1
PRN 1032 - MIDTERM EXAM 2026/2027 | MULTIPLE-
CHOICE | 75 VERIFIED Q&A | DETAILED RATIONALES |
NGN-ALIGNED | PASS GUARANTEED – A+ GRADED
SECTION 1: FUNDAMENTALS OF NURSING - Questions 1-10
Q1: Nursing Process - Assessment
A nurse is performing a comprehensive assessment on a newly admitted patient. Which action is
considered subjective data collection?
A. Taking the patient's blood pressure
B. Listening to breath sounds
C. Asking the patient about pain intensity
D. Palpating the abdomen for tenderness
Correct Answer: C
Rationale: Subjective data are information reported by the patient, such as pain intensity, nausea, or
feelings. Objective data are measurable and observable (blood pressure, breath sounds, palpation
findings). Assessment is the first step of the nursing process. [100% CORRECT]
Q2: Nursing Process - Diagnosis
After assessing a patient with impaired skin integrity, the nurse writes the nursing diagnosis:
"Impaired Skin Integrity related to decreased mobility as evidenced by stage 2 pressure ulcer." This
statement represents which component of the nursing process?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
Correct Answer: B
Rationale: The nursing diagnosis is the second step of the nursing process, where the nurse analyzes
assessment data to identify patient problems. The statement uses NANDA-I format (problem,
etiology, signs/symptoms). [100% CORRECT]
Q3: Critical Thinking - Prioritization
A nurse on a medical-surgical unit receives shift report. Which patient should the nurse assess
FIRST?
A. A patient with a new admission order for antibiotics
B. A patient who is scheduled for a dressing change
C. A patient reporting chest pain that is unrelieved by medication
D. A patient who needs assistance with ambulation
Correct Answer: C
Rationale: Prioritization is based on the ABCs (Airway, Breathing, Circulation) and Maslow's
,2
hierarchy. Chest pain unrelieved by medication suggests a potential cardiac event, which threatens
circulation and requires immediate assessment. [100% CORRECT]
Q4: Nursing Process - Evaluation
A nurse implemented a fall prevention protocol for an elderly patient. The next day, the patient is
found ambulating without assistance. Which step of the nursing process should the nurse take?
A. Reassess the patient's fall risk
B. Modify the care plan to include further interventions
C. Evaluate the effectiveness of the interventions
D. Implement additional restraints
Correct Answer: C
Rationale: Evaluation is the final step of the nursing process, where the nurse assesses whether the
interventions were effective in achieving outcomes. If the patient is not following the plan, the nurse
must evaluate the interventions and revise the plan as needed. [100% CORRECT]
Q5: Documentation - Legal Considerations
A nurse documents in the medical record: "Patient ambulated 20 feet with assistance, tolerated
well, and reported pain as 3/10." This is an example of which type of documentation?
A. Subjective data only
B. Objective data only
C. Both subjective and objective data
D. Interpretation of data
Correct Answer: C
Rationale: The documentation includes objective data ("ambulated 20 feet with assistance") and
subjective data ("reported pain as 3/10"). It is factual, specific, and avoids interpretation. Good
documentation is accurate, timely, and includes both types of data. [100% CORRECT]
Q6: Client Education - Low-Sodium Diet
The nurse is teaching a patient about a low-sodium diet. Which statement by the patient indicates a
correct understanding?
