1
NUR 155 Exam Actual Combined Questions
and Correct Answers Graded A+ New
Update 2026/2027
1. The patient's pulse is 123 beats per minute and irregular. What part of
ISBAR is this? - ANSWER Assessment
2. Good morning, I am Nurse Gordon. What part of ISBAR is this? -
ANSWER Introduction
3. This patient just returned from surgery. What part of ISBAR is this? -
ANSWER Background
4. I am concerned there could be pneumonia developing, would a chest X-
Ray be advisable? What part of ISBAR is this? - ANSWER
Reccomendation
5. Mr. Smith has a history of diabetes. What part of ISBAR is this? -
ANSWER Background
6. I am Mr. Smith's nurse. What part of ISBAR is this? - ANSWER
Introduction
7. Mrs. Joe's wound has new onset edema and erythema. What part of
ISBAR is this? - ANSWER Situation
8. I am calling from Galen Hospital. What part of ISBAR is this? -
ANSWER introduction
9. I am calling because Mrs. Joe continues to have pain at the surgical site,
despite pain medications. What part of ISBAR is this? - ANSWER
Situation
10.Would that dose be advisable? 8 mg of Zofran has already been given?
What part of ISBAR is this? - ANSWER Recommendation
, 2
11.Dr. Howl, thank you for calling back, I would like to discuss Mrs. Joe's
post-op medications with you. What part of ISBAR is this? - ANSWER
Situation
12.After the patient took Benadryl, she became anxious and began shouting
and attempted to hit the nurses. What part of ISBAR is this? - ANSWER
Situation
13.I need to talk to you about the patient's CT scan. What part of ISBAR is
this? - ANSWER Situaton
14.Mrs. Joe is 74-year-old Asian female. What part of ISBAR is this? -
ANSWER Background
15.So, let me read back those orders.. recommendation - ANSWER
recommendation
Assessing - ANSWER To establish a database about the client's
response to health concerns or illness
and the ability to manage health care
needs
16.Diagnosing - ANSWER To identify client strengths and health
problems that can be prevented
or resolved by collaborative and
independent nursing interventions
To develop a list of nursing and
collaborative problems
17.Planning - ANSWER To develop an individualized care plan
that specifies client goals/desired out-
comes, and related nursing interventions
18.Implementing - ANSWER To assist the client to meet desired goals/
outcomes; promote wellness; prevent
illness and disease; restore health; and
facilitate coping with altered functioning
19.Evaluating - ANSWER To determine whether to continue,
modify, or terminate the plan of care
, 3
20.Nursing ABC's - ANSWER airway, breathing, circulation
21.Maslows level 1: physiologic needs - ANSWER oxygen, food, water,
sex, rest, physical activity; physiologic needs are highest priority
22.Maslows level 2: safety and security needs - ANSWER both physical
and emotional components; being protected from potential or actual
harm
23.Maslows level 3: love and belonging needs - ANSWER understanding
and acceptance of others in both giving and receiving love; feeling of
belonging; unmet needs produce loneliness and isolation
24.Maslows level 4: self-esteem needs - ANSWER Need for a person to
feel good about oneself, to feel pride and a sense of accomplishment and
to believe that others also respect and appreciate those accomplishments
-Positive self-esteem facilitates the person's confidence and independence
25.Maslows level 5: Self-Actualization - ANSWER acceptance of self and
others as they are; each lower level must be met; focus of interest on
problems outside oneself; respect for all people; focus on strengths and
possibilities vs problems
26.Macule - ANSWER flat, colored spot on the skin ex- birthmark
27.papule - ANSWER small, solid, raised lesion on surface of the skin -
less then 1cm ex- wart, acne
28.plaque - ANSWER a solid mass greater than 1 cm in diameter and
limited to the surface of the skin ex- psoriasis, rubeola
29.nodule - ANSWER solid, round or oval elevated lesion 1 cm or more in
diameter ex- squamous cell carcinoma
30.pustule - ANSWER elevation of skin containing pus ex- acne
31.Vesicle/Bulla - ANSWER circumscribed, round or oval thin translucent
mass vesicles less than 0.5 cm Example 2nd degree burns and herpes
simplex
, 4
32.cyst - ANSWER sac containing fluid
33.wheal - ANSWER raised red skin lesion due to interstitial fluid ex-
hives, mosquito bites
34.healthy nail shape - ANSWER 160 degree angle, smooth, return to usual
color in less than 2 seconds
35.clubbing of nails - ANSWER finding in the nails that indicates chronic
hypoxia. Greater thank 180 degree angle.
