NUR 200 Exam #1 Solved 100% Correct!!
2026/2027 Official Exam
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Complete Blueprint Coverage
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QUESTIONS VERIFIED EXAM DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
Nursing Process and Clinical Judgment
Infection Prevention and Control
Vital Signs and Health Assessment
Client Safety, Mobility, and Fall Prevention
Communication, Documentation, and Legal/Ethical Issues
STUVIAACTUALEXAM
, SECTION 1: NURSING PROCESS AND CLINICAL JUDGMENT
Q1
A nurse reviews the electronic health record of a 68-year-old client admitted with community-acquired pneumonia.
The client’s oxygen saturation is 91% on room air, respiratory rate is 28, and the client reports dyspnea when
speaking. Using the nursing process, the nurse’s first priority action is to:
A. Document the findings and continue the admission assessment.
B. Apply supplemental oxygen as ordered and reassess oxygenation status.
C. Obtain a sputum culture before initiating any interventions.
D. Teach the client pursed-lip breathing for later use at home.
Correct Answer: B
Rationale:
Airway and breathing take precedence in the ABC framework. Applying ordered oxygen and reassessing addresses the
immediate physiologic threat of hypoxemia before completing non-urgent assessment or teaching tasks.
Q2
During the evaluation phase of the nursing process, a nurse notes that a client’s pain score remains 7/10 two
hours after administration of prescribed oral opioid analgesia. The most appropriate next step is to:
A. Document that the goal of pain relief was partially met and continue the current plan.
B. Reassess the pain characteristics, notify the provider of inadequate relief, and request a revised analgesia
order.
C. Encourage the client to wait another hour because peak effect may still occur.
D. Switch the client to a non-opioid analgesic without consulting the provider.
Correct Answer: B
Rationale:
Evaluation requires determining whether expected outcomes were achieved. Persistent severe pain indicates the current plan
is ineffective; the nurse must reassess and collaborate with the provider for timely adjustment.
Q3
A nursing student is preparing a care plan for a client with newly diagnosed type 2 diabetes. The instructor asks
the student to identify a correctly written nursing diagnosis. The best example is:
A. Diabetes mellitus related to obesity and sedentary lifestyle.
B. Risk for unstable blood glucose level related to insufficient knowledge of diabetes management as evidenced
by client’s statement of never having received formal education.
C. Hyperglycemia as evidenced by blood glucose of 280 mg/dL.
D. Knowledge deficit related to diabetes.
Correct Answer: B
Rationale:
A properly formatted nursing diagnosis includes the problem, etiology (related to), and defining characteristics (as evidenced
by) when applicable. Medical diagnoses and incomplete statements are not nursing diagnoses.
, NUR 200 Exam #1 Solved 100% Correct!! — 2026/2027
Q4
A client with heart failure has a nursing diagnosis of Excess Fluid Volume. Which outcome statement is most
measurable and appropriate for evaluating the effectiveness of interventions?
A. Client will feel better by the end of the shift.
B. Client will have decreased edema and clear lung sounds within 48 hours.
C. Client will understand the importance of fluid restriction.
D. Client will not gain weight during hospitalization.
Correct Answer: B
Rationale:
Measurable outcomes specify observable criteria and a time frame. Decreased edema and clear lung sounds can be
objectively assessed, whereas vague feelings or open-ended knowledge statements lack precision for evaluation.
Q5
A nurse is prioritizing care for four clients at the start of the shift. Which client should the nurse assess first?
A. A client who is scheduled for discharge teaching on new insulin injections.
B. A client who reports new onset of chest pressure and diaphoresis.
C. A client who needs a routine dressing change on a healing surgical wound.
D. A client who is waiting for assistance to the bathroom for a scheduled void.
Correct Answer: B
Rationale:
New chest pressure and diaphoresis suggest possible acute coronary syndrome and take priority over teaching, routine
wound care, or toileting assistance according to urgency and potential for rapid deterioration.
Q6
After collecting assessment data on a postoperative client, the nurse identifies several problems. Which action
demonstrates correct use of the planning phase of the nursing process?
A. Immediately implementing interventions without writing goals.
B. Collaborating with the client to establish realistic, prioritized goals and selecting evidence-based interventions.
C. Waiting until the provider writes all orders before formulating any nursing goals.
D. Focusing solely on medical diagnoses rather than nursing diagnoses.
Correct Answer: B
Rationale:
Planning involves setting client-centered, measurable goals and choosing interventions. Collaboration with the client
promotes adherence and ensures goals are realistic; nursing actions are independent of medical orders for many domains.