NR 224: Fundamentals of Nursing - Week 4 Quiz 2026 |Chamberlain
1. When performing oral care for an unconscious patient, which risk is the
highest priority for the nurse to manage?
A. Aspiration
B. Gingivitis
C. Halitosis
D. Dental Caries
Answer: A
Rationale: Unconscious patients lack a gag reflex, making them highly susceptible to
aspirating fluids into the lungs during oral care.
2. A patient is diagnosed with orthostatic hypotension. Which clinical finding
supports this diagnosis?
A. A decrease in systolic BP by 20 mmHg when standing
B. An increase in heart rate by 5 bpm when sitting
C. A decrease in diastolic BP by 5 mmHg when standing
D. A consistent BP of 140/90 mmHg in all positions
Answer: A
Rationale: Orthostatic hypotension is defined as a drop in systolic BP of at least 20 mmHg
or diastolic BP of at least 10 mmHg within 3 minutes of standing.
,3. When providing a complete bed bath, in which order should the nurse wash
the patient’s body parts?
A. Face, Arms, Trunk, Legs, Perineal area
B. Feet, Legs, Arms, Face
C. Perineal area, Trunk, Arms, Face
D. Abdomen, Chest, Face, Feet
Answer: A
Rationale: Bathing should proceed from the cleanest areas to the dirtiest areas to prevent
cross-contamination, starting with the face.
4. What is the primary purpose of logrolling a patient?
A. To prevent pressure ulcers on the sacrum
B. To make it easier to change bed linens
C. To maintain spinal alignment after injury or surgery
D. To improve respiratory expansion
Answer: C
Rationale: Logrolling is used to turn a patient while keeping the head, shoulders, and hips
in a straight line, which is critical for patients with spinal instability.
5. Which intervention is most effective in preventing patient falls in a hospital
setting?
A. Keeping all four side rails in the up position
B. Providing a sedative at bedtime
C. Keeping the bed in the lowest position
D. Applying a vest restraint
Answer: C
Rationale: Keeping the bed in the lowest position minimizes the distance to the floor if a
patient attempts to get out of bed, reducing injury risk.
, 6. In the nursing process, which step involves the collection of subjective and
objective data?
A. Diagnosis
B. Assessment
C. Planning
D. Implementation
Answer: B
Rationale: Assessment is the first step of the nursing process, where the nurse gathers all
relevant data about the patient’s health status.
7. The nurse uses a blood pressure cuff that is too small for an obese patient.
What effect will this have on the reading?
A. The reading will be falsely low
B. The reading will be falsely high
C. The reading will be accurate
D. The diastolic reading will be low, but systolic will be high
Answer: B
Rationale: Using a cuff that is too narrow or small results in a falsely elevated blood
pressure reading.
8. A patient is on contact precautions for Clostridium difficile (C. diff). Which
hand hygiene method is required?
A. Soap and water
B. Alcohol-based hand rub
C. Chlorhexidine scrub
D. No hand hygiene is needed if gloves were worn
Answer: A
Rationale: Alcohol-based rubs are ineffective against C. diff spores; physical scrubbing
with soap and water is necessary to rinse spores off the skin.
1. When performing oral care for an unconscious patient, which risk is the
highest priority for the nurse to manage?
A. Aspiration
B. Gingivitis
C. Halitosis
D. Dental Caries
Answer: A
Rationale: Unconscious patients lack a gag reflex, making them highly susceptible to
aspirating fluids into the lungs during oral care.
2. A patient is diagnosed with orthostatic hypotension. Which clinical finding
supports this diagnosis?
A. A decrease in systolic BP by 20 mmHg when standing
B. An increase in heart rate by 5 bpm when sitting
C. A decrease in diastolic BP by 5 mmHg when standing
D. A consistent BP of 140/90 mmHg in all positions
Answer: A
Rationale: Orthostatic hypotension is defined as a drop in systolic BP of at least 20 mmHg
or diastolic BP of at least 10 mmHg within 3 minutes of standing.
,3. When providing a complete bed bath, in which order should the nurse wash
the patient’s body parts?
A. Face, Arms, Trunk, Legs, Perineal area
B. Feet, Legs, Arms, Face
C. Perineal area, Trunk, Arms, Face
D. Abdomen, Chest, Face, Feet
Answer: A
Rationale: Bathing should proceed from the cleanest areas to the dirtiest areas to prevent
cross-contamination, starting with the face.
4. What is the primary purpose of logrolling a patient?
A. To prevent pressure ulcers on the sacrum
B. To make it easier to change bed linens
C. To maintain spinal alignment after injury or surgery
D. To improve respiratory expansion
Answer: C
Rationale: Logrolling is used to turn a patient while keeping the head, shoulders, and hips
in a straight line, which is critical for patients with spinal instability.
5. Which intervention is most effective in preventing patient falls in a hospital
setting?
A. Keeping all four side rails in the up position
B. Providing a sedative at bedtime
C. Keeping the bed in the lowest position
D. Applying a vest restraint
Answer: C
Rationale: Keeping the bed in the lowest position minimizes the distance to the floor if a
patient attempts to get out of bed, reducing injury risk.
, 6. In the nursing process, which step involves the collection of subjective and
objective data?
A. Diagnosis
B. Assessment
C. Planning
D. Implementation
Answer: B
Rationale: Assessment is the first step of the nursing process, where the nurse gathers all
relevant data about the patient’s health status.
7. The nurse uses a blood pressure cuff that is too small for an obese patient.
What effect will this have on the reading?
A. The reading will be falsely low
B. The reading will be falsely high
C. The reading will be accurate
D. The diastolic reading will be low, but systolic will be high
Answer: B
Rationale: Using a cuff that is too narrow or small results in a falsely elevated blood
pressure reading.
8. A patient is on contact precautions for Clostridium difficile (C. diff). Which
hand hygiene method is required?
A. Soap and water
B. Alcohol-based hand rub
C. Chlorhexidine scrub
D. No hand hygiene is needed if gloves were worn
Answer: A
Rationale: Alcohol-based rubs are ineffective against C. diff spores; physical scrubbing
with soap and water is necessary to rinse spores off the skin.
