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NUR 155 – COMBINED EXAM 2, 3 & 4 PRACTICE Questions with Verified Answers
& Rationales New Update 2026/2027
Question 1
A nurse is caring for a client with Clostridium difficile (C. diff)
infection. Which hand hygiene method is most appropriate
after care?
A. Alcohol-based hand rub
B. Soap and water
C. Hand sanitizer only if hands look clean
D. No hand hygiene if gloves were worn
Answer: B
Rationale: C. diff spores are resistant to alcohol; soap and water
mechanically remove spores.
Question 2
Which personal protective equipment (PPE) is required for
contact precautions?
A. Gloves only
B. Gown and gloves
C. N95 respirator
D. Mask and goggles only
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Answer: B
Rationale: Contact precautions require gloves and a gown for
all interactions that may involve contact with the client or
contaminated surfaces.
Question 3
A client with active tuberculosis requires which type of
precautions?
A. Contact
B. Droplet
C. Airborne
D. Standard only
Answer: C
Rationale: Tuberculosis is airborne; requires negative-pressure
room and N95 respirator.
Question 4
Which of the following is the correct order for removing PPE?
A. Gloves, gown, goggles, mask
B. Gloves, goggles, gown, mask
C. Mask, gloves, gown, goggles
D. Gown, gloves, mask, goggles
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Answer: B
Rationale: Remove gloves first, then goggles/face shield, gown,
and mask last.
Question 5
A nurse is preparing a sterile field. Which action contaminates
the field?
A. Keeping the field above waist level
B. Opening sterile packages away from the body
C. Reaching over the sterile field
D. Using sterile gloves to touch sterile items
Answer: C
Rationale: Reaching over a sterile field can cause contamination
from clothing or unsterile arms.
Question 6
Which of the following is a sign of systemic infection?
A. Localized redness
B. Fever, chills, and tachycardia
C. Mild swelling at the wound
D. Warmth at the incision
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Answer: B
Rationale: Systemic infection presents with fever, chills,
tachycardia, malaise, and elevated WBC.
Question 7
Which client is at highest risk for pressure injury development?
A. A 30-year-old with a fractured arm
B. A 70-year-old who is incontinent and immobile
C. A 50-year-old who ambulates daily
D. A 40-year-old with good nutrition
Answer: B
Rationale: Immobility, incontinence, advanced age, and poor
nutrition are major risk factors for pressure injury.
Question 8
A nurse is assessing a pressure injury that is a shallow open area
with a red-pink wound bed and no slough. What stage is this?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
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NUR 155 – COMBINED EXAM 2, 3 & 4 PRACTICE Questions with Verified Answers
& Rationales New Update 2026/2027
Question 1
A nurse is caring for a client with Clostridium difficile (C. diff)
infection. Which hand hygiene method is most appropriate
after care?
A. Alcohol-based hand rub
B. Soap and water
C. Hand sanitizer only if hands look clean
D. No hand hygiene if gloves were worn
Answer: B
Rationale: C. diff spores are resistant to alcohol; soap and water
mechanically remove spores.
Question 2
Which personal protective equipment (PPE) is required for
contact precautions?
A. Gloves only
B. Gown and gloves
C. N95 respirator
D. Mask and goggles only
1|Page
, Page |2
Answer: B
Rationale: Contact precautions require gloves and a gown for
all interactions that may involve contact with the client or
contaminated surfaces.
Question 3
A client with active tuberculosis requires which type of
precautions?
A. Contact
B. Droplet
C. Airborne
D. Standard only
Answer: C
Rationale: Tuberculosis is airborne; requires negative-pressure
room and N95 respirator.
Question 4
Which of the following is the correct order for removing PPE?
A. Gloves, gown, goggles, mask
B. Gloves, goggles, gown, mask
C. Mask, gloves, gown, goggles
D. Gown, gloves, mask, goggles
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Answer: B
Rationale: Remove gloves first, then goggles/face shield, gown,
and mask last.
Question 5
A nurse is preparing a sterile field. Which action contaminates
the field?
A. Keeping the field above waist level
B. Opening sterile packages away from the body
C. Reaching over the sterile field
D. Using sterile gloves to touch sterile items
Answer: C
Rationale: Reaching over a sterile field can cause contamination
from clothing or unsterile arms.
Question 6
Which of the following is a sign of systemic infection?
A. Localized redness
B. Fever, chills, and tachycardia
C. Mild swelling at the wound
D. Warmth at the incision
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Answer: B
Rationale: Systemic infection presents with fever, chills,
tachycardia, malaise, and elevated WBC.
Question 7
Which client is at highest risk for pressure injury development?
A. A 30-year-old with a fractured arm
B. A 70-year-old who is incontinent and immobile
C. A 50-year-old who ambulates daily
D. A 40-year-old with good nutrition
Answer: B
Rationale: Immobility, incontinence, advanced age, and poor
nutrition are major risk factors for pressure injury.
Question 8
A nurse is assessing a pressure injury that is a shallow open area
with a red-pink wound bed and no slough. What stage is this?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
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