NURS120 Fundamentals of Nursing Quiz (Latest Update )
Introduction to Medical Surgical Nursing | Questions & Answers |
Grade A | 100% Correct - WCU
1. A nurse is preparing to administer an oral medication. Which of the following
actions is the priority for the nurse to take?
A. Verify the client’s identity using two identifiers.
B. Document the medication administration immediately.
C. Check the expiration date of the medication.
D. Explain the purpose of the medication to the client.
Answer: A
Rationale: The priority action before administering any medication is to ensure the right
client is receiving the right drug by using at least two unique identifiers.
2. Which of the following is considered the most reliable indicator of a client’s
pain level?
A. The client’s self-report of pain.
B. The client’s nonverbal facial expressions.
C. Changes in the client’s heart rate and blood pressure.
D. The nurse’s clinical assessment of the pain site.
Answer: A
Rationale: Pain is a subjective experience, and the patient’s self-report is the most reliable
and primary indicator of pain.
,3. A nurse is caring for a client with C. difficile. Which infection control measure
is essential?
A. Using an alcohol-based hand rub for hand hygiene.
B. Wearing a mask within 3 feet of the client.
C. Washing hands with soap and water after care.
D. Placing the client in a room with negative pressure.
Answer: C
Rationale: C. diff spores are resistant to alcohol-based rubs; mechanical friction with soap
and water is required to remove them from the hands.
4. The nurse uses the Braden Scale to evaluate a client. What is the nurse
assessing?
A. The client’s risk for falls.
B. The client’s level of consciousness.
C. The client’s nutritional status.
D. The client’s risk for pressure injuries.
Answer: D
Rationale: The Braden Scale is a validated tool used to assess a patient’s risk for
developing pressure injuries based on sensory perception, moisture, activity, mobility,
nutrition, and friction/shear.
5. Which of the following describes the ‘Evaluation’ phase of the nursing
process?
A. Collecting data about the client’s health status.
B. Implementing nursing interventions to help the client.
C. Formulating a nursing diagnosis based on assessment data.
D. Determining if the client’s goals and outcomes were met.
Answer: D
, Rationale: Evaluation involves comparing the client’s current status with the desired
outcomes to determine if the plan of care was effective.
6. What is the correct angle for a subcutaneous injection in a client with average
body mass?
A. 15 degrees
B. 10 to 15 degrees
C. 90 degrees only
D. 45 to 90 degrees
Answer: D
Rationale: Subcutaneous injections are typically administered at a 45 to 90-degree angle
depending on the amount of subcutaneous tissue present.
7. Which heart sound is caused by the closure of the mitral and tricuspid valves?
A. S1
B. S2
C. S3
D. S4
Answer: A
Rationale: The S1 sound (lub) marks the beginning of systole and is caused by the closure
of the atrioventricular (mitral and tricuspid) valves.
8. A nurse is using a blood pressure cuff that is too small for the client. How will
this affect the reading?
A. The reading will be falsely high.
B. The reading will be falsely low.
C. The systolic reading will be accurate but diastolic will be low.
D. It will not affect the accuracy of the reading.
Answer: A
Introduction to Medical Surgical Nursing | Questions & Answers |
Grade A | 100% Correct - WCU
1. A nurse is preparing to administer an oral medication. Which of the following
actions is the priority for the nurse to take?
A. Verify the client’s identity using two identifiers.
B. Document the medication administration immediately.
C. Check the expiration date of the medication.
D. Explain the purpose of the medication to the client.
Answer: A
Rationale: The priority action before administering any medication is to ensure the right
client is receiving the right drug by using at least two unique identifiers.
2. Which of the following is considered the most reliable indicator of a client’s
pain level?
A. The client’s self-report of pain.
B. The client’s nonverbal facial expressions.
C. Changes in the client’s heart rate and blood pressure.
D. The nurse’s clinical assessment of the pain site.
Answer: A
Rationale: Pain is a subjective experience, and the patient’s self-report is the most reliable
and primary indicator of pain.
,3. A nurse is caring for a client with C. difficile. Which infection control measure
is essential?
A. Using an alcohol-based hand rub for hand hygiene.
B. Wearing a mask within 3 feet of the client.
C. Washing hands with soap and water after care.
D. Placing the client in a room with negative pressure.
Answer: C
Rationale: C. diff spores are resistant to alcohol-based rubs; mechanical friction with soap
and water is required to remove them from the hands.
4. The nurse uses the Braden Scale to evaluate a client. What is the nurse
assessing?
A. The client’s risk for falls.
B. The client’s level of consciousness.
C. The client’s nutritional status.
D. The client’s risk for pressure injuries.
Answer: D
Rationale: The Braden Scale is a validated tool used to assess a patient’s risk for
developing pressure injuries based on sensory perception, moisture, activity, mobility,
nutrition, and friction/shear.
5. Which of the following describes the ‘Evaluation’ phase of the nursing
process?
A. Collecting data about the client’s health status.
B. Implementing nursing interventions to help the client.
C. Formulating a nursing diagnosis based on assessment data.
D. Determining if the client’s goals and outcomes were met.
Answer: D
, Rationale: Evaluation involves comparing the client’s current status with the desired
outcomes to determine if the plan of care was effective.
6. What is the correct angle for a subcutaneous injection in a client with average
body mass?
A. 15 degrees
B. 10 to 15 degrees
C. 90 degrees only
D. 45 to 90 degrees
Answer: D
Rationale: Subcutaneous injections are typically administered at a 45 to 90-degree angle
depending on the amount of subcutaneous tissue present.
7. Which heart sound is caused by the closure of the mitral and tricuspid valves?
A. S1
B. S2
C. S3
D. S4
Answer: A
Rationale: The S1 sound (lub) marks the beginning of systole and is caused by the closure
of the atrioventricular (mitral and tricuspid) valves.
8. A nurse is using a blood pressure cuff that is too small for the client. How will
this affect the reading?
A. The reading will be falsely high.
B. The reading will be falsely low.
C. The systolic reading will be accurate but diastolic will be low.
D. It will not affect the accuracy of the reading.
Answer: A
