Assessment 2: NURS 100
Fundamentals of Nursing
(WCU)
Questions and Answers
Verified Solutions Latest Update
,Assessment 2: NURS 100 Fundamentals of Nursing (WCU)
Verified Questions and Answers Latest Version
1. Which nursing theorist is best known for emphasizing the importance of the
patient’s environment in the healing process?
A. Florence Nightingale
B. Dorothea Orem
C. Virginia Henderson
D. Jean Watson
Answer: A
Rationale: Florence Nightingale’s Environmental Theory focused on clean air, water,
drainage, cleanliness, and light to facilitate the body’s reparative processes.
2. The nurse is collecting data during an initial interview. Which of the following
is an example of subjective data?
A. The patient’s heart rate is 92 beats per minute.
B. The patient states, ‘I feel nauseated.’
C. The patient’s skin is warm and dry.
D. The patient’s white blood cell count is elevated.
Answer: B
Rationale: Subjective data are symptoms described by the patient that cannot be directly
measured or observed by the nurse.
, 3. A nurse is using a blood pressure cuff that is too small for a client’s arm. What
effect will this have on the reading?
A. The reading will be accurate if the client is sitting.
B. The reading will be falsely low.
C. The reading will be falsely high.
D. The cuff will not inflate properly.
Answer: C
Rationale: A cuff that is too small (too narrow) will result in a falsely high blood pressure
reading because it requires more pressure to compress the artery.
4. What is the first step in the nursing process?
A. Assessment
B. Planning
C. Diagnosis
D. Implementation
Answer: A
Rationale: Assessment is the first step of the nursing process, involving the systematic
collection of data to determine the client’s health status.
5. The nurse is caring for a patient with Clostridium difficile (C. diff). Which hand
hygiene method is mandatory after leaving the room?
A. Alcohol-based hand rub
B. Washing with soap and water
C. Wiping hands with a dry paper towel
D. Using sterile gloves only
Answer: B
Rationale: Soap and water are required for C. diff because alcohol-based rubs are
ineffective against the spores produced by this bacterium.
Fundamentals of Nursing
(WCU)
Questions and Answers
Verified Solutions Latest Update
,Assessment 2: NURS 100 Fundamentals of Nursing (WCU)
Verified Questions and Answers Latest Version
1. Which nursing theorist is best known for emphasizing the importance of the
patient’s environment in the healing process?
A. Florence Nightingale
B. Dorothea Orem
C. Virginia Henderson
D. Jean Watson
Answer: A
Rationale: Florence Nightingale’s Environmental Theory focused on clean air, water,
drainage, cleanliness, and light to facilitate the body’s reparative processes.
2. The nurse is collecting data during an initial interview. Which of the following
is an example of subjective data?
A. The patient’s heart rate is 92 beats per minute.
B. The patient states, ‘I feel nauseated.’
C. The patient’s skin is warm and dry.
D. The patient’s white blood cell count is elevated.
Answer: B
Rationale: Subjective data are symptoms described by the patient that cannot be directly
measured or observed by the nurse.
, 3. A nurse is using a blood pressure cuff that is too small for a client’s arm. What
effect will this have on the reading?
A. The reading will be accurate if the client is sitting.
B. The reading will be falsely low.
C. The reading will be falsely high.
D. The cuff will not inflate properly.
Answer: C
Rationale: A cuff that is too small (too narrow) will result in a falsely high blood pressure
reading because it requires more pressure to compress the artery.
4. What is the first step in the nursing process?
A. Assessment
B. Planning
C. Diagnosis
D. Implementation
Answer: A
Rationale: Assessment is the first step of the nursing process, involving the systematic
collection of data to determine the client’s health status.
5. The nurse is caring for a patient with Clostridium difficile (C. diff). Which hand
hygiene method is mandatory after leaving the room?
A. Alcohol-based hand rub
B. Washing with soap and water
C. Wiping hands with a dry paper towel
D. Using sterile gloves only
Answer: B
Rationale: Soap and water are required for C. diff because alcohol-based rubs are
ineffective against the spores produced by this bacterium.
