NURS 120 – Introduction to Medical
Surgical Nursing (WCU) | Quiz 1 |
2026/2027 Update | Verified
Questions & Answers
Question 1
The nurse is caring for a client with MRSA in a wound. Which type of precautions is most
appropriate?
A. Standard precautions only
B. Airborne precautions
C. Contact precautions
D. Droplet precautions
Answer: C
Rationale: MRSA is transmitted primarily by direct or indirect contact. Contact precautions
(gown + gloves) are required in addition to standard precautions.
Question 2
When removing PPE after caring for a client on contact precautions, the correct sequence is:
A. Gloves → goggles → gown → mask
B. Gown → gloves → goggles → mask
C. Gloves → gown → mask → hand hygiene
D. Mask → gloves → gown → goggles
Answer: C
Rationale: Most contaminated items first (gloves → gown), then mask/respirator last before
hand hygiene (CDC 2026 sequence).
Question 3
A client has a fever of 103.2°F (39.5°C). The nurse’s first action is to:
, A. Administer acetaminophen immediately
B. Recheck temperature in 30 minutes
C. Assess the client and obtain full vital signs
D. Apply a cooling blanket
Answer: C
Rationale: Fever is a sign, not a diagnosis. Full assessment identifies cause and guides
intervention.
Question 4
Which blood pressure reading indicates stage 2 hypertension (AHA/ACC 2026 guidelines)?
A. 118/76 mmHg
B. 132/84 mmHg
C. 144/92 mmHg
D. 128/78 mmHg
Answer: C
Rationale: Stage 2 = SBP ≥140 or DBP ≥90 mmHg.
Question 5
The nurse notes a client’s pulse is 118 bpm and irregular. The most appropriate action is to:
A. Document the finding
B. Recheck in 15 minutes
C. Immediately obtain a 12-lead ECG
D. Assess for symptoms and notify provider
Answer: D
Rationale: Tachycardia + irregular rhythm may indicate new-onset atrial fibrillation or other
arrhythmia requiring prompt evaluation.
Question 6
Normal adult respiratory rate range is:
A. 8–14 breaths/min
B. 12–20 breaths/min
C. 20–30 breaths/min
D. 30–40 breaths/min
Answer: B
Surgical Nursing (WCU) | Quiz 1 |
2026/2027 Update | Verified
Questions & Answers
Question 1
The nurse is caring for a client with MRSA in a wound. Which type of precautions is most
appropriate?
A. Standard precautions only
B. Airborne precautions
C. Contact precautions
D. Droplet precautions
Answer: C
Rationale: MRSA is transmitted primarily by direct or indirect contact. Contact precautions
(gown + gloves) are required in addition to standard precautions.
Question 2
When removing PPE after caring for a client on contact precautions, the correct sequence is:
A. Gloves → goggles → gown → mask
B. Gown → gloves → goggles → mask
C. Gloves → gown → mask → hand hygiene
D. Mask → gloves → gown → goggles
Answer: C
Rationale: Most contaminated items first (gloves → gown), then mask/respirator last before
hand hygiene (CDC 2026 sequence).
Question 3
A client has a fever of 103.2°F (39.5°C). The nurse’s first action is to:
, A. Administer acetaminophen immediately
B. Recheck temperature in 30 minutes
C. Assess the client and obtain full vital signs
D. Apply a cooling blanket
Answer: C
Rationale: Fever is a sign, not a diagnosis. Full assessment identifies cause and guides
intervention.
Question 4
Which blood pressure reading indicates stage 2 hypertension (AHA/ACC 2026 guidelines)?
A. 118/76 mmHg
B. 132/84 mmHg
C. 144/92 mmHg
D. 128/78 mmHg
Answer: C
Rationale: Stage 2 = SBP ≥140 or DBP ≥90 mmHg.
Question 5
The nurse notes a client’s pulse is 118 bpm and irregular. The most appropriate action is to:
A. Document the finding
B. Recheck in 15 minutes
C. Immediately obtain a 12-lead ECG
D. Assess for symptoms and notify provider
Answer: D
Rationale: Tachycardia + irregular rhythm may indicate new-onset atrial fibrillation or other
arrhythmia requiring prompt evaluation.
Question 6
Normal adult respiratory rate range is:
A. 8–14 breaths/min
B. 12–20 breaths/min
C. 20–30 breaths/min
D. 30–40 breaths/min
Answer: B
