NSG 122 Exam 2 V2 | NSG 122 Nursing
Fundamental Concepts | Herzing | 2026 Q&A with
Rationale (Herzing NSG122 Exam 2 2026)
1. A nurse is caring for a patient who has a prescription for a clear liquid diet. Which of the
following food items should the nurse offer the patient?
A. Vanilla pudding
B. Apple juice
C. Orange juice with pulp
D. Cream of mushroom soup
Correct Answer: B
Explanation: Apple juice is a clear liquid as it is transparent and liquid at room
temperature. Vanilla pudding and cream of mushroom soup are considered full liquids
because they contain dairy and are opaque. Orange juice with pulp is excluded from a clear
liquid diet because the pulp is a solid component.
2. A nurse is preparing to administer an intramuscular (IM) injection to an obese patient.
Which of the following needles should the nurse select?
A. 25-gauge, 5/8-inch
B. 18-gauge, 1-inch
C. 27-gauge, 1/2-inch
,D. 21-gauge, 1.5-inch
Correct Answer: D
Explanation: An obese patient requires a longer needle, typically 1.5 inches, to ensure the
medication reaches the muscle tissue rather than staying in the subcutaneous layer. A 21-
gauge needle provides an appropriate lumen size for most IM medications. Shorter needles
like 5/8 or 1/2 inch are more appropriate for subcutaneous injections or for very thin
patients.
3. A nurse is performing a skin assessment on an older adult patient. Which of the following
findings should the nurse identify as a manifestation of a Stage 1 pressure injury?
A. Necrotic tissue covering the wound base
B. Partial-thickness skin loss with a visible ulcer
C. Full-thickness skin loss with visible adipose tissue
D. Non-blanchable erythema of intact skin
Correct Answer: D
Explanation: Stage 1 pressure injuries are characterized by intact skin with localized area
of non-blanchable erythema. If the skin is broken, it is at least a Stage 2 injury. Necrotic
tissue or eschar would make the wound unstageable until it is debrided.
4. When applying wrist restraints to a patient, which action should the nurse take to ensure
patient safety?
A. Tie the restraints to the side rails of the bed
, B. Use a square knot for quick release
C. Remove the restraints every 4 hours for range-of-motion
D. Ensure two fingers can fit between the restraint and the wrist
Correct Answer: D
Explanation: Ensuring two fingers fit under the restraint prevents neurovascular
impairment while still maintaining safety. Restraints must be tied to the bed frame, not the
side rails, to prevent injury when the rails are moved. Regulations typically require
removal and assessment every 2 hours rather than every 4 hours.
5. A nurse is educating a student about standard precautions. Which of the following
statements by the student indicates understanding?
A. I only need to wear gloves if the patient has a known infection
B. I should wear gloves whenever I might come into contact with body fluids
C. Hand hygiene is only necessary if my hands are visibly soiled
D. Standard precautions are used only for patients in isolation
Correct Answer: B
Explanation: Standard precautions apply to all patients regardless of their diagnosis or
presumed infection status. They include the use of gloves and other PPE whenever contact
with blood or body fluids is anticipated. Hand hygiene is the most important component
and must be performed before and after every patient contact.
Fundamental Concepts | Herzing | 2026 Q&A with
Rationale (Herzing NSG122 Exam 2 2026)
1. A nurse is caring for a patient who has a prescription for a clear liquid diet. Which of the
following food items should the nurse offer the patient?
A. Vanilla pudding
B. Apple juice
C. Orange juice with pulp
D. Cream of mushroom soup
Correct Answer: B
Explanation: Apple juice is a clear liquid as it is transparent and liquid at room
temperature. Vanilla pudding and cream of mushroom soup are considered full liquids
because they contain dairy and are opaque. Orange juice with pulp is excluded from a clear
liquid diet because the pulp is a solid component.
2. A nurse is preparing to administer an intramuscular (IM) injection to an obese patient.
Which of the following needles should the nurse select?
A. 25-gauge, 5/8-inch
B. 18-gauge, 1-inch
C. 27-gauge, 1/2-inch
,D. 21-gauge, 1.5-inch
Correct Answer: D
Explanation: An obese patient requires a longer needle, typically 1.5 inches, to ensure the
medication reaches the muscle tissue rather than staying in the subcutaneous layer. A 21-
gauge needle provides an appropriate lumen size for most IM medications. Shorter needles
like 5/8 or 1/2 inch are more appropriate for subcutaneous injections or for very thin
patients.
3. A nurse is performing a skin assessment on an older adult patient. Which of the following
findings should the nurse identify as a manifestation of a Stage 1 pressure injury?
A. Necrotic tissue covering the wound base
B. Partial-thickness skin loss with a visible ulcer
C. Full-thickness skin loss with visible adipose tissue
D. Non-blanchable erythema of intact skin
Correct Answer: D
Explanation: Stage 1 pressure injuries are characterized by intact skin with localized area
of non-blanchable erythema. If the skin is broken, it is at least a Stage 2 injury. Necrotic
tissue or eschar would make the wound unstageable until it is debrided.
4. When applying wrist restraints to a patient, which action should the nurse take to ensure
patient safety?
A. Tie the restraints to the side rails of the bed
, B. Use a square knot for quick release
C. Remove the restraints every 4 hours for range-of-motion
D. Ensure two fingers can fit between the restraint and the wrist
Correct Answer: D
Explanation: Ensuring two fingers fit under the restraint prevents neurovascular
impairment while still maintaining safety. Restraints must be tied to the bed frame, not the
side rails, to prevent injury when the rails are moved. Regulations typically require
removal and assessment every 2 hours rather than every 4 hours.
5. A nurse is educating a student about standard precautions. Which of the following
statements by the student indicates understanding?
A. I only need to wear gloves if the patient has a known infection
B. I should wear gloves whenever I might come into contact with body fluids
C. Hand hygiene is only necessary if my hands are visibly soiled
D. Standard precautions are used only for patients in isolation
Correct Answer: B
Explanation: Standard precautions apply to all patients regardless of their diagnosis or
presumed infection status. They include the use of gloves and other PPE whenever contact
with blood or body fluids is anticipated. Hand hygiene is the most important component
and must be performed before and after every patient contact.
