NUR 1141 EXAM 2 QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES
Q & A 2026|INSTANT DOWNLOAD PDF
1. Which of the following are normal vital signs for a healthy
adult?
A. Temperature 37°C
B. Pulse 120 bpm
C. Respirations 16/min
D. Blood pressure 120/80 mmHg
Rationale: Normal adult vital signs include temperature around
36–37°C, pulse 60–100 bpm, respirations 12–20/min, and blood
pressure around 120/80 mmHg.
Correct answers: A, C, D
2. When performing hand hygiene, which actions are
recommended?
A. Use soap and water if hands are visibly dirty
B. Rub hands with alcohol-based sanitizer for at least 20
seconds
C. Rinse hands under cold water only
D. Dry hands with a clean towel or air dryer
Rationale: Hand hygiene is critical to prevent infection; soap
and water are used when hands are visibly soiled, while
,alcohol-based sanitizer is effective when not visibly dirty.
Correct answers: A, B, D
3. Which positions are appropriate for a patient to prevent
aspiration during feeding?
A. Supine
B. High Fowler’s
C. Side-lying
D. Trendelenburg
Rationale: High Fowler’s (45–90°) and side-lying positions help
prevent aspiration in patients with swallowing difficulties.
Correct answers: B, C
4. Which nursing interventions help prevent pressure ulcers?
A. Reposition patient every 2 hours
B. Keep skin dry and clean
C. Apply lotion to bony prominences
D. Encourage adequate nutrition and hydration
Rationale: Pressure ulcer prevention includes frequent
repositioning, skin care, and maintaining nutrition/hydration to
support tissue integrity.
Correct answers: A, B, D
5. Which are signs of hypoglycemia in adults?
,A. Diaphoresis
B. Tachycardia
C. Confusion
D. Hyperactivity
Rationale: Hypoglycemia presents with sympathetic nervous
system activation (sweating, tachycardia) and neurological
symptoms (confusion).
Correct answers: A, B, C
6. Which are appropriate ways to measure a patient’s intake
and output (I&O)?
A. Record all fluids orally ingested
B. Include urine output and drainage from tubes
C. Count ice chips as half volume of water
D. Only record fluids during the day shift
Rationale: Accurate I&O monitoring includes all fluids
consumed and excreted, with ice chips counted as half their
volume.
Correct answers: A, B, C
7. Which interventions are priority for a patient experiencing
shortness of breath?
A. Place in high Fowler’s position
B. Administer oxygen as prescribed
, C. Encourage deep coughing and breathing exercises
D. Limit fluid intake
Rationale: Proper positioning, oxygen therapy, and pulmonary
exercises improve oxygenation. Fluid restriction is only used if
medically indicated.
Correct answers: A, B, C
8. Which are components of a complete neurological
assessment?
A. Mental status evaluation
B. Pupillary response to light
C. Muscle strength and coordination
D. Lung auscultation
Rationale: Neurological assessment evaluates cognitive
function, cranial nerve function, and motor coordination. Lung
auscultation is part of respiratory assessment.
Correct answers: A, B, C
9. Which nursing actions help prevent infection in a patient
with a urinary catheter?
A. Maintain a closed drainage system
B. Perform hand hygiene before catheter care
C. Keep the drainage bag below bladder level
D. Irrigate the catheter daily
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES
Q & A 2026|INSTANT DOWNLOAD PDF
1. Which of the following are normal vital signs for a healthy
adult?
A. Temperature 37°C
B. Pulse 120 bpm
C. Respirations 16/min
D. Blood pressure 120/80 mmHg
Rationale: Normal adult vital signs include temperature around
36–37°C, pulse 60–100 bpm, respirations 12–20/min, and blood
pressure around 120/80 mmHg.
Correct answers: A, C, D
2. When performing hand hygiene, which actions are
recommended?
A. Use soap and water if hands are visibly dirty
B. Rub hands with alcohol-based sanitizer for at least 20
seconds
C. Rinse hands under cold water only
D. Dry hands with a clean towel or air dryer
Rationale: Hand hygiene is critical to prevent infection; soap
and water are used when hands are visibly soiled, while
,alcohol-based sanitizer is effective when not visibly dirty.
Correct answers: A, B, D
3. Which positions are appropriate for a patient to prevent
aspiration during feeding?
A. Supine
B. High Fowler’s
C. Side-lying
D. Trendelenburg
Rationale: High Fowler’s (45–90°) and side-lying positions help
prevent aspiration in patients with swallowing difficulties.
Correct answers: B, C
4. Which nursing interventions help prevent pressure ulcers?
A. Reposition patient every 2 hours
B. Keep skin dry and clean
C. Apply lotion to bony prominences
D. Encourage adequate nutrition and hydration
Rationale: Pressure ulcer prevention includes frequent
repositioning, skin care, and maintaining nutrition/hydration to
support tissue integrity.
Correct answers: A, B, D
5. Which are signs of hypoglycemia in adults?
,A. Diaphoresis
B. Tachycardia
C. Confusion
D. Hyperactivity
Rationale: Hypoglycemia presents with sympathetic nervous
system activation (sweating, tachycardia) and neurological
symptoms (confusion).
Correct answers: A, B, C
6. Which are appropriate ways to measure a patient’s intake
and output (I&O)?
A. Record all fluids orally ingested
B. Include urine output and drainage from tubes
C. Count ice chips as half volume of water
D. Only record fluids during the day shift
Rationale: Accurate I&O monitoring includes all fluids
consumed and excreted, with ice chips counted as half their
volume.
Correct answers: A, B, C
7. Which interventions are priority for a patient experiencing
shortness of breath?
A. Place in high Fowler’s position
B. Administer oxygen as prescribed
, C. Encourage deep coughing and breathing exercises
D. Limit fluid intake
Rationale: Proper positioning, oxygen therapy, and pulmonary
exercises improve oxygenation. Fluid restriction is only used if
medically indicated.
Correct answers: A, B, C
8. Which are components of a complete neurological
assessment?
A. Mental status evaluation
B. Pupillary response to light
C. Muscle strength and coordination
D. Lung auscultation
Rationale: Neurological assessment evaluates cognitive
function, cranial nerve function, and motor coordination. Lung
auscultation is part of respiratory assessment.
Correct answers: A, B, C
9. Which nursing actions help prevent infection in a patient
with a urinary catheter?
A. Maintain a closed drainage system
B. Perform hand hygiene before catheter care
C. Keep the drainage bag below bladder level
D. Irrigate the catheter daily
