NU 131 / NUR 131 Nursing and Healthcare I
Exam 2 (Questions & Answers Plus Detailed
Rationales) Latest 2026/2027 | PDF - Galen
College of Nursing
Question 1
A nurse is caring for a patient with active pulmonary tuberculosis. Which type of
precautions should the nurse implement?
A) Contact precautions
B) Droplet precautions
C) Airborne precautions
D) Standard precautions alone
Answer: C - Pulmonary tuberculosis is transmitted via airborne droplet nuclei. Airborne
precautions require an N95 respirator (or higher) and a negative-pressure room .
Question 2
A patient has Clostridium difficile infection. What hand hygiene product is most
effective?
A) Alcohol-based hand rub
B) Warm water and soap
C) Chlorhexidine wipes
D) Iodine solution
Answer: B - Alcohol-based hand rubs are not effective against C. difficile spores. Soap
and water physically remove the spores through mechanical action .
,Question 3
Which type of precautions should the nurse implement for a patient with MRSA in a
wound?
A) Standard precautions only
B) Contact precautions
C) Droplet precautions
D) Airborne precautions
Answer: B - MRSA is transmitted by direct contact with the infected wound or
contaminated surfaces. Contact precautions require gloves and gown for all patient
contact .
Question 4
What is the correct technique for using a fire extinguisher?
A) PASS: Pull, Aim, Squeeze, Sweep
B) RACE: Rescue, Alarm, Contain, Extinguish
C) PULL: Pull, Unleash, Lift, Locate
D) FIRE: Find, Isolate, Report, Evacuate
Answer: A - PASS is the correct technique for fire extinguisher use: Pull the pin, Aim at
the base of the fire, Squeeze the handle, Sweep from side to side .
Question 5
A patient is on fall precautions. Which intervention is most important?
A) Keep the bed in the highest position
B) Place the call light within reach
C) Restrain the patient at night
D) Keep the room dark at all times
Answer: B - Ensuring the call light is accessible empowers the patient to ask for help,
reducing fall risk. Bed in high position and darkness increase fall risk .
,Question 6
A nurse is caring for a patient with COVID-19 in an airborne infection isolation room.
Which mask should the nurse wear?
A) Surgical mask
B) N95 respirator
C) Cloth mask
D) Face shield alone
Answer: B - COVID-19 is transmitted via aerosols; CDC recommends an N95 respirator
(or higher) for known or suspected cases, especially during aerosol-generating
procedures .
Question 7
A healthcare worker sustains a needlestick injury from a high-risk patient. What is the
first action?
A) Report to the supervisor
B) Wash the site with soap and water
C) Start post-exposure prophylaxis
D) Test the patient for HIV
Answer: B - Immediate first aid is to wash the site with soap and water (no scrubbing).
Then report to supervisor, assess risk, and follow facility protocol for testing/PEP .
Question 8
Standard Precautions apply to which of the following?
A) Blood only
B) All body fluids except sweat
C) Sweat only
D) Non-intact skin but not mucous membranes
Answer: B - Standard Precautions apply to blood, all body fluids except sweat, non-
intact skin, and mucous membranes regardless of known infection status .
, Question 9
A patient is on droplet precautions. The nurse should maintain what distance from the
patient?
A) At least 3 feet
B) At least 6 feet
C) At least 10 feet
D) No distance is needed if a mask is worn
Answer: A - Droplet precautions recommend patient placement at least 3 feet from
others because droplets travel only short distances .
Question 10
Which disinfectant is appropriate for cleaning blood spills?
A) 70% isopropyl alcohol
B) 1:10 dilution of bleach
C) Warm water and soap only
D) Chlorhexidine wipes
Answer: B - A 1:10 dilution of bleach (sodium hypochlorite) is recommended for
disinfecting blood spills. Isopropyl alcohol is not sporicidal, and soap and water are not
disinfectants .
Question 11
Which patient is at highest risk for a healthcare-associated infection (HAI)?
A) A 25-year-old post-appendectomy patient
B) A 40-year-old with community-acquired pneumonia
C) A 70-year-old with an indwelling urinary catheter
D) A 55-year-old with hypertension
Answer: C - Invasive devices (catheters, IV lines, ventilators) are major HAI risk factors.
