, NURS
NURS100
100Fundamentals
Fundamentalsofof Nursing
Nursing Assessment
Independent1Study
StudyGuide
GuideWith
With
ReviewOriginal
Questions and Answers
Review QuestionsInstant Pdf Download
and Rationales
1. Which phase of the nursing process involves the nurse collecting subjective and objective data
about a patient’s health status?
A. Planning
B. Implementation
C. Assessment
D. Evaluation
Answer: C. Assessment
Rationale: Assessment is the first step of the nursing process, involving the systematic collection of data to
determine the client’s health status.
2. A patient tells the nurse, ‘I feel like my heart is racing.’ This is an example of which type of data?
A. Objective data
B. Observable data
C. Secondary data
D. Subjective data
Answer: D. Subjective data
Rationale: Subjective data are the patient’s verbal descriptions of their health problems, often referred to as
symptoms.
3. The nurse is preparing to administer a medication. Which ‘right’ of medication administration is
being followed when the nurse checks the patient’s wristband?
A. Right Dose
B. Right Patient
C. Right Route
D. Right Time
Answer: B. Right Patient
Rationale: Checking the patient’s identification band ensures the right patient is receiving the medication.
4. What is the most effective way to prevent the spread of infection in a clinical setting?
A. Wearing gloves at all times
,B. Performing hand hygiene
C. Using antibiotic ointments
D. Administering prophylactic vaccines
Answer: B. Performing hand hygiene
Rationale: Hand hygiene is the single most important practice to reduce the transmission of infectious agents.
5. A patient’s blood pressure is 150/95 mmHg. How should the nurse classify this reading?
A. Normal
B. Hypertension
C. Hypotension
D. Bradycardia
Answer: B. Hypertension
Rationale: A blood pressure reading of 150/95 mmHg is above the normal range (usually 120/80) and indicates
hypertension.
6. Which ethical principle refers to the nurse’s obligation to do no harm to the patient?
A. Beneficence
B. Nonmaleficence
C. Justice
D. Autonomy
Answer: B. Nonmaleficence
Rationale: Nonmaleficence is the ethical principle of ‘doing no harm’ to the patient.
7. When assessing an adult’s pulse, which site is most commonly used for routine vital signs?
A. Carotid
B. Apical
C. Popliteal
D. Radial
Answer: D. Radial
Rationale: The radial pulse is the most frequently used site for assessing a peripheral pulse in an adult.
8. Which nursing theorist is known for the Environmental Theory, focusing on clean air, water, and
housing?
A. Florence Nightingale
, B. Virginia Henderson
C. Dorothea Orem
D. Jean Watson
Answer: A. Florence Nightingale
Rationale: Florence Nightingale’s Environmental Theory emphasized that the environment significantly affects
patient recovery.
9. A nurse is helping a patient move from the bed to a chair. To maintain proper body mechanics,
the nurse should:
A. Bend at the waist
B. Bend at the knees
C. Keep the feet close together
D. Twist the torso while lifting
Answer: B. Bend at the knees
Rationale: Bending at the knees and using the large muscles of the legs helps prevent back injury.
10. Which type of isolation precaution is required for a patient diagnosed with tuberculosis?
A. Contact Precautions
B. Droplet Precautions
C. Standard Precautions only
D. Airborne Precautions
Answer: D. Airborne Precautions
Rationale: Tuberculosis is transmitted via small droplets that remain in the air, requiring Airborne Precautions.
11. The nurse documents: ‘Patient’s wound is 3 cm long, 2 cm wide, with no drainage.’ This is an
example of:
A. Subjective data
B. Objective data
C. Assessed data
D. Inferred data
Answer: B. Objective data
Rationale: Objective data are measurable and observable findings obtained through physical examination and
diagnostic tests.
NURS100
100Fundamentals
Fundamentalsofof Nursing
Nursing Assessment
Independent1Study
StudyGuide
GuideWith
With
ReviewOriginal
Questions and Answers
Review QuestionsInstant Pdf Download
and Rationales
1. Which phase of the nursing process involves the nurse collecting subjective and objective data
about a patient’s health status?
A. Planning
B. Implementation
C. Assessment
D. Evaluation
Answer: C. Assessment
Rationale: Assessment is the first step of the nursing process, involving the systematic collection of data to
determine the client’s health status.
2. A patient tells the nurse, ‘I feel like my heart is racing.’ This is an example of which type of data?
A. Objective data
B. Observable data
C. Secondary data
D. Subjective data
Answer: D. Subjective data
Rationale: Subjective data are the patient’s verbal descriptions of their health problems, often referred to as
symptoms.
3. The nurse is preparing to administer a medication. Which ‘right’ of medication administration is
being followed when the nurse checks the patient’s wristband?
A. Right Dose
B. Right Patient
C. Right Route
D. Right Time
Answer: B. Right Patient
Rationale: Checking the patient’s identification band ensures the right patient is receiving the medication.
4. What is the most effective way to prevent the spread of infection in a clinical setting?
A. Wearing gloves at all times
,B. Performing hand hygiene
C. Using antibiotic ointments
D. Administering prophylactic vaccines
Answer: B. Performing hand hygiene
Rationale: Hand hygiene is the single most important practice to reduce the transmission of infectious agents.
5. A patient’s blood pressure is 150/95 mmHg. How should the nurse classify this reading?
A. Normal
B. Hypertension
C. Hypotension
D. Bradycardia
Answer: B. Hypertension
Rationale: A blood pressure reading of 150/95 mmHg is above the normal range (usually 120/80) and indicates
hypertension.
6. Which ethical principle refers to the nurse’s obligation to do no harm to the patient?
A. Beneficence
B. Nonmaleficence
C. Justice
D. Autonomy
Answer: B. Nonmaleficence
Rationale: Nonmaleficence is the ethical principle of ‘doing no harm’ to the patient.
7. When assessing an adult’s pulse, which site is most commonly used for routine vital signs?
A. Carotid
B. Apical
C. Popliteal
D. Radial
Answer: D. Radial
Rationale: The radial pulse is the most frequently used site for assessing a peripheral pulse in an adult.
8. Which nursing theorist is known for the Environmental Theory, focusing on clean air, water, and
housing?
A. Florence Nightingale
, B. Virginia Henderson
C. Dorothea Orem
D. Jean Watson
Answer: A. Florence Nightingale
Rationale: Florence Nightingale’s Environmental Theory emphasized that the environment significantly affects
patient recovery.
9. A nurse is helping a patient move from the bed to a chair. To maintain proper body mechanics,
the nurse should:
A. Bend at the waist
B. Bend at the knees
C. Keep the feet close together
D. Twist the torso while lifting
Answer: B. Bend at the knees
Rationale: Bending at the knees and using the large muscles of the legs helps prevent back injury.
10. Which type of isolation precaution is required for a patient diagnosed with tuberculosis?
A. Contact Precautions
B. Droplet Precautions
C. Standard Precautions only
D. Airborne Precautions
Answer: D. Airborne Precautions
Rationale: Tuberculosis is transmitted via small droplets that remain in the air, requiring Airborne Precautions.
11. The nurse documents: ‘Patient’s wound is 3 cm long, 2 cm wide, with no drainage.’ This is an
example of:
A. Subjective data
B. Objective data
C. Assessed data
D. Inferred data
Answer: B. Objective data
Rationale: Objective data are measurable and observable findings obtained through physical examination and
diagnostic tests.
