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NUR 160 HONDROS - FINAL EXAM 2026/2027 |
FUNDAMENTAL CONCEPTS OF PRACTICAL
NURSING II | MULTIPLE-CHOICE | 100 VERIFIED
Q&A | DETAILED RATIONALES | PASS
GUARANTEED – A+ GRADED
EXAM BLUEPRINT OVERVIEW
Topic Approximate Weight
Nursing Process, Critical Thinking & Clinical Judgment ~15%
Safety & Infection Control ~15%
Vital Signs & Physical Assessment ~15%
Medication Administration & Safety ~15%
Basic Care & Comfort ~15%
Legal & Ethical Issues ~10%
Mobility & Body Mechanics ~10%
Documentation & Communication ~5%
SECTION 1: NURSING PROCESS, CRITICAL THINKING & CLINICAL JUDGMENT - Questions 1-15
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
,2
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). Assessment is data collection, planning sets goals, and implementation
carries out interventions. [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
hierarchy. Chest pain unrelieved by medication suggests a potential cardiac event, which threatens
circulation and requires immediate assessment. New admissions, scheduled dressings, and
ambulation assistance can wait. [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
, 3
must evaluate the interventions and revise the plan as needed. Reassessment is part of evaluation,
but the immediate step is to evaluate effectiveness. [100% CORRECT]
Q5: Nursing Process - Planning
During the planning phase of the nursing process, the nurse:
A. Collects patient data
B. Establishes priorities and identifies patient-centered goals
C. Implements nursing interventions
D. Evaluates the effectiveness of care
Correct Answer: B
Rationale: Planning is the third step of the nursing process where the nurse establishes priorities,
identifies patient-centered goals, and develops expected outcomes. This phase also involves
selecting evidence-based interventions to achieve the goals. [100% CORRECT]
Q6: Nursing Process - Implementation
During the implementation phase, the nurse:
A. Identifies nursing diagnoses
B. Carries out the planned nursing interventions
C. Writes patient goals
D. Collects subjective and objective data
Correct Answer: B
Rationale: Implementation is the action phase of the nursing process where the nurse carries out
the planned interventions. This includes performing nursing actions, delegating tasks, and
documenting care provided. [100% CORRECT]
Q7: Critical Thinking - Clinical Judgment
A nurse is using critical thinking to prioritize care for multiple patients. Which framework should the
nurse use to determine the order of care?
A. Alphabetical order by patient name
B. Maslow's hierarchy of needs
C. Room number order
D. Chronological order of admission
Correct Answer: B
Rationale: Maslow's hierarchy of needs guides prioritization by addressing physiological needs
(airway, breathing, circulation) first, followed by safety, love/belonging, esteem, and self-
actualization. This framework ensures life-threatening needs are addressed before less critical
needs. [100% CORRECT]
Q8: Clinical Judgment - Recognizing Cues
A nurse notes that a postoperative patient's oxygen saturation has dropped from 95% to 88% and
the patient is restless. What is the nurse's priority action?
A. Document the findings
NUR 160 HONDROS - FINAL EXAM 2026/2027 |
FUNDAMENTAL CONCEPTS OF PRACTICAL
NURSING II | MULTIPLE-CHOICE | 100 VERIFIED
Q&A | DETAILED RATIONALES | PASS
GUARANTEED – A+ GRADED
EXAM BLUEPRINT OVERVIEW
Topic Approximate Weight
Nursing Process, Critical Thinking & Clinical Judgment ~15%
Safety & Infection Control ~15%
Vital Signs & Physical Assessment ~15%
Medication Administration & Safety ~15%
Basic Care & Comfort ~15%
Legal & Ethical Issues ~10%
Mobility & Body Mechanics ~10%
Documentation & Communication ~5%
SECTION 1: NURSING PROCESS, CRITICAL THINKING & CLINICAL JUDGMENT - Questions 1-15
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
,2
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). Assessment is data collection, planning sets goals, and implementation
carries out interventions. [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
hierarchy. Chest pain unrelieved by medication suggests a potential cardiac event, which threatens
circulation and requires immediate assessment. New admissions, scheduled dressings, and
ambulation assistance can wait. [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
, 3
must evaluate the interventions and revise the plan as needed. Reassessment is part of evaluation,
but the immediate step is to evaluate effectiveness. [100% CORRECT]
Q5: Nursing Process - Planning
During the planning phase of the nursing process, the nurse:
A. Collects patient data
B. Establishes priorities and identifies patient-centered goals
C. Implements nursing interventions
D. Evaluates the effectiveness of care
Correct Answer: B
Rationale: Planning is the third step of the nursing process where the nurse establishes priorities,
identifies patient-centered goals, and develops expected outcomes. This phase also involves
selecting evidence-based interventions to achieve the goals. [100% CORRECT]
Q6: Nursing Process - Implementation
During the implementation phase, the nurse:
A. Identifies nursing diagnoses
B. Carries out the planned nursing interventions
C. Writes patient goals
D. Collects subjective and objective data
Correct Answer: B
Rationale: Implementation is the action phase of the nursing process where the nurse carries out
the planned interventions. This includes performing nursing actions, delegating tasks, and
documenting care provided. [100% CORRECT]
Q7: Critical Thinking - Clinical Judgment
A nurse is using critical thinking to prioritize care for multiple patients. Which framework should the
nurse use to determine the order of care?
A. Alphabetical order by patient name
B. Maslow's hierarchy of needs
C. Room number order
D. Chronological order of admission
Correct Answer: B
Rationale: Maslow's hierarchy of needs guides prioritization by addressing physiological needs
(airway, breathing, circulation) first, followed by safety, love/belonging, esteem, and self-
actualization. This framework ensures life-threatening needs are addressed before less critical
needs. [100% CORRECT]
Q8: Clinical Judgment - Recognizing Cues
A nurse notes that a postoperative patient's oxygen saturation has dropped from 95% to 88% and
the patient is restless. What is the nurse's priority action?
A. Document the findings
