NUR 210 Nursing Fundamentals Week 5 Study Guide Comprehensive
Quiz 2026 |Galen College
1. A nurse is preparing to enter the room of a client diagnosed with Clostridium
difficile. Which hand hygiene method is most appropriate?
A. Alcohol-based hand rub for 15 seconds
B. Using a chlorhexidine gluconate wipe
C. Washing with soap and water
D. Rinsing with warm water only
Answer: C
Rationale: C. difficile spores are resistant to alcohol-based rubs; physical scrubbing with
soap and water is required to mechanically remove spores from hands.
2. When donning Personal Protective Equipment (PPE) for a client in droplet
precautions, which item should the nurse apply last?
A. Gown
B. Mask
C. Goggles or face shield
D. Gloves
Answer: D
Rationale: According to CDC guidelines, the standard sequence for donning PPE is: Gown,
Mask/Respirator, Goggles/Face Shield, and then Gloves.
,3. A patient is on airborne precautions for suspected tuberculosis. Which type of
room is required for this patient?
A. Positive-pressure room
B. Semi-private room with a roommate who has the same condition
C. Negative-pressure private room
D. Standard private room with the door left open
Answer: C
Rationale: Airborne precautions require a private, negative-pressure room with at least 6-
12 air exchanges per hour and the door must remain closed.
4. Which of the following is an example of medical asepsis?
A. Performing a sterile dressing change
B. Inserting a urinary catheter
C. Performing hand hygiene before touching a patient
D. Using sterile gloves to suction a tracheostomy
Answer: C
Rationale: Medical asepsis (clean technique) reduces the number of organisms; surgical
asepsis (sterile technique) eliminates all microorganisms.
5. A nurse is caring for an older adult who is at high risk for falls. Which
intervention is the highest priority?
A. Placing the bed in the lowest position
B. Keeping all four side rails up at all times
C. Administering a sedative at bedtime
D. Teaching the patient to use the call light after they get up
Answer: A
Rationale: Keeping the bed in the lowest position is a primary safety measure to reduce
the distance of a potential fall. Four side rails are often considered a restraint.
, 6. During the assessment of a patient’s radial pulse, the nurse notes the rhythm
is irregular. What is the nurse’s next action?
A. Assess the apical pulse for a full minute
B. Document the pulse as ‘thready’
C. Notify the healthcare provider immediately
D. Check the pulse in the other arm for comparison
Answer: A
Rationale: If a peripheral pulse is irregular, the apical pulse should be counted for 60
seconds to obtain an accurate heart rate and assessment of rhythm.
7. A nurse is providing oral care for an unconscious patient. Which position is
most appropriate to prevent aspiration?
A. Supine
B. Side-lying (Sims or lateral)
C. High Fowler’s
D. Trendelenburg
Answer: B
Rationale: The side-lying position allows secretions to drain out of the mouth rather than
back into the pharynx, reducing the risk of aspiration.
8. The nurse is assisting a client with limited mobility to move up in bed. Which
principle of body mechanics should the nurse follow?
A. Keep the knees straight and bend at the waist
B. Use the large muscles of the legs to lift
C. Keep the feet close together to increase stability
D. Twist the back to move the client toward the side
Answer: B
Rationale: Using large muscle groups (legs) prevents back strain. The nurse should bend at
the knees, not the waist, and maintain a wide base of support.
Quiz 2026 |Galen College
1. A nurse is preparing to enter the room of a client diagnosed with Clostridium
difficile. Which hand hygiene method is most appropriate?
A. Alcohol-based hand rub for 15 seconds
B. Using a chlorhexidine gluconate wipe
C. Washing with soap and water
D. Rinsing with warm water only
Answer: C
Rationale: C. difficile spores are resistant to alcohol-based rubs; physical scrubbing with
soap and water is required to mechanically remove spores from hands.
2. When donning Personal Protective Equipment (PPE) for a client in droplet
precautions, which item should the nurse apply last?
A. Gown
B. Mask
C. Goggles or face shield
D. Gloves
Answer: D
Rationale: According to CDC guidelines, the standard sequence for donning PPE is: Gown,
Mask/Respirator, Goggles/Face Shield, and then Gloves.
,3. A patient is on airborne precautions for suspected tuberculosis. Which type of
room is required for this patient?
A. Positive-pressure room
B. Semi-private room with a roommate who has the same condition
C. Negative-pressure private room
D. Standard private room with the door left open
Answer: C
Rationale: Airborne precautions require a private, negative-pressure room with at least 6-
12 air exchanges per hour and the door must remain closed.
4. Which of the following is an example of medical asepsis?
A. Performing a sterile dressing change
B. Inserting a urinary catheter
C. Performing hand hygiene before touching a patient
D. Using sterile gloves to suction a tracheostomy
Answer: C
Rationale: Medical asepsis (clean technique) reduces the number of organisms; surgical
asepsis (sterile technique) eliminates all microorganisms.
5. A nurse is caring for an older adult who is at high risk for falls. Which
intervention is the highest priority?
A. Placing the bed in the lowest position
B. Keeping all four side rails up at all times
C. Administering a sedative at bedtime
D. Teaching the patient to use the call light after they get up
Answer: A
Rationale: Keeping the bed in the lowest position is a primary safety measure to reduce
the distance of a potential fall. Four side rails are often considered a restraint.
, 6. During the assessment of a patient’s radial pulse, the nurse notes the rhythm
is irregular. What is the nurse’s next action?
A. Assess the apical pulse for a full minute
B. Document the pulse as ‘thready’
C. Notify the healthcare provider immediately
D. Check the pulse in the other arm for comparison
Answer: A
Rationale: If a peripheral pulse is irregular, the apical pulse should be counted for 60
seconds to obtain an accurate heart rate and assessment of rhythm.
7. A nurse is providing oral care for an unconscious patient. Which position is
most appropriate to prevent aspiration?
A. Supine
B. Side-lying (Sims or lateral)
C. High Fowler’s
D. Trendelenburg
Answer: B
Rationale: The side-lying position allows secretions to drain out of the mouth rather than
back into the pharynx, reducing the risk of aspiration.
8. The nurse is assisting a client with limited mobility to move up in bed. Which
principle of body mechanics should the nurse follow?
A. Keep the knees straight and bend at the waist
B. Use the large muscles of the legs to lift
C. Keep the feet close together to increase stability
D. Twist the back to move the client toward the side
Answer: B
Rationale: Using large muscle groups (legs) prevents back strain. The nurse should bend at
the knees, not the waist, and maintain a wide base of support.
