WV SEPTIC INSTALLER EXAM | REAL EXAM
VERIFIED QUESTIONS AND DETAILED ANSWERS
WITH RATIONALES - COMPREHENSIVE LATEST
VERSION 2026/2027
Section 1: Fundamentals of Nursing (Questions 1-50)
1. A nurse is preparing to administer a subcutaneous injection of heparin.
Which action is most appropriate?
A) Massage the site after injection to enhance absorption.
B) Use a 1-inch needle at a 45-degree angle.
C) Administer the injection in the abdomen at least 2 inches away from the
umbilicus.
D) Aspirate for blood return before injecting the medication.
Correct Answer: C
Rationale: Subcutaneous heparin is best absorbed in the abdominal fatty
tissue, and injections should be given at least 2 inches from the umbilicus.
Massaging can cause hematoma formation, aspiration is not recommended for
subcutaneous injections, and a 5/8 inch needle is typically used.
2. A client is on strict intake and output monitoring. Which of the following
should the nurse include as output?
A) Tube feedings
,B) Intravenous fluids
C) Liquid stool
D) Oral water
Correct Answer: C
Rationale: Output includes urine, liquid stool, emesis, and drainage from
tubes. Tube feedings, IV fluids, and oral water are all considered intake.
3. A patient is prescribed a clear liquid diet. Which of the following items is
appropriate to serve?
A) Cream of wheat
B) Orange juice with pulp
C) Chicken broth
D) Vanilla ice cream
Correct Answer: C
Rationale: A clear liquid diet consists of foods that are liquid at room
temperature and transparent. Chicken broth is clear. Cream of wheat, orange
juice with pulp, and ice cream are not clear liquids.
4. A nurse is assessing a patient's vital signs. The patient has a temperature of
101.2°F (38.4°C). This is classified as:
A) Hypothermia
B) Pyrexia
C) Afebrile
D) Hyperthermia
Correct Answer: B
,Rationale: Pyrexia (fever) is defined as a body temperature above the normal
range (typically >100.4°F or 38°C). Hypothermia is below normal, afebrile
means no fever, and hyperthermia is a failure of thermoregulation.
5. A nurse is performing hand hygiene. Which of the following is the correct
duration for washing hands with soap and water?
A) 5-10 seconds
B) 15-20 seconds
C) 40-60 seconds
D) 2-3 minutes
Correct Answer: B
Rationale: The CDC recommends washing hands with soap and water for at
least 15-20 seconds. Alcohol-based hand rubs require 20-30 seconds.
6. What is the most appropriate nursing intervention for a patient with a stage
II pressure injury?
A) Apply a transparent film dressing.
B) Massage the area to promote circulation.
C) Clean the wound with hydrogen peroxide.
D) Use a hydrocolloid dressing.
Correct Answer: D
Rationale: Hydrocolloid or foam dressings are appropriate for Stage II
pressure injuries to maintain a moist wound environment. Massage is
contraindicated, hydrogen peroxide is cytotoxic, and transparent films are
primarily for Stage I.
7. A patient needs to be placed in the supine position. How would the nurse
describe this position?
, A) Lying on the abdomen
B) Lying on the left side with knees bent
C) Lying flat on the back
D) Sitting upright at a 90-degree angle
Correct Answer: C
Rationale: Supine is lying on the back. Prone is on the abdomen, Sims' is on the
left side, and Fowler's is sitting upright.
8. A nurse is using the Braden Scale. What is the primary purpose of this tool?
A) Assess risk of falls.
B) Assess risk of pressure injuries.
C) Assess level of consciousness.
D) Assess activities of daily living.
Correct Answer: B
Rationale: The Braden Scale is specifically used to predict pressure injury risk
based on sensory perception, moisture, activity, mobility, nutrition, and
friction/shear.
9. A client reports pain as an 8 on a scale of 0-10. The nurse administers
morphine 2 mg IV. After 30 minutes, the nurse should reassess pain. This
action represents which step of the nursing process?
