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NSG 3100 EXAM 1 PRACTICE TEST 100+ Questions with Answers &
Rationales
SECTION 1: NURSING PROCESS & CRITICAL THINKING
1. A nurse is collecting data from a client. Which action is part
of the assessment phase of the nursing process?
A. Administering medication
B. Obtaining vital signs and interviewing the client
C. Evaluating client outcomes
D. Developing nursing diagnoses
Answer: B
Rationale: Assessment is the systematic collection of data—
vital signs, interview, physical exam.
2. Which of the following is a correctly written nursing
diagnosis?
A. Pneumonia
B. Impaired Gas Exchange related to alveolar-capillary
membrane changes as evidenced by oxygen saturation 88%
C. Administer oxygen at 2 L/min
D. Client will maintain oxygen saturation >95%
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Answer: B
Rationale: Nursing diagnoses use the PES format: Problem,
Etiology, Signs/Symptoms.
3. A nurse is developing a plan of care. Which component is an
example of a goal?
A. The client will ambulate 50 feet by the end of the shift
B. Impaired Physical Mobility
C. Assist with ambulation three times daily
D. The client has weakness
Answer: A
Rationale: Goals are specific, measurable, achievable, relevant,
and time-bound (SMART).
4. Which of the following is subjective data?
A. Blood pressure 140/90 mmHg
B. Client states, "I feel short of breath."
C. Crackles auscultated in the lung bases
D. Temperature 101°F
Answer: B
Rationale: Subjective data are symptoms reported by the client;
objective data are measurable.
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5. A nurse is evaluating the effectiveness of an intervention.
Which action demonstrates the evaluation phase?
A. Checking the client's pain level after administering an
analgesic
B. Administering the analgesic
C. Identifying Acute Pain as a nursing diagnosis
D. Setting a goal for pain relief
Answer: A
Rationale: Evaluation compares client response/goal
achievement after interventions.
6. Which of the following is objective data?
A. Nausea
B. Dizziness
C. Respiratory rate 22 breaths/min
D. Fatigue
Answer: C
Rationale: Objective data are observable and measurable.
7. The nurse is performing a focused assessment. This means
the nurse:
A. Completes a full head-to-toe exam
B. Assesses a specific body system or problem
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C. Only interviews the family
D. Reviews only the medical record
Answer: B
Rationale: A focused assessment targets a particular issue or
system.
8. Which of the following is a priority nursing diagnosis using
Maslow's hierarchy?
A. Risk for loneliness
B. Ineffective breathing pattern
C. Disturbed body image
D. Knowledge deficit
Answer: B
Rationale: Physiological needs (airway, breathing) take priority.
9. A nurse is formulating a nursing diagnosis. Which part is the
"related to" (etiology)?
A. Impaired Skin Integrity
B. Related to immobility
C. As evidenced by redness
D. Risk for infection
NSG 3100 EXAM 1 PRACTICE TEST 100+ Questions with Answers &
Rationales
SECTION 1: NURSING PROCESS & CRITICAL THINKING
1. A nurse is collecting data from a client. Which action is part
of the assessment phase of the nursing process?
A. Administering medication
B. Obtaining vital signs and interviewing the client
C. Evaluating client outcomes
D. Developing nursing diagnoses
Answer: B
Rationale: Assessment is the systematic collection of data—
vital signs, interview, physical exam.
2. Which of the following is a correctly written nursing
diagnosis?
A. Pneumonia
B. Impaired Gas Exchange related to alveolar-capillary
membrane changes as evidenced by oxygen saturation 88%
C. Administer oxygen at 2 L/min
D. Client will maintain oxygen saturation >95%
, Page |2
Answer: B
Rationale: Nursing diagnoses use the PES format: Problem,
Etiology, Signs/Symptoms.
3. A nurse is developing a plan of care. Which component is an
example of a goal?
A. The client will ambulate 50 feet by the end of the shift
B. Impaired Physical Mobility
C. Assist with ambulation three times daily
D. The client has weakness
Answer: A
Rationale: Goals are specific, measurable, achievable, relevant,
and time-bound (SMART).
4. Which of the following is subjective data?
A. Blood pressure 140/90 mmHg
B. Client states, "I feel short of breath."
C. Crackles auscultated in the lung bases
D. Temperature 101°F
Answer: B
Rationale: Subjective data are symptoms reported by the client;
objective data are measurable.
, Page |3
5. A nurse is evaluating the effectiveness of an intervention.
Which action demonstrates the evaluation phase?
A. Checking the client's pain level after administering an
analgesic
B. Administering the analgesic
C. Identifying Acute Pain as a nursing diagnosis
D. Setting a goal for pain relief
Answer: A
Rationale: Evaluation compares client response/goal
achievement after interventions.
6. Which of the following is objective data?
A. Nausea
B. Dizziness
C. Respiratory rate 22 breaths/min
D. Fatigue
Answer: C
Rationale: Objective data are observable and measurable.
7. The nurse is performing a focused assessment. This means
the nurse:
A. Completes a full head-to-toe exam
B. Assesses a specific body system or problem
, Page |4
C. Only interviews the family
D. Reviews only the medical record
Answer: B
Rationale: A focused assessment targets a particular issue or
system.
8. Which of the following is a priority nursing diagnosis using
Maslow's hierarchy?
A. Risk for loneliness
B. Ineffective breathing pattern
C. Disturbed body image
D. Knowledge deficit
Answer: B
Rationale: Physiological needs (airway, breathing) take priority.
9. A nurse is formulating a nursing diagnosis. Which part is the
"related to" (etiology)?
A. Impaired Skin Integrity
B. Related to immobility
C. As evidenced by redness
D. Risk for infection
