NU-136 Fundamentals of Nursing Exam 2 Practice Questions
and Correct Answers with Rationale | Newest Update | Galen
College of Nursing
1. A nurse is preparing to measure a patient’s blood pressure. Which action
should the nurse take if the blood pressure cuff is too small for the patient’s
arm?
A. Use the cuff as is but document it was small.
B. Place the cuff over the patient’s clothing.
C. Find a larger cuff to avoid a falsely high reading.
D. Wrap the cuff more tightly around the arm.
Answer: C
Rationale: A blood pressure cuff that is too small will result in a falsely high reading. Using
the correct cuff size is essential for accuracy.
2. Which location is considered the most accurate for measuring the core body
temperature of an adult?
A. Axillary
B. Oral
C. Temporal
D. Rectal
Answer: D
,Rationale: The rectal site is generally considered the most accurate representation of core
body temperature.
3. A nurse is performing hand hygiene. When is it mandatory to use soap and
water instead of alcohol-based hand rub?
A. After touching a patient’s intact skin.
B. When the hands are visibly soiled or after caring for a patient with C. difficile.
C. Before putting on sterile gloves.
D. After removing clean examination gloves.
Answer: B
Rationale: Soap and water must be used when hands are visibly soiled or when
Clostridium difficile (C. diff) is suspected or confirmed, as alcohol does not kill the spores.
4. The nurse is assessing a patient’s apical pulse. At which anatomical location
should the nurse place the stethoscope?
A. Second intercostal space, right sternal border.
B. Fifth intercostal space, left midclavicular line.
C. Fourth intercostal space, left sternal border.
D. Second intercostal space, left sternal border.
Answer: B
Rationale: The apical pulse (PMI) is located at the 5th intercostal space at the left
midclavicular line.
, 5. When removing Personal Protective Equipment (PPE), which item should the
nurse remove first?
A. Mask
B. Gown
C. Goggles
D. Gloves
Answer: D
Rationale: According to standard CDC sequence, gloves are removed first because they are
the most contaminated, followed by goggles/face shield, gown, and finally the mask.
6. A patient is on Droplet Precautions. What is the minimum required PPE for a
nurse entering the room?
A. N95 Respirator
B. Surgical mask
C. Gown and gloves only
D. Shoe covers and hair net
Answer: B
Rationale: Droplet precautions require a surgical mask when within 3 to 6 feet of the
patient to prevent transmission of large-particle droplets.
and Correct Answers with Rationale | Newest Update | Galen
College of Nursing
1. A nurse is preparing to measure a patient’s blood pressure. Which action
should the nurse take if the blood pressure cuff is too small for the patient’s
arm?
A. Use the cuff as is but document it was small.
B. Place the cuff over the patient’s clothing.
C. Find a larger cuff to avoid a falsely high reading.
D. Wrap the cuff more tightly around the arm.
Answer: C
Rationale: A blood pressure cuff that is too small will result in a falsely high reading. Using
the correct cuff size is essential for accuracy.
2. Which location is considered the most accurate for measuring the core body
temperature of an adult?
A. Axillary
B. Oral
C. Temporal
D. Rectal
Answer: D
,Rationale: The rectal site is generally considered the most accurate representation of core
body temperature.
3. A nurse is performing hand hygiene. When is it mandatory to use soap and
water instead of alcohol-based hand rub?
A. After touching a patient’s intact skin.
B. When the hands are visibly soiled or after caring for a patient with C. difficile.
C. Before putting on sterile gloves.
D. After removing clean examination gloves.
Answer: B
Rationale: Soap and water must be used when hands are visibly soiled or when
Clostridium difficile (C. diff) is suspected or confirmed, as alcohol does not kill the spores.
4. The nurse is assessing a patient’s apical pulse. At which anatomical location
should the nurse place the stethoscope?
A. Second intercostal space, right sternal border.
B. Fifth intercostal space, left midclavicular line.
C. Fourth intercostal space, left sternal border.
D. Second intercostal space, left sternal border.
Answer: B
Rationale: The apical pulse (PMI) is located at the 5th intercostal space at the left
midclavicular line.
, 5. When removing Personal Protective Equipment (PPE), which item should the
nurse remove first?
A. Mask
B. Gown
C. Goggles
D. Gloves
Answer: D
Rationale: According to standard CDC sequence, gloves are removed first because they are
the most contaminated, followed by goggles/face shield, gown, and finally the mask.
6. A patient is on Droplet Precautions. What is the minimum required PPE for a
nurse entering the room?
A. N95 Respirator
B. Surgical mask
C. Gown and gloves only
D. Shoe covers and hair net
Answer: B
Rationale: Droplet precautions require a surgical mask when within 3 to 6 feet of the
patient to prevent transmission of large-particle droplets.
