NUR 114 Exam 1 (PDF) | (2026) NCLEX Questions
| Nursing Fundamentals
1. A nurse is preparing to insert an indwelling urinary
catheter. Which technique is correct for maintaining
sterility?
a) Place the catheter on the sterile field with sterile gloves,
then don sterile gloves.
b) Don sterile gloves, then open the inner catheter
wrapper.
c) Open the outer wrapper, don sterile gloves, then open
the inner wrapper.
d) Open both outer and inner wrappers before donning
sterile gloves.
Answer: d) Open both outer and inner wrappers before
donning sterile gloves.
Rationale: To maintain sterility, open the outer wrapper,
then the inner wrapper (using the flaps as a sterile field)
1
,before putting on sterile gloves. Putting on gloves first
risks contaminating them when opening wrappers.
2. A client on contact precautions needs to be transported
to radiology. Which action is most appropriate?
a) Transport via public hallway with a mask on the client.
b) Have the client wear a clean gown and gloves.
c) Notify receiving department, and cover client with
clean sheet.
d) Cancel transport until precautions are discontinued.
Answer: c) Notify receiving department, and cover client
with clean sheet.
Rationale: The client should wear a clean gown, and the
receiving area must be notified. Covering with a clean
sheet minimizes environmental contamination. Masks are
not needed for contact precautions unless there is
additional airborne risk.
3. Which finding indicates a fire hazard related to
oxygen therapy?
2
,a) Nurse wears synthetic fabric uniform.
b) Client wears 100% cotton gown.
c) Electric razor stored in bedside drawer.
d) Visitor using battery-powered phone.
Answer: a) Nurse wears synthetic fabric uniform.
Rationale: Synthetic fabrics can generate static electricity
sparks near oxygen. Cotton is safer. Battery-powered
devices are generally safe. Electric razors are a spark
risk and should be avoided.
4. A nurse is performing hand hygiene. Which action
demonstrates proper technique?
a) Rubbing hands together for 10 seconds.
b) Using hot water to denature proteins.
c) Keeping hands lower than elbows to prevent runoff.
d) Drying hands with a cloth towel reused for 2 shifts.
Answer: c) Keeping hands lower than elbows to prevent
runoff.
Rationale: Hands should be lower than elbows so water
3
, runs from clean to dirty (toward fingertips). Wash for at
least 20 seconds. Use warm (not hot) water. Towels are
single-use.
5. A client with C. diff requires which type of precautions?
a) Standard
b) Airborne
c) Droplet
d) Contact
Answer: d) Contact
Rationale: C. diff is spread by spores on surfaces and
hands. Contact precautions (gown, gloves, dedicated
equipment, soap-and-water hand hygiene) are required.
Alcohol rubs do not kill spores.
6. A nurse is removing personal protective equipment
(PPE). Which item should be removed first?
a) Mask
b) Goggles
4
| Nursing Fundamentals
1. A nurse is preparing to insert an indwelling urinary
catheter. Which technique is correct for maintaining
sterility?
a) Place the catheter on the sterile field with sterile gloves,
then don sterile gloves.
b) Don sterile gloves, then open the inner catheter
wrapper.
c) Open the outer wrapper, don sterile gloves, then open
the inner wrapper.
d) Open both outer and inner wrappers before donning
sterile gloves.
Answer: d) Open both outer and inner wrappers before
donning sterile gloves.
Rationale: To maintain sterility, open the outer wrapper,
then the inner wrapper (using the flaps as a sterile field)
1
,before putting on sterile gloves. Putting on gloves first
risks contaminating them when opening wrappers.
2. A client on contact precautions needs to be transported
to radiology. Which action is most appropriate?
a) Transport via public hallway with a mask on the client.
b) Have the client wear a clean gown and gloves.
c) Notify receiving department, and cover client with
clean sheet.
d) Cancel transport until precautions are discontinued.
Answer: c) Notify receiving department, and cover client
with clean sheet.
Rationale: The client should wear a clean gown, and the
receiving area must be notified. Covering with a clean
sheet minimizes environmental contamination. Masks are
not needed for contact precautions unless there is
additional airborne risk.
3. Which finding indicates a fire hazard related to
oxygen therapy?
2
,a) Nurse wears synthetic fabric uniform.
b) Client wears 100% cotton gown.
c) Electric razor stored in bedside drawer.
d) Visitor using battery-powered phone.
Answer: a) Nurse wears synthetic fabric uniform.
Rationale: Synthetic fabrics can generate static electricity
sparks near oxygen. Cotton is safer. Battery-powered
devices are generally safe. Electric razors are a spark
risk and should be avoided.
4. A nurse is performing hand hygiene. Which action
demonstrates proper technique?
a) Rubbing hands together for 10 seconds.
b) Using hot water to denature proteins.
c) Keeping hands lower than elbows to prevent runoff.
d) Drying hands with a cloth towel reused for 2 shifts.
Answer: c) Keeping hands lower than elbows to prevent
runoff.
Rationale: Hands should be lower than elbows so water
3
, runs from clean to dirty (toward fingertips). Wash for at
least 20 seconds. Use warm (not hot) water. Towels are
single-use.
5. A client with C. diff requires which type of precautions?
a) Standard
b) Airborne
c) Droplet
d) Contact
Answer: d) Contact
Rationale: C. diff is spread by spores on surfaces and
hands. Contact precautions (gown, gloves, dedicated
equipment, soap-and-water hand hygiene) are required.
Alcohol rubs do not kill spores.
6. A nurse is removing personal protective equipment
(PPE). Which item should be removed first?
a) Mask
b) Goggles
4
