NUR 100 EXAM 2 STUDY GUIDE | TESTBANK | PRACTICE QUESTIONS & ANSWERS |
COMPREHENSIVE PRACTICE EXAM | ADVANCED REVIEW 2026/2027
Examiner:
Nursing Education Program / Registered Nursing Curriculum Examination Framework
TABLE OF CONTENTS
1. Fundamentals of Nursing Practice
2. Nursing Process and Clinical Judgment
3. Health Assessment Principles
4. Safety and Infection Prevention
5. Communication and Therapeutic Relationships
6. Documentation and Legal Responsibilities
7. Evidence-Based Nursing Practice
8. Patient-Centered Care
9. Mobility and Safety Interventions
10. Professional Nursing Standards and Ethics
KEYWORDS: NURSING FUNDAMENTALS || CLINICAL JUDGMENT || PATIENT
SAFETY || HEALTH ASSESSMENT || NURSING PROCESS || THERAPEUTIC
COMMUNICATION || INFECTION CONTROL || DOCUMENTATION || PROFESSIONAL
ETHICS || EVIDENCE-BASED PRACTICE || CARE PLANNING || QUALITY
IMPROVEMENT || ADVANCED REVIEW || NUR 100 EXAM PREPARATION
QUESTION 1.
A first-semester nursing student is caring for a postoperative patient who suddenly
becomes confused, tachycardic, and restless. The student reports the findings but
recommends waiting until the scheduled vital sign assessment in two hours. Which
action by the supervising nurse best demonstrates appropriate clinical judgment?
A. Instruct the student to continue monitoring because confusion is expected after
surgery
B. Immediately assess the patient and investigate possible causes of acute
deterioration
,C. Document the findings and discuss them during the next clinical conference
D. Ask the nursing assistant to repeat the vital signs later in the shift
🔴 Correct Answer: B. Immediately assess the patient and investigate possible
causes of acute deterioration
🔵 Explanation: Acute changes in mental status and vital signs may indicate a serious
complication requiring immediate assessment and intervention. The nurse must
recognize abnormal findings and prioritize patient safety rather than delaying
evaluation. The other options fail to address the possibility of rapid clinical
deterioration.
QUESTION 2.
A nurse is developing a care plan for a patient with impaired mobility following a
stroke. Which intervention demonstrates the highest level of nursing judgment?
A. Encouraging independent movement without assistance to promote confidence
B. Limiting activity to prevent possible injury during recovery
C. Assessing functional ability and implementing individualized mobility strategies
D. Providing complete assistance with all activities of daily living
🔴 Correct Answer: C. Assessing functional ability and implementing
individualized mobility strategies
🔵 Explanation: Effective nursing care requires assessment-based interventions tailored
to the patient’s abilities and limitations. Individualized mobility planning promotes
safety, independence, and rehabilitation. The other options either increase risk,
unnecessarily restrict the patient, or fail to promote functional recovery.
QUESTION 3.
A nurse documents that a patient “appears noncompliant with treatment
recommendations.” Which documentation revision reflects professional nursing
standards?
,A. “Patient refuses to follow instructions despite education.”
B. “Patient demonstrates poor motivation toward recovery.”
C. “Patient states difficulty obtaining prescribed medications due to cost concerns.”
D. “Patient is unwilling to participate in care activities.”
🔴 Correct Answer: C. Patient states difficulty obtaining prescribed medications
due to cost concerns.
🔵 Explanation: Professional documentation must be objective, factual, and free from
judgmental language. The nurse should record observable behaviors and patient
statements rather than assigning blame or interpreting motives. The other options
contain subjective conclusions that may negatively influence future care.
QUESTION 4.
A nurse enters a patient’s room and notices that the patient’s intravenous tubing has
become disconnected from the catheter hub. What should the nurse do first?
A. Clamp the tubing and assess the patient for complications
B. Notify the healthcare provider before touching the equipment
C. Document the event as a medication administration error
D. Replace the entire intravenous system immediately without assessment
🔴 Correct Answer: A. Clamp the tubing and assess the patient for complications
🔵 Explanation: The priority is preventing further risk while assessing the patient’s
condition. Clamping the tubing limits contamination or fluid loss while the nurse
evaluates the situation. Notification, documentation, and replacement may be
necessary afterward depending on assessment findings.
QUESTION 5.
A nurse is educating a patient about a newly prescribed treatment. The patient
repeatedly asks questions and appears anxious. Which communication approach is
most appropriate?
, A. Provide additional technical details to demonstrate expertise
B. Ask the patient what concerns are causing uncertainty
C. Tell the patient that anxiety is common and should decrease soon
D. Limit discussion to avoid increasing patient stress
🔴 Correct Answer: B. Ask the patient what concerns are causing uncertainty
🔵 Explanation: Therapeutic communication begins by exploring the patient’s concerns
and understanding their perspective. This approach promotes trust and allows
education to address specific barriers. The other options either dismiss feelings,
overload the patient, or avoid necessary communication.
QUESTION 6.
A nurse is assigned four patients. Which patient should the nurse assess first?
A. A patient requesting assistance with meal selection
B. A patient reporting new onset difficulty breathing
C. A patient requesting information about discharge instructions
D. A patient asking for help adjusting the room temperature
🔴 Correct Answer: B. A patient reporting new onset difficulty breathing
🔵 Explanation: Prioritization requires addressing threats to airway and breathing
before less urgent needs. New respiratory symptoms may indicate a life-threatening
condition requiring immediate assessment. The other patients have important needs
but do not demonstrate immediate physiological risk.
QUESTION 7.
A nurse receives a verbal medication order from a provider during an emergency
situation. Which action demonstrates safe nursing practice?
