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Health Sciences Comprehensive Assessment • 150 Questions
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Introduction
The NUR 211 Final Examination in Health Sciences Comprehensive Assessment evaluates a nursing
student’s readiness to deliver safe, foundational care across clinical settings. Rather than testing
recall in isolation, the examination emphasizes applied professional judgment through realistic care
scenarios drawn from eight core domains: Foundations of Nursing Care; Health Assessment and
Vital Signs; Basic Pharmacology and Medication Administration; Infection Control and Patient
Safety; Nutrition and Fluid and Electrolyte Balance; Oxygenation and Respiratory Care; Elimination
and Bowel Management; and Mobility, Immobility, and Skin Integrity. Each scenario reflects
decisions nurses encounter when balancing patient safety, accurate assessment, therapeutic
execution, and comfort promotion. Successful performance verifies a candidate’s competence for
academic progression and confirms the sound judgment required for health sciences clinical
execution.
Question 1. Which statement best reflects holistic nursing care?
A. Treating the disease process while ignoring other dimensions
B. Addressing the physical, emotional, social, and spiritual needs of the whole person
C. Focusing exclusively on physical assessment findings
D. Delegating emotional care to family members entirely
Correct Answer: B — Addressing the physical, emotional, social, and spiritual needs of
the whole person
Rationale: Holistic care considers the entire person in context. Single-system focus and
delegation of emotional or spiritual dimensions fragment care.
Question 2. Which action demonstrates accurate patient identification before a procedure?
A. Asking the roommate to confirm the patient's name
B. Relying on memory from the previous shift report
C. Matching the room and bed number to the task list
D. Comparing two patient identifiers on the wristband with the order
Correct Answer: D — Comparing two patient identifiers on the wristband with the order
Rationale: Two unique identifiers verified against the order prevent wrong-patient events.
Roommates, room numbers, and memory are unacceptable identifiers.
Question 3. What is an advance directive?
A. A document recording a person's wishes for care if unable to communicate
, B. A consent form for a specific surgical operation
C. An insurance authorization for hospital admission
D. A physician's order for daily wound treatment
Correct Answer: A — A document recording a person's wishes for care if unable to
communicate
Rationale: Advance directives preserve autonomy for future incapacity. Treatment orders,
authorizations, and procedure consents are different documents.
Question 4. A patient in respiratory distress should be assessed before a patient requesting
medication for chronic pain. Which principle applies?
A. Deferring assessment until the provider arrives
B. Prioritizing actual or potential threats to life over comfort needs
C. Seeing patients in room number sequence
D. Completing tasks in the order they were requested
Correct Answer: B — Prioritizing actual or potential threats to life over comfort needs
Rationale: Life-threatening needs outrank comfort in priority frameworks. Request order,
geography, and deferral ignore physiologic risk.
Question 5. Which phase of the nursing process determines whether goals were met?
A. Diagnosis
B. Evaluation
C. Assessment
D. Implementation
Correct Answer: B — Evaluation
Rationale: Evaluation measures outcomes against goals. Assessment gathers data,
implementation delivers care, and diagnosis labels problems.
Question 6. Which outcome statement is correctly written?
A. The patient will ambulate 30 metres in the hallway with assistance by day two
B. The nurse will encourage mobility every day
C. The patient will feel better about walking soon
D. The patient understands the importance of activity
Correct Answer: A — The patient will ambulate 30 metres in the hallway with assistance
by day two
Rationale: Measurable, patient-centred outcomes specify action, amount, and time. Feelings,
nurse actions, and understanding are not observable targets.
Question 7. Which intervention is within independent nursing scope?
A. Repositioning an immobile patient every two hours
B. Ordering a chest radiograph for cough
, C. Prescribing an antibiotic for infection
D. Adjusting a warfarin dose independently
Correct Answer: A — Repositioning an immobile patient every two hours
Rationale: Repositioning is a nurse-initiated comfort and safety action. Prescribing, ordering
imaging, and dose changes require provider orders.
Question 8. Which response is an example of therapeutic communication?
A. Why did you wait so long to seek help
B. Everything will be fine, do not worry
C. You should listen to your doctor's advice
D. Tell me more about how you are feeling since the diagnosis
Correct Answer: D — Tell me more about how you are feeling since the diagnosis
Rationale: Open-ended invitations explore feelings without judgment. False reassurance, why
questions, and advice-giving block communication.
Question 9. A patient says, I am afraid I will not see my granddaughter grow up. Which response
validates feelings?
A. Let us talk about your medication schedule instead
B. It sounds like family means a great deal to you right now
C. Try to stay positive and stop worrying
D. There is no reason to feel that way today
Correct Answer: B — It sounds like family means a great deal to you right now
Rationale: Reflection acknowledges the expressed emotion. Denial, topic change, and
cheerfulness dismiss the patient's concern.
Question 10. Using Maslow's hierarchy, which patient need takes priority?
A. Impaired airway clearance with low oxygen saturation
B. Desire to discuss spiritual beliefs with clergy
C. Anxiety about returning to work after illness
D. Request for a private room for comfort
Correct Answer: A — Impaired airway clearance with low oxygen saturation
Rationale: Physiologic airway needs precede safety, esteem, and spiritual concerns. The others
are higher-level needs.
Question 11. An older adult reviewing life accomplishments with acceptance reflects which
developmental stage?
A. Identity versus role confusion
B. Intimacy versus isolation
C. Generativity versus stagnation
D. Integrity versus despair
, Correct Answer: D — Integrity versus despair
Rationale: Later adulthood centers on reflecting life with integrity or regret. Identity,
generativity, and intimacy belong to earlier stages.
Question 12. Which evidence-based action applies to family presence during resuscitation?
A. Permitting entry solely at physician discretion
B. Allowing presence only for staff relatives
C. Offering the option with a staff member supporting the family at the bedside
D. Banning families from all resuscitation events
Correct Answer: C — Offering the option with a staff member supporting the family at the
bedside
Rationale: Evidence supports facilitated family presence as beneficial. Blanket bans and
restrictive exceptions contradict current standards.
Question 13. Which format structures nurse-to-provider communication about a change in patient
status?
A. Review, order, dispense, document
B. Report, verify, file, close
C. Situation, background, assessment, recommendation
D. Subjective, objective, plan, education
Correct Answer: C — Situation, background, assessment, recommendation
Rationale: SBAR organizes urgent clinical communication. The other sequences are not
communication frameworks.
Question 14. Which time-management approach best protects patient safety during a busy shift?
A. Working strictly down the task list regardless of acuity
B. Completing assessments for the highest-acuity patients first and clustering nearby tasks
C. Skipping safety checks when the unit is short staffed
D. Deferring all assessments until after documentation
Correct Answer: B — Completing assessments for the highest-acuity patients first and
clustering nearby tasks
Rationale: Acuity-based sequencing with task clustering manages workload safely. List order,
deferred assessment, and skipped checks create risk.
Question 15. When should informed consent be obtained for a scheduled procedure?
A. At any time, since signatures can be backdated
B. Before the procedure, with the patient free of sedation and able to ask questions
C. From a family member even when the patient can decide
D. After induction of anesthesia in the operating room