NUR 155 Exam 1 V2 | NUR 155
Foundations of Nursing | Q&A with
Rationale (NUR155 Exam 1) | Galen
College of Nursing
1. A nurse is performing a physical assessment on a client and notes a blood pressure of
150/94 mmHg. Which step of the nursing process is the nurse performing?
A. Diagnosis
B. Planning
C. Assessment
D. Implementation
Answer: C
Rationale: Assessment is the first step of the nursing process and involves the systematic
collection of data. This includes both subjective information provided by the client and
objective data observed or measured by the nurse. In this scenario, measuring blood
pressure is a key component of gathering objective physiological data to determine the
client’s health status.
2. Which historical nursing figure is known for establishing the first nursing philosophy based
on health maintenance and restoration through environmental control?
A. Clara Barton
,B. Florence Nightingale
C. Dorothea Dix
D. Mary Mahoney
Answer: B
Rationale: Florence Nightingale is widely recognized for her role in developing the
foundation of modern nursing. Her philosophy emphasized the importance of the
environment, such as cleanliness, light, and fresh air, in the healing process. She believed
that the nurse’s role was to put the patient in the best condition for nature to act upon
them.
3. A nurse is caring for a patient who has been diagnosed with a terminal illness. The nurse
advocates for the patient’s right to refuse further chemotherapy. Which ethical principle is
the nurse demonstrating?
A. Justice
B. Fidelity
C. Autonomy
D. Nonmaleficence
Answer: C
Rationale: Autonomy refers to the right of an individual to make their own decisions
regarding their healthcare. In this case, the nurse is supporting the patient’s self-
, determination by respecting their choice to decline treatment. This principle is
fundamental to patient-centered care and requires the nurse to provide necessary
information for informed decision-making.
4. What is the primary purpose of the State Nurse Practice Act?
A. To establish hospital policies
B. To protect the public from unskilled practitioners
C. To set national nursing standards
D. To determine the salary of registered nurses
Answer: B
Rationale: The Nurse Practice Act (NPA) is a state law designed to define the scope of
nursing practice within that specific jurisdiction. Its primary goal is to ensure public safety
by establishing criteria for licensure and identifying prohibited practices. By regulating
who can practice nursing, the law helps prevent harm to patients by ensuring only qualified
individuals are at the bedside.
5. A nurse is teaching a community class about the importance of exercise in preventing
cardiovascular disease. Which level of prevention is being implemented?
A. Tertiary prevention
B. Secondary prevention
C. Primary prevention
Foundations of Nursing | Q&A with
Rationale (NUR155 Exam 1) | Galen
College of Nursing
1. A nurse is performing a physical assessment on a client and notes a blood pressure of
150/94 mmHg. Which step of the nursing process is the nurse performing?
A. Diagnosis
B. Planning
C. Assessment
D. Implementation
Answer: C
Rationale: Assessment is the first step of the nursing process and involves the systematic
collection of data. This includes both subjective information provided by the client and
objective data observed or measured by the nurse. In this scenario, measuring blood
pressure is a key component of gathering objective physiological data to determine the
client’s health status.
2. Which historical nursing figure is known for establishing the first nursing philosophy based
on health maintenance and restoration through environmental control?
A. Clara Barton
,B. Florence Nightingale
C. Dorothea Dix
D. Mary Mahoney
Answer: B
Rationale: Florence Nightingale is widely recognized for her role in developing the
foundation of modern nursing. Her philosophy emphasized the importance of the
environment, such as cleanliness, light, and fresh air, in the healing process. She believed
that the nurse’s role was to put the patient in the best condition for nature to act upon
them.
3. A nurse is caring for a patient who has been diagnosed with a terminal illness. The nurse
advocates for the patient’s right to refuse further chemotherapy. Which ethical principle is
the nurse demonstrating?
A. Justice
B. Fidelity
C. Autonomy
D. Nonmaleficence
Answer: C
Rationale: Autonomy refers to the right of an individual to make their own decisions
regarding their healthcare. In this case, the nurse is supporting the patient’s self-
, determination by respecting their choice to decline treatment. This principle is
fundamental to patient-centered care and requires the nurse to provide necessary
information for informed decision-making.
4. What is the primary purpose of the State Nurse Practice Act?
A. To establish hospital policies
B. To protect the public from unskilled practitioners
C. To set national nursing standards
D. To determine the salary of registered nurses
Answer: B
Rationale: The Nurse Practice Act (NPA) is a state law designed to define the scope of
nursing practice within that specific jurisdiction. Its primary goal is to ensure public safety
by establishing criteria for licensure and identifying prohibited practices. By regulating
who can practice nursing, the law helps prevent harm to patients by ensuring only qualified
individuals are at the bedside.
5. A nurse is teaching a community class about the importance of exercise in preventing
cardiovascular disease. Which level of prevention is being implemented?
A. Tertiary prevention
B. Secondary prevention
C. Primary prevention
