NUR 155 COMPREHENSIVE PRACTICE EXAM (150 QUESTIONS) – NURSING
ASSESSMENT MIDTERM REVIEW | QUESTIONS ONLY
1. Which action best demonstrates medical asepsis?
A. Using sterile gloves to start an IV
B. Performing hand hygiene before patient contact
C. Maintaining a sterile field during surgery
D. Using an N95 respirator for airborne precautions
2. The nurse is preparing to enter a room requiring airborne precautions. Which PPE is
required?
A. Surgical mask
B. Gloves only
C. N95 respirator
D. Eye protection only
3. Standard precautions apply to which patients?
A. Only those with known infections
B. Only those with airborne illnesses
C. All patients, regardless of diagnosis
D. Only those with wound drainage
4. A patient with C. difficile requires which type of isolation?
A. Droplet
B. Airborne
C. Protective
D. Contact
5. Which finding indicates a healthcare-associated infection (HAI)?
A. UTI diagnosed 48 hours after admission
B. Pneumonia on admission
C. Cellulitis present at home
D. A viral infection contracted at school
6. When removing PPE, which item should be removed first?
A. Gown
B. Gloves
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C. Goggles
D. Mask
7. The nurse identifies an unstageable pressure injury. Which description is correct?
A. Partial-thickness skin loss
B. Full-thickness skin loss with exposed bone
C. Full-thickness loss covered by slough/eschar
D. Intact skin with non-blanchable redness
8. A patient with a Stage 2 pressure injury has:
A. Intact skin with redness
B. Open blister or shallow ulcer
C. Exposed muscle or bone
D. Eschar obscuring wound depth
9. Which is the most effective method to prevent infection transmission?
A. Wearing gloves at all times
B. Hand hygiene
C. Using gown and mask
D. Keeping windows open
10. The nurse hears crackles in the lungs. This is typically associated with:
A. Asthma
B. Fluid in alveoli
C. Upper airway obstruction
D. Normal aging
11. Rhonchi are best described as:
A. High-pitched squeaks
B. Low-pitched snoring sounds
C. Bubbling crackles
D. Absence of breath sounds
12. The nurse suspects dehydration. Which assessment is most reliable?
A. Dry lips
B. Low-grade fever
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C. Decreased urine output
D. Slight tachycardia
13. Which is an example of therapeutic communication?
A. “You should not feel that way.”
B. “Tell me more about how you’re feeling.”
C. “Calm down, everything will be fine.”
D. “Why are you crying?”
14. A patient states, “I’m so scared of this diagnosis.” Which response is therapeutic?
A. “Don’t worry, you’ll be fine.”
B. “Let’s talk about what’s frightening you.”
C. “Everyone gets scared sometimes.”
D. “You need to stay positive.”
15. What is the most accurate temperature route in adults?
A. Axillary
B. Oral
C. Tympanic
D. Rectal
16. A patient reports pain rated 9/10. Which action should the nurse take first?
A. Document the pain
B. Offer repositioning
C. Assess pain characteristics
D. Administer medication immediately
17. Orthostatic hypotension is confirmed when:
A. HR decreases after standing
B. BP rises with standing
C. BP drops significantly when standing
D. HR remains unchanged
18. Which patient is at highest risk for falls?
A. 25-year-old with a sprained ankle
B. 45-year-old post-appendectomy