A. "I should avoid fresh fruits and vegetables."
B. "I can use salt substitutes freely without asking my doctor."
C. "I should read food labels for sodium content."
D. "Processed meats are low in sodium."
Correct Answer: C
Rationale: Reading food labels is essential for monitoring sodium intake. Fresh fruits and vegetables
are naturally low in sodium. Salt substitutes may contain potassium and should be used with
caution. Processed meats are high in sodium. [100% CORRECT]
Q7: Nursing Process - Outcome Identification
A patient with diabetes has a goal to "achieve blood glucose levels between 70-110 mg/dL before
meals within 3 days." This is an example of:
, 3
A. A nursing diagnosis
B. A measurable outcome
C. An intervention
D. An assessment finding
Correct Answer: B
Rationale: Outcome identification involves setting measurable, realistic, and time-bound goals. This
statement includes a specific target (glucose range) and timeframe (3 days). Nursing diagnosis
identifies the problem, interventions are actions, and assessment is data collection. [100% CORRECT]
Q8: Delegation - UAP Scope
Which task can a nurse safely delegate to unlicensed assistive personnel (UAP)?
A. Measuring a patient's intake and output
B. Administering oral medications
C. Assessing a wound for signs of infection
D. Developing a teaching plan for discharge
Correct Answer: A
Rationale: Measuring intake and output is within the UAP scope of practice. Administering
medications, performing assessments, and teaching require nursing judgment and are not delegable.
The RN remains responsible for supervision and evaluation. [100% CORRECT]
Q9: Maslow's Hierarchy - Prioritization
A nurse is prioritizing care for a group of patients. According to Maslow's hierarchy of needs, which
patient should the nurse address FIRST?
A. A patient who is hungry and needs assistance with meals
B. A patient who is experiencing acute shortness of breath
C. A patient who is anxious about an upcoming surgery
D. A patient who requests help with bathing
Correct Answer: B
Rationale: According to Maslow's hierarchy of needs, physiological needs (air, food, water, shelter)
must be met before higher-level needs such as safety, love/belonging, self-esteem, and self-
actualization. Acute shortness of breath represents an immediate physiological need for
oxygenation. [100% CORRECT]
Q10: Maslow's Hierarchy - Application
A patient who has just been diagnosed with cancer expresses fear about the future. The patient's
spouse is supportive and remains at the bedside. According to Maslow's hierarchy, which level of
need is being MET by the spouse's presence?
A. Physiological needs
B. Safety and security
C. Love and belonging
D. Self-esteem
PRN 1032 - MIDTERM EXAM 2026/2027 | MULTIPLE-
CHOICE | 75 VERIFIED Q&A | DETAILED RATIONALES |
NGN-ALIGNED | PASS GUARANTEED – A+ GRADED
SECTION 1: FUNDAMENTALS OF NURSING - Questions 1-10
Q1: Nursing Process - Assessment
A nurse is performing a comprehensive assessment on a newly admitted patient. Which action is
considered subjective data collection?
A. Taking the patient's blood pressure
B. Listening to breath sounds
C. Asking the patient about pain intensity
D. Palpating the abdomen for tenderness
Correct Answer: C
Rationale: Subjective data are information reported by the patient, such as pain intensity, nausea, or
feelings. Objective data are measurable and observable (blood pressure, breath sounds, palpation
findings). Assessment is the first step of the nursing process. [100% CORRECT]
Q2: Nursing Process - Diagnosis
After assessing a patient with impaired skin integrity, the nurse writes the nursing diagnosis:
"Impaired Skin Integrity related to decreased mobility as evidenced by stage 2 pressure ulcer." This
statement represents which component of the nursing process?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
Correct Answer: B
Rationale: The nursing diagnosis is the second step of the nursing process, where the nurse analyzes
assessment data to identify patient problems. The statement uses NANDA-I format (problem,
etiology, signs/symptoms). [100% CORRECT]
Q3: Critical Thinking - Prioritization
A nurse on a medical-surgical unit receives shift report. Which patient should the nurse assess
FIRST?
A. A patient with a new admission order for antibiotics
B. A patient who is scheduled for a dressing change
C. A patient reporting chest pain that is unrelieved by medication
D. A patient who needs assistance with ambulation
Correct Answer: C
Rationale: Prioritization is based on the ABCs (Airway, Breathing, Circulation) and Maslow's
,2
hierarchy. Chest pain unrelieved by medication suggests a potential cardiac event, which threatens
circulation and requires immediate assessment. [100% CORRECT]
Q4: Nursing Process - Evaluation
A nurse implemented a fall prevention protocol for an elderly patient. The next day, the patient is
found ambulating without assistance. Which step of the nursing process should the nurse take?
