NSG 300 Exam 3 | (2026) Nursing Study
Questions | Foundations (PDF)
1. A nurse is preparing a sterile field for a urinary
catheter insertion. Which action, if observed, would
require correction?
A. The nurse opens the outer wrapper of a sterile kit
away from the body.
B. The nurse places the sterile field on a bedside table
that is dry and clean.
C. The nurse sets up the sterile field 30 minutes before the
procedure.
D. The nurse adds a sterile gauze pad to the field using
sterile forceps.
✅ C. The nurse sets up the sterile field 30 minutes before
the procedure.
Rationale: A sterile field should be set up as close as
possible to the time of use to minimize contamination risk.
1
,2. A patient on fall precautions is restless and attempting
to get out of bed. The bed alarm sounds. What is the
nurse’s priority action?
A. Apply soft wrist restraints to prevent injury.
B. Raise all four side rails to contain the patient.
C. Enter the room and stay with the patient while calling
for help.
D. Administer a PRN sedative to calm the patient.
✅ C. Enter the room and stay with the patient while
calling for help.
Rationale: The priority is immediate patient safety.
Staying with the patient prevents a fall while assistance is
summoned. Restraints and sedatives are last resorts.
3. A client with active pulmonary tuberculosis is admitted.
Which type of precautions should the nurse implement?
A. Contact Precautions
B. Droplet Precautions
2
,C. Airborne Precautions
D. Standard Precautions only
✅ C. Airborne Precautions
Rationale: TB is transmitted via airborne droplet nuclei
that remain suspended in air. Requires N95 respirator
and negative pressure room.
4. The nurse performs hand hygiene with an alcohol-
based hand rub. In which situation is this method
insufficient?
A. After removing clean gloves used to touch a patient’s
intact skin.
B. Before administering an oral medication.
C. When hands are visibly soiled with feces.
D. After touching the patient’s bedside table.
✅ C. When hands are visibly soiled with feces.
Rationale: Alcohol-based rubs are ineffective in the
presence of visible organic material. Soap and water
must be used.
3
, 5. A nurse sustains a needlestick injury after giving an IM
injection. What is the first action?
A. Report the incident to employee health.
B. Squeeze the wound to express blood.
C. Wash the site with soap and running water.
D. Apply a bandage and continue working.
✅ C. Wash the site with soap and running water.
Rationale: Immediate first aid is washing the puncture site
with soap and water. Squeezing is not recommended.
Then report per protocol.
6. A confused patient has pulled out two IV lines. The
nurse applies soft wrist restraints. Which action is
mandatory?
A. Tie the restraints to the side rail for security.
B. Obtain a written order from the provider within 4 hours.
C. Remove restraints every 8 hours for skin checks.
D. Use a quick-release knot and keep two fingers’ slack.
4
Questions | Foundations (PDF)
1. A nurse is preparing a sterile field for a urinary
catheter insertion. Which action, if observed, would
require correction?
A. The nurse opens the outer wrapper of a sterile kit
away from the body.
B. The nurse places the sterile field on a bedside table
that is dry and clean.
C. The nurse sets up the sterile field 30 minutes before the
procedure.
D. The nurse adds a sterile gauze pad to the field using
sterile forceps.
✅ C. The nurse sets up the sterile field 30 minutes before
the procedure.
Rationale: A sterile field should be set up as close as
possible to the time of use to minimize contamination risk.
1
,2. A patient on fall precautions is restless and attempting
to get out of bed. The bed alarm sounds. What is the
nurse’s priority action?
A. Apply soft wrist restraints to prevent injury.
B. Raise all four side rails to contain the patient.
C. Enter the room and stay with the patient while calling
for help.
D. Administer a PRN sedative to calm the patient.
✅ C. Enter the room and stay with the patient while
calling for help.
Rationale: The priority is immediate patient safety.
Staying with the patient prevents a fall while assistance is
summoned. Restraints and sedatives are last resorts.
3. A client with active pulmonary tuberculosis is admitted.
Which type of precautions should the nurse implement?
A. Contact Precautions
B. Droplet Precautions
2
,C. Airborne Precautions
D. Standard Precautions only
✅ C. Airborne Precautions
Rationale: TB is transmitted via airborne droplet nuclei
that remain suspended in air. Requires N95 respirator
and negative pressure room.
4. The nurse performs hand hygiene with an alcohol-
based hand rub. In which situation is this method
insufficient?
A. After removing clean gloves used to touch a patient’s
intact skin.
B. Before administering an oral medication.
C. When hands are visibly soiled with feces.
D. After touching the patient’s bedside table.
✅ C. When hands are visibly soiled with feces.
Rationale: Alcohol-based rubs are ineffective in the
presence of visible organic material. Soap and water
must be used.
3
, 5. A nurse sustains a needlestick injury after giving an IM
injection. What is the first action?
A. Report the incident to employee health.
B. Squeeze the wound to express blood.
C. Wash the site with soap and running water.
D. Apply a bandage and continue working.
✅ C. Wash the site with soap and running water.
Rationale: Immediate first aid is washing the puncture site
with soap and water. Squeezing is not recommended.
Then report per protocol.
6. A confused patient has pulled out two IV lines. The
nurse applies soft wrist restraints. Which action is
mandatory?
A. Tie the restraints to the side rail for security.
B. Obtain a written order from the provider within 4 hours.
C. Remove restraints every 8 hours for skin checks.
D. Use a quick-release knot and keep two fingers’ slack.
4
