NSG 122 Final Exam V1 | NSG 122 Nursing
Fundamental Concepts | Herzing | 2026
Q&A with Rationale (Herzing NSG122 Final
Exam 2026)
1. A nurse is caring for a patient diagnosed with Clostridium difficile. Which hand hygiene
practice is most appropriate?
A. Washing hands with soap and water
B. Using alcohol-based hand sanitizer
C. Using a sterile saline rinse
D. Wearing double gloves without washing
Correct Answer: A
Rationale: Soap and water are required for C. difficile because alcohol-based rubs do not
kill the spores. Mechanical friction during handwashing helps physically remove the spores
from the skin. This practice is a critical component of contact precautions in healthcare
settings.
2. To identify a patient correctly before administering medication, what should the nurse do?
A. Compare the medication label to the patient’s chart
B. Ask the patient if they are ready for their medication
C. Verify the patient’s room number and name on the door
,D. Check the patient’s ID band and ask them to state their name and birthdate
Correct Answer: D
Rationale: The nurse must use at least two patient identifiers to ensure safety. Verification
of the name and date of birth against the MAR and the patient’s ID band is standard
practice. Relying on room numbers is unsafe as patients may be moved or reassigned.
3. A nurse observes a pressure injury with partial-thickness loss of dermis and a red-pink
wound bed. What stage is this?
A. Stage I
B. Stage III
C. Stage II
D. Stage IV
Correct Answer: C
Rationale: Stage II pressure injuries are characterized by partial-thickness skin loss
involving the epidermis or dermis. The wound presents as a shallow open ulcer with a red-
pink wound bed without slough. Stage III involves full-thickness loss where subcutaneous
fat may be visible.
4. Which position is most appropriate for a patient receiving a cleansing enema?
A. High-Fowler’s
B. Supine
, C. Prone
D. Left Sims’ position
Correct Answer: D
Rationale: The left Sims’ position allows the enema solution to flow by gravity into the
sigmoid colon and rectum. This position follows the natural anatomy of the colon, making
the procedure more effective. It also enhances patient comfort and safety during the
insertion of the rectal tube.
5. A nurse is measuring blood pressure. If the cuff is too small, what effect will this have on
the reading?
A. The reading will be falsely low
B. The reading will be accurate if the patient is sitting
C. The reading will be falsely high
D. The systolic will be high and the diastolic will be low
Correct Answer: C
Rationale: A blood pressure cuff that is too narrow or small will result in a falsely high
reading. The bladder must wrap appropriately around the arm to apply even pressure to
the artery. Using the correct cuff size is essential for clinical accuracy and patient
management.
Fundamental Concepts | Herzing | 2026
Q&A with Rationale (Herzing NSG122 Final
Exam 2026)
1. A nurse is caring for a patient diagnosed with Clostridium difficile. Which hand hygiene
practice is most appropriate?
A. Washing hands with soap and water
B. Using alcohol-based hand sanitizer
C. Using a sterile saline rinse
D. Wearing double gloves without washing
Correct Answer: A
Rationale: Soap and water are required for C. difficile because alcohol-based rubs do not
kill the spores. Mechanical friction during handwashing helps physically remove the spores
from the skin. This practice is a critical component of contact precautions in healthcare
settings.
2. To identify a patient correctly before administering medication, what should the nurse do?
A. Compare the medication label to the patient’s chart
B. Ask the patient if they are ready for their medication
C. Verify the patient’s room number and name on the door
,D. Check the patient’s ID band and ask them to state their name and birthdate
Correct Answer: D
Rationale: The nurse must use at least two patient identifiers to ensure safety. Verification
of the name and date of birth against the MAR and the patient’s ID band is standard
practice. Relying on room numbers is unsafe as patients may be moved or reassigned.
3. A nurse observes a pressure injury with partial-thickness loss of dermis and a red-pink
wound bed. What stage is this?
A. Stage I
B. Stage III
C. Stage II
D. Stage IV
Correct Answer: C
Rationale: Stage II pressure injuries are characterized by partial-thickness skin loss
involving the epidermis or dermis. The wound presents as a shallow open ulcer with a red-
pink wound bed without slough. Stage III involves full-thickness loss where subcutaneous
fat may be visible.
4. Which position is most appropriate for a patient receiving a cleansing enema?
A. High-Fowler’s
B. Supine
, C. Prone
D. Left Sims’ position
Correct Answer: D
Rationale: The left Sims’ position allows the enema solution to flow by gravity into the
sigmoid colon and rectum. This position follows the natural anatomy of the colon, making
the procedure more effective. It also enhances patient comfort and safety during the
insertion of the rectal tube.
5. A nurse is measuring blood pressure. If the cuff is too small, what effect will this have on
the reading?
A. The reading will be falsely low
B. The reading will be accurate if the patient is sitting
C. The reading will be falsely high
D. The systolic will be high and the diastolic will be low
Correct Answer: C
Rationale: A blood pressure cuff that is too narrow or small will result in a falsely high
reading. The bladder must wrap appropriately around the arm to apply even pressure to
the artery. Using the correct cuff size is essential for clinical accuracy and patient
management.
