NURS 100 Fundamentals of
Nursing Assessment WCU
Questions and Answers
Verified Solutions Latest Update
,NURS 100 Fundamentals of Nursing Assessment WCU
Verified Questions and Answers Latest Version
1. Which phase of the nursing process involves identifying client strengths and
health problems that can be prevented or resolved by collaborative and nursing
interventions?
A. Assessment
B. Planning
C. Diagnosis
D. Implementation
Answer: C
Rationale: The diagnosis phase involves analyzing assessment data to identify health
problems and strengths.
2. A nurse is measuring a patient’s blood pressure and finds it to be 145/92
mmHg. How should this be classified according to standard hypertension
guidelines?
A. Hypertension Stage 2
B. Elevated
C. Hypertension Stage 1
D. Normal
Answer: A
Rationale: Stage 2 hypertension is defined as a systolic pressure of at least 140 mmHg or a
diastolic pressure of at least 90 mmHg.
, 3. What is the primary purpose of the ‘Planning’ phase in the nursing process?
A. To collect data for analysis
B. To perform nursing actions
C. To develop measurable goals and outcomes
D. To determine if goals were met
Answer: C
Rationale: Planning involves setting priorities and developing measurable goals and
nursing interventions to reach those goals.
4. When washing hands, which action is most important for removing
microorganisms?
A. Friction and rubbing for 20 seconds
B. Using very hot water
C. Using antimicrobial soap only
D. Drying hands with a reusable towel
Answer: A
Rationale: Friction is the most effective component of handwashing for physically
removing microbes.
5. A patient reports a sharp, localized pain in their abdomen. This is an example
of which type of data?
A. Objective data
B. Inferred data
C. Secondary data
D. Subjective data
Answer: D
Rationale: Subjective data are information from the client’s point of view, such as
symptoms and feelings.
Nursing Assessment WCU
Questions and Answers
Verified Solutions Latest Update
,NURS 100 Fundamentals of Nursing Assessment WCU
Verified Questions and Answers Latest Version
1. Which phase of the nursing process involves identifying client strengths and
health problems that can be prevented or resolved by collaborative and nursing
interventions?
A. Assessment
B. Planning
C. Diagnosis
D. Implementation
Answer: C
Rationale: The diagnosis phase involves analyzing assessment data to identify health
problems and strengths.
2. A nurse is measuring a patient’s blood pressure and finds it to be 145/92
mmHg. How should this be classified according to standard hypertension
guidelines?
A. Hypertension Stage 2
B. Elevated
C. Hypertension Stage 1
D. Normal
Answer: A
Rationale: Stage 2 hypertension is defined as a systolic pressure of at least 140 mmHg or a
diastolic pressure of at least 90 mmHg.
, 3. What is the primary purpose of the ‘Planning’ phase in the nursing process?
A. To collect data for analysis
B. To perform nursing actions
C. To develop measurable goals and outcomes
D. To determine if goals were met
Answer: C
Rationale: Planning involves setting priorities and developing measurable goals and
nursing interventions to reach those goals.
4. When washing hands, which action is most important for removing
microorganisms?
A. Friction and rubbing for 20 seconds
B. Using very hot water
C. Using antimicrobial soap only
D. Drying hands with a reusable towel
Answer: A
Rationale: Friction is the most effective component of handwashing for physically
removing microbes.
5. A patient reports a sharp, localized pain in their abdomen. This is an example
of which type of data?
A. Objective data
B. Inferred data
C. Secondary data
D. Subjective data
Answer: D
Rationale: Subjective data are information from the client’s point of view, such as
symptoms and feelings.
