NURS 101L Fundamentals of Nursing Skills Lab - Week 2
Comprehensive Quiz (2026 Update) WCU
1. A nurse is preparing to measure a patient’s blood pressure. If the blood
pressure cuff is too small for the patient’s arm circumference, what is the most
likely clinical outcome?
A. The systolic reading will be falsely low.
B. The diastolic reading will be falsely low.
C. The reading will be unaffected if the patient is supine.
D. The reading will be falsely high.
Answer: D
Rationale: A cuff that is too narrow or small results in a falsely high blood pressure
reading because the pressure is not distributed evenly across the artery.
2. During the process of donning Sterile Gloves using the open method, which
action by the student nurse would require immediate intervention by the
instructor?
A. Touching the inner surface of the first glove’s cuff with the dominant hand.
B. Touching the outer surface of the second glove with the gloved dominant hand.
C. Adjusting the fingers of the first glove before the second glove is donned.
D. Keeping the hands above the waist level after both gloves are on.
Answer: C
Rationale: A nurse should not adjust the fingers or cuff of the first sterile glove until the
second hand is gloved. Touching the outside of the first glove with an ungloved hand would
contaminate it.
,3. A nurse is assessing a patient for orthostatic hypotension. Which drop in
blood pressure and increase in heart rate signifies a positive finding when the
patient moves from supine to standing?
A. Decrease in SBP of 10 mmHg and increase in HR of 5 bpm.
B. Decrease in SBP of 20 mmHg and increase in HR of 20 bpm.
C. Increase in DBP of 10 mmHg and decrease in HR of 10 bpm.
D. Decrease in SBP of 5 mmHg and increase in HR of 30 bpm.
Answer: B
Rationale: Orthostatic hypotension is generally defined as a decrease in systolic blood
pressure (SBP) of 20 mmHg or more, or a decrease in diastolic blood pressure (DBP) of 10
mmHg or more within 3 minutes of standing, often accompanied by a heart rate (HR)
increase.
4. When performing hand hygiene with an alcohol-based hand rub, how long
should the nurse rub their hands together?
A. At least 10 seconds.
B. Until the alcohol is completely dry.
C. Exactly 1 minute.
D. Until the hands feel sticky.
Answer: B
Rationale: Hand rub should be applied and rubbed over all surfaces of the hands until the
product has completely dried, which usually takes about 20-30 seconds.
, 5. Which of the following patients is at the highest risk for developing
healthcare-associated infections (HAIs)?
A. An 80-year-old with an indwelling urinary catheter and diabetes.
B. A 30-year-old recovering from an uncomplicated appendectomy.
C. A 45-year-old with a fractured femur in a cast.
D. A 10-year-old with a viral upper respiratory infection.
Answer: A
Rationale: Advanced age, invasive devices (urinary catheter), and chronic illness
(diabetes) significantly increase the risk of HAIs.
6. In what order should a nurse remove Personal Protective Equipment (PPE)
after caring for a patient in isolation?
A. Gown, Gloves, Goggles, Mask.
B. Mask, Goggles, Gown, Gloves.
C. Goggles, Mask, Gloves, Gown.
D. Gloves, Goggles, Gown, Mask.
Answer: D
Rationale: The most contaminated items (gloves) are removed first, followed by eye
protection, the gown, and finally the mask (especially in respiratory isolation).
7. A patient is suspected of having Pulmonary Tuberculosis. Which type of
isolation precautions should the nurse implement?
A. Contact Precautions.
B. Airborne Precautions.
C. Droplet Precautions.
D. Standard Precautions only.
Answer: B
Rationale: Tuberculosis is transmitted via small droplets that remain suspended in the air,
requiring Airborne Precautions, including an N95 respirator and a negative-pressure room.
Comprehensive Quiz (2026 Update) WCU
1. A nurse is preparing to measure a patient’s blood pressure. If the blood
pressure cuff is too small for the patient’s arm circumference, what is the most
likely clinical outcome?
A. The systolic reading will be falsely low.
B. The diastolic reading will be falsely low.
C. The reading will be unaffected if the patient is supine.
D. The reading will be falsely high.
Answer: D
Rationale: A cuff that is too narrow or small results in a falsely high blood pressure
reading because the pressure is not distributed evenly across the artery.
2. During the process of donning Sterile Gloves using the open method, which
action by the student nurse would require immediate intervention by the
instructor?
A. Touching the inner surface of the first glove’s cuff with the dominant hand.
B. Touching the outer surface of the second glove with the gloved dominant hand.
C. Adjusting the fingers of the first glove before the second glove is donned.
D. Keeping the hands above the waist level after both gloves are on.
Answer: C
Rationale: A nurse should not adjust the fingers or cuff of the first sterile glove until the
second hand is gloved. Touching the outside of the first glove with an ungloved hand would
contaminate it.
,3. A nurse is assessing a patient for orthostatic hypotension. Which drop in
blood pressure and increase in heart rate signifies a positive finding when the
patient moves from supine to standing?
A. Decrease in SBP of 10 mmHg and increase in HR of 5 bpm.
B. Decrease in SBP of 20 mmHg and increase in HR of 20 bpm.
C. Increase in DBP of 10 mmHg and decrease in HR of 10 bpm.
D. Decrease in SBP of 5 mmHg and increase in HR of 30 bpm.
Answer: B
Rationale: Orthostatic hypotension is generally defined as a decrease in systolic blood
pressure (SBP) of 20 mmHg or more, or a decrease in diastolic blood pressure (DBP) of 10
mmHg or more within 3 minutes of standing, often accompanied by a heart rate (HR)
increase.
4. When performing hand hygiene with an alcohol-based hand rub, how long
should the nurse rub their hands together?
A. At least 10 seconds.
B. Until the alcohol is completely dry.
C. Exactly 1 minute.
D. Until the hands feel sticky.
Answer: B
Rationale: Hand rub should be applied and rubbed over all surfaces of the hands until the
product has completely dried, which usually takes about 20-30 seconds.
, 5. Which of the following patients is at the highest risk for developing
healthcare-associated infections (HAIs)?
A. An 80-year-old with an indwelling urinary catheter and diabetes.
B. A 30-year-old recovering from an uncomplicated appendectomy.
C. A 45-year-old with a fractured femur in a cast.
D. A 10-year-old with a viral upper respiratory infection.
Answer: A
Rationale: Advanced age, invasive devices (urinary catheter), and chronic illness
(diabetes) significantly increase the risk of HAIs.
6. In what order should a nurse remove Personal Protective Equipment (PPE)
after caring for a patient in isolation?
A. Gown, Gloves, Goggles, Mask.
B. Mask, Goggles, Gown, Gloves.
C. Goggles, Mask, Gloves, Gown.
D. Gloves, Goggles, Gown, Mask.
Answer: D
Rationale: The most contaminated items (gloves) are removed first, followed by eye
protection, the gown, and finally the mask (especially in respiratory isolation).
7. A patient is suspected of having Pulmonary Tuberculosis. Which type of
isolation precautions should the nurse implement?
A. Contact Precautions.
B. Airborne Precautions.
C. Droplet Precautions.
D. Standard Precautions only.
Answer: B
Rationale: Tuberculosis is transmitted via small droplets that remain suspended in the air,
requiring Airborne Precautions, including an N95 respirator and a negative-pressure room.
