NR 226 – Fundamentals: Patient Care
Guide | Exam 2 Questions & Answers
Plus Rationales | Chamberlain University
| 2026 Edition | Verified Study Solutions
1.
Q: The most effective method to reduce the spread of infection is:
A) Wearing gloves at all times
B) Frequent hand hygiene
C) Using antibiotics
D) Cleaning surfaces weekly
A: B
Rationale: Hand hygiene (e.g., soap and water or alcohol-based sanitizer) is the single most
effective measure in preventing transmission of pathogens.
2.
Q: A nurse uses standard precautions for:
A) All patients
B) Only patients with known infections
C) Only patients on contact isolation
D) Only immunocompromised patients
A: A
Rationale: Standard precautions are used for all patients regardless of diagnosis to prevent
transmission of pathogens.
3.
Q: Which action best prevents needlestick injuries?
A) Recapping needles after use
B) Activating safety devices after injection
C) Placing used needles in a regular trash can
D) Disassembling needles by hand
,A: B
Rationale: Safety devices should be activated immediately after use and needles disposed in
sharps containers without recapping.
4.
Q: Airborne precautions are required for:
A) MRSA
B) Tuberculosis
C) C. difficile
D) RSV
A: B
Rationale: Diseases like TB require airborne precautions (negative pressure room, N95
respirator).
5.
Q: A patient with C. difficile contamination requires:
A) Standard precautions only
B) Airborne precautions
C) Contact precautions
D) Droplet precautions
A: C
Rationale: Contact precautions prevent spread of C. difficile spores (gloves, gown, dedicated
equipment).
6.
Q: The nurse’s priority when a fire alarm sounds is:
A) Save portable equipment
B) Rescue patients in immediate danger
C) Close all room doors
D) Silently evacuate
A: B
Rationale: RACE — Rescue, Alarm, Contain, Extinguish/Evacuate; rescuing patients in danger
is first priority.
,7.
Q: A surgical mask protects primarily against:
A) Contact pathogens
B) Large droplets
C) Airborne particles
D) Sterile field contamination
A: B
Rationale: Masks block large respiratory droplets but are not sufficient for airborne particles
(N95 required).
8.
Q: Hand hygiene should be performed:
A) Before patient contact
B) After touching patient surroundings
C) After glove removal
D) All of the above
A: D
Rationale: Hand hygiene is required before and after contact and after glove removal to prevent
pathogen transmission.
9.
Q: The best way to ensure correct patient identification is:
A) Ask patient’s name only
B) Compare two identifiers with the MAR
C) Use room number
D) Use nurse’s memory
A: B
Rationale: Two identifiers (name, DOB, MRN) compared with the MAR ensure correct patient
ID for safety.
10.
, Q: Which should the nurse use to prevent falls?
A) Side rails up at all times
B) Clutter-free environment
C) Restraining device for all patients
D) Only verbal instructions
A: B
Rationale: A clutter-free environment reduces fall risk; restraints and rails must be used
judiciously.
11.
Q: Droplet precautions include:
A) Gown and gloves only
B) N95 respirator
C) Surgical mask within 3 feet of patient
D) Airborne isolation room
A: C
Rationale: Droplet spread requires a mask within close proximity; airborne pathogens require
N95/negative pressure.
12.
Q: Sterile technique is required for:
A) Administering oral medications
B) Inserting an indwelling catheter
C) Measuring vital signs
D) Chest physiotherapy
A: B
Rationale: Invasive procedures like catheterization require sterile technique to prevent infection.
13.
Q: The nurse should dispose of contaminated sharps in:
A) Regulated biohazard bag
B) Red trash bag
C) Puncture-resistant sharps container
D) Paper bag
Guide | Exam 2 Questions & Answers
Plus Rationales | Chamberlain University
| 2026 Edition | Verified Study Solutions
1.
Q: The most effective method to reduce the spread of infection is:
A) Wearing gloves at all times
B) Frequent hand hygiene
C) Using antibiotics
D) Cleaning surfaces weekly
A: B
Rationale: Hand hygiene (e.g., soap and water or alcohol-based sanitizer) is the single most
effective measure in preventing transmission of pathogens.
2.
Q: A nurse uses standard precautions for:
A) All patients
B) Only patients with known infections
C) Only patients on contact isolation
D) Only immunocompromised patients
A: A
Rationale: Standard precautions are used for all patients regardless of diagnosis to prevent
transmission of pathogens.
3.
Q: Which action best prevents needlestick injuries?
A) Recapping needles after use
B) Activating safety devices after injection
C) Placing used needles in a regular trash can
D) Disassembling needles by hand
,A: B
Rationale: Safety devices should be activated immediately after use and needles disposed in
sharps containers without recapping.
4.
Q: Airborne precautions are required for:
A) MRSA
B) Tuberculosis
C) C. difficile
D) RSV
A: B
Rationale: Diseases like TB require airborne precautions (negative pressure room, N95
respirator).
5.
Q: A patient with C. difficile contamination requires:
A) Standard precautions only
B) Airborne precautions
C) Contact precautions
D) Droplet precautions
A: C
Rationale: Contact precautions prevent spread of C. difficile spores (gloves, gown, dedicated
equipment).
6.
Q: The nurse’s priority when a fire alarm sounds is:
A) Save portable equipment
B) Rescue patients in immediate danger
C) Close all room doors
D) Silently evacuate
A: B
Rationale: RACE — Rescue, Alarm, Contain, Extinguish/Evacuate; rescuing patients in danger
is first priority.
,7.
Q: A surgical mask protects primarily against:
A) Contact pathogens
B) Large droplets
C) Airborne particles
D) Sterile field contamination
A: B
Rationale: Masks block large respiratory droplets but are not sufficient for airborne particles
(N95 required).
8.
Q: Hand hygiene should be performed:
A) Before patient contact
B) After touching patient surroundings
C) After glove removal
D) All of the above
A: D
Rationale: Hand hygiene is required before and after contact and after glove removal to prevent
pathogen transmission.
9.
Q: The best way to ensure correct patient identification is:
A) Ask patient’s name only
B) Compare two identifiers with the MAR
C) Use room number
D) Use nurse’s memory
A: B
Rationale: Two identifiers (name, DOB, MRN) compared with the MAR ensure correct patient
ID for safety.
10.
, Q: Which should the nurse use to prevent falls?
A) Side rails up at all times
B) Clutter-free environment
C) Restraining device for all patients
D) Only verbal instructions
A: B
Rationale: A clutter-free environment reduces fall risk; restraints and rails must be used
judiciously.
11.
Q: Droplet precautions include:
A) Gown and gloves only
B) N95 respirator
C) Surgical mask within 3 feet of patient
D) Airborne isolation room
A: C
Rationale: Droplet spread requires a mask within close proximity; airborne pathogens require
N95/negative pressure.
12.
Q: Sterile technique is required for:
A) Administering oral medications
B) Inserting an indwelling catheter
C) Measuring vital signs
D) Chest physiotherapy
A: B
Rationale: Invasive procedures like catheterization require sterile technique to prevent infection.
13.
Q: The nurse should dispose of contaminated sharps in:
A) Regulated biohazard bag
B) Red trash bag
C) Puncture-resistant sharps container
D) Paper bag
