NUR 125 Fundamentals of Professional Nursing
COMPLETE BUNDLE 2026/2027 | Exams 1, 2, 3 &
Final Exam | Verified Q&As with Rationales | Pass
Guaranteed A-Graded
Question 1
,A nurse is performing an admission interview for a client scheduled for elective
surgery. The client appears anxious and states, "I am not sure if I should go
through with this." Which of the following statements by the nurse represents
the assessment phase of the nursing process?
A. "I will call the surgeon to explain the procedure to you again."
B. "You seem anxious; can you tell me more about what is worrying you?"
C. "I will administer the prescribed antianxiety medication now."
D. "We will make sure you are fully prepared before you go to the operating
room."
Verified Answer: B. "You seem anxious; can you tell me more about what is
worrying you?"
Explanation: The assessment phase involves systematic data collection to
understand the client's current emotional and physical state. By asking an
open-ended question about the client's worries, the nurse is gathering more
subjective data. Options A and C represent implementation, while option D
represents a planning or reassuring statement.
Question 2
The nurse completes a physical assessment on a client and notes a localized area
of non-blanchable erythema over the sacrum. How should the nurse document
this finding?
A. Stage 2 pressure injury
B. Deep tissue pressure injury
C. Stage 1 pressure injury
D. Unstageable pressure injury
,Verified Answer: C. Stage 1 pressure injury
Explanation: A Stage 1 pressure injury is characterized by intact skin with a
localized area of non-blanchable erythema (redness that does not turn white
when pressed). Stage 2 involves partial-thickness skin loss with exposed
dermis. Deep tissue injury presents as persistent non-blanchable deep red,
maroon, or purple discoloration. Unstageable injuries are covered by slough
or eschar, obscuring the true depth.
Question 3
Which of the following interventions is the absolute priority for the nurse
immediately after a client experiences a generalized tonic-clonic seizure in bed?
A. Insert an oral airway to prevent tongue biting.
B. Turn the client onto their side to maintain airway patency.
C. Restrain the client's limbs to prevent further muscle strain.
D. Administer a scheduled dose of an oral anticonvulsant.
Verified Answer: B. Turn the client onto their side to maintain airway
patency.
Explanation: Following a seizure (the postictal phase), the priority is
maintaining a patent airway and preventing aspiration of secretions or
vomitus by turning the client onto their side. Objects should never be forced
into a client's mouth during or after a seizure. Restraints are strictly
contraindicated as they cause physical injury.
, Question 4
A nurse is preparing to administer an intramuscular (IM) injection to an adult
client in the ventrogluteal site. Which anatomical landmarks should the nurse
palpate to locate this site accurately?
A. The acromion process and the axillary line.
B. The greater trochanter, anterior superior iliac spine, and the iliac crest.
C. The vastus lateralis muscle and the mid-thigh lateral line.
D. The posterior superior iliac spine and the coccyx.
Verified Answer: B. The greater trochanter, anterior superior iliac spine, and
the iliac crest.
Explanation: To locate the ventrogluteal site, the nurse places the palm of the
hand over the greater trochanter, points the index finger toward the anterior
superior iliac spine, and extends the middle finger along the iliac crest. This
forms a V-shaped triangle which is the safest injection zone for adults
because it is free of major nerves and blood vessels.
Question 5
A client diagnosed with Clostridioides difficile (C. diff) is admitted to the
medical-surgical unit. Which hand hygiene practice is mandatory for the nurse
after providing direct care to this client?
A. Apply a generous amount of 70% alcohol-based hand rub.
B. Cleanse hands with an antimicrobial chlorhexidine wipe.
C. Wash hands thoroughly with antimicrobial soap and running water.
D. Use a waterless sanitizing foam for a minimum of 20 seconds.
COMPLETE BUNDLE 2026/2027 | Exams 1, 2, 3 &
Final Exam | Verified Q&As with Rationales | Pass
Guaranteed A-Graded
Question 1
,A nurse is performing an admission interview for a client scheduled for elective
surgery. The client appears anxious and states, "I am not sure if I should go
through with this." Which of the following statements by the nurse represents
the assessment phase of the nursing process?
A. "I will call the surgeon to explain the procedure to you again."
B. "You seem anxious; can you tell me more about what is worrying you?"
C. "I will administer the prescribed antianxiety medication now."
D. "We will make sure you are fully prepared before you go to the operating
room."
Verified Answer: B. "You seem anxious; can you tell me more about what is
worrying you?"
Explanation: The assessment phase involves systematic data collection to
understand the client's current emotional and physical state. By asking an
open-ended question about the client's worries, the nurse is gathering more
subjective data. Options A and C represent implementation, while option D
represents a planning or reassuring statement.
Question 2
The nurse completes a physical assessment on a client and notes a localized area
of non-blanchable erythema over the sacrum. How should the nurse document
this finding?
A. Stage 2 pressure injury
B. Deep tissue pressure injury
C. Stage 1 pressure injury
D. Unstageable pressure injury
,Verified Answer: C. Stage 1 pressure injury
Explanation: A Stage 1 pressure injury is characterized by intact skin with a
localized area of non-blanchable erythema (redness that does not turn white
when pressed). Stage 2 involves partial-thickness skin loss with exposed
dermis. Deep tissue injury presents as persistent non-blanchable deep red,
maroon, or purple discoloration. Unstageable injuries are covered by slough
or eschar, obscuring the true depth.
Question 3
Which of the following interventions is the absolute priority for the nurse
immediately after a client experiences a generalized tonic-clonic seizure in bed?
A. Insert an oral airway to prevent tongue biting.
B. Turn the client onto their side to maintain airway patency.
C. Restrain the client's limbs to prevent further muscle strain.
D. Administer a scheduled dose of an oral anticonvulsant.
Verified Answer: B. Turn the client onto their side to maintain airway
patency.
Explanation: Following a seizure (the postictal phase), the priority is
maintaining a patent airway and preventing aspiration of secretions or
vomitus by turning the client onto their side. Objects should never be forced
into a client's mouth during or after a seizure. Restraints are strictly
contraindicated as they cause physical injury.
, Question 4
A nurse is preparing to administer an intramuscular (IM) injection to an adult
client in the ventrogluteal site. Which anatomical landmarks should the nurse
palpate to locate this site accurately?
A. The acromion process and the axillary line.
B. The greater trochanter, anterior superior iliac spine, and the iliac crest.
C. The vastus lateralis muscle and the mid-thigh lateral line.
D. The posterior superior iliac spine and the coccyx.
Verified Answer: B. The greater trochanter, anterior superior iliac spine, and
the iliac crest.
Explanation: To locate the ventrogluteal site, the nurse places the palm of the
hand over the greater trochanter, points the index finger toward the anterior
superior iliac spine, and extends the middle finger along the iliac crest. This
forms a V-shaped triangle which is the safest injection zone for adults
because it is free of major nerves and blood vessels.
Question 5
A client diagnosed with Clostridioides difficile (C. diff) is admitted to the
medical-surgical unit. Which hand hygiene practice is mandatory for the nurse
after providing direct care to this client?
A. Apply a generous amount of 70% alcohol-based hand rub.
B. Cleanse hands with an antimicrobial chlorhexidine wipe.
C. Wash hands thoroughly with antimicrobial soap and running water.
D. Use a waterless sanitizing foam for a minimum of 20 seconds.
