NSG 300 EXAM 2 COMPREHENSIVE
PREP QUESTIONS AND ANSWERS
1. A nurse is conducting a physical assessment of a patient’s abdomen. In which order should
the nurse perform the assessment techniques?
A. Inspection, Auscultation, Percussion, Palpation
B. Inspection, Palpation, Percussion, Auscultation
C. Auscultation, Inspection, Palpation, Percussion
D. Palpation, Percussion, Auscultation, Inspection
Answer: A
Conceptual Explanation: For the abdominal assessment, auscultation is performed before
percussion and palpation to avoid stimulating bowel sounds, which would lead to an
inaccurate assessment.
2. When measuring a patient’s blood pressure, the nurse uses a cuff that is too narrow for the
patient’s arm. What impact will this have on the reading?
A. The blood pressure reading will be falsely high.
B. The blood pressure reading will be falsely low.
C. The systolic pressure will be correct, but the diastolic will be high.
,D. The reading will not be affected by cuff size.
Answer: A
Conceptual Explanation: Using a blood pressure cuff that is too narrow or too short for
the limb results in a falsely high blood pressure reading.
3. A nurse is caring for a patient with a diagnosis of Clostridioides difficile (C. diff). Which
infection control measure is most critical for this patient?
A. Performing hand hygiene with soap and water.
B. Wearing a surgical mask within 3 feet of the patient.
C. Using alcohol-based hand sanitizer after leaving the room.
D. Maintaining the patient in a negative-pressure room.
Answer: A
Conceptual Explanation: C. diff spores are resistant to alcohol-based sanitizers.
Handwashing with soap and water is required to mechanically remove the spores from the
hands.
4. A nurse is evaluating a patient’s risk for falls using the Morse Fall Scale. Which factor would
contribute most significantly to a high risk score?
A. The patient is over 65 years old.
B. The patient wears glasses for reading.
C. The patient is receiving intravenous fluids.
, D. The patient has a history of falling within the last 3 months.
Answer: D
Conceptual Explanation: A history of falling is one of the strongest predictors of future
falls and carries a high point value on standardized fall risk assessment tools.
5. A patient has a pressure injury that presents as a partial-thickness loss of dermis, appearing
as a shallow open ulcer with a red-pink wound bed without slough. How should the nurse
stage this injury?
A. Stage I
B. Stage II
C. Stage III
D. Stage IV
Answer: B
Conceptual Explanation: Stage II pressure injuries involve partial-thickness loss of skin
with exposed dermis. The wound bed is viable, pink or red, and moist, and may also
present as an intact or ruptured serum-filled blister.
6. Which ethical principle is the nurse demonstrating when they provide the same level of
care to a homeless patient as they do to a wealthy patient?
A. Justice
B. Beneficence
PREP QUESTIONS AND ANSWERS
1. A nurse is conducting a physical assessment of a patient’s abdomen. In which order should
the nurse perform the assessment techniques?
A. Inspection, Auscultation, Percussion, Palpation
B. Inspection, Palpation, Percussion, Auscultation
C. Auscultation, Inspection, Palpation, Percussion
D. Palpation, Percussion, Auscultation, Inspection
Answer: A
Conceptual Explanation: For the abdominal assessment, auscultation is performed before
percussion and palpation to avoid stimulating bowel sounds, which would lead to an
inaccurate assessment.
2. When measuring a patient’s blood pressure, the nurse uses a cuff that is too narrow for the
patient’s arm. What impact will this have on the reading?
A. The blood pressure reading will be falsely high.
B. The blood pressure reading will be falsely low.
C. The systolic pressure will be correct, but the diastolic will be high.
,D. The reading will not be affected by cuff size.
Answer: A
Conceptual Explanation: Using a blood pressure cuff that is too narrow or too short for
the limb results in a falsely high blood pressure reading.
3. A nurse is caring for a patient with a diagnosis of Clostridioides difficile (C. diff). Which
infection control measure is most critical for this patient?
A. Performing hand hygiene with soap and water.
B. Wearing a surgical mask within 3 feet of the patient.
C. Using alcohol-based hand sanitizer after leaving the room.
D. Maintaining the patient in a negative-pressure room.
Answer: A
Conceptual Explanation: C. diff spores are resistant to alcohol-based sanitizers.
Handwashing with soap and water is required to mechanically remove the spores from the
hands.
4. A nurse is evaluating a patient’s risk for falls using the Morse Fall Scale. Which factor would
contribute most significantly to a high risk score?
A. The patient is over 65 years old.
B. The patient wears glasses for reading.
C. The patient is receiving intravenous fluids.
, D. The patient has a history of falling within the last 3 months.
Answer: D
Conceptual Explanation: A history of falling is one of the strongest predictors of future
falls and carries a high point value on standardized fall risk assessment tools.
5. A patient has a pressure injury that presents as a partial-thickness loss of dermis, appearing
as a shallow open ulcer with a red-pink wound bed without slough. How should the nurse
stage this injury?
A. Stage I
B. Stage II
C. Stage III
D. Stage IV
Answer: B
Conceptual Explanation: Stage II pressure injuries involve partial-thickness loss of skin
with exposed dermis. The wound bed is viable, pink or red, and moist, and may also
present as an intact or ruptured serum-filled blister.
6. Which ethical principle is the nurse demonstrating when they provide the same level of
care to a homeless patient as they do to a wealthy patient?
A. Justice
B. Beneficence
