NURS 101L | Fundamentals of Nursing Skills Lab | Week 1
Comprehensive Quiz 2026 |WCU
1. A nurse is caring for a patient diagnosed with Clostridioides difficile (C. diff).
Which hand hygiene method is mandatory after providing direct care?
A. Washing with soap and water
B. Alcohol-based hand rub for 15 seconds
C. Using chlorhexidine gluconate wipes
D. Wearing double gloves to avoid handwashing
Answer: A
Rationale: C. diff spores are resistant to alcohol-based sanitizers; mechanical friction with
soap and water is required to physically remove the spores from the hands.
2. When assessing a patient’s blood pressure, the nurse notes the cuff is too
narrow for the patient’s arm circumference. How will this affect the reading?
A. The reading will be falsely low
B. The reading will be falsely high
C. Only the diastolic pressure will be affected
D. The reading will be accurate if the patient is supine
Answer: B
Rationale: A cuff that is too small or too narrow will result in a falsely high blood pressure
reading because it requires more inflation pressure to occlude the artery.
,3. A nurse is preparing to perform hand hygiene. Which action is a violation of
medical asepsis principles?
A. Wearing rings with large stones during clinical care
B. Using a paper towel to turn off the faucet
C. Keeping hands lower than elbows during the wash
D. Washing for at least 15 to 20 seconds
Answer: A
Rationale: Rings with stones or intricate settings can harbor microorganisms and are
difficult to clean, violating medical asepsis and increasing infection risk.
4. Which sequence should the nurse follow when removing Personal Protective
Equipment (PPE) after caring for a patient in transmission-based precautions?
A. Gown, Mask, Goggles, Gloves
B. Mask, Gown, Goggles, Gloves
C. Gloves, Goggles, Gown, Mask
D. Goggles, Mask, Gloves, Gown
Answer: C
Rationale: According to CDC guidelines, the most contaminated items (gloves) are
removed first, followed by eyewear/goggles, the gown, and finally the mask/respirator.
5. The nurse is assessing an apical pulse on a patient with an irregular radial
pulse. For how long should the nurse auscultate the apical site?
A. 15 seconds and multiply by 4
B. 30 seconds and multiply by 2
C. 60 seconds
D. Until 100 beats are counted
Answer: C
Rationale: If a pulse is irregular, it must be counted for a full minute at the apical site to
ensure an accurate heart rate assessment.
, 6. A patient is suspected of having Pulmonary Tuberculosis. What type of
precaution should the nurse implement?
A. Droplet Precautions
B. Contact Precautions
C. Airborne Precautions
D. Protective Environment
Answer: C
Rationale: Tuberculosis is transmitted via small droplets that remain suspended in the air,
requiring Airborne Precautions, including a private negative-pressure room and N95
respirator.
7. While measuring a patient’s temperature rectally, the nurse should insert the
probe how far into the adult patient’s rectum?
A. 0.5 inches
B. 2.5 inches
C. 1.5 inches
D. 3.0 inches
Answer: C
Rationale: For an adult, the rectal probe should be inserted approximately 1 to 1.5 inches
(2.5 to 3.5 cm) toward the umbilicus to ensure contact with the rectal mucosa.
8. A nurse is helping a patient move up in bed. Which body mechanics principle
should the nurse apply to prevent injury?
A. Keep the knees straight and bend at the waist
B. Position the feet close together for stability
C. Lift the patient’s weight primarily with the back muscles
D. Adjust the bed to a comfortable working height
Answer: D
Comprehensive Quiz 2026 |WCU
1. A nurse is caring for a patient diagnosed with Clostridioides difficile (C. diff).
Which hand hygiene method is mandatory after providing direct care?
A. Washing with soap and water
B. Alcohol-based hand rub for 15 seconds
C. Using chlorhexidine gluconate wipes
D. Wearing double gloves to avoid handwashing
Answer: A
Rationale: C. diff spores are resistant to alcohol-based sanitizers; mechanical friction with
soap and water is required to physically remove the spores from the hands.
2. When assessing a patient’s blood pressure, the nurse notes the cuff is too
narrow for the patient’s arm circumference. How will this affect the reading?
A. The reading will be falsely low
B. The reading will be falsely high
C. Only the diastolic pressure will be affected
D. The reading will be accurate if the patient is supine
Answer: B
Rationale: A cuff that is too small or too narrow will result in a falsely high blood pressure
reading because it requires more inflation pressure to occlude the artery.
,3. A nurse is preparing to perform hand hygiene. Which action is a violation of
medical asepsis principles?
A. Wearing rings with large stones during clinical care
B. Using a paper towel to turn off the faucet
C. Keeping hands lower than elbows during the wash
D. Washing for at least 15 to 20 seconds
Answer: A
Rationale: Rings with stones or intricate settings can harbor microorganisms and are
difficult to clean, violating medical asepsis and increasing infection risk.
4. Which sequence should the nurse follow when removing Personal Protective
Equipment (PPE) after caring for a patient in transmission-based precautions?
A. Gown, Mask, Goggles, Gloves
B. Mask, Gown, Goggles, Gloves
C. Gloves, Goggles, Gown, Mask
D. Goggles, Mask, Gloves, Gown
Answer: C
Rationale: According to CDC guidelines, the most contaminated items (gloves) are
removed first, followed by eyewear/goggles, the gown, and finally the mask/respirator.
5. The nurse is assessing an apical pulse on a patient with an irregular radial
pulse. For how long should the nurse auscultate the apical site?
A. 15 seconds and multiply by 4
B. 30 seconds and multiply by 2
C. 60 seconds
D. Until 100 beats are counted
Answer: C
Rationale: If a pulse is irregular, it must be counted for a full minute at the apical site to
ensure an accurate heart rate assessment.
, 6. A patient is suspected of having Pulmonary Tuberculosis. What type of
precaution should the nurse implement?
A. Droplet Precautions
B. Contact Precautions
C. Airborne Precautions
D. Protective Environment
Answer: C
Rationale: Tuberculosis is transmitted via small droplets that remain suspended in the air,
requiring Airborne Precautions, including a private negative-pressure room and N95
respirator.
7. While measuring a patient’s temperature rectally, the nurse should insert the
probe how far into the adult patient’s rectum?
A. 0.5 inches
B. 2.5 inches
C. 1.5 inches
D. 3.0 inches
Answer: C
Rationale: For an adult, the rectal probe should be inserted approximately 1 to 1.5 inches
(2.5 to 3.5 cm) toward the umbilicus to ensure contact with the rectal mucosa.
8. A nurse is helping a patient move up in bed. Which body mechanics principle
should the nurse apply to prevent injury?
A. Keep the knees straight and bend at the waist
B. Position the feet close together for stability
C. Lift the patient’s weight primarily with the back muscles
D. Adjust the bed to a comfortable working height
Answer: D
