NUR 104 Midterm Exam Prep
(Original NCLEX/NGN-Style)
Foundations of Nursing + Clinical Judgment (50 Questions)
INTRODUCTION
NUR 104 Midterm Exam Prep (2026/2027)
Short Introduction NUR 104 Foundations of Nursing introduces the fundamental concepts, skills, and clinical
judgment required for safe and effective nursing practice. This course emphasizes patient-centered care, the nursing
process, safety, communication, infection prevention, documentation, and basic clinical skills while preparing students for
NGN-style testing and clinical application.
,Chapters
Chapter 1: Introduction to Nursing and Professional Practice
Chapter 2: History and Evolution of Nursing
Chapter 3: Nursing Process and Clinical Judgment
Chapter 4: Critical Thinking in Nursing
Chapter 5: Legal and Ethical Responsibilities
Chapter 6: Communication and Therapeutic Relationships
Chapter 7: Cultural Competence and Diversity
Chapter 8: Patient Safety and Quality Improvement
Chapter 9: Infection Prevention and Control
Chapter 10: Health Assessment Fundamentals
Chapter 11: Vital Signs Assessment
Chapter 12: Documentation and Electronic Health Records
Chapter 13: Patient Mobility and Positioning
Chapter 14: Hygiene and Personal Care
Chapter 15: Nutrition and Hydration
Chapter 16: Elimination Needs
Chapter 17: Medication Administration Principles
Chapter 18: Pain Assessment and Management
Chapter 19: Oxygenation and Respiratory Care
Chapter 20: Fluid and Electrolyte Balance
Chapter 21: Specimen Collection and Diagnostic Testing
Chapter 22: Wound Care and Skin Integrity
Chapter 23: Perioperative Nursing Care
Chapter 24: Care of Patients with Chronic Conditions
,Chapter 25: Gerontological Nursing Principles
Chapter 26: Patient Education and Health Promotion
Chapter 27: Delegation and Team Nursing
Chapter 28: Evidence-Based Practice
Chapter 29: NGN Clinical Judgment and Case Studies
Chapter 30: Comprehensive Midterm Review and Exam Preparation
Question 1
A nurse is preparing to administer medication. Which action is the priority?
A. Check the expiration date
B. Verify patient identity using two identifiers
C. Read drug handbook
D. Document administration
Correct Answer: B
Rationale: Patient identification is the first safety step before any medication administration.
Question 2
Which action demonstrates clinical judgment?
A. Memorizing lab values
B. Prioritizing unstable patients
C. Writing notes after shift
D. Following orders without question
Correct Answer: B
Rationale: Clinical judgment involves prioritization and decision-making.
Question 3
A client has a temperature of 38.5°C. What is the priority nursing action?
, A. Notify provider immediately
B. Encourage fluids
C. Administer oxygen
D. Restrict activity
Correct Answer: B
Rationale: Fever increases fluid loss; hydration is priority.
Question 4
Which infection control practice is most effective?
A. Gloves only
B. Hand hygiene
C. Mask use
D. Isolation gowns
Correct Answer: B
Rationale: Hand hygiene is the most effective method to prevent infection.
Question 5
A nurse finds a client unresponsive. What is the first action?
A. Call family
B. Check airway
C. Document findings
D. Give IV fluids
Correct Answer: B
Rationale: Airway is always the first priority (ABC).
Question 6
Which vital sign requires immediate intervention?
A. BP 120/80
B. HR 88
(Original NCLEX/NGN-Style)
Foundations of Nursing + Clinical Judgment (50 Questions)
INTRODUCTION
NUR 104 Midterm Exam Prep (2026/2027)
Short Introduction NUR 104 Foundations of Nursing introduces the fundamental concepts, skills, and clinical
judgment required for safe and effective nursing practice. This course emphasizes patient-centered care, the nursing
process, safety, communication, infection prevention, documentation, and basic clinical skills while preparing students for
NGN-style testing and clinical application.
,Chapters
Chapter 1: Introduction to Nursing and Professional Practice
Chapter 2: History and Evolution of Nursing
Chapter 3: Nursing Process and Clinical Judgment
Chapter 4: Critical Thinking in Nursing
Chapter 5: Legal and Ethical Responsibilities
Chapter 6: Communication and Therapeutic Relationships
Chapter 7: Cultural Competence and Diversity
Chapter 8: Patient Safety and Quality Improvement
Chapter 9: Infection Prevention and Control
Chapter 10: Health Assessment Fundamentals
Chapter 11: Vital Signs Assessment
Chapter 12: Documentation and Electronic Health Records
Chapter 13: Patient Mobility and Positioning
Chapter 14: Hygiene and Personal Care
Chapter 15: Nutrition and Hydration
Chapter 16: Elimination Needs
Chapter 17: Medication Administration Principles
Chapter 18: Pain Assessment and Management
Chapter 19: Oxygenation and Respiratory Care
Chapter 20: Fluid and Electrolyte Balance
Chapter 21: Specimen Collection and Diagnostic Testing
Chapter 22: Wound Care and Skin Integrity
Chapter 23: Perioperative Nursing Care
Chapter 24: Care of Patients with Chronic Conditions
,Chapter 25: Gerontological Nursing Principles
Chapter 26: Patient Education and Health Promotion
Chapter 27: Delegation and Team Nursing
Chapter 28: Evidence-Based Practice
Chapter 29: NGN Clinical Judgment and Case Studies
Chapter 30: Comprehensive Midterm Review and Exam Preparation
Question 1
A nurse is preparing to administer medication. Which action is the priority?
A. Check the expiration date
B. Verify patient identity using two identifiers
C. Read drug handbook
D. Document administration
Correct Answer: B
Rationale: Patient identification is the first safety step before any medication administration.
Question 2
Which action demonstrates clinical judgment?
A. Memorizing lab values
B. Prioritizing unstable patients
C. Writing notes after shift
D. Following orders without question
Correct Answer: B
Rationale: Clinical judgment involves prioritization and decision-making.
Question 3
A client has a temperature of 38.5°C. What is the priority nursing action?
, A. Notify provider immediately
B. Encourage fluids
C. Administer oxygen
D. Restrict activity
Correct Answer: B
Rationale: Fever increases fluid loss; hydration is priority.
Question 4
Which infection control practice is most effective?
A. Gloves only
B. Hand hygiene
C. Mask use
D. Isolation gowns
Correct Answer: B
Rationale: Hand hygiene is the most effective method to prevent infection.
Question 5
A nurse finds a client unresponsive. What is the first action?
A. Call family
B. Check airway
C. Document findings
D. Give IV fluids
Correct Answer: B
Rationale: Airway is always the first priority (ABC).
Question 6
Which vital sign requires immediate intervention?
A. BP 120/80
B. HR 88
