NURS 142 MIDTERM EXAM 300 – COMPREHENSIVE QUESTIONS
AND ANSWERS | VERIFIED AND WELLDETAILED ANSWERS | DETAILED EXPLANATIONS AND
RATIONALES | COMPLETE EXAM PREPARATION STUDY GUIDE | PRACTICE QUESTIONS |
LATEST EXAM UPDATE
• CORE DOMAINS
•
• Nursing fundamentals and professional practice
• Health assessment and clinical judgment
• Infection prevention and control
• Patient safety and quality improvement
• Vital signs, measurements, and basic clinical skills
• Pharmacology and medication safety
• Nutrition, hydration, elimination, and mobility
• Communication, documentation, ethics, and legal responsibilities
• Patient-centered care and health education
• Basic physiological responses and care planning
• INTRODUCTION
•
This comprehensive assessment is designed to strengthen the foundational knowledge,
clinical reasoning, and practical decision-making skills expected in an introductory nursing
course. The questions assess essential nursing concepts through definitions, principles,
clinical applications, safety considerations, patient communication, assessment findings, and
appropriate interventions. Multiple-choice questions are used to develop recognition of
important concepts while also requiring learners to distinguish between similar findings and
select the safest nursing action. Understanding the rationale behind each answer is essential
because effective nursing practice depends on applying knowledge to individual patient
situations rather than relying solely on memorization.
SECTION ONE: QUESTIONS 1–100
Question 1. Which action best demonstrates the primary purpose of the nursing process?
A. Completing documentation before providing care
B. Providing individualized, systematic patient care
C. Following every treatment exactly as prescribed
D. Delegating most patient-care activities
Correct Answer: B. Providing individualized, systematic patient care
,Explanation: The nursing process provides a systematic framework for individualized care.
Assessment, diagnosis, planning, implementation, and evaluation allow the nurse to identify
patient needs and determine whether interventions are effective.
Question 2. Which phase of the nursing process involves collecting subjective and objective
information?
A. Assessment
B. Planning
C. Implementation
D. Evaluation
Correct Answer: A. Assessment
Explanation: Assessment is the systematic collection of subjective information reported by
the patient and objective information obtained through observation, examination, and
measurement.
Question 3. Which finding is considered subjective data?
A. Blood pressure of 142/88 mm Hg
B. Respiratory rate of 24/min
C. Patient reports feeling nauseated
D. Oxygen saturation of 94%
Correct Answer: C. Patient reports feeling nauseated
Explanation: Subjective data are symptoms or experiences reported by the patient and
cannot be directly measured by the nurse. Nausea is a patient-reported sensation.
Question 4. Which finding represents objective data?
A. “My pain is severe.”
B. “I feel dizzy.”
C. “I am worried about surgery.”
D. Temperature of 38.4°C (101.1°F)
Correct Answer: D. Temperature of 38.4°C (101.1°F)
Explanation: Objective data are observable or measurable findings obtained by the nurse,
such as temperature, pulse, respiratory rate, blood pressure, and physical assessment
findings.
Question 5. Which nursing action is most appropriate immediately after identifying an
abnormal assessment finding?
A. Ignore the finding if the patient is comfortable
B. Validate the finding and determine its significance
, C. Document it at the end of the shift only
D. Ask another patient whether the finding is normal
Correct Answer: B. Validate the finding and determine its significance
Explanation: An abnormal finding should be validated when appropriate and assessed in
context. The nurse must determine whether it represents a change in condition requiring
intervention or notification.
Question 6. Which component of a nursing diagnosis identifies the patient's response to a
health problem?
A. Etiology
B. Medical diagnosis
C. Problem
D. Medical treatment
Correct Answer: C. Problem
Explanation: The problem portion of a nursing diagnosis identifies the human response or
patient problem addressed through nursing care. The etiology identifies contributing factors
when appropriate.
Question 7. Which statement represents an appropriate patient-centered goal?
A. Nurse will monitor the patient's pain every hour
B. Patient will report pain at or below 3/10 within one hour of intervention
C. Nurse will administer prescribed analgesic
D. Staff will provide comfort measures
Correct Answer: B. Patient will report pain at or below 3/10 within one hour of intervention
Explanation: A measurable patient-centered goal describes an expected patient outcome,
includes a measurable criterion, and establishes a timeframe.
Question 8. During which phase does the nurse determine whether planned interventions
achieved the desired outcomes?
A. Assessment
B. Diagnosis
C. Implementation
D. Evaluation
Correct Answer: D. Evaluation
Explanation: Evaluation involves comparing actual patient outcomes with established goals.
The nurse determines whether the plan should be continued, modified, or discontinued.
