,NU 136 Final Exam | Fundamentals of Nursing | Galen
College | Q & A | 2026 Edition (PDF)
1. Which of the following best describes the primary purpose of the nursing process?
A) To provide a framework for medical diagnosis
B) To guide systematic, patient-centered nursing care
C) To replace the need for clinical judgment
D) To document financial reimbursement
Correct Answer: To guide systematic, patient-centered nursing care
Expert Rationale: The nursing process (ADPIE) provides a systematic framework for delivering patient-
centered care, guiding assessment, diagnosis, planning, implementation, and evaluation. It supports
clinical judgment rather than replacing it and is not used for medical diagnosis or financial
documentation.
2. A nurse collects vital signs, auscultates lung sounds, and asks about pain. These actions represent
which step of the nursing process?
A) Planning
B) Assessment
C) Implementation
D) Evaluation
Correct Answer: Assessment
Expert Rationale: Assessment is the systematic collection of subjective and objective data to form a
database. Vital signs, lung sounds, and patient interview are all assessment activities. Planning involves
setting goals, implementation carries out interventions, and evaluation measures outcome achievement.
3. After analyzing assessment data, the nurse identifies that the patient is at risk for falls. This action falls
under which phase of the nursing process?
,A) Assessment
B) Diagnosis
C) Planning
D) Implementation
Correct Answer: Diagnosis
Expert Rationale: Diagnosis involves analyzing collected data to identify actual or potential health
problems. Identifying a risk for falls is a nursing diagnosis. Assessment gathers data, planning sets goals,
and implementation provides interventions.
4. A nurse writes, "Patient will ambulate 50 feet with a walker by end of shift." This is an example of
which component of the nursing process?
A) Assessment
B) Nursing diagnosis
C) Planning
D) Implementation
Correct Answer: Planning
Expert Rationale: Planning involves setting measurable, realistic goals and expected outcomes. The
statement includes a specific, measurable goal (50 feet) with a time frame (by end of shift). Assessment
collects data, diagnosis identifies problems, and implementation carries out interventions.
5. A nurse is evaluating a patient's response to pain medication. This action is part of which phase of the
nursing process?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
, Correct Answer: Evaluation
Expert Rationale: Evaluation is the phase where the nurse determines whether the patient's goals have
been met and evaluates the effectiveness of interventions. Assessment collects data, planning sets
goals, and implementation carries out interventions.
6. Which of the following is an example of a nursing diagnosis?
A) Pneumonia
B) Risk for falls
C) Hypertension
D) Diabetes mellitus
Correct Answer: Risk for falls
Expert Rationale: Risk for falls is a nursing diagnosis that identifies a potential health problem that
nurses can address independently. Pneumonia, hypertension, and diabetes mellitus are medical
diagnoses requiring a physician's diagnosis and treatment.
7. Which of the following is the correct sequence for donning personal protective equipment (PPE)?
A) Mask, gown, goggles, gloves
B) Gown, mask, goggles, gloves
C) Goggles, mask, gown, gloves
D) Gown, goggles, mask, gloves
Correct Answer: Gown, mask, goggles, gloves
Expert Rationale: The correct sequence for donning PPE is gown first, then mask or respirator, followed
by goggles or face shield, and gloves last. Gloves are put on last and must cover the cuff of the gown.
This sequence prevents contamination of the face and hands.
8. Which of the following is the correct sequence for removing PPE?
College | Q & A | 2026 Edition (PDF)
1. Which of the following best describes the primary purpose of the nursing process?
A) To provide a framework for medical diagnosis
B) To guide systematic, patient-centered nursing care
C) To replace the need for clinical judgment
D) To document financial reimbursement
Correct Answer: To guide systematic, patient-centered nursing care
Expert Rationale: The nursing process (ADPIE) provides a systematic framework for delivering patient-
centered care, guiding assessment, diagnosis, planning, implementation, and evaluation. It supports
clinical judgment rather than replacing it and is not used for medical diagnosis or financial
documentation.
2. A nurse collects vital signs, auscultates lung sounds, and asks about pain. These actions represent
which step of the nursing process?
A) Planning
B) Assessment
C) Implementation
D) Evaluation
Correct Answer: Assessment
Expert Rationale: Assessment is the systematic collection of subjective and objective data to form a
database. Vital signs, lung sounds, and patient interview are all assessment activities. Planning involves
setting goals, implementation carries out interventions, and evaluation measures outcome achievement.
3. After analyzing assessment data, the nurse identifies that the patient is at risk for falls. This action falls
under which phase of the nursing process?
,A) Assessment
B) Diagnosis
C) Planning
D) Implementation
Correct Answer: Diagnosis
Expert Rationale: Diagnosis involves analyzing collected data to identify actual or potential health
problems. Identifying a risk for falls is a nursing diagnosis. Assessment gathers data, planning sets goals,
and implementation provides interventions.
4. A nurse writes, "Patient will ambulate 50 feet with a walker by end of shift." This is an example of
which component of the nursing process?
A) Assessment
B) Nursing diagnosis
C) Planning
D) Implementation
Correct Answer: Planning
Expert Rationale: Planning involves setting measurable, realistic goals and expected outcomes. The
statement includes a specific, measurable goal (50 feet) with a time frame (by end of shift). Assessment
collects data, diagnosis identifies problems, and implementation carries out interventions.
5. A nurse is evaluating a patient's response to pain medication. This action is part of which phase of the
nursing process?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
, Correct Answer: Evaluation
Expert Rationale: Evaluation is the phase where the nurse determines whether the patient's goals have
been met and evaluates the effectiveness of interventions. Assessment collects data, planning sets
goals, and implementation carries out interventions.
6. Which of the following is an example of a nursing diagnosis?
A) Pneumonia
B) Risk for falls
C) Hypertension
D) Diabetes mellitus
Correct Answer: Risk for falls
Expert Rationale: Risk for falls is a nursing diagnosis that identifies a potential health problem that
nurses can address independently. Pneumonia, hypertension, and diabetes mellitus are medical
diagnoses requiring a physician's diagnosis and treatment.
7. Which of the following is the correct sequence for donning personal protective equipment (PPE)?
A) Mask, gown, goggles, gloves
B) Gown, mask, goggles, gloves
C) Goggles, mask, gown, gloves
D) Gown, goggles, mask, gloves
Correct Answer: Gown, mask, goggles, gloves
Expert Rationale: The correct sequence for donning PPE is gown first, then mask or respirator, followed
by goggles or face shield, and gloves last. Gloves are put on last and must cover the cuff of the gown.
This sequence prevents contamination of the face and hands.
8. Which of the following is the correct sequence for removing PPE?
