NURS 100 Fundamentals of Nursing - Week 5 Comprehensive Quiz
(2026 Update) |WCU
1. When assessing a patient’s blood pressure, the nurse notes that the cuff is
too small for the patient’s arm circumference. Which error is most likely to
occur?
A. The reading will be unaffected as long as the cuff is tight.
B. The blood pressure reading will be falsely low.
C. The diastolic reading will be correct, but the systolic will be low.
D. The blood pressure reading will be falsely high.
Answer: D
Rationale: Using a blood pressure cuff that is too small for the limb results in a falsely
elevated reading because the bladder must be over-inflated to occlude the artery.
2. A nurse is caring for a client with Clostridioides difficile (C. diff). Which
infection control measure is mandatory for this specific pathogen?
A. Use of alcohol-based hand rub after every contact.
B. Wearing an N95 respirator at all times.
C. Washing hands with soap and water after client contact.
D. Keeping the door closed to maintain negative pressure.
Answer: C
Rationale: C. diff spores are resistant to alcohol-based sanitizers; therefore, mechanical
friction with soap and water is required to remove the spores from the hands.
,3. The nurse is calculating a pulse deficit. The apical pulse is 92 beats per
minute, and the radial pulse is 78 beats per minute. What is the pulse deficit?
A. 170 beats per minute
B. 8 beats per minute
C. 14 beats per minute
D. 1.17 beats per minute
Answer: C
Rationale: The pulse deficit is calculated by subtracting the radial pulse rate from the
apical pulse rate (92 - 78 = 14).
4. In which order should the nurse perform the physical assessment techniques
for a client’s abdomen?
A. Inspection, Palpation, Percussion, Auscultation
B. Inspection, Auscultation, Percussion, Palpation
C. Auscultation, Inspection, Palpation, Percussion
D. Percussion, Auscultation, Inspection, Palpation
Answer: B
Rationale: For the abdomen, auscultation is performed before percussion and palpation to
avoid stimulating bowel sounds which could lead to an inaccurate assessment.
5. A nurse identifies that a patient has a pressure injury with partial-thickness
loss of dermis, appearing as a shallow open ulcer with a red-pink wound bed.
Which stage should the nurse document?
A. Stage I
B. Stage IV
C. Stage III
D. Stage II
Answer: D
, Rationale: Stage II pressure injuries involve partial-thickness loss of the dermis and
present as a shallow open ulcer or a serum-filled blister.
6. Which ethical principle is the nurse upholding when they support a patient’s
right to refuse a recommended medical treatment?
A. Beneficence
B. Justice
C. Autonomy
D. Nonmaleficence
Answer: C
Rationale: Autonomy refers to the right of patients to make their own decisions about
their medical care, including the right to refuse treatment.
7. While assessing a client’s respiration, the nurse notes periods of deep
breathing alternating with periods of apnea. How should this be documented?
A. Kussmaul’s respirations
B. Cheyne-Stokes respirations
C. Biot’s respirations
D. Orthopnea
Answer: B
Rationale: Cheyne-Stokes respirations are characterized by a rhythmic increase in depth
followed by a decrease and then a period of apnea.
8. The nurse is preparing to transfer a patient from the bed to a chair. Which
principle of body mechanics is most important to prevent injury?
A. Bend at the waist to use back muscles.
B. Maintain a wide base of support and bend at the knees.
C. Hold the object or patient away from the body.
D. Keep the feet close together for stability.
Answer: B
(2026 Update) |WCU
1. When assessing a patient’s blood pressure, the nurse notes that the cuff is
too small for the patient’s arm circumference. Which error is most likely to
occur?
A. The reading will be unaffected as long as the cuff is tight.
B. The blood pressure reading will be falsely low.
C. The diastolic reading will be correct, but the systolic will be low.
D. The blood pressure reading will be falsely high.
Answer: D
Rationale: Using a blood pressure cuff that is too small for the limb results in a falsely
elevated reading because the bladder must be over-inflated to occlude the artery.
2. A nurse is caring for a client with Clostridioides difficile (C. diff). Which
infection control measure is mandatory for this specific pathogen?
A. Use of alcohol-based hand rub after every contact.
B. Wearing an N95 respirator at all times.
C. Washing hands with soap and water after client contact.
D. Keeping the door closed to maintain negative pressure.
Answer: C
Rationale: C. diff spores are resistant to alcohol-based sanitizers; therefore, mechanical
friction with soap and water is required to remove the spores from the hands.
,3. The nurse is calculating a pulse deficit. The apical pulse is 92 beats per
minute, and the radial pulse is 78 beats per minute. What is the pulse deficit?
A. 170 beats per minute
B. 8 beats per minute
C. 14 beats per minute
D. 1.17 beats per minute
Answer: C
Rationale: The pulse deficit is calculated by subtracting the radial pulse rate from the
apical pulse rate (92 - 78 = 14).
4. In which order should the nurse perform the physical assessment techniques
for a client’s abdomen?
A. Inspection, Palpation, Percussion, Auscultation
B. Inspection, Auscultation, Percussion, Palpation
C. Auscultation, Inspection, Palpation, Percussion
D. Percussion, Auscultation, Inspection, Palpation
Answer: B
Rationale: For the abdomen, auscultation is performed before percussion and palpation to
avoid stimulating bowel sounds which could lead to an inaccurate assessment.
5. A nurse identifies that a patient has a pressure injury with partial-thickness
loss of dermis, appearing as a shallow open ulcer with a red-pink wound bed.
Which stage should the nurse document?
A. Stage I
B. Stage IV
C. Stage III
D. Stage II
Answer: D
, Rationale: Stage II pressure injuries involve partial-thickness loss of the dermis and
present as a shallow open ulcer or a serum-filled blister.
6. Which ethical principle is the nurse upholding when they support a patient’s
right to refuse a recommended medical treatment?
A. Beneficence
B. Justice
C. Autonomy
D. Nonmaleficence
Answer: C
Rationale: Autonomy refers to the right of patients to make their own decisions about
their medical care, including the right to refuse treatment.
7. While assessing a client’s respiration, the nurse notes periods of deep
breathing alternating with periods of apnea. How should this be documented?
A. Kussmaul’s respirations
B. Cheyne-Stokes respirations
C. Biot’s respirations
D. Orthopnea
Answer: B
Rationale: Cheyne-Stokes respirations are characterized by a rhythmic increase in depth
followed by a decrease and then a period of apnea.
8. The nurse is preparing to transfer a patient from the bed to a chair. Which
principle of body mechanics is most important to prevent injury?
A. Bend at the waist to use back muscles.
B. Maintain a wide base of support and bend at the knees.
C. Hold the object or patient away from the body.
D. Keep the feet close together for stability.
Answer: B