Question 9. Which action is part of implementation?
AND ANSWERS | VERIFIED AND WELLDETAILED ANSWERS | DETAILED EXPLANATIONS AND
RATIONALES | COMPLETE EXAM PREPARATION STUDY GUIDE | PRACTICE QUESTIONS |
LATEST EXAM UPDATE
• CORE DOMAINS
•
• Nursing fundamentals and professional practice
• Health assessment and clinical judgment
• Infection prevention and control
• Patient safety and quality improvement
• Vital signs, measurements, and basic clinical skills
• Pharmacology and medication safety
• Nutrition, hydration, elimination, and mobility
• Communication, documentation, ethics, and legal responsibilities
• Patient-centered care and health education
• Basic physiological responses and care planning
• INTRODUCTION
•
This comprehensive assessment is designed to strengthen the foundational knowledge,
clinical reasoning, and practical decision-making skills expected in an introductory nursing
course. The questions assess essential nursing concepts through definitions, principles,
clinical applications, safety considerations, patient communication, assessment findings, and
appropriate interventions. Multiple-choice questions are used to develop recognition of
important concepts while also requiring learners to distinguish between similar findings and
select the safest nursing action. Understanding the rationale behind each answer is essential
because effective nursing practice depends on applying knowledge to individual patient
situations rather than relying solely on memorization.
SECTION ONE: QUESTIONS 1–100
Question 1. Which action best demonstrates the primary purpose of the nursing process?
A. Completing documentation before providing care
B. Providing individualized, systematic patient care
C. Following every treatment exactly as prescribed
D. Delegating most patient-care activities
Correct Answer: B. Providing individualized, systematic patient care
,Explanation: The nursing process provides a systematic framework for individualized care.
Assessment, diagnosis, planning, implementation, and evaluation allow the nurse to identify
patient needs and determine whether interventions are effective.
Question 2. Which phase of the nursing process involves collecting subjective and objective
information?
A. Assessment
B. Planning
C. Implementation
D. Evaluation
Correct Answer: A. Assessment
Explanation: Assessment is the systematic collection of subjective information reported by
the patient and objective information obtained through observation, examination, and
measurement.
Question 3. Which finding is considered subjective data?
A. Blood pressure of 142/88 mm Hg
B. Respiratory rate of 24/min
C. Patient reports feeling nauseated
D. Oxygen saturation of 94%
Correct Answer: C. Patient reports feeling nauseated
Explanation: Subjective data are symptoms or experiences reported by the patient and
cannot be directly measured by the nurse. Nausea is a patient-reported sensation.
Question 4. Which finding represents objective data?
A. “My pain is severe.”
B. “I feel dizzy.”
C. “I am worried about surgery.”
D. Temperature of 38.4°C (101.1°F)
Correct Answer: D. Temperature of 38.4°C (101.1°F)
Explanation: Objective data are observable or measurable findings obtained by the nurse,
such as temperature, pulse, respiratory rate, blood pressure, and physical assessment
findings.
Question 5. Which nursing action is most appropriate immediately after identifying an
abnormal assessment finding?
A. Ignore the finding if the patient is comfortable
B. Validate the finding and determine its significance
, C. Document it at the end of the shift only
D. Ask another patient whether the finding is normal
Correct Answer: B. Validate the finding and determine its significance
Explanation: An abnormal finding should be validated when appropriate and assessed in
context. The nurse must determine whether it represents a change in condition requiring
intervention or notification.
Question 6. Which component of a nursing diagnosis identifies the patient's response to a
health problem?
A. Etiology
B. Medical diagnosis
C. Problem
D. Medical treatment
Correct Answer: C. Problem
Explanation: The problem portion of a nursing diagnosis identifies the human response or
patient problem addressed through nursing care. The etiology identifies contributing factors
when appropriate.
Question 7. Which statement represents an appropriate patient-centered goal?
A. Nurse will monitor the patient's pain every hour
B. Patient will report pain at or below 3/10 within one hour of intervention
C. Nurse will administer prescribed analgesic
D. Staff will provide comfort measures
Correct Answer: B. Patient will report pain at or below 3/10 within one hour of intervention
Explanation: A measurable patient-centered goal describes an expected patient outcome,
includes a measurable criterion, and establishes a timeframe.
Question 8. During which phase does the nurse determine whether planned interventions
achieved the desired outcomes?
A. Assessment
B. Diagnosis
C. Implementation
D. Evaluation
Correct Answer: D. Evaluation
Explanation: Evaluation involves comparing actual patient outcomes with established goals.
The nurse determines whether the plan should be continued, modified, or discontinued.
Question 9. Which action is part of implementation?
