NRSG 100 Exam 1 V2 | NRSG 100
Fundamentals of Nursing | Actual Q&A
with Rationale (NRSG100 Exam 1) | Ivy
Tech
1. A nurse is caring for a client who is being admitted to the hospital. Which action should the
nurse take during the assessment phase of the nursing process?
A. Administering pain medication as prescribed
B. Evaluating if the client’s goals have been met
C. Gathering subjective and objective data about the client’s health status
D. Developing a plan of care with specific interventions
Correct Answer: C
The assessment phase is the foundation of the nursing process where the nurse collects all
relevant data. This involves interviewing the patient for subjective feelings and performing
a physical exam for objective findings. Without a thorough assessment, the nurse cannot
accurately identify the patient’s needs or plan effective care.
2. According to Maslow’s Hierarchy of Needs, which of the following patient needs should the
nurse address first?
A. Needing assistance to walk to the bathroom
B. Requesting a visit from a local chaplain
,C. Expressing fear about an upcoming surgery
D. Difficulty breathing due to airway obstruction
Correct Answer: D
Physiological needs such as airway, breathing, and circulation are the highest priority
according to Maslow. Safety and psychosocial needs are important but must be addressed
after the patient’s life-sustaining needs are met. Prioritizing the airway ensures the client
remains stable for further nursing interventions.
3. Which historical nursing figure is known for establishing the first nursing philosophy based
on health maintenance and restoration through environmental manipulation?
A. Florence Nightingale
B. Dorothea Dix
C. Lillian Wald
D. Clara Barton
Correct Answer: A
Florence Nightingale is widely recognized as the founder of modern nursing and
developed the Environmental Theory. She emphasized the importance of fresh air, light,
and cleanliness to facilitate the body’s natural healing process. Her work during the
Crimean War laid the groundwork for professional nursing education and practice.
, 4. A nurse is teaching a student about the ‘Chain of Infection.’ Which of the following is an
example of a reservoir in this chain?
A. An open surgical wound
B. A nurse’s unwashed hands
C. A contaminated bottle of water
D. The respiratory tract of a sneezing patient
Correct Answer: C
A reservoir is a place where microorganisms survive, multiply, and wait to transfer to a
susceptible host. Examples include humans, animals, insects, and environmental sources
like water or food. Understanding the reservoir helps nurses implement strategies to
eliminate the source of infection.
5. When performing hand hygiene with soap and water, what is the minimum duration the
nurse should rub their hands together?
A. 10 seconds
B. 5 seconds
C. 1 minute
D. 20 seconds
Correct Answer: D
Fundamentals of Nursing | Actual Q&A
with Rationale (NRSG100 Exam 1) | Ivy
Tech
1. A nurse is caring for a client who is being admitted to the hospital. Which action should the
nurse take during the assessment phase of the nursing process?
A. Administering pain medication as prescribed
B. Evaluating if the client’s goals have been met
C. Gathering subjective and objective data about the client’s health status
D. Developing a plan of care with specific interventions
Correct Answer: C
The assessment phase is the foundation of the nursing process where the nurse collects all
relevant data. This involves interviewing the patient for subjective feelings and performing
a physical exam for objective findings. Without a thorough assessment, the nurse cannot
accurately identify the patient’s needs or plan effective care.
2. According to Maslow’s Hierarchy of Needs, which of the following patient needs should the
nurse address first?
A. Needing assistance to walk to the bathroom
B. Requesting a visit from a local chaplain
,C. Expressing fear about an upcoming surgery
D. Difficulty breathing due to airway obstruction
Correct Answer: D
Physiological needs such as airway, breathing, and circulation are the highest priority
according to Maslow. Safety and psychosocial needs are important but must be addressed
after the patient’s life-sustaining needs are met. Prioritizing the airway ensures the client
remains stable for further nursing interventions.
3. Which historical nursing figure is known for establishing the first nursing philosophy based
on health maintenance and restoration through environmental manipulation?
A. Florence Nightingale
B. Dorothea Dix
C. Lillian Wald
D. Clara Barton
Correct Answer: A
Florence Nightingale is widely recognized as the founder of modern nursing and
developed the Environmental Theory. She emphasized the importance of fresh air, light,
and cleanliness to facilitate the body’s natural healing process. Her work during the
Crimean War laid the groundwork for professional nursing education and practice.
, 4. A nurse is teaching a student about the ‘Chain of Infection.’ Which of the following is an
example of a reservoir in this chain?
A. An open surgical wound
B. A nurse’s unwashed hands
C. A contaminated bottle of water
D. The respiratory tract of a sneezing patient
Correct Answer: C
A reservoir is a place where microorganisms survive, multiply, and wait to transfer to a
susceptible host. Examples include humans, animals, insects, and environmental sources
like water or food. Understanding the reservoir helps nurses implement strategies to
eliminate the source of infection.
5. When performing hand hygiene with soap and water, what is the minimum duration the
nurse should rub their hands together?
A. 10 seconds
B. 5 seconds
C. 1 minute
D. 20 seconds
Correct Answer: D
