HONDROS NUR 163 EXAM 2 2026/2027 | 100% Correct
Answers with Complete Solutions | Fundamentals of Nursing
| NCLEX-RN Aligned | Hondros College | Pass Guaranteed -
A+ Graded
Topic 1: Safety and Infection Control (10 Questions)
Q1: The PN is preparing to care for a client with methicillin-resistant Staphylococcus
aureus (MRSA) in a wound. Which personal protective equipment (PPE) is required
when entering the room?
A. Gown and gloves only
B. N95 respirator and gloves
C. Gown, gloves, and surgical mask [CORRECT]
D. Surgical mask and gloves only
Correct Answer: C
Rationale: MRSA requires Contact Precautions plus Droplet Precautions when there is
risk of splashing or spraying of bodily fluids. Standard precautions (hand hygiene,
gloves) plus gown and mask protect against contact with infected wound drainage and
potential droplet transmission during wound care. Why A is incorrect: Gown and gloves
alone do not protect against potential droplet transmission during wound care activities.
Why B is incorrect: N95 respirators are for Airborne Precautions (TB, measles, varicella),
not standard MRSA contact precautions. Why D is incorrect: This omits the gown, which
is essential for contact precautions to prevent clothing contamination.
,Q2: The PN is caring for four clients on a medical-surgical unit. Which client requires the
PN's immediate attention using safety and prioritization principles?
A. A client requesting assistance to the bathroom
B. A client with a blood pressure of 138/88 mmHg complaining of mild headache
C. A client whose IV infusion has 50 mL remaining with 1 hour left
D. A client with an oxygen saturation of 89% on 2L nasal cannula [CORRECT]
Correct Answer: D
Rationale: Apply the ABCs (Airway, Breathing, Circulation) prioritization framework. An
oxygen saturation of 89% indicates hypoxemia (normal >95%), representing a threat to
the client's physiological stability and requiring immediate assessment and intervention.
Why A is incorrect: While toileting is important for comfort and prevents falls, it does not
represent an immediate physiological threat. Why B is incorrect: This blood pressure is
slightly elevated but not immediately dangerous; mild headache may be unrelated. Why
C is incorrect: This is appropriate IV flow rate; no immediate action required.
Q3: The PN witnesses a nursing assistant (NA) recapping a used needle with both
hands before disposal. What is the PN's priority action?
A. Complete an incident report at the end of the shift
B. Immediately stop the NA and demonstrate proper disposal technique [CORRECT]
C. Notify the charge nurse after the NA finishes the procedure
D. Ignore the behavior as it is the NA's responsibility
,Correct Answer: B
Rationale: Patient and staff safety is immediate priority. Two-handed recapping is a
leading cause of needlestick injuries and bloodborne pathogen exposure. The PN must
intervene immediately to stop unsafe practice, then educate on proper technique (using
safety device or one-handed scoop technique, disposing immediately in sharps
container). Why A is incorrect: Incident reports document events but do not prevent
immediate injury; action must be immediate. Why C is incorrect: Delaying intervention
risks immediate injury; the PN has authority and obligation to correct unsafe practices
immediately. Why D is incorrect: Ignoring unsafe practices violates professional
responsibility and risks serious injury.
Q4: The PN is preparing to transfer a client from bed to wheelchair using a gait belt.
Which action demonstrates correct technique?
A. Placing the belt around the client's chest for better control
B. Standing in front of the client and pulling them to standing
C. Placing the belt around the client's waist, standing on the weaker side, using leg
muscles to assist [CORRECT]
D. Lifting the client under the arms to assist with standing
Correct Answer: C
Rationale: Correct gait belt placement is around the waist (center of gravity), not chest.
Standing on the weaker side allows support of the affected extremity and prevents falls.
Using leg muscles (not back) prevents nurse injury. The belt provides secure handholds
for controlled movement. Why A is incorrect: Chest placement restricts breathing and
does not provide appropriate leverage; waist placement is correct. Why B is incorrect:
, Standing in front and pulling can cause the client to fall forward; proper position is at
the side with weight shifting technique. Why D is incorrect: Lifting under the arms can
cause brachial plexus injury; the gait belt is the safe transfer method.
Q5: The PN is administering medications. Which action demonstrates the "right patient"
component of the Six Rights of Medication Administration?
A. Checking the medication label three times before administration
B. Verifying the client's name and date of birth with wristband and verbal confirmation
[CORRECT]
C. Confirming the medication matches the medication administration record
D. Explaining the medication's side effects to the client
Correct Answer: B
Rationale: The Six Rights of Medication Administration are: right patient, right drug, right
dose, right route, right time, right documentation. "Right patient" requires two identifiers
(typically name and date of birth) verified against the wristband and MAR, with client
verbal confirmation when possible. This prevents medication errors from similar names
or room number confusion. Why A is incorrect: Triple-checking the label demonstrates
"right drug," not right patient. Why C is incorrect: This also demonstrates "right drug"
verification. Why D is incorrect: This is patient education, part of the administration
process but not the "right patient" verification.
Q6: The PN is caring for a client with tuberculosis (TB) who is admitted to the facility.
