NURS 101L | Fundamentals of Nursing Skills Lab | Week 7
Comprehensive Quiz 2026 |WCU
1. While preparing a sterile field for a dressing change, the nurse accidentally
drops a sterile 4x4 gauze onto the 1-inch border of the sterile drape. Which
action is most appropriate?
A. Consider the gauze contaminated and discard it.
B. Continue with the procedure as the border is considered sterile.
C. Pick up the gauze with sterile forceps and place it in the center of the field.
D. Spray the border with an antiseptic solution to maintain sterility.
Answer: A
Rationale: The 1-inch border of a sterile field is considered contaminated. Any item
touching this border must be discarded to maintain asepsis.
2. The nurse is inserting an indwelling urinary catheter into a male patient and
meets resistance while advancing the catheter. What should the nurse do first?
A. Withdraw the catheter and notify the provider immediately.
B. Instruct the patient to take deep breaths while applying gentle pressure.
C. Use a smaller gauge catheter to bypass the obstruction.
D. Force the catheter forward to clear the prostatic resistance.
Answer: B
Rationale: Gentle pressure and deep breathing can help relax the external sphincter and
ease the passage of the catheter. Never force a catheter against resistance.
,3. A patient has a pressure injury that involves full-thickness skin loss with
visible subcutaneous fat, but no bone, tendon, or muscle is exposed. How
should the nurse stage this injury?
A. Stage II
B. Stage IV
C. Stage III
D. Unstageable
Answer: C
Rationale: Stage III pressure injuries involve full-thickness skin loss where adipose (fat) is
visible, but deeper structures like bone or muscle are not yet exposed.
4. When administering a subcutaneous injection to an average-sized adult,
which needle length and angle of insertion are most appropriate?
A. 1.5-inch needle at a 90-degree angle.
B. 1/2-inch needle at a 15-degree angle.
C. 5/8-inch needle at a 45-degree angle.
D. 1-inch needle at a 90-degree angle.
Answer: C
Rationale: Subcutaneous injections are typically given with a 5/8-inch needle at a 45-
degree angle or a 1/2-inch needle at a 90-degree angle for standard patients.
5. The nurse identifies the ventrogluteal site for an intramuscular injection.
Which landmarks should the nurse use?
A. Acromion process and the axillary line.
B. Vastus lateralis and the patella.
C. Greater trochanter, anterior superior iliac spine, and iliac crest.
D. Ischial tuberosity and the posterior iliac spine.
Answer: C
, Rationale: The ventrogluteal site is located by placing the palm over the greater
trochanter, the index finger on the anterior superior iliac spine, and spreading the middle
finger toward the iliac crest.
6. A nurse is caring for a patient with a wrist restraint. Which assessment finding
requires immediate intervention?
A. The restraint is tied to the bed frame using a quick-release knot.
B. Two fingers can be inserted between the restraint and the wrist.
C. The patient’s hand is cool to the touch with a capillary refill of 5 seconds.
D. The patient is crying and asking for the restraint to be removed.
Answer: C
Rationale: A capillary refill of 5 seconds and cool skin indicate impaired circulation, which
is a priority safety concern requiring immediate removal or loosening of the restraint.
7. Which flow rate of oxygen via a nasal cannula requires the addition of
humidification to prevent mucosal drying?
A. 1 L/min
B. 2 L/min
C. Humidification is only used with face masks.
D. 4 L/min or higher
Answer: D
Rationale: Oxygen therapy at flow rates of 4 L/min and above should be humidified to
prevent drying of the nasal and oral mucosa.
Comprehensive Quiz 2026 |WCU
1. While preparing a sterile field for a dressing change, the nurse accidentally
drops a sterile 4x4 gauze onto the 1-inch border of the sterile drape. Which
action is most appropriate?
A. Consider the gauze contaminated and discard it.
B. Continue with the procedure as the border is considered sterile.
C. Pick up the gauze with sterile forceps and place it in the center of the field.
D. Spray the border with an antiseptic solution to maintain sterility.
Answer: A
Rationale: The 1-inch border of a sterile field is considered contaminated. Any item
touching this border must be discarded to maintain asepsis.
2. The nurse is inserting an indwelling urinary catheter into a male patient and
meets resistance while advancing the catheter. What should the nurse do first?
A. Withdraw the catheter and notify the provider immediately.
B. Instruct the patient to take deep breaths while applying gentle pressure.
C. Use a smaller gauge catheter to bypass the obstruction.
D. Force the catheter forward to clear the prostatic resistance.
Answer: B
Rationale: Gentle pressure and deep breathing can help relax the external sphincter and
ease the passage of the catheter. Never force a catheter against resistance.
,3. A patient has a pressure injury that involves full-thickness skin loss with
visible subcutaneous fat, but no bone, tendon, or muscle is exposed. How
should the nurse stage this injury?
A. Stage II
B. Stage IV
C. Stage III
D. Unstageable
Answer: C
Rationale: Stage III pressure injuries involve full-thickness skin loss where adipose (fat) is
visible, but deeper structures like bone or muscle are not yet exposed.
4. When administering a subcutaneous injection to an average-sized adult,
which needle length and angle of insertion are most appropriate?
A. 1.5-inch needle at a 90-degree angle.
B. 1/2-inch needle at a 15-degree angle.
C. 5/8-inch needle at a 45-degree angle.
D. 1-inch needle at a 90-degree angle.
Answer: C
Rationale: Subcutaneous injections are typically given with a 5/8-inch needle at a 45-
degree angle or a 1/2-inch needle at a 90-degree angle for standard patients.
5. The nurse identifies the ventrogluteal site for an intramuscular injection.
Which landmarks should the nurse use?
A. Acromion process and the axillary line.
B. Vastus lateralis and the patella.
C. Greater trochanter, anterior superior iliac spine, and iliac crest.
D. Ischial tuberosity and the posterior iliac spine.
Answer: C
, Rationale: The ventrogluteal site is located by placing the palm over the greater
trochanter, the index finger on the anterior superior iliac spine, and spreading the middle
finger toward the iliac crest.
6. A nurse is caring for a patient with a wrist restraint. Which assessment finding
requires immediate intervention?
A. The restraint is tied to the bed frame using a quick-release knot.
B. Two fingers can be inserted between the restraint and the wrist.
C. The patient’s hand is cool to the touch with a capillary refill of 5 seconds.
D. The patient is crying and asking for the restraint to be removed.
Answer: C
Rationale: A capillary refill of 5 seconds and cool skin indicate impaired circulation, which
is a priority safety concern requiring immediate removal or loosening of the restraint.
7. Which flow rate of oxygen via a nasal cannula requires the addition of
humidification to prevent mucosal drying?
A. 1 L/min
B. 2 L/min
C. Humidification is only used with face masks.
D. 4 L/min or higher
Answer: D
Rationale: Oxygen therapy at flow rates of 4 L/min and above should be humidified to
prevent drying of the nasal and oral mucosa.