Older adults and prolonged hospitalization also increase risk .
Exam 2 (Questions & Answers Plus Detailed
Rationales) Latest 2026/2027 | PDF - Galen
College of Nursing
Question 1
A nurse is caring for a patient with active pulmonary tuberculosis. Which type of
precautions should the nurse implement?
A) Contact precautions
B) Droplet precautions
C) Airborne precautions
D) Standard precautions alone
Answer: C - Pulmonary tuberculosis is transmitted via airborne droplet nuclei. Airborne
precautions require an N95 respirator (or higher) and a negative-pressure room .
Question 2
A patient has Clostridium difficile infection. What hand hygiene product is most
effective?
A) Alcohol-based hand rub
B) Warm water and soap
C) Chlorhexidine wipes
D) Iodine solution
Answer: B - Alcohol-based hand rubs are not effective against C. difficile spores. Soap
and water physically remove the spores through mechanical action .
,Question 3
Which type of precautions should the nurse implement for a patient with MRSA in a
wound?
A) Standard precautions only
B) Contact precautions
C) Droplet precautions
D) Airborne precautions
Answer: B - MRSA is transmitted by direct contact with the infected wound or
contaminated surfaces. Contact precautions require gloves and gown for all patient
contact .
Question 4
What is the correct technique for using a fire extinguisher?
A) PASS: Pull, Aim, Squeeze, Sweep
B) RACE: Rescue, Alarm, Contain, Extinguish
C) PULL: Pull, Unleash, Lift, Locate
D) FIRE: Find, Isolate, Report, Evacuate
Answer: A - PASS is the correct technique for fire extinguisher use: Pull the pin, Aim at
the base of the fire, Squeeze the handle, Sweep from side to side .
Question 5
A patient is on fall precautions. Which intervention is most important?
A) Keep the bed in the highest position
B) Place the call light within reach
C) Restrain the patient at night
D) Keep the room dark at all times
Answer: B - Ensuring the call light is accessible empowers the patient to ask for help,
reducing fall risk. Bed in high position and darkness increase fall risk .
,Question 6
A nurse is caring for a patient with COVID-19 in an airborne infection isolation room.
Which mask should the nurse wear?
A) Surgical mask
B) N95 respirator
C) Cloth mask
D) Face shield alone
Answer: B - COVID-19 is transmitted via aerosols; CDC recommends an N95 respirator
(or higher) for known or suspected cases, especially during aerosol-generating
procedures .
Question 7
A healthcare worker sustains a needlestick injury from a high-risk patient. What is the
first action?
A) Report to the supervisor
B) Wash the site with soap and water
C) Start post-exposure prophylaxis
D) Test the patient for HIV
Answer: B - Immediate first aid is to wash the site with soap and water (no scrubbing).
Then report to supervisor, assess risk, and follow facility protocol for testing/PEP .
Question 8
Standard Precautions apply to which of the following?
A) Blood only
B) All body fluids except sweat
C) Sweat only
D) Non-intact skin but not mucous membranes
Answer: B - Standard Precautions apply to blood, all body fluids except sweat, non-
intact skin, and mucous membranes regardless of known infection status .
, Question 9
A patient is on droplet precautions. The nurse should maintain what distance from the
patient?
A) At least 3 feet
B) At least 6 feet
C) At least 10 feet
D) No distance is needed if a mask is worn
Answer: A - Droplet precautions recommend patient placement at least 3 feet from
others because droplets travel only short distances .
Question 10
Which disinfectant is appropriate for cleaning blood spills?
A) 70% isopropyl alcohol
B) 1:10 dilution of bleach
C) Warm water and soap only
D) Chlorhexidine wipes
Answer: B - A 1:10 dilution of bleach (sodium hypochlorite) is recommended for
disinfecting blood spills. Isopropyl alcohol is not sporicidal, and soap and water are not
disinfectants .
Question 11
Which patient is at highest risk for a healthcare-associated infection (HAI)?
A) A 25-year-old post-appendectomy patient
B) A 40-year-old with community-acquired pneumonia
C) A 70-year-old with an indwelling urinary catheter
D) A 55-year-old with hypertension
Answer: C - Invasive devices (catheters, IV lines, ventilators) are major HAI risk factors.
Older adults and prolonged hospitalization also increase risk .
