NURS 104L Fundamentals of Nursing Skills Lab - Week 4 Quiz 2026
|WCU
1. A nurse is preparing to measure a patient’s blood pressure. If the blood
pressure cuff used is too narrow for the patient’s arm, how will this affect the
reading?
A. The reading will be falsely low.
B. The reading will be falsely high.
C. The reading will not be affected by cuff size.
D. Only the diastolic pressure will be elevated.
Answer: B
Rationale: Using a cuff that is too small or too narrow results in a falsely high blood
pressure reading because the pressure is not distributed evenly across the artery.
2. When assessing the apical pulse of an adult patient, where should the nurse
place the stethoscope?
A. Second intercostal space, right sternal border.
B. Second intercostal space, left sternal border.
C. Fourth intercostal space, left sternal border.
D. Fifth intercostal space, left midclavicular line.
Answer: D
Rationale: The apical pulse (point of maximal impulse) is located at the fifth intercostal
space at the left midclavicular line.
,3. Which assessment technique should the nurse perform first when assessing
the abdomen?
A. Inspection
B. Percussion
C. Auscultation
D. Palpation
Answer: A
Rationale: The correct order for abdominal assessment is Inspection, Auscultation,
Percussion, and Palpation to avoid altering bowel sounds.
4. What is the standard duration for performing hand hygiene with an alcohol-
based hand rub?
A. At least 5 seconds.
B. Exactly 60 seconds.
C. Until the alcohol is dry, usually 20-30 seconds.
D. 15 seconds of vigorous scrubbing.
Answer: C
Rationale: Alcohol-based hand rubs should be used until the hands are dry, which typically
takes between 20 to 30 seconds.
5. A patient has a suspected Clostridium difficile (C. diff) infection. Which hand
hygiene method is mandatory for the nurse?
A. Iodine-based antiseptic scrub.
B. Alcohol-based hand sanitizer.
C. Wearing double gloves without washing.
D. Soap and water only.
Answer: D
Rationale: C. diff spores are resistant to alcohol; therefore, mechanical scrubbing with
soap and water is required to remove them from the hands.
, 6. Which of the following is considered ‘subjective’ data during a physical
assessment?
A. Blood pressure of 140/90 mmHg.
B. Visible bruising on the right arm.
C. The patient’s report of a ‘throbbing’ headache.
D. A potassium level of 3.8 mEq/L.
Answer: C
Rationale: Subjective data are symptoms described by the patient that cannot be
measured directly by the nurse, such as pain descriptions.
7. A nurse is assessing a patient for orthostatic hypotension. Which finding
indicates a positive result?
A. A drop in systolic BP of 10 mmHg within 3 minutes of standing.
B. An increase in heart rate of 5 beats per minute.
C. A drop in systolic BP of 20 mmHg within 3 minutes of standing.
D. A drop in diastolic BP of 5 mmHg.
Answer: C
Rationale: Orthostatic hypotension is defined as a decrease in systolic BP of 20 mmHg or a
decrease in diastolic BP of 10 mmHg within 3 minutes of standing.
8. When donning Personal Protective Equipment (PPE), which item should be
put on first?
A. Gown
B. Mask
C. Goggles
D. Gloves
Answer: A
Rationale: The standard sequence for donning PPE is: Gown, Mask or Respirator, Goggles
or Face Shield, then Gloves.
|WCU
1. A nurse is preparing to measure a patient’s blood pressure. If the blood
pressure cuff used is too narrow for the patient’s arm, how will this affect the
reading?
A. The reading will be falsely low.
B. The reading will be falsely high.
C. The reading will not be affected by cuff size.
D. Only the diastolic pressure will be elevated.
Answer: B
Rationale: Using a cuff that is too small or too narrow results in a falsely high blood
pressure reading because the pressure is not distributed evenly across the artery.
2. When assessing the apical pulse of an adult patient, where should the nurse
place the stethoscope?
A. Second intercostal space, right sternal border.
B. Second intercostal space, left sternal border.
C. Fourth intercostal space, left sternal border.
D. Fifth intercostal space, left midclavicular line.
Answer: D
Rationale: The apical pulse (point of maximal impulse) is located at the fifth intercostal
space at the left midclavicular line.
,3. Which assessment technique should the nurse perform first when assessing
the abdomen?
A. Inspection
B. Percussion
C. Auscultation
D. Palpation
Answer: A
Rationale: The correct order for abdominal assessment is Inspection, Auscultation,
Percussion, and Palpation to avoid altering bowel sounds.
4. What is the standard duration for performing hand hygiene with an alcohol-
based hand rub?
A. At least 5 seconds.
B. Exactly 60 seconds.
C. Until the alcohol is dry, usually 20-30 seconds.
D. 15 seconds of vigorous scrubbing.
Answer: C
Rationale: Alcohol-based hand rubs should be used until the hands are dry, which typically
takes between 20 to 30 seconds.
5. A patient has a suspected Clostridium difficile (C. diff) infection. Which hand
hygiene method is mandatory for the nurse?
A. Iodine-based antiseptic scrub.
B. Alcohol-based hand sanitizer.
C. Wearing double gloves without washing.
D. Soap and water only.
Answer: D
Rationale: C. diff spores are resistant to alcohol; therefore, mechanical scrubbing with
soap and water is required to remove them from the hands.
, 6. Which of the following is considered ‘subjective’ data during a physical
assessment?
A. Blood pressure of 140/90 mmHg.
B. Visible bruising on the right arm.
C. The patient’s report of a ‘throbbing’ headache.
D. A potassium level of 3.8 mEq/L.
Answer: C
Rationale: Subjective data are symptoms described by the patient that cannot be
measured directly by the nurse, such as pain descriptions.
7. A nurse is assessing a patient for orthostatic hypotension. Which finding
indicates a positive result?
A. A drop in systolic BP of 10 mmHg within 3 minutes of standing.
B. An increase in heart rate of 5 beats per minute.
C. A drop in systolic BP of 20 mmHg within 3 minutes of standing.
D. A drop in diastolic BP of 5 mmHg.
Answer: C
Rationale: Orthostatic hypotension is defined as a decrease in systolic BP of 20 mmHg or a
decrease in diastolic BP of 10 mmHg within 3 minutes of standing.
8. When donning Personal Protective Equipment (PPE), which item should be
put on first?
A. Gown
B. Mask
C. Goggles
D. Gloves
Answer: A
Rationale: The standard sequence for donning PPE is: Gown, Mask or Respirator, Goggles
or Face Shield, then Gloves.
