NUR 2243 NUR2243 PROFESSIONAL NURSING
SKILLS I FINAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS PLUS
RATIONALES 2025 RASMUSSEN UNIVERSITY
1. Which of the following is the most appropriate site for an intramuscular
injection in an adult?
• Deltoid
• Dorsogluteal
• Ventrogluteal
• Vastus medialis
The ventrogluteal site is the safest and least painful for IM injections due
to fewer nerves and blood vessels.
2. Which of the following actions prevents the spread of infection during
patient care?
• Wearing gloves only when handling body fluids
• Performing hand hygiene before and after patient contact
• Using a mask for all patients
,• Keeping the patient’s room closed
Hand hygiene is the single most effective way to prevent infection
transmission.
3. The nurse is preparing to administer an enema. What position should the
patient be placed in?
• Supine
• Prone
• Left lateral (Sims')
• Right lateral
The left lateral (Sims') position allows gravity to aid enema flow into the
sigmoid colon.
4. What is the minimum angle of insertion for an intramuscular injection?
• 15 degrees
• 30 degrees
• 90 degrees
• 45 degrees
IM injections are administered at a 90-degree angle to ensure medication
reaches the muscle.
5. Which assessment finding requires immediate nursing intervention?
• BP 130/86 mmHg
• Heart rate 100 bpm
• Respirations 20/min
,• Oxygen saturation 88% on room air
An oxygen saturation below 90% indicates hypoxemia and requires urgent
attention.
6. What is the best way to assess a patient's fluid balance?
• Daily weight
• Skin turgor
• Urine output
• Blood pressure
Daily weight is the most accurate indicator of fluid balance over time.
7. Which type of precaution should be used for a patient with tuberculosis?
• Droplet
• Airborne
• Contact
• Standard
TB is transmitted through airborne particles and requires airborne
precautions.
8. A nurse delegates ambulation of a stable patient to a UAP. What must the
nurse do first?
• Do nothing, delegation is complete
• Supervise the UAP constantly
• Ensure the UAP understands the instructions
, • Perform the task herself
The nurse must ensure proper understanding to maintain safety and
accountability.
9. When performing catheter care, how should the nurse clean the area?
• Clean from rectum to meatus
• Clean from meatus outward
• Clean randomly
• Clean with antiseptic only
Cleaning from the meatus outward prevents introducing bacteria into the
urinary tract.
10.Which of the following is considered a violation of HIPAA?
• Calling a patient’s name in the waiting room
• Discussing a patient’s condition in the elevator
• Placing charts at the nurses’ station
• Obtaining verbal consent for treatment
HIPAA prohibits discussing patient information in public spaces.
11.What is the primary purpose of incentive spirometry?
• To increase oxygen saturation
• To promote lung expansion and prevent atelectasis
• To clear secretions from the airway
SKILLS I FINAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS PLUS
RATIONALES 2025 RASMUSSEN UNIVERSITY
1. Which of the following is the most appropriate site for an intramuscular
injection in an adult?
• Deltoid
• Dorsogluteal
• Ventrogluteal
• Vastus medialis
The ventrogluteal site is the safest and least painful for IM injections due
to fewer nerves and blood vessels.
2. Which of the following actions prevents the spread of infection during
patient care?
• Wearing gloves only when handling body fluids
• Performing hand hygiene before and after patient contact
• Using a mask for all patients
,• Keeping the patient’s room closed
Hand hygiene is the single most effective way to prevent infection
transmission.
3. The nurse is preparing to administer an enema. What position should the
patient be placed in?
• Supine
• Prone
• Left lateral (Sims')
• Right lateral
The left lateral (Sims') position allows gravity to aid enema flow into the
sigmoid colon.
4. What is the minimum angle of insertion for an intramuscular injection?
• 15 degrees
• 30 degrees
• 90 degrees
• 45 degrees
IM injections are administered at a 90-degree angle to ensure medication
reaches the muscle.
5. Which assessment finding requires immediate nursing intervention?
• BP 130/86 mmHg
• Heart rate 100 bpm
• Respirations 20/min
,• Oxygen saturation 88% on room air
An oxygen saturation below 90% indicates hypoxemia and requires urgent
attention.
6. What is the best way to assess a patient's fluid balance?
• Daily weight
• Skin turgor
• Urine output
• Blood pressure
Daily weight is the most accurate indicator of fluid balance over time.
7. Which type of precaution should be used for a patient with tuberculosis?
• Droplet
• Airborne
• Contact
• Standard
TB is transmitted through airborne particles and requires airborne
precautions.
8. A nurse delegates ambulation of a stable patient to a UAP. What must the
nurse do first?
• Do nothing, delegation is complete
• Supervise the UAP constantly
• Ensure the UAP understands the instructions
, • Perform the task herself
The nurse must ensure proper understanding to maintain safety and
accountability.
9. When performing catheter care, how should the nurse clean the area?
• Clean from rectum to meatus
• Clean from meatus outward
• Clean randomly
• Clean with antiseptic only
Cleaning from the meatus outward prevents introducing bacteria into the
urinary tract.
10.Which of the following is considered a violation of HIPAA?
• Calling a patient’s name in the waiting room
• Discussing a patient’s condition in the elevator
• Placing charts at the nurses’ station
• Obtaining verbal consent for treatment
HIPAA prohibits discussing patient information in public spaces.
11.What is the primary purpose of incentive spirometry?
• To increase oxygen saturation
• To promote lung expansion and prevent atelectasis
• To clear secretions from the airway