A. Administer the medication without clarification because emergencies allow
exceptions
B. Ask another nurse to interpret the order before administration
COMPREHENSIVE PRACTICE EXAM | ADVANCED REVIEW 2026/2027
Examiner:
Nursing Education Program / Registered Nursing Curriculum Examination Framework
TABLE OF CONTENTS
1. Fundamentals of Nursing Practice
2. Nursing Process and Clinical Judgment
3. Health Assessment Principles
4. Safety and Infection Prevention
5. Communication and Therapeutic Relationships
6. Documentation and Legal Responsibilities
7. Evidence-Based Nursing Practice
8. Patient-Centered Care
9. Mobility and Safety Interventions
10. Professional Nursing Standards and Ethics
KEYWORDS: NURSING FUNDAMENTALS || CLINICAL JUDGMENT || PATIENT
SAFETY || HEALTH ASSESSMENT || NURSING PROCESS || THERAPEUTIC
COMMUNICATION || INFECTION CONTROL || DOCUMENTATION || PROFESSIONAL
ETHICS || EVIDENCE-BASED PRACTICE || CARE PLANNING || QUALITY
IMPROVEMENT || ADVANCED REVIEW || NUR 100 EXAM PREPARATION
QUESTION 1.
A first-semester nursing student is caring for a postoperative patient who suddenly
becomes confused, tachycardic, and restless. The student reports the findings but
recommends waiting until the scheduled vital sign assessment in two hours. Which
action by the supervising nurse best demonstrates appropriate clinical judgment?
A. Instruct the student to continue monitoring because confusion is expected after
surgery
B. Immediately assess the patient and investigate possible causes of acute
deterioration
,C. Document the findings and discuss them during the next clinical conference
D. Ask the nursing assistant to repeat the vital signs later in the shift
🔴 Correct Answer: B. Immediately assess the patient and investigate possible
causes of acute deterioration
🔵 Explanation: Acute changes in mental status and vital signs may indicate a serious
complication requiring immediate assessment and intervention. The nurse must
recognize abnormal findings and prioritize patient safety rather than delaying
evaluation. The other options fail to address the possibility of rapid clinical
deterioration.
QUESTION 2.
A nurse is developing a care plan for a patient with impaired mobility following a
stroke. Which intervention demonstrates the highest level of nursing judgment?
A. Encouraging independent movement without assistance to promote confidence
B. Limiting activity to prevent possible injury during recovery
C. Assessing functional ability and implementing individualized mobility strategies
D. Providing complete assistance with all activities of daily living
🔴 Correct Answer: C. Assessing functional ability and implementing
individualized mobility strategies
🔵 Explanation: Effective nursing care requires assessment-based interventions tailored
to the patient’s abilities and limitations. Individualized mobility planning promotes
safety, independence, and rehabilitation. The other options either increase risk,
unnecessarily restrict the patient, or fail to promote functional recovery.
QUESTION 3.
A nurse documents that a patient “appears noncompliant with treatment
recommendations.” Which documentation revision reflects professional nursing
standards?
,A. “Patient refuses to follow instructions despite education.”
B. “Patient demonstrates poor motivation toward recovery.”
C. “Patient states difficulty obtaining prescribed medications due to cost concerns.”
D. “Patient is unwilling to participate in care activities.”
🔴 Correct Answer: C. Patient states difficulty obtaining prescribed medications
due to cost concerns.
🔵 Explanation: Professional documentation must be objective, factual, and free from
judgmental language. The nurse should record observable behaviors and patient
statements rather than assigning blame or interpreting motives. The other options
contain subjective conclusions that may negatively influence future care.
QUESTION 4.
A nurse enters a patient’s room and notices that the patient’s intravenous tubing has
become disconnected from the catheter hub. What should the nurse do first?
A. Clamp the tubing and assess the patient for complications
B. Notify the healthcare provider before touching the equipment
C. Document the event as a medication administration error
D. Replace the entire intravenous system immediately without assessment
🔴 Correct Answer: A. Clamp the tubing and assess the patient for complications
🔵 Explanation: The priority is preventing further risk while assessing the patient’s
condition. Clamping the tubing limits contamination or fluid loss while the nurse
evaluates the situation. Notification, documentation, and replacement may be
necessary afterward depending on assessment findings.
QUESTION 5.
A nurse is educating a patient about a newly prescribed treatment. The patient
repeatedly asks questions and appears anxious. Which communication approach is
most appropriate?
, A. Provide additional technical details to demonstrate expertise
B. Ask the patient what concerns are causing uncertainty
C. Tell the patient that anxiety is common and should decrease soon
D. Limit discussion to avoid increasing patient stress
🔴 Correct Answer: B. Ask the patient what concerns are causing uncertainty
🔵 Explanation: Therapeutic communication begins by exploring the patient’s concerns
and understanding their perspective. This approach promotes trust and allows
education to address specific barriers. The other options either dismiss feelings,
overload the patient, or avoid necessary communication.
QUESTION 6.
A nurse is assigned four patients. Which patient should the nurse assess first?
A. A patient requesting assistance with meal selection
B. A patient reporting new onset difficulty breathing
C. A patient requesting information about discharge instructions
D. A patient asking for help adjusting the room temperature
🔴 Correct Answer: B. A patient reporting new onset difficulty breathing
🔵 Explanation: Prioritization requires addressing threats to airway and breathing
before less urgent needs. New respiratory symptoms may indicate a life-threatening
condition requiring immediate assessment. The other patients have important needs
but do not demonstrate immediate physiological risk.
QUESTION 7.
A nurse receives a verbal medication order from a provider during an emergency
situation. Which action demonstrates safe nursing practice?
A. Administer the medication without clarification because emergencies allow
exceptions
B. Ask another nurse to interpret the order before administration
