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NUR 1020 Exam 1 Comprehensive Study
Guide | Questions and Answers | 2026
Update | 100% Correct - Broward College.
SECTION 1: Fundamentals of Nursing Practice (ADPIE, QSEN, Safety)
Q1: A nurse is caring for a client who reports a new onset of severe abdominal pain. The nurse
performs a focused assessment and documents the findings. Which phase of the nursing
process is the nurse implementing?
A. Planning
B. Evaluation
C. Assessment
D. Diagnosis
Correct Answer: C
Rationale: The assessment phase involves collecting subjective and objective data from the
client; performing a focused assessment and documenting findings is assessment.
Q2: During the evaluation phase of the nursing process, the nurse determines that a client's
blood pressure has decreased from 168/96 mmHg to 142/84 mmHg after three days of
antihypertensive therapy. What is the nurse's next best action?
A. Revise the plan of care with new interventions
B. Document that the goal has been partially met and continue current interventions
C. Terminate the nursing diagnosis related to hypertension
D. Reassess the client for orthostatic hypotension
Correct Answer: B
Rationale: A blood pressure reduction from 168/96 to 142/84 represents partial goal
achievement; the nurse should document partial goal met and continue current interventions.
Q3: A nurse is applying the QSEN competency of safety when implementing which
intervention?
A. Teaching a client about the pathophysiology of diabetes mellitus
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B. Double-checking a high-alert medication with a second licensed nurse
C. Advocating for a client to receive a second opinion on a surgical procedure
D. Documenting client care using standardized terminology
Correct Answer: B
Rationale: The QSEN safety competency focuses on minimizing risk of harm to clients; double-
checking high-alert medications is a core safety practice.
Q4: A nurse is using the QSEN competency of informatics when performing which action?
A. Using an electronic health record to access a client's laboratory results
B. Collaborating with the physical therapist on a client's discharge plan
C. Providing culturally sensitive care to a non-English speaking client
D. Evaluating the effectiveness of a new fall prevention protocol
Correct Answer: A
Rationale: The QSEN informatics competency involves using information and technology to
communicate, manage knowledge, and support decision-making.
Q5: A nurse is caring for a client who has been prescribed a new medication. The nurse
reviews the medication administration record, checks the client's allergies, and verifies the
five rights before administering the drug. This nurse is demonstrating which QSEN
competency?
A. Patient-centered care
B. Quality improvement
C. Evidence-based practice
D. Safety
Correct Answer: D
Rationale: Following the five rights of medication administration and verifying allergies are
fundamental safety practices that minimize risk of harm.
Q6: A nurse is developing a plan of care for a client with impaired mobility. Which statement
represents a correctly written expected outcome?
A. The client will ambulate to the bathroom independently.
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B. The nurse will assist the client with range-of-motion exercises three times daily.
C. The client will report increased pain tolerance within 24 hours.
D. The client will have improved mobility by discharge.
Correct Answer: A
Rationale: Expected outcomes should be client-centered, specific, measurable, and
achievable; "ambulate to the bathroom independently" meets all criteria.
Q7: A nurse is prioritizing care for four clients at the beginning of the shift. Which client
should the nurse assess first?
A. A client scheduled for discharge in two hours who needs medication teaching
B. A client with a new colostomy who requests assistance with appliance emptying
C. A client with a potassium level of 2.8 mEq/L who reports muscle weakness
D. A client who is two hours postoperative and has a dressing that needs reinforcement
Correct Answer: C
Rationale: A potassium level of 2.8 mEq/L indicates severe hypokalemia, which can cause life-
threatening cardiac dysrhythmias; this client requires immediate assessment.
Q8: A nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which task is
appropriate for the nurse to delegate?
A. Administering an oral antibiotic to a client with a new feeding tube
B. Obtaining a blood glucose reading on a client with type 2 diabetes
C. Assessing a postoperative client's surgical incision for signs of infection
D. Teaching a newly diagnosed diabetic client about insulin administration
Correct Answer: B
Rationale: Obtaining a blood glucose reading is a task that the UAP has been trained to
perform and does not require nursing judgment or assessment.
Q9: A nurse is caring for a client with a diagnosis of impaired skin integrity related to
immobility. Which intervention is appropriate for the planning phase of the nursing process?
