NSG 122 Exam 2 V3 | NSG 122 Nursing
Fundamental Concepts | Herzing | 2026 Q&A with
Rationale (Herzing NSG122 Exam 2 2026)
1. A nurse is preparing to administer an intramuscular injection to an average-sized adult.
Which needle gauge and length should the nurse select for the ventrogluteal site?
A. 22-gauge, 1.5-inch needle
B. 25-gauge, 5/8-inch needle
C. 18-gauge, 1-inch needle
D. 27-gauge, 0.5-inch needle
Correct Answer: A
Explanation: The ventrogluteal site is a deep muscle that requires a longer needle,
typically 1.5 inches for an average adult, to ensure the medication reaches the muscle
tissue. A 22-gauge needle is appropriate for the viscosity of most IM medications in adults.
Using a needle that is too short may result in the medication being delivered into
subcutaneous tissue instead.
2. A patient who is two days postoperative following abdominal surgery reports a ‘popping’
sensation after coughing. The nurse notes that the wound edges are separated and a loop of
bowel is protruding. What is the immediate priority action?
A. Push the protruding bowel back into the abdominal cavity using sterile gloves.
B. Cover the area with sterile dressings soaked in sterile normal saline.
,C. Apply a tight abdominal binder to hold the organs in place.
D. Instruct the patient to remain in a high-Fowler’s position.
Correct Answer: B
Explanation: Wound evisceration is a medical emergency that requires immediate
coverage with sterile, saline-soaked dressings to keep the organs moist and prevent
infection. The nurse should then notify the surgeon and prepare the patient for emergency
surgery. Attempting to push the organs back in can cause trauma or introduce bacteria into
the peritoneum.
3. The nurse is assessing a patient’s risk for pressure injury using the Braden Scale. The
patient is frequently incontinent, has limited sensory perception, and spends most of the day
in bed. What does a lower score on this scale indicate?
A. The patient is recovering well from previous skin issues.
B. A lower risk for developing a pressure injury.
C. The patient has an existing Stage 4 pressure ulcer.
D. A higher risk for developing a pressure injury.
Correct Answer: D
Explanation: The Braden Scale uses a scoring system where lower numbers indicate a
higher risk for skin breakdown. The scale evaluates six categories: sensory perception,
moisture, activity, mobility, nutrition, and friction/shear. A score of 18 or less generally
indicates that the patient is at risk and requires preventative interventions.
, 4. Which action by the student nurse requires immediate intervention by the clinical
instructor when observing the administration of a liquid medication via a nasogastric (NG)
tube?
A. Checking for gastric residual volume before administration.
B. Flushing the tube with 30 mL of water before and after the medication.
C. Crushing an enteric-coated tablet to dissolve it in water for administration.
D. Mixing all ordered medications together in one syringe to save time.
Correct Answer: C
Explanation: Enteric-coated and extended-release medications should never be crushed
because it alters their absorption rate and can lead to toxicity or irritation. Mixing multiple
medications together (Option C) is also incorrect practice as it can lead to physical or
chemical incompatibilities. The instructor must stop the student to ensure the patient
receives the correct dose in the correct form.
5. A nurse is caring for a patient with a suspected Clostridium difficile (C. diff) infection.
Which infection control measure is most critical for this specific pathogen?
A. Washing hands with soap and water after providing care.
B. Wearing a surgical mask when entering the patient’s room.
C. Using an alcohol-based hand rub for 20 seconds after patient care.
D. Maintaining the patient in a negative-pressure room.
Fundamental Concepts | Herzing | 2026 Q&A with
Rationale (Herzing NSG122 Exam 2 2026)
1. A nurse is preparing to administer an intramuscular injection to an average-sized adult.
Which needle gauge and length should the nurse select for the ventrogluteal site?
A. 22-gauge, 1.5-inch needle
B. 25-gauge, 5/8-inch needle
C. 18-gauge, 1-inch needle
D. 27-gauge, 0.5-inch needle
Correct Answer: A
Explanation: The ventrogluteal site is a deep muscle that requires a longer needle,
typically 1.5 inches for an average adult, to ensure the medication reaches the muscle
tissue. A 22-gauge needle is appropriate for the viscosity of most IM medications in adults.
Using a needle that is too short may result in the medication being delivered into
subcutaneous tissue instead.
2. A patient who is two days postoperative following abdominal surgery reports a ‘popping’
sensation after coughing. The nurse notes that the wound edges are separated and a loop of
bowel is protruding. What is the immediate priority action?
A. Push the protruding bowel back into the abdominal cavity using sterile gloves.
B. Cover the area with sterile dressings soaked in sterile normal saline.
,C. Apply a tight abdominal binder to hold the organs in place.
D. Instruct the patient to remain in a high-Fowler’s position.
Correct Answer: B
Explanation: Wound evisceration is a medical emergency that requires immediate
coverage with sterile, saline-soaked dressings to keep the organs moist and prevent
infection. The nurse should then notify the surgeon and prepare the patient for emergency
surgery. Attempting to push the organs back in can cause trauma or introduce bacteria into
the peritoneum.
3. The nurse is assessing a patient’s risk for pressure injury using the Braden Scale. The
patient is frequently incontinent, has limited sensory perception, and spends most of the day
in bed. What does a lower score on this scale indicate?
A. The patient is recovering well from previous skin issues.
B. A lower risk for developing a pressure injury.
C. The patient has an existing Stage 4 pressure ulcer.
D. A higher risk for developing a pressure injury.
Correct Answer: D
Explanation: The Braden Scale uses a scoring system where lower numbers indicate a
higher risk for skin breakdown. The scale evaluates six categories: sensory perception,
moisture, activity, mobility, nutrition, and friction/shear. A score of 18 or less generally
indicates that the patient is at risk and requires preventative interventions.
, 4. Which action by the student nurse requires immediate intervention by the clinical
instructor when observing the administration of a liquid medication via a nasogastric (NG)
tube?
A. Checking for gastric residual volume before administration.
B. Flushing the tube with 30 mL of water before and after the medication.
C. Crushing an enteric-coated tablet to dissolve it in water for administration.
D. Mixing all ordered medications together in one syringe to save time.
Correct Answer: C
Explanation: Enteric-coated and extended-release medications should never be crushed
because it alters their absorption rate and can lead to toxicity or irritation. Mixing multiple
medications together (Option C) is also incorrect practice as it can lead to physical or
chemical incompatibilities. The instructor must stop the student to ensure the patient
receives the correct dose in the correct form.
5. A nurse is caring for a patient with a suspected Clostridium difficile (C. diff) infection.
Which infection control measure is most critical for this specific pathogen?
A. Washing hands with soap and water after providing care.
B. Wearing a surgical mask when entering the patient’s room.
C. Using an alcohol-based hand rub for 20 seconds after patient care.
D. Maintaining the patient in a negative-pressure room.
