NR229 FUNDAMENTALS – SKILLS (MILITARY TO BSN)
MIDTERM EXAMINATION-
UPDATED QUESTIONS AND ANSWERS WITH RATIONALE
A+ GRADED| BRAND NEW RELEASE!
This comprehensive test bank is designed to prepare military-to-BSN nursing students
for the NR229 Fundamentals – Skills Midterm Examination. This resource contains 250
questions, each with a correct answer and a short rationale to reinforce learning and
understanding of core concepts. The questions cover essential topics required for safe,
competent, and compassionate nursing care in diverse healthcare settings.
DOMAINS COVERED
1. Infection Prevention and Control — Hand hygiene, PPE, aseptic technique, isolation
precautions, and prevention of healthcare-associated infections.
2. Vital Signs and Basic Assessment — Accurate measurement, interpretation,
reassessment, and recognition of abnormal findings.
3. Patient Safety — Fall prevention, identification, environmental safety, emergency
preparedness, and risk reduction.
4. Hygiene and Personal Care — Bathing, oral care, skin care, grooming, perineal
care, and maintaining patient dignity.
5. Mobility and Positioning — Transfers, body mechanics, assistive devices,
positioning, range-of-motion exercises, and pressure injury prevention.
6. Communication and Therapeutic Interaction — Active listening, privacy, cultural
sensitivity, patient education, and professional communication.
7. Nutrition and Elimination — Feeding assistance, aspiration prevention,
intake/output, urinary care, bowel care, and specimen collection.
8. Medication and Basic Clinical Skills — Medication safety principles, administration
techniques, documentation, and error prevention.
9. Oxygenation and Respiratory Skills — Oxygen safety, respiratory assessment,
pulse oximetry, positioning, and respiratory interventions.
10. Documentation and Professional Nursing Practice — Accurate charting, reporting,
delegation, clinical judgment, confidentiality, and scope of practice.
,EXAMINATION QUESTIONS AND SOLUTIONS
1. A nurse prepares to enter a patient's room to perform routine physical care.
Which action should occur before touching the patient or equipment?
A. Apply sterile gloves
B. Perform hand hygiene
C. Raise the patient's bed
D. Obtain the patient's temperature
Answer: B. Perform hand hygiene
Rationale: Hand hygiene should be performed before patient contact because it
significantly reduces transmission of microorganisms between healthcare personnel,
patients, and contaminated surfaces.
2. A nurse is preparing to perform a sterile procedure and notices the sterile
package has become wet. What should the nurse do?
A. Dry the package before opening it
B. Use the package if the contents remain sealed
C. Consider the package contaminated and obtain another one
D. Ask another nurse whether the package appears acceptable
Answer: C. Consider the package contaminated and obtain another one
Rationale: Moisture can allow microorganisms to migrate through packaging,
potentially compromising sterility and making the supplies unsafe for use.
,3. While performing hand hygiene, which technique most effectively reduces
microorganisms from the hands during routine clinical care?
A. Rinsing hands briefly with cold water
B. Scrubbing fingertips only
C. Cleaning all hand surfaces thoroughly for the recommended duration
D. Applying lotion before washing
Answer: C. Cleaning all hand surfaces thoroughly for the recommended duration
Rationale: Effective hand hygiene requires friction and complete coverage of
palms, backs, fingers, thumbs, fingertips, and interdigital spaces.
4. A nurse is caring for a patient requiring contact precautions. Which personal
protective equipment should the nurse generally apply before entering the patient's
care environment?
A. Gloves and gown
B. Surgical mask only
C. N95 respirator only
D. Sterile gloves only
Answer: A. Gloves and gown
Rationale: Contact precautions generally require gloves and gown because
organisms may spread through direct contact with the patient or contaminated
environmental surfaces.
5. A nurse accidentally touches a sterile catheter with an unsterile glove during
urinary catheterization. What should the nurse do next?
A. Continue because the catheter remains mostly sterile
B. Clean the catheter with antiseptic solution
, C. Replace the contaminated catheter with a sterile one
D. Cover the contaminated area with sterile gauze
Answer: C. Replace the contaminated catheter with a sterile one
Rationale: Once a sterile item contacts an unsterile surface, sterility is compromised
and the contaminated item should not be used.
6. Which patient identification practice provides the safest method before
administering medications or performing invasive nursing procedures?
A. Ask the patient for room number
B. Use the patient's first name only
C. Compare approved identifiers with the medical record or medication information
D. Identify the patient by diagnosis
Answer: C. Compare approved identifiers with the medical record or medication
information
Rationale: Using multiple approved identifiers helps prevent wrong-patient errors,
particularly when patients have similar names or diagnoses.
7. What is the correct sequence for donning personal protective equipment (PPE)?
A. Gloves, gown, mask, eye protection
B. Gown, mask, eye protection, gloves
C. Mask, eye protection, gown, gloves
D. Eye protection, gown, gloves, mask
Answer: B. Gown, mask, eye protection, gloves
Rationale: The recommended sequence is gown first, then mask, eye protection, and
gloves last to ensure proper coverage and minimize contamination.