Which isolation precaution is required?
A. Contact Precautions
Answers with Complete Solutions | Fundamentals of Nursing
| NCLEX-RN Aligned | Hondros College | Pass Guaranteed -
A+ Graded
Topic 1: Safety and Infection Control (10 Questions)
Q1: The PN is preparing to care for a client with methicillin-resistant Staphylococcus
aureus (MRSA) in a wound. Which personal protective equipment (PPE) is required
when entering the room?
A. Gown and gloves only
B. N95 respirator and gloves
C. Gown, gloves, and surgical mask [CORRECT]
D. Surgical mask and gloves only
Correct Answer: C
Rationale: MRSA requires Contact Precautions plus Droplet Precautions when there is
risk of splashing or spraying of bodily fluids. Standard precautions (hand hygiene,
gloves) plus gown and mask protect against contact with infected wound drainage and
potential droplet transmission during wound care. Why A is incorrect: Gown and gloves
alone do not protect against potential droplet transmission during wound care activities.
Why B is incorrect: N95 respirators are for Airborne Precautions (TB, measles, varicella),
not standard MRSA contact precautions. Why D is incorrect: This omits the gown, which
is essential for contact precautions to prevent clothing contamination.
,Q2: The PN is caring for four clients on a medical-surgical unit. Which client requires the
PN's immediate attention using safety and prioritization principles?
A. A client requesting assistance to the bathroom
B. A client with a blood pressure of 138/88 mmHg complaining of mild headache
C. A client whose IV infusion has 50 mL remaining with 1 hour left
D. A client with an oxygen saturation of 89% on 2L nasal cannula [CORRECT]
Correct Answer: D
Rationale: Apply the ABCs (Airway, Breathing, Circulation) prioritization framework. An
oxygen saturation of 89% indicates hypoxemia (normal >95%), representing a threat to
the client's physiological stability and requiring immediate assessment and intervention.
Why A is incorrect: While toileting is important for comfort and prevents falls, it does not
represent an immediate physiological threat. Why B is incorrect: This blood pressure is
slightly elevated but not immediately dangerous; mild headache may be unrelated. Why
C is incorrect: This is appropriate IV flow rate; no immediate action required.
Q3: The PN witnesses a nursing assistant (NA) recapping a used needle with both
hands before disposal. What is the PN's priority action?
A. Complete an incident report at the end of the shift
B. Immediately stop the NA and demonstrate proper disposal technique [CORRECT]
C. Notify the charge nurse after the NA finishes the procedure
D. Ignore the behavior as it is the NA's responsibility
,Correct Answer: B
Rationale: Patient and staff safety is immediate priority. Two-handed recapping is a
leading cause of needlestick injuries and bloodborne pathogen exposure. The PN must
intervene immediately to stop unsafe practice, then educate on proper technique (using
safety device or one-handed scoop technique, disposing immediately in sharps
container). Why A is incorrect: Incident reports document events but do not prevent
immediate injury; action must be immediate. Why C is incorrect: Delaying intervention
risks immediate injury; the PN has authority and obligation to correct unsafe practices
immediately. Why D is incorrect: Ignoring unsafe practices violates professional
responsibility and risks serious injury.
Q4: The PN is preparing to transfer a client from bed to wheelchair using a gait belt.
Which action demonstrates correct technique?
A. Placing the belt around the client's chest for better control
B. Standing in front of the client and pulling them to standing
C. Placing the belt around the client's waist, standing on the weaker side, using leg
muscles to assist [CORRECT]
D. Lifting the client under the arms to assist with standing
Correct Answer: C
Rationale: Correct gait belt placement is around the waist (center of gravity), not chest.
Standing on the weaker side allows support of the affected extremity and prevents falls.
Using leg muscles (not back) prevents nurse injury. The belt provides secure handholds
for controlled movement. Why A is incorrect: Chest placement restricts breathing and
does not provide appropriate leverage; waist placement is correct. Why B is incorrect:
, Standing in front and pulling can cause the client to fall forward; proper position is at
the side with weight shifting technique. Why D is incorrect: Lifting under the arms can
cause brachial plexus injury; the gait belt is the safe transfer method.
Q5: The PN is administering medications. Which action demonstrates the "right patient"
component of the Six Rights of Medication Administration?
A. Checking the medication label three times before administration
B. Verifying the client's name and date of birth with wristband and verbal confirmation
[CORRECT]
C. Confirming the medication matches the medication administration record
D. Explaining the medication's side effects to the client
Correct Answer: B
Rationale: The Six Rights of Medication Administration are: right patient, right drug, right
dose, right route, right time, right documentation. "Right patient" requires two identifiers
(typically name and date of birth) verified against the wristband and MAR, with client
verbal confirmation when possible. This prevents medication errors from similar names
or room number confusion. Why A is incorrect: Triple-checking the label demonstrates
"right drug," not right patient. Why C is incorrect: This also demonstrates "right drug"
verification. Why D is incorrect: This is patient education, part of the administration
process but not the "right patient" verification.
Q6: The PN is caring for a client with tuberculosis (TB) who is admitted to the facility.
Which isolation precaution is required?
A. Contact Precautions
