NUR2243 Professional Nursing Skills I
Midterm Exam Review
(Questions & Solutions)
2025
©2025
,Multiple Choice (MC)
A patient requires insertion of an indwelling urinary catheter. Which of
the following is the MOST appropriate action before catheter insertion?
A. Ensure sterile technique and hand hygiene
B. Provide analgesics post-insertion only
C. Avoid informing the patient to reduce anxiety
D. Don non-sterile gloves only
ANS: A
Rationale: Maintaining sterile technique and strict hand hygiene prevents
catheter-associated infections, a critical nursing intervention.
While performing IV medication administration, the nurse identifies
redness and swelling at the catheter site. What is the nurse’s immediate
priority?
A. Increase IV flow rate
B. Stop the infusion and remove the catheter
C. Notify the physician after documentation
D. Apply a warm compress without removing the catheter
ANS: B
Rationale: Redness and swelling indicate phlebitis; immediate removal of
the catheter prevents further tissue injury.
During nasogastric tube insertion, the nurse observes the patient
coughing and cyanosis. What should the nurse do?
A. Continue insertion slowly
B. Withdraw the tube and assess airway and breathing
C. Provide oxygen to the patient and proceed
D. Reassure the patient and proceed with insertion
ANS: B
Rationale: Coughing and cyanosis may indicate accidental respiratory
tract insertion, a medical emergency needing immediate correction.
©2025
, Which action best demonstrates the application of the ‘5 Rights’ of
medication administration?
A. Giving the correct dose based on patient weight
B. Administering medication after verifying prescription order
C. Confirming patient identity with two identifiers prior to administration
D. Checking the medication expiry date only once before storage
ANS: C
Rationale: Confirming patient identity with two identifiers is essential to
ensure right patient, a core part of the medication administration safety
protocol.
In the management of a patient with a pressure ulcer, which nursing
intervention is most effective in promoting wound healing?
A. Frequent repositioning every 2 hours
B. Applying dry dressings continuously
C. Leaving the wound open to air
D. Limiting hydration to reduce edema
ANS: A
Rationale: Frequent repositioning relieves pressure, promoting tissue
perfusion and wound healing.
Fill-in-the-Blank (FB)
Hand hygiene is the single most important practice in preventing the
spread of _________.
ANS: infection
Rationale: Hand hygiene removes transient microorganisms, reducing
healthcare-associated infection risk.
The appropriate gauge size for an adult intramuscular injection is usually
________ to ________ gauge.
ANS: 22 to 25
Rationale: This gauge range is suitable for adult IM injections, balancing
flow rates and patient comfort.
When performing a sterile dressing change, it is essential to maintain a
©2025
Midterm Exam Review
(Questions & Solutions)
2025
©2025
,Multiple Choice (MC)
A patient requires insertion of an indwelling urinary catheter. Which of
the following is the MOST appropriate action before catheter insertion?
A. Ensure sterile technique and hand hygiene
B. Provide analgesics post-insertion only
C. Avoid informing the patient to reduce anxiety
D. Don non-sterile gloves only
ANS: A
Rationale: Maintaining sterile technique and strict hand hygiene prevents
catheter-associated infections, a critical nursing intervention.
While performing IV medication administration, the nurse identifies
redness and swelling at the catheter site. What is the nurse’s immediate
priority?
A. Increase IV flow rate
B. Stop the infusion and remove the catheter
C. Notify the physician after documentation
D. Apply a warm compress without removing the catheter
ANS: B
Rationale: Redness and swelling indicate phlebitis; immediate removal of
the catheter prevents further tissue injury.
During nasogastric tube insertion, the nurse observes the patient
coughing and cyanosis. What should the nurse do?
A. Continue insertion slowly
B. Withdraw the tube and assess airway and breathing
C. Provide oxygen to the patient and proceed
D. Reassure the patient and proceed with insertion
ANS: B
Rationale: Coughing and cyanosis may indicate accidental respiratory
tract insertion, a medical emergency needing immediate correction.
©2025
, Which action best demonstrates the application of the ‘5 Rights’ of
medication administration?
A. Giving the correct dose based on patient weight
B. Administering medication after verifying prescription order
C. Confirming patient identity with two identifiers prior to administration
D. Checking the medication expiry date only once before storage
ANS: C
Rationale: Confirming patient identity with two identifiers is essential to
ensure right patient, a core part of the medication administration safety
protocol.
In the management of a patient with a pressure ulcer, which nursing
intervention is most effective in promoting wound healing?
A. Frequent repositioning every 2 hours
B. Applying dry dressings continuously
C. Leaving the wound open to air
D. Limiting hydration to reduce edema
ANS: A
Rationale: Frequent repositioning relieves pressure, promoting tissue
perfusion and wound healing.
Fill-in-the-Blank (FB)
Hand hygiene is the single most important practice in preventing the
spread of _________.
ANS: infection
Rationale: Hand hygiene removes transient microorganisms, reducing
healthcare-associated infection risk.
The appropriate gauge size for an adult intramuscular injection is usually
________ to ________ gauge.
ANS: 22 to 25
Rationale: This gauge range is suitable for adult IM injections, balancing
flow rates and patient comfort.
When performing a sterile dressing change, it is essential to maintain a
©2025
