation is performed before palpation and
percussion to avoid stimulating bowel sounds which could lead to false findings.
7. A patient with Clostridium difficile (C. diff) requires which type of
precautions?
A. Standard precautions only
B. Droplet precautions
C. Airborne precautions
D. Contact precautions
Answer: D
Rationale: C. diff is spread by direct contact with the patient or contaminated surfaces,
requiring contact precautions and handwashing with soap and water.
8. Which of the following is considered ‘subjective’ data during a nursing
assessment?
A. The patient’s blood pressure is 140/90 mmHg
B. The patient’s surgical incision is red and swollen
C. The patient’s oxygen saturation is 94%
D. The patient reports feeling dizzy when standing up
Answer: D
Rationale: Subjective data are the patient’s perceptions, feelings, or reports (symptoms)
that cannot be verified by the nurse through physical exam.
|Chamberlain
1. When assessing a patient’s blood pressure, using a cuff that is too narrow for
the size of the arm will result in:
A. A falsely high reading
B. A falsely low reading
C. An accurate reading as long as it is tight
D. No effect on the reading
Answer: A
Rationale: A blood pressure cuff that is too small or narrow will provide a falsely high
reading because the cuff must be inflated more to occlude the artery.
2. Which site is considered the most reliable for measuring core body
temperature?
A. Axillary
B. Rectal
C. Oral
D. Tympanic membrane
Answer: B
Rationale: The rectal route is considered the gold standard for core temperature
measurement, although the tympanic route is also close to core temperature.
,3. To assess the apical pulse, the nurse should place the diaphragm of the
stethoscope at which location?
A. Second intercostal space, right sternal border
B. Second intercostal space, left sternal border
C. Fifth intercostal space, left midclavicular line
D. Fourth intercostal space, left sternal border
Answer: C
Rationale: The apical pulse is best heard at the apex of the heart, located at the fifth
intercostal space at the left midclavicular line.
4. A patient has a pulse rate of 120 beats per minute. The nurse documents this
finding as:
A. Bradycardia
B. Eupnea
C. Tachycardia
D. Hypertension
Answer: C
Rationale: Tachycardia is defined as an abnormally elevated heart rate, usually above 100
beats per minute in adults.
5. When performing a physical assessment, the nurse uses the dorsal surface of
the hand to assess:
A. Vibrations
B. Temperature
C. Moisture
D. Tenderness
Answer: B
Rationale: The dorsal surface (back) of the hand is the most sensitive to temperature
variations because the skin is thinner there.
, 6. The nurse is preparing to assess a patient’s abdomen. In what order should
the nurse perform the assessment techniques?
A. Inspection, Palpation, Percussion, Auscultation
B. Percussion, Auscultation, Inspection, Palpation
C. Auscultation, Inspection, Palpation, Percussion
D. Inspection, Auscultation, Percussion, Palpation
Answer: D
Rationale: For the abdominal assessment, auscultation is performed before palpation and
percussion to avoid stimulating bowel sounds which could lead to false findings.
7. A patient with Clostridium difficile (C. diff) requires which type of
precautions?
A. Standard precautions only
B. Droplet precautions
C. Airborne precautions
D. Contact precautions
Answer: D
Rationale: C. diff is spread by direct contact with the patient or contaminated surfaces,
requiring contact precautions and handwashing with soap and water.
8. Which of the following is considered ‘subjective’ data during a nursing
assessment?
A. The patient’s blood pressure is 140/90 mmHg
B. The patient’s surgical incision is red and swollen
C. The patient’s oxygen saturation is 94%
D. The patient reports feeling dizzy when standing up
Answer: D
Rationale: Subjective data are the patient’s perceptions, feelings, or reports (symptoms)
that cannot be verified by the nurse through physical exam.