A. Documenting the presence of a stage 2 pressure injury on the sacrum
B. Repositioning the client every two hours to relieve pressure
NUR 1020 Exam 1 Comprehensive Study
Guide | Questions and Answers | 2026
Update | 100% Correct - Broward College.
SECTION 1: Fundamentals of Nursing Practice (ADPIE, QSEN, Safety)
Q1: A nurse is caring for a client who reports a new onset of severe abdominal pain. The nurse
performs a focused assessment and documents the findings. Which phase of the nursing
process is the nurse implementing?
A. Planning
B. Evaluation
C. Assessment
D. Diagnosis
Correct Answer: C
Rationale: The assessment phase involves collecting subjective and objective data from the
client; performing a focused assessment and documenting findings is assessment.
Q2: During the evaluation phase of the nursing process, the nurse determines that a client's
blood pressure has decreased from 168/96 mmHg to 142/84 mmHg after three days of
antihypertensive therapy. What is the nurse's next best action?
A. Revise the plan of care with new interventions
B. Document that the goal has been partially met and continue current interventions
C. Terminate the nursing diagnosis related to hypertension
D. Reassess the client for orthostatic hypotension
Correct Answer: B
Rationale: A blood pressure reduction from 168/96 to 142/84 represents partial goal
achievement; the nurse should document partial goal met and continue current interventions.
Q3: A nurse is applying the QSEN competency of safety when implementing which
intervention?
A. Teaching a client about the pathophysiology of diabetes mellitus
,2
B. Double-checking a high-alert medication with a second licensed nurse
C. Advocating for a client to receive a second opinion on a surgical procedure
D. Documenting client care using standardized terminology
Correct Answer: B
Rationale: The QSEN safety competency focuses on minimizing risk of harm to clients; double-
checking high-alert medications is a core safety practice.
Q4: A nurse is using the QSEN competency of informatics when performing which action?
A. Using an electronic health record to access a client's laboratory results
B. Collaborating with the physical therapist on a client's discharge plan
C. Providing culturally sensitive care to a non-English speaking client
D. Evaluating the effectiveness of a new fall prevention protocol
Correct Answer: A
Rationale: The QSEN informatics competency involves using information and technology to
communicate, manage knowledge, and support decision-making.
Q5: A nurse is caring for a client who has been prescribed a new medication. The nurse
reviews the medication administration record, checks the client's allergies, and verifies the
five rights before administering the drug. This nurse is demonstrating which QSEN
competency?
A. Patient-centered care
B. Quality improvement
C. Evidence-based practice
D. Safety
Correct Answer: D
Rationale: Following the five rights of medication administration and verifying allergies are
fundamental safety practices that minimize risk of harm.
Q6: A nurse is developing a plan of care for a client with impaired mobility. Which statement
represents a correctly written expected outcome?
A. The client will ambulate to the bathroom independently.
, 3
B. The nurse will assist the client with range-of-motion exercises three times daily.
C. The client will report increased pain tolerance within 24 hours.
D. The client will have improved mobility by discharge.
Correct Answer: A
Rationale: Expected outcomes should be client-centered, specific, measurable, and
achievable; "ambulate to the bathroom independently" meets all criteria.
Q7: A nurse is prioritizing care for four clients at the beginning of the shift. Which client
should the nurse assess first?
A. A client scheduled for discharge in two hours who needs medication teaching
B. A client with a new colostomy who requests assistance with appliance emptying
C. A client with a potassium level of 2.8 mEq/L who reports muscle weakness
D. A client who is two hours postoperative and has a dressing that needs reinforcement
Correct Answer: C
Rationale: A potassium level of 2.8 mEq/L indicates severe hypokalemia, which can cause life-
threatening cardiac dysrhythmias; this client requires immediate assessment.
Q8: A nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which task is
appropriate for the nurse to delegate?
A. Administering an oral antibiotic to a client with a new feeding tube
B. Obtaining a blood glucose reading on a client with type 2 diabetes
C. Assessing a postoperative client's surgical incision for signs of infection
D. Teaching a newly diagnosed diabetic client about insulin administration
Correct Answer: B
Rationale: Obtaining a blood glucose reading is a task that the UAP has been trained to
perform and does not require nursing judgment or assessment.
Q9: A nurse is caring for a client with a diagnosis of impaired skin integrity related to
immobility. Which intervention is appropriate for the planning phase of the nursing process?
A. Documenting the presence of a stage 2 pressure injury on the sacrum
B. Repositioning the client every two hours to relieve pressure