MIDTERM EXAMINATION-
UPDATED QUESTIONS AND ANSWERS WITH RATIONALE
A+ GRADED| BRAND NEW RELEASE!
This comprehensive test bank is designed to prepare military-to-BSN nursing students
for the NR229 Fundamentals – Skills Midterm Examination. This resource contains 250
questions, each with a correct answer and a short rationale to reinforce learning and
understanding of core concepts. The questions cover essential topics required for safe,
competent, and compassionate nursing care in diverse healthcare settings.
DOMAINS COVERED
1. Infection Prevention and Control — Hand hygiene, PPE, aseptic technique, isolation
precautions, and prevention of healthcare-associated infections.
2. Vital Signs and Basic Assessment — Accurate measurement, interpretation,
reassessment, and recognition of abnormal findings.
3. Patient Safety — Fall prevention, identification, environmental safety, emergency
preparedness, and risk reduction.
4. Hygiene and Personal Care — Bathing, oral care, skin care, grooming, perineal
care, and maintaining patient dignity.
5. Mobility and Positioning — Transfers, body mechanics, assistive devices,
positioning, range-of-motion exercises, and pressure injury prevention.
6. Communication and Therapeutic Interaction — Active listening, privacy, cultural
sensitivity, patient education, and professional communication.
7. Nutrition and Elimination — Feeding assistance, aspiration prevention,
intake/output, urinary care, bowel care, and specimen collection.
8. Medication and Basic Clinical Skills — Medication safety principles, administration
techniques, documentation, and error prevention.
9. Oxygenation and Respiratory Skills — Oxygen safety, respiratory assessment,
pulse oximetry, positioning, and respiratory interventions.
10. Documentation and Professional Nursing Practice — Accurate charting, reporting,
delegation, clinical judgment, confidentiality, and scope of practice.
,EXAMINATION QUESTIONS AND SOLUTIONS
1. A nurse prepares to enter a patient's room to perform routine physical care.
Which action should occur before touching the patient or equipment?
A. Apply sterile gloves
B. Perform hand hygiene
C. Raise the patient's bed
D. Obtain the patient's temperature
Answer: B. Perform hand hygiene
Rationale: Hand hygiene should be performed before patient contact because it
significantly reduces transmission of microorganisms between healthcare personnel,
patients, and contaminated surfaces.
2. A nurse is preparing to perform a sterile procedure and notices the sterile
package has become wet. What should the nurse do?
A. Dry the package before opening it
B. Use the package if the contents remain sealed
C. Consider the package contaminated and obtain another one
D. Ask another nurse whether the package appears acceptable
Answer: C. Consider the package contaminated and obtain another one
Rationale: Moisture can allow microorganisms to migrate through packaging,
potentially compromising sterility and making the supplies unsafe for use.
,3. While performing hand hygiene, which technique most effectively reduces
microorganisms from the hands during routine clinical care?
A. Rinsing hands briefly with cold water
B. Scrubbing fingertips only
C. Cleaning all hand surfaces thoroughly for the recommended duration
D. Applying lotion before washing
Answer: C. Cleaning all hand surfaces thoroughly for the recommended duration
Rationale: Effective hand hygiene requires friction and complete coverage of
palms, backs, fingers, thumbs, fingertips, and interdigital spaces.
4. A nurse is caring for a patient requiring contact precautions. Which personal
protective equipment should the nurse generally apply before entering the patient's
care environment?
A. Gloves and gown
B. Surgical mask only
C. N95 respirator only
D. Sterile gloves only
Answer: A. Gloves and gown
Rationale: Contact precautions generally require gloves and gown because
organisms may spread through direct contact with the patient or contaminated
environmental surfaces.
5. A nurse accidentally touches a sterile catheter with an unsterile glove during
urinary catheterization. What should the nurse do next?
A. Continue because the catheter remains mostly sterile
B. Clean the catheter with antiseptic solution
, C. Replace the contaminated catheter with a sterile one
D. Cover the contaminated area with sterile gauze
Answer: C. Replace the contaminated catheter with a sterile one
Rationale: Once a sterile item contacts an unsterile surface, sterility is compromised
and the contaminated item should not be used.
6. Which patient identification practice provides the safest method before
administering medications or performing invasive nursing procedures?
A. Ask the patient for room number
B. Use the patient's first name only
C. Compare approved identifiers with the medical record or medication information
D. Identify the patient by diagnosis
Answer: C. Compare approved identifiers with the medical record or medication
information
Rationale: Using multiple approved identifiers helps prevent wrong-patient errors,
particularly when patients have similar names or diagnoses.
7. What is the correct sequence for donning personal protective equipment (PPE)?
A. Gloves, gown, mask, eye protection
B. Gown, mask, eye protection, gloves
C. Mask, eye protection, gown, gloves
D. Eye protection, gown, gloves, mask
Answer: B. Gown, mask, eye protection, gloves
Rationale: The recommended sequence is gown first, then mask, eye protection, and
gloves last to ensure proper coverage and minimize contamination.