A) Assessment
B) Diagnosis
C) Planning
D) Evaluation
Correct Answer: D
VERIFIED QUESTIONS AND DETAILED ANSWERS
WITH RATIONALES - COMPREHENSIVE LATEST
VERSION 2026/2027
Section 1: Fundamentals of Nursing (Questions 1-50)
1. A nurse is preparing to administer a subcutaneous injection of heparin.
Which action is most appropriate?
A) Massage the site after injection to enhance absorption.
B) Use a 1-inch needle at a 45-degree angle.
C) Administer the injection in the abdomen at least 2 inches away from the
umbilicus.
D) Aspirate for blood return before injecting the medication.
Correct Answer: C
Rationale: Subcutaneous heparin is best absorbed in the abdominal fatty
tissue, and injections should be given at least 2 inches from the umbilicus.
Massaging can cause hematoma formation, aspiration is not recommended for
subcutaneous injections, and a 5/8 inch needle is typically used.
2. A client is on strict intake and output monitoring. Which of the following
should the nurse include as output?
A) Tube feedings
,B) Intravenous fluids
C) Liquid stool
D) Oral water
Correct Answer: C
Rationale: Output includes urine, liquid stool, emesis, and drainage from
tubes. Tube feedings, IV fluids, and oral water are all considered intake.
3. A patient is prescribed a clear liquid diet. Which of the following items is
appropriate to serve?
A) Cream of wheat
B) Orange juice with pulp
C) Chicken broth
D) Vanilla ice cream
Correct Answer: C
Rationale: A clear liquid diet consists of foods that are liquid at room
temperature and transparent. Chicken broth is clear. Cream of wheat, orange
juice with pulp, and ice cream are not clear liquids.
4. A nurse is assessing a patient's vital signs. The patient has a temperature of
101.2°F (38.4°C). This is classified as:
A) Hypothermia
B) Pyrexia
C) Afebrile
D) Hyperthermia
Correct Answer: B
,Rationale: Pyrexia (fever) is defined as a body temperature above the normal
range (typically >100.4°F or 38°C). Hypothermia is below normal, afebrile
means no fever, and hyperthermia is a failure of thermoregulation.
5. A nurse is performing hand hygiene. Which of the following is the correct
duration for washing hands with soap and water?
A) 5-10 seconds
B) 15-20 seconds
C) 40-60 seconds
D) 2-3 minutes
Correct Answer: B
Rationale: The CDC recommends washing hands with soap and water for at
least 15-20 seconds. Alcohol-based hand rubs require 20-30 seconds.
6. What is the most appropriate nursing intervention for a patient with a stage
II pressure injury?
A) Apply a transparent film dressing.
B) Massage the area to promote circulation.
C) Clean the wound with hydrogen peroxide.
D) Use a hydrocolloid dressing.
Correct Answer: D
Rationale: Hydrocolloid or foam dressings are appropriate for Stage II
pressure injuries to maintain a moist wound environment. Massage is
contraindicated, hydrogen peroxide is cytotoxic, and transparent films are
primarily for Stage I.
7. A patient needs to be placed in the supine position. How would the nurse
describe this position?
, A) Lying on the abdomen
B) Lying on the left side with knees bent
C) Lying flat on the back
D) Sitting upright at a 90-degree angle
Correct Answer: C
Rationale: Supine is lying on the back. Prone is on the abdomen, Sims' is on the
left side, and Fowler's is sitting upright.
8. A nurse is using the Braden Scale. What is the primary purpose of this tool?
A) Assess risk of falls.
B) Assess risk of pressure injuries.
C) Assess level of consciousness.
D) Assess activities of daily living.
Correct Answer: B
Rationale: The Braden Scale is specifically used to predict pressure injury risk
based on sensory perception, moisture, activity, mobility, nutrition, and
friction/shear.
9. A client reports pain as an 8 on a scale of 0-10. The nurse administers
morphine 2 mg IV. After 30 minutes, the nurse should reassess pain. This
action represents which step of the nursing process?
A) Assessment
B) Diagnosis
C) Planning
D) Evaluation
Correct Answer: D
