Portage Learning
LANIF · 132 SRUN
★ ★
PN School of Nursing
EST. 2009
FLEXIBLE. AFFORDABLE. ACCREDITED.
NUR 231 Final Exam — Unit 1 Material Review
N U RS I N G P R O C E SS , P R E O P E RAT I V E C A R E , & I V F LU I D S
INSTITUTION Portage Learning COURSE CODE NUR 231
PROGRAM Nursing ACADEMIC YEAR
EXAM TITLE NUR 231 Final Exam — Unit 1 TOTAL QUESTIONS 58 Questions
Material Review
COURSE TITLE Nursing Fundamentals FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question.
▸ Questions cover the nursing process, preoperative care, IV fluids, blood administration, and stress
response.
▸ Correct answers and detailed rationales appear below each question.
▸ Use these rationales to reinforce key nursing concepts for clinical practice.
, SECTION I — NURSING PROCESS & PREOPERATIVE CARE Questions 1 – 58
1. What are the steps of the nursing process in correct order?
A. Assessment, Diagnosis, Planning, Implementation, Evaluation
B. Assessment, Planning, Diagnosis, Implementation, Evaluation
C. Diagnosis, Assessment, Planning, Implementation, Evaluation
D. Planning, Assessment, Diagnosis, Implementation, Evaluation
CORRECT ANSWER A — Assessment, Diagnosis, Planning, Implementation, Evaluation
RATIONALE The nursing process steps in order are: Assessment (collecting data, physical
examinations), Diagnosis (based on assessment, patient response to health
problems), Planning (SMART patient-centered goals), Implementation (carrying
out interventions), and Evaluation (assess if goals were met and interventions
were effective).
2. What is the correct order of prioritization in the nursing process?
A. Airway, Breathing, Circulation, Safety, Infection, Nutrition, Psychosocial
B. Circulation, Airway, Breathing, Safety, Infection, Nutrition, Psychosocial
C. Safety, Airway, Breathing, Circulation, Infection, Nutrition, Psychosocial
D. Psychosocial, Nutrition, Infection, Safety, Circulation, Breathing, Airway
CORRECT ANSWER A — Airway, Breathing, Circulation, Safety, Infection, Nutrition,
Psychosocial
RATIONALE The correct order of prioritization is: Airway, Breathing, Circulation, Safety,
Infection, Nutrition, Psychosocial. This follows the ABCs and Maslow's hierarchy
of needs, ensuring life-threatening issues are addressed first.
, 3. What should be determined when deciding patient prioritization?
A. Normal vs expected vs complication, Acute vs chronic, Stable vs unstable, Actual vs
potential
B. Only acute vs chronic
C. Only stable vs unstable
D. Only actual vs potential
CORRECT ANSWER A — Normal vs expected vs complication, Acute vs chronic, Stable vs
unstable, Actual vs potential
RATIONALE When deciding patient prioritization, nurses must consider: Normal vs expected
vs complication, Acute vs chronic, Stable vs unstable, and Actual vs potential. This
helps determine which patients require immediate attention and which can wait.
4. What does the acronym ISBARQ stand for?
A. Introduction, Situation, Background, Assessment, Recommendation, Questions
B. Identify, Situation, Background, Assessment, Recommendation, Questions
C. Introduction, Summary, Background, Assessment, Recommendation, Questions
D. Identify, Summary, Background, Assessment, Recommendation, Questions
CORRECT ANSWER A — Introduction, Situation, Background, Assessment, Recommendation,
Questions
RATIONALE ISBARQ stands for: Introduction ("Hi my name is ____ RN"), Situation (patient
name, age, advance directives, physicians, admitting dx), Background (allergies,
meds, treatments, family members), Assessment (condition, VS, labs, activities),
Recommendation (nursing priorities, tests, plans for discharge), and Questions
(read back orders, ask clarifying questions).
LANIF · 132 SRUN
★ ★
PN School of Nursing
EST. 2009
FLEXIBLE. AFFORDABLE. ACCREDITED.
NUR 231 Final Exam — Unit 1 Material Review
N U RS I N G P R O C E SS , P R E O P E RAT I V E C A R E , & I V F LU I D S
INSTITUTION Portage Learning COURSE CODE NUR 231
PROGRAM Nursing ACADEMIC YEAR
EXAM TITLE NUR 231 Final Exam — Unit 1 TOTAL QUESTIONS 58 Questions
Material Review
COURSE TITLE Nursing Fundamentals FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question.
▸ Questions cover the nursing process, preoperative care, IV fluids, blood administration, and stress
response.
▸ Correct answers and detailed rationales appear below each question.
▸ Use these rationales to reinforce key nursing concepts for clinical practice.
, SECTION I — NURSING PROCESS & PREOPERATIVE CARE Questions 1 – 58
1. What are the steps of the nursing process in correct order?
A. Assessment, Diagnosis, Planning, Implementation, Evaluation
B. Assessment, Planning, Diagnosis, Implementation, Evaluation
C. Diagnosis, Assessment, Planning, Implementation, Evaluation
D. Planning, Assessment, Diagnosis, Implementation, Evaluation
CORRECT ANSWER A — Assessment, Diagnosis, Planning, Implementation, Evaluation
RATIONALE The nursing process steps in order are: Assessment (collecting data, physical
examinations), Diagnosis (based on assessment, patient response to health
problems), Planning (SMART patient-centered goals), Implementation (carrying
out interventions), and Evaluation (assess if goals were met and interventions
were effective).
2. What is the correct order of prioritization in the nursing process?
A. Airway, Breathing, Circulation, Safety, Infection, Nutrition, Psychosocial
B. Circulation, Airway, Breathing, Safety, Infection, Nutrition, Psychosocial
C. Safety, Airway, Breathing, Circulation, Infection, Nutrition, Psychosocial
D. Psychosocial, Nutrition, Infection, Safety, Circulation, Breathing, Airway
CORRECT ANSWER A — Airway, Breathing, Circulation, Safety, Infection, Nutrition,
Psychosocial
RATIONALE The correct order of prioritization is: Airway, Breathing, Circulation, Safety,
Infection, Nutrition, Psychosocial. This follows the ABCs and Maslow's hierarchy
of needs, ensuring life-threatening issues are addressed first.
, 3. What should be determined when deciding patient prioritization?
A. Normal vs expected vs complication, Acute vs chronic, Stable vs unstable, Actual vs
potential
B. Only acute vs chronic
C. Only stable vs unstable
D. Only actual vs potential
CORRECT ANSWER A — Normal vs expected vs complication, Acute vs chronic, Stable vs
unstable, Actual vs potential
RATIONALE When deciding patient prioritization, nurses must consider: Normal vs expected
vs complication, Acute vs chronic, Stable vs unstable, and Actual vs potential. This
helps determine which patients require immediate attention and which can wait.
4. What does the acronym ISBARQ stand for?
A. Introduction, Situation, Background, Assessment, Recommendation, Questions
B. Identify, Situation, Background, Assessment, Recommendation, Questions
C. Introduction, Summary, Background, Assessment, Recommendation, Questions
D. Identify, Summary, Background, Assessment, Recommendation, Questions
CORRECT ANSWER A — Introduction, Situation, Background, Assessment, Recommendation,
Questions
RATIONALE ISBARQ stands for: Introduction ("Hi my name is ____ RN"), Situation (patient
name, age, advance directives, physicians, admitting dx), Background (allergies,
meds, treatments, family members), Assessment (condition, VS, labs, activities),
Recommendation (nursing priorities, tests, plans for discharge), and Questions
(read back orders, ask clarifying questions).
