NUR 2115 FUNDAMENTALS OF
PROFESSIONAL NURSING EXAM
QUESTIONS AND ANSWERS
1. A nurse is conducting a physical assessment of a patient and observes a localized area of
intact skin with non-blanchable erythema. How should the nurse document this finding?
A. Unstageable pressure injury
B. Stage II pressure injury
C. Deep tissue pressure injury
D. Stage I pressure injury
Answer: D
Conceptual Explanation: A Stage I pressure injury is characterized by intact skin with a
localized area of non-blanchable erythema. Stage II involves partial-thickness loss of
dermis.
2. When applying the nursing process, which activity should the nurse perform during the
‘Evaluation’ phase?
A. Determine the effectiveness of nursing interventions
,B. Establish priorities for patient care
C. Collect subjective and objective data
D. Formulate nursing diagnoses based on data analysis
Answer: A
Conceptual Explanation: Evaluation involves comparing the patient’s current health
status with the desired outcomes to determine if the plan of care was effective.
3. A nurse is caring for a patient who is being treated for a Clostridium difficile infection.
Which infection control precaution is mandatory?
A. Using soap and water for hand hygiene
B. Performing hand hygiene with alcohol-based rub only
C. Wearing an N95 respirator
D. Placing the patient in a positive-pressure room
Answer: A
Conceptual Explanation: C. difficile spores are resistant to alcohol-based hand rubs;
therefore, mechanical scrubbing with soap and water is required to remove them from
hands.
4. The nurse is preparing to administer an intramuscular injection to an infant. Which site is
most appropriate?
A. Dorsogluteal muscle
, B. Deltoid muscle
C. Vastus lateralis muscle
D. Ventrogluteal muscle
Answer: C
Conceptual Explanation: The vastus lateralis is the preferred site for IM injections in
infants and toddlers because it is the most developed muscle in that age group.
5. Which legal term describes a nurse providing life-saving treatment to an unconscious
patient in an emergency without prior consent?
A. Assault
B. Implied consent
C. Battery
D. Informed consent
Answer: B
Conceptual Explanation: Implied consent is assumed in emergency situations where the
patient is unable to give consent and immediate action is required to save life or limb.
6. A nurse identifies that a patient’s surgical incision has separated, and internal organs are
protruding. Which term should the nurse use to describe this?
A. Evisceration
B. Dehiscence
PROFESSIONAL NURSING EXAM
QUESTIONS AND ANSWERS
1. A nurse is conducting a physical assessment of a patient and observes a localized area of
intact skin with non-blanchable erythema. How should the nurse document this finding?
A. Unstageable pressure injury
B. Stage II pressure injury
C. Deep tissue pressure injury
D. Stage I pressure injury
Answer: D
Conceptual Explanation: A Stage I pressure injury is characterized by intact skin with a
localized area of non-blanchable erythema. Stage II involves partial-thickness loss of
dermis.
2. When applying the nursing process, which activity should the nurse perform during the
‘Evaluation’ phase?
A. Determine the effectiveness of nursing interventions
,B. Establish priorities for patient care
C. Collect subjective and objective data
D. Formulate nursing diagnoses based on data analysis
Answer: A
Conceptual Explanation: Evaluation involves comparing the patient’s current health
status with the desired outcomes to determine if the plan of care was effective.
3. A nurse is caring for a patient who is being treated for a Clostridium difficile infection.
Which infection control precaution is mandatory?
A. Using soap and water for hand hygiene
B. Performing hand hygiene with alcohol-based rub only
C. Wearing an N95 respirator
D. Placing the patient in a positive-pressure room
Answer: A
Conceptual Explanation: C. difficile spores are resistant to alcohol-based hand rubs;
therefore, mechanical scrubbing with soap and water is required to remove them from
hands.
4. The nurse is preparing to administer an intramuscular injection to an infant. Which site is
most appropriate?
A. Dorsogluteal muscle
, B. Deltoid muscle
C. Vastus lateralis muscle
D. Ventrogluteal muscle
Answer: C
Conceptual Explanation: The vastus lateralis is the preferred site for IM injections in
infants and toddlers because it is the most developed muscle in that age group.
5. Which legal term describes a nurse providing life-saving treatment to an unconscious
patient in an emergency without prior consent?
A. Assault
B. Implied consent
C. Battery
D. Informed consent
Answer: B
Conceptual Explanation: Implied consent is assumed in emergency situations where the
patient is unable to give consent and immediate action is required to save life or limb.
6. A nurse identifies that a patient’s surgical incision has separated, and internal organs are
protruding. Which term should the nurse use to describe this?
A. Evisceration
B. Dehiscence
