CSN Nursing 101 Exam 2--Theoretical Foundations of Nursing
Questions and Answers
Question 1
Standard Precautions says to wear gloves whenever contact with body fluids or blood may occur. Which situations would
warrant wearing gloves? SATA.
A. Taking vital signs
B. Changing a brief
C. Changing sheets that appear unsoiled
D. Giving an immunization
E. Wiping sweat before attaching an electrode
F. Wiping away tears from a grieving patient
Correct Answer
B, D, F
Rationales:
A: Taking vital signs DOES NOT involve contact with blood or body fluids.
B: Changing a brief DOES involve contact with blood or body fluids.
C: Changing visibly unsoiled sheets DOES NOT involve contact with blood or body fluids.
D: Giving an immunization DOES involve contact with blood or body fluids.
E: Sweat is NOT a body fluid
F: Tears ARE a body fluid.
Page 1 of 44
,Question 2
Cranial Nerve VII: Facial
Correct Answer
facial expression; taste - anterior 2/3 of tongue; eyelid and lip closure
Question 3
The nurse has a suggestion for improving response in the next mass casualty event. The supervisor will ask the nurse for a
proposal; what is that called?
Correct Answer
PICO
Question 4
The cerebellum is located under the ____________ lobe and coordinates ____________, maintains _______________, __________ tone,
balance, and posture
Correct Answer
occipital, movement, equilibrium, muscle
Page 2 of 44
,Question 5
A doctor tells a family, "Your mother has a brain injury and is experiencing expressive aphasia." What lobe is damaged?
What area of that lobe is affected?
Correct Answer
Frontal lobe
Broca's area (motor speech)
Question 6
A patient takes TUMS after every meal to prevent heartburn. The nurse says this is not advisable because it makes the
patient more susceptible to infection. Why is that?
Correct Answer
pH levels in the GI and GU tracts become more alkaline due to the constant lowering of acid levels with antacids. The
body's normal high acidity kills infectious agents, but the pt's low acidity due to antacids allows infectious agents to live
and possibly multiply.
Question 7
What does PERRLA stand for?
Correct Answer
pupils equal, round, reactive to light and accommodation
Page 3 of 44
, Question 8
Medical asepsis or surgical asepsis? Mark (M) or (S).
A. Foley catheter insertion
B. Open heart surgery
C. Starting IV
D. Caesarian section delivery
E. Head to Toe assessment
F. "Sterile technique"
G. "Clean technique"
Correct Answer
A. S
B. S
C. M
D. S
E. M
F. S
G. M
Question 9
The nurse tells the family that their son is a grave risk for stopping breathing and must be closely monitored. The sister
says, "I know. He has decerebrate rigidity." What does the sister mean?
Correct Answer
Decerebrate posture means that the brain stem is damaged. The brain stem controls breathing. A damaged brain stem
makes a person susceptible to breathing interruption or cessation.
Page 4 of 44
Questions and Answers
Question 1
Standard Precautions says to wear gloves whenever contact with body fluids or blood may occur. Which situations would
warrant wearing gloves? SATA.
A. Taking vital signs
B. Changing a brief
C. Changing sheets that appear unsoiled
D. Giving an immunization
E. Wiping sweat before attaching an electrode
F. Wiping away tears from a grieving patient
Correct Answer
B, D, F
Rationales:
A: Taking vital signs DOES NOT involve contact with blood or body fluids.
B: Changing a brief DOES involve contact with blood or body fluids.
C: Changing visibly unsoiled sheets DOES NOT involve contact with blood or body fluids.
D: Giving an immunization DOES involve contact with blood or body fluids.
E: Sweat is NOT a body fluid
F: Tears ARE a body fluid.
Page 1 of 44
,Question 2
Cranial Nerve VII: Facial
Correct Answer
facial expression; taste - anterior 2/3 of tongue; eyelid and lip closure
Question 3
The nurse has a suggestion for improving response in the next mass casualty event. The supervisor will ask the nurse for a
proposal; what is that called?
Correct Answer
PICO
Question 4
The cerebellum is located under the ____________ lobe and coordinates ____________, maintains _______________, __________ tone,
balance, and posture
Correct Answer
occipital, movement, equilibrium, muscle
Page 2 of 44
,Question 5
A doctor tells a family, "Your mother has a brain injury and is experiencing expressive aphasia." What lobe is damaged?
What area of that lobe is affected?
Correct Answer
Frontal lobe
Broca's area (motor speech)
Question 6
A patient takes TUMS after every meal to prevent heartburn. The nurse says this is not advisable because it makes the
patient more susceptible to infection. Why is that?
Correct Answer
pH levels in the GI and GU tracts become more alkaline due to the constant lowering of acid levels with antacids. The
body's normal high acidity kills infectious agents, but the pt's low acidity due to antacids allows infectious agents to live
and possibly multiply.
Question 7
What does PERRLA stand for?
Correct Answer
pupils equal, round, reactive to light and accommodation
Page 3 of 44
, Question 8
Medical asepsis or surgical asepsis? Mark (M) or (S).
A. Foley catheter insertion
B. Open heart surgery
C. Starting IV
D. Caesarian section delivery
E. Head to Toe assessment
F. "Sterile technique"
G. "Clean technique"
Correct Answer
A. S
B. S
C. M
D. S
E. M
F. S
G. M
Question 9
The nurse tells the family that their son is a grave risk for stopping breathing and must be closely monitored. The sister
says, "I know. He has decerebrate rigidity." What does the sister mean?
Correct Answer
Decerebrate posture means that the brain stem is damaged. The brain stem controls breathing. A damaged brain stem
makes a person susceptible to breathing interruption or cessation.
Page 4 of 44
