NURS 103 FUNDAMENTALS OF
NURSING WEEK 2 COMPREHENSIVE
QUIZ 2026 | WCU
1. A nurse is caring for a client with a localized bacterial infection. Which of the following
findings should the nurse expect during the assessment of the inflammatory response?
A. Generalized malaise and fatigue
B. Systemic hypotension and tachycardia
C. Decreased white blood cell count
D. Erythema and localized warmth at the site
Answer: D
Conceptual Explanation: The inflammatory response is characterized by localized
redness (erythema), heat (warmth), swelling (edema), and pain due to increased blood
flow and capillary permeability. Systemic symptoms or decreased WBC counts are not
indicative of a localized inflammatory response.
2. When applying the nursing process, which activity should the nurse perform during the
assessment phase?
A. Collecting and validating subjective and objective data
,B. Establishing short-term and long-term client goals
C. Formulating a nursing diagnosis based on data clusters
D. Evaluating the effectiveness of nursing interventions
Answer: A
Conceptual Explanation: The assessment phase involves the systematic collection,
validation, and documentation of data. Formulating diagnoses is the diagnosis phase,
establishing goals is planning, and evaluating effectiveness is the evaluation phase.
3. A client is placed on Droplet Precautions. Which of the following actions should the nurse
take when providing care?
A. Wear an N95 respirator at all times while in the room
B. Wear a surgical mask when working within 3 feet of the client
C. Ensure the client is in a negative-pressure airflow room
D. Keep the door to the client’s room closed at all times
Answer: B
Conceptual Explanation: Droplet precautions require a surgical mask when within 3 to 6
feet of the client. N95 respirators and negative-pressure rooms are required for Airborne
Precautions, not Droplet.
, 4. A nurse is preparing to perform hand hygiene. According to the CDC, when is it most
appropriate to use an alcohol-based hand rub instead of soap and water?
A. When hands are visibly soiled with blood or body fluids
B. After removing gloves following routine patient care
C. Before eating and after using the restroom
D. After providing care for a client with Clostridium difficile
Answer: B
Conceptual Explanation: Alcohol-based hand rubs are preferred for routine
decontamination when hands are not visibly soiled. C. diff and visibly soiled hands require
soap and water to physically remove spores and debris.
5. During a bed bath, the nurse notices a reddened area over the client’s sacrum that does
not blanch when pressed. How should the nurse document this finding?
A. Stage 2 pressure injury
B. Stage 1 pressure injury
C. Deep tissue pressure injury
D. Unstageable pressure injury
Answer: B
NURSING WEEK 2 COMPREHENSIVE
QUIZ 2026 | WCU
1. A nurse is caring for a client with a localized bacterial infection. Which of the following
findings should the nurse expect during the assessment of the inflammatory response?
A. Generalized malaise and fatigue
B. Systemic hypotension and tachycardia
C. Decreased white blood cell count
D. Erythema and localized warmth at the site
Answer: D
Conceptual Explanation: The inflammatory response is characterized by localized
redness (erythema), heat (warmth), swelling (edema), and pain due to increased blood
flow and capillary permeability. Systemic symptoms or decreased WBC counts are not
indicative of a localized inflammatory response.
2. When applying the nursing process, which activity should the nurse perform during the
assessment phase?
A. Collecting and validating subjective and objective data
,B. Establishing short-term and long-term client goals
C. Formulating a nursing diagnosis based on data clusters
D. Evaluating the effectiveness of nursing interventions
Answer: A
Conceptual Explanation: The assessment phase involves the systematic collection,
validation, and documentation of data. Formulating diagnoses is the diagnosis phase,
establishing goals is planning, and evaluating effectiveness is the evaluation phase.
3. A client is placed on Droplet Precautions. Which of the following actions should the nurse
take when providing care?
A. Wear an N95 respirator at all times while in the room
B. Wear a surgical mask when working within 3 feet of the client
C. Ensure the client is in a negative-pressure airflow room
D. Keep the door to the client’s room closed at all times
Answer: B
Conceptual Explanation: Droplet precautions require a surgical mask when within 3 to 6
feet of the client. N95 respirators and negative-pressure rooms are required for Airborne
Precautions, not Droplet.
, 4. A nurse is preparing to perform hand hygiene. According to the CDC, when is it most
appropriate to use an alcohol-based hand rub instead of soap and water?
A. When hands are visibly soiled with blood or body fluids
B. After removing gloves following routine patient care
C. Before eating and after using the restroom
D. After providing care for a client with Clostridium difficile
Answer: B
Conceptual Explanation: Alcohol-based hand rubs are preferred for routine
decontamination when hands are not visibly soiled. C. diff and visibly soiled hands require
soap and water to physically remove spores and debris.
5. During a bed bath, the nurse notices a reddened area over the client’s sacrum that does
not blanch when pressed. How should the nurse document this finding?
A. Stage 2 pressure injury
B. Stage 1 pressure injury
C. Deep tissue pressure injury
D. Unstageable pressure injury
Answer: B
