NSG 122 Exam 2 V2 | NSG 122 Nursing
Fundamental Concepts | Herzing | 2026
Q&A with Rationale (Herzing NSG122
Exam 2 2026)
1. A nurse is caring for a patient who has a Stage II pressure injury. Which of the following
clinical findings should the nurse expect to observe?
A. Visible subcutaneous fat with tunneling
B. Non-blanchable erythema of intact skin
C. Partial-thickness skin loss involving the dermis
D. Full-thickness tissue loss with exposed bone
Correct Answer: C
Rationale: A Stage II pressure injury is characterized by partial-thickness loss of dermis
presenting as a shallow open ulcer with a red-pink wound bed without slough. Stage I
involves intact skin with non-blanchable redness, while Stage III involves visible fat. It is
essential for the nurse to distinguish these stages to apply the correct therapeutic
interventions.
2. When verifying the placement of a nasogastric (NG) tube before starting an enteral
feeding, which method is considered the gold standard for initial verification?
A. Auscultation of an air bolus in the epigastric area
,B. Testing the pH of aspirated gastric contents
C. Observing the color of the aspirated fluid
D. Radiographic (X-ray) confirmation of the tube tip
Correct Answer: D
Rationale: Radiographic confirmation is the most reliable and gold standard method to
verify the initial placement of an NG tube. While pH testing and air auscultation are used
for routine checks, they are not as definitive as an X-ray. Ensuring correct placement is vital
to prevent aspiration and ensure the patient receives the intended nutrition.
3. A nurse is preparing to perform an indwelling urinary catheterization for a female patient.
Which of the following actions should the nurse prioritize to maintain a sterile field?
A. Cleaning the labia minora before the labia majora
B. Using the non-dominant hand to stabilize the labia
C. Applying lubricant to the catheter after insertion
D. Donning sterile gloves after opening the catheter kit
Correct Answer: D
Rationale: The nurse must maintain strict aseptic technique by donning sterile gloves after
the sterile kit has been opened and the field is prepared. Once the non-dominant hand
touches the patient to stabilize the labia, that hand is no longer sterile. Proper sequence
, and maintenance of the sterile field are critical to preventing catheter-associated urinary
tract infections (CAUTIs).
4. A patient is placed on a clear liquid diet following abdominal surgery. Which of the
following items should the nurse include on the patient’s meal tray?
A. Milk and coffee with cream
B. Orange juice and vanilla pudding
C. Tomato soup and low-fat yogurt
D. Apple juice and chicken broth
Correct Answer: D
Rationale: A clear liquid diet consists of fluids that are transparent to light and liquid at
room temperature, such as apple juice, broth, and gelatin. Items like pudding, yogurt, and
milk contain solids or fats and are classified as part of a full liquid diet. Advancing the diet
slowly after surgery helps the nurse assess the patient’s gastrointestinal tolerance.
5. A nurse is assessing a patient for complications of immobility. Which of the following
findings should indicate the patient is experiencing a deep vein thrombosis (DVT)?
A. Bilateral pitting edema in the lower extremities
B. Coolness and pallor in the distal phalanges
C. Unilateral calf warmth, redness, and swelling
D. Diminished pedal pulses in both feet
Fundamental Concepts | Herzing | 2026
Q&A with Rationale (Herzing NSG122
Exam 2 2026)
1. A nurse is caring for a patient who has a Stage II pressure injury. Which of the following
clinical findings should the nurse expect to observe?
A. Visible subcutaneous fat with tunneling
B. Non-blanchable erythema of intact skin
C. Partial-thickness skin loss involving the dermis
D. Full-thickness tissue loss with exposed bone
Correct Answer: C
Rationale: A Stage II pressure injury is characterized by partial-thickness loss of dermis
presenting as a shallow open ulcer with a red-pink wound bed without slough. Stage I
involves intact skin with non-blanchable redness, while Stage III involves visible fat. It is
essential for the nurse to distinguish these stages to apply the correct therapeutic
interventions.
2. When verifying the placement of a nasogastric (NG) tube before starting an enteral
feeding, which method is considered the gold standard for initial verification?
A. Auscultation of an air bolus in the epigastric area
,B. Testing the pH of aspirated gastric contents
C. Observing the color of the aspirated fluid
D. Radiographic (X-ray) confirmation of the tube tip
Correct Answer: D
Rationale: Radiographic confirmation is the most reliable and gold standard method to
verify the initial placement of an NG tube. While pH testing and air auscultation are used
for routine checks, they are not as definitive as an X-ray. Ensuring correct placement is vital
to prevent aspiration and ensure the patient receives the intended nutrition.
3. A nurse is preparing to perform an indwelling urinary catheterization for a female patient.
Which of the following actions should the nurse prioritize to maintain a sterile field?
A. Cleaning the labia minora before the labia majora
B. Using the non-dominant hand to stabilize the labia
C. Applying lubricant to the catheter after insertion
D. Donning sterile gloves after opening the catheter kit
Correct Answer: D
Rationale: The nurse must maintain strict aseptic technique by donning sterile gloves after
the sterile kit has been opened and the field is prepared. Once the non-dominant hand
touches the patient to stabilize the labia, that hand is no longer sterile. Proper sequence
, and maintenance of the sterile field are critical to preventing catheter-associated urinary
tract infections (CAUTIs).
4. A patient is placed on a clear liquid diet following abdominal surgery. Which of the
following items should the nurse include on the patient’s meal tray?
A. Milk and coffee with cream
B. Orange juice and vanilla pudding
C. Tomato soup and low-fat yogurt
D. Apple juice and chicken broth
Correct Answer: D
Rationale: A clear liquid diet consists of fluids that are transparent to light and liquid at
room temperature, such as apple juice, broth, and gelatin. Items like pudding, yogurt, and
milk contain solids or fats and are classified as part of a full liquid diet. Advancing the diet
slowly after surgery helps the nurse assess the patient’s gastrointestinal tolerance.
5. A nurse is assessing a patient for complications of immobility. Which of the following
findings should indicate the patient is experiencing a deep vein thrombosis (DVT)?
A. Bilateral pitting edema in the lower extremities
B. Coolness and pallor in the distal phalanges
C. Unilateral calf warmth, redness, and swelling
D. Diminished pedal pulses in both feet
