Practice Bundle 2026 | Verified Questions &
Answers with Detailed Rationales |
Complete Nursing Fundamentals Study
Guide PDF
• This practice bundle contains 300 verified questions and answers with detailed
EXPERT RATIONALE designed to mirror the actual UConn Nursing Fundamentals
Final Exam format and difficulty level.
• Use this material by attempting each question independently before checking the
highlighted correct answer and EXPERT RATIONALE below it — this active recall
method significantly boosts retention and exam readiness.
UConn Nursing Fundamentals Final Exam Practice Bundle 2026
1. A nurse is preparing to perform hand hygiene before a sterile procedure.
Which statement best reflects the correct technique?
A. Hands should be washed for at least 10 seconds using any soap available
B. Alcohol-based hand rub is always preferred over soap and water
C. Hand hygiene should be performed before and after every patient contact
C. Hand hygiene should be performed before and after every patient contact
EXPERT RATIONALE: The CDC and WHO guidelines mandate hand hygiene before and
after every patient contact to prevent healthcare-associated infections. Alcohol-based
hand rub is preferred unless hands are visibly soiled or after contact with C. difficile, in
which case soap and water must be used.
D. Rings and watches do not need to be removed if hands are washed thoroughly
E. Wrists do not need to be included in routine hand washing
,2. A patient is admitted with a pressure injury on the sacrum. The wound is
shallow with a red-pink wound bed and no slough. How should the nurse
document this finding?
A. Stage I pressure injury
B. Stage II pressure injury
EXPERT RATIONALE: A Stage II pressure injury presents as a shallow open wound with a
red-pink wound bed without slough or bruising. Stage I involves intact skin with non-
blanchable erythema. Stage III involves full-thickness tissue loss.
B. Stage II pressure injury
C. Stage III pressure injury
D. Stage IV pressure injury
E. Unstageable pressure injury
3. Which of the following actions by a nursing student demonstrates
understanding of standard precautions?
A. Wearing gloves only when the patient has a known infection
B. Recapping needles after use to prevent accidental needle sticks
C. Wearing gloves when drawing blood from any patient regardless of diagnosis
EXPERT RATIONALE: Standard precautions apply to all patients regardless of diagnosis
or infection status. They include use of gloves when contact with blood or body fluids is
anticipated. Recapping needles is a dangerous practice associated with needle-stick
injuries.
C. Wearing gloves when drawing blood from any patient regardless of diagnosis
D. Disposing of sharps in the nearest trash bin when sharps containers are full
E. Wearing a gown only when the patient has diarrhea
,4. A nurse is caring for a patient on contact precautions. Which PPE should the
nurse don upon entering the room?
A. N95 respirator and face shield only
B. Surgical mask and gloves only
C. Gloves and gown
EXPERT RATIONALE: Contact precautions require the use of gloves and a gown upon
entering the patient room. N95 respirators are required for airborne precautions.
Surgical masks are part of droplet precautions.
C. Gloves and gown
D. Gloves, gown, and N95 respirator
E. No PPE is needed for contact precautions
5. The nurse is assessing a patient's respiratory status. Which finding should
be reported immediately to the physician?
A. Respiratory rate of 16 breaths per minute
B. Oxygen saturation of 97% on room air
C. Bilateral equal breath sounds
D. Mild productive cough with clear sputum
E. Respiratory rate of 8 breaths per minute with cyanosis
EXPERT RATIONALE: A respiratory rate of 8 (bradypnea) combined with cyanosis
indicates severe respiratory compromise and hypoxia. This is a life-threatening
emergency requiring immediate physician notification and intervention.
6. A nurse is preparing to administer a medication through a nasogastric tube.
Which action is the priority before administration?
A. Flushing the tube with 60 mL of water after medication
, B. Crushing all medications and mixing them together in water
C. Verifying tube placement before administering any medication
EXPERT RATIONALE: Verification of NG tube placement is the priority before
administering anything through the tube to prevent aspiration. Placement is confirmed
via X-ray (gold standard) or by checking pH of aspirated contents. Medications should
not all be crushed together as they may interact.
C. Verifying tube placement before administering any medication
D. Administering all medications simultaneously to save time
E. Positioning the patient supine during administration
7. Which of the following best describes the purpose of a nursing care plan?
A. To document physician orders for the patient
B. To replace the medical diagnosis
C. To provide individualized, goal-directed care based on nursing diagnoses
EXPERT RATIONALE: A nursing care plan is a formal document that organizes patient
assessment data, nursing diagnoses, expected outcomes, nursing interventions, and
evaluation. It ensures individualized, coordinated, and goal-directed patient care.
C. To provide individualized, goal-directed care based on nursing diagnoses
D. To serve as a legal document only
E. To outline the billing information for patient services
8. A patient tells the nurse, "I haven't had a bowel movement in five days."
Which nursing diagnosis is most appropriate?
A. Constipation related to decreased gastrointestinal motility
EXPERT RATIONALE: Constipation is defined as a decrease in normal frequency of
defecation with difficult or incomplete passage of stool. Five days without a bowel