36.vesicular lung sounds - ANSWER low pitch, soft amplitude, rustling
sound, located over peripheral lung fields at the base of the lungs where
air flows through smaller bronchioles and alveoli. Best heard on
inspiration.
37.bronchovesicular lung sounds - ANSWER Medium pitch sound heard
over main bronchus area and over upper right posterior lung field. Equal
inspiratory and expiratory.
38.Bronchial lung sounds - ANSWER heard over trachea; expiratory sound
predominates; is higher pitched and louder
39.crackles (rales) - ANSWER short, discrete, interrupted, crackling sound
classified as fine to coarse; caused by air passing through secretions,
moisture
40.Gurgles (rhonchi) - ANSWER air passing through narrowed air passages
as a result of secretions, swelling tumor. continuous, low pitched, coarse,
gurgling, harsh, louder sounds with a moaning or snoring quality. best
heard on expiration but can be heard on both inspiration and expiration
41.friction rub - ANSWER a coarse, grating, adventitious lung sound heard
when the pleurae are inflamed
42.wheeze - ANSWER whistling or sighing sound heard on auscultation
that results from narrowing of the lumen of the respiratory passageway
43.Romberg test - ANSWER ask client to stand with feet at comfortable
distance apart, arms at sides, and eyes closed
NUR 155 Exam Actual Combined Questions
and Correct Answers Graded A+ New
Update 2026/2027
1. The patient's pulse is 123 beats per minute and irregular. What part of
ISBAR is this? - ANSWER Assessment
2. Good morning, I am Nurse Gordon. What part of ISBAR is this? -
ANSWER Introduction
3. This patient just returned from surgery. What part of ISBAR is this? -
ANSWER Background
4. I am concerned there could be pneumonia developing, would a chest X-
Ray be advisable? What part of ISBAR is this? - ANSWER
Reccomendation
5. Mr. Smith has a history of diabetes. What part of ISBAR is this? -
ANSWER Background
6. I am Mr. Smith's nurse. What part of ISBAR is this? - ANSWER
Introduction
7. Mrs. Joe's wound has new onset edema and erythema. What part of
ISBAR is this? - ANSWER Situation
8. I am calling from Galen Hospital. What part of ISBAR is this? -
ANSWER introduction
9. I am calling because Mrs. Joe continues to have pain at the surgical site,
despite pain medications. What part of ISBAR is this? - ANSWER
Situation
10.Would that dose be advisable? 8 mg of Zofran has already been given?