A. Reassess the patient's fall risk
B. Modify the care plan to include further interventions
C. Evaluate the effectiveness of the interventions
D. Implement additional restraints
Correct Answer: C
Rationale: Evaluation is the final step of the nursing process, where the nurse assesses whether the
interventions were effective in achieving outcomes. If the patient is not following the plan, the nurse
must evaluate the interventions and revise the plan as needed. [100% CORRECT]
Q5: Documentation - Legal Considerations
A nurse documents in the medical record: "Patient ambulated 20 feet with assistance, tolerated
well, and reported pain as 3/10." This is an example of which type of documentation?
A. Subjective data only
B. Objective data only
C. Both subjective and objective data
D. Interpretation of data
Correct Answer: C
Rationale: The documentation includes objective data ("ambulated 20 feet with assistance") and
subjective data ("reported pain as 3/10"). It is factual, specific, and avoids interpretation. Good
documentation is accurate, timely, and includes both types of data. [100% CORRECT]
Q6: Client Education - Low-Sodium Diet
The nurse is teaching a patient about a low-sodium diet. Which statement by the patient indicates a
correct understanding?
A. "I should avoid fresh fruits and vegetables."
B. "I can use salt substitutes freely without asking my doctor."
C. "I should read food labels for sodium content."
D. "Processed meats are low in sodium."
Correct Answer: C
Rationale: Reading food labels is essential for monitoring sodium intake. Fresh fruits and vegetables
are naturally low in sodium. Salt substitutes may contain potassium and should be used with
caution. Processed meats are high in sodium. [100% CORRECT]
Q7: Nursing Process - Outcome Identification
A patient with diabetes has a goal to "achieve blood glucose levels between 70-110 mg/dL before
meals within 3 days." This is an example of:
, 3
A. A nursing diagnosis
B. A measurable outcome
C. An intervention
D. An assessment finding
Correct Answer: B
Rationale: Outcome identification involves setting measurable, realistic, and time-bound goals. This
statement includes a specific target (glucose range) and timeframe (3 days). Nursing diagnosis
identifies the problem, interventions are actions, and assessment is data collection. [100% CORRECT]
Q8: Delegation - UAP Scope
Which task can a nurse safely delegate to unlicensed assistive personnel (UAP)?
A. Measuring a patient's intake and output
B. Administering oral medications
C. Assessing a wound for signs of infection
D. Developing a teaching plan for discharge
Correct Answer: A
Rationale: Measuring intake and output is within the UAP scope of practice. Administering
medications, performing assessments, and teaching require nursing judgment and are not delegable.
The RN remains responsible for supervision and evaluation. [100% CORRECT]
Q9: Maslow's Hierarchy - Prioritization
A nurse is prioritizing care for a group of patients. According to Maslow's hierarchy of needs, which
patient should the nurse address FIRST?
A. A patient who is hungry and needs assistance with meals
B. A patient who is experiencing acute shortness of breath
C. A patient who is anxious about an upcoming surgery
D. A patient who requests help with bathing
Correct Answer: B
Rationale: According to Maslow's hierarchy of needs, physiological needs (air, food, water, shelter)
must be met before higher-level needs such as safety, love/belonging, self-esteem, and self-
actualization. Acute shortness of breath represents an immediate physiological need for
oxygenation. [100% CORRECT]
Q10: Maslow's Hierarchy - Application
A patient who has just been diagnosed with cancer expresses fear about the future. The patient's
spouse is supportive and remains at the bedside. According to Maslow's hierarchy, which level of
need is being MET by the spouse's presence?
A. Physiological needs
B. Safety and security
C. Love and belonging
D. Self-esteem