What part of ISBAR is this? - ANSWER Recommendation
, 2
11.Dr. Howl, thank you for calling back, I would like to discuss Mrs. Joe's
post-op medications with you. What part of ISBAR is this? - ANSWER
Situation
12.After the patient took Benadryl, she became anxious and began shouting
and attempted to hit the nurses. What part of ISBAR is this? - ANSWER
Situation
13.I need to talk to you about the patient's CT scan. What part of ISBAR is
this? - ANSWER Situaton
14.Mrs. Joe is 74-year-old Asian female. What part of ISBAR is this? -
ANSWER Background
15.So, let me read back those orders.. recommendation - ANSWER
recommendation
Assessing - ANSWER To establish a database about the client's
response to health concerns or illness
and the ability to manage health care
needs
16.Diagnosing - ANSWER To identify client strengths and health
problems that can be prevented
or resolved by collaborative and
independent nursing interventions
To develop a list of nursing and
collaborative problems
17.Planning - ANSWER To develop an individualized care plan
that specifies client goals/desired out-
comes, and related nursing interventions
18.Implementing - ANSWER To assist the client to meet desired goals/
outcomes; promote wellness; prevent
illness and disease; restore health; and
facilitate coping with altered functioning
19.Evaluating - ANSWER To determine whether to continue,
modify, or terminate the plan of care
, 3
20.Nursing ABC's - ANSWER airway, breathing, circulation
21.Maslows level 1: physiologic needs - ANSWER oxygen, food, water,
sex, rest, physical activity; physiologic needs are highest priority
22.Maslows level 2: safety and security needs - ANSWER both physical
and emotional components; being protected from potential or actual
harm
23.Maslows level 3: love and belonging needs - ANSWER understanding
and acceptance of others in both giving and receiving love; feeling of
belonging; unmet needs produce loneliness and isolation
24.Maslows level 4: self-esteem needs - ANSWER Need for a person to
feel good about oneself, to feel pride and a sense of accomplishment and
to believe that others also respect and appreciate those accomplishments
-Positive self-esteem facilitates the person's confidence and independence
25.Maslows level 5: Self-Actualization - ANSWER acceptance of self and
others as they are; each lower level must be met; focus of interest on
problems outside oneself; respect for all people; focus on strengths and
possibilities vs problems
26.Macule - ANSWER flat, colored spot on the skin ex- birthmark
27.papule - ANSWER small, solid, raised lesion on surface of the skin -
less then 1cm ex- wart, acne
28.plaque - ANSWER a solid mass greater than 1 cm in diameter and
limited to the surface of the skin ex- psoriasis, rubeola
29.nodule - ANSWER solid, round or oval elevated lesion 1 cm or more in
diameter ex- squamous cell carcinoma
30.pustule - ANSWER elevation of skin containing pus ex- acne
31.Vesicle/Bulla - ANSWER circumscribed, round or oval thin translucent
mass vesicles less than 0.5 cm Example 2nd degree burns and herpes
simplex
, 4
32.cyst - ANSWER sac containing fluid
33.wheal - ANSWER raised red skin lesion due to interstitial fluid ex-
hives, mosquito bites
34.healthy nail shape - ANSWER 160 degree angle, smooth, return to usual
color in less than 2 seconds
35.clubbing of nails - ANSWER finding in the nails that indicates chronic
hypoxia. Greater thank 180 degree angle.
36.vesicular lung sounds - ANSWER low pitch, soft amplitude, rustling
sound, located over peripheral lung fields at the base of the lungs where
air flows through smaller bronchioles and alveoli. Best heard on
inspiration.
37.bronchovesicular lung sounds - ANSWER Medium pitch sound heard
over main bronchus area and over upper right posterior lung field. Equal
inspiratory and expiratory.
38.Bronchial lung sounds - ANSWER heard over trachea; expiratory sound
predominates; is higher pitched and louder
39.crackles (rales) - ANSWER short, discrete, interrupted, crackling sound
classified as fine to coarse; caused by air passing through secretions,
moisture
40.Gurgles (rhonchi) - ANSWER air passing through narrowed air passages
as a result of secretions, swelling tumor. continuous, low pitched, coarse,
gurgling, harsh, louder sounds with a moaning or snoring quality. best
heard on expiration but can be heard on both inspiration and expiration
41.friction rub - ANSWER a coarse, grating, adventitious lung sound heard
when the pleurae are inflamed
42.wheeze - ANSWER whistling or sighing sound heard on auscultation
that results from narrowing of the lumen of the respiratory passageway
43.Romberg test - ANSWER ask client to stand with feet at comfortable
distance apart, arms at sides, and eyes closed
