NUR 2804C Giddens Module 1 Exam WITH
CORRECT ANSWERS AND RATIONALE
UPDATED 2026 GRADED A+
1. Which action best demonstrates clinical judgment by the nurse?
A. Following a provider order exactly as written
B. Collecting cues, analyzing data, prioritizing, and taking action
C. Completing documentation at the end of the shift
D. Asking another nurse to make all decisions
Answer: B
Rationale: Clinical judgment involves noticing, interpreting, prioritizing, responding, and evaluating
patient data to make safe decisions.
2. A patient reports chest pain and shortness of breath. Which nursing action is the priority?
A. Ask about family history
B. Obtain a dietary history
C. Assess airway, breathing, and circulation
D. Teach relaxation techniques
Answer: C
Rationale: ABCs are the priority when symptoms suggest a potentially life-threatening condition.
3. Which finding is subjective data?
A. Blood pressure 148/90 mmHg
B. Patient states, “I feel dizzy.”
C. Oxygen saturation 92%
D. Temperature 101.2°F
Answer: B
,Rationale: Subjective data are what the patient reports; objective data are measurable or
observable.
4. Which finding is objective data?
A. “My pain is 8 out of 10.”
B. “I feel anxious.”
C. Respiratory rate 28/min
D. “I am nauseated.”
Answer: C
Rationale: Respiratory rate is measurable and observable.
5. Which step of the nursing process involves determining whether goals were met?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
Answer: D
Rationale: Evaluation determines patient response to interventions and whether outcomes were
achieved.
6. Which nursing diagnosis is written correctly?
A. Pain related to surgery as evidenced by patient rating pain 8/10
B. Appendicitis related to infection
C. Antibiotic therapy related to pneumonia
D. CT scan related to abdominal pain
Answer: A
Rationale: A nursing diagnosis includes the problem, cause, and evidence. Medical diagnoses and
treatments are not nursing diagnoses.
,7. A SMART goal should be:
A. Simple, meaningful, accurate, realistic, timely
B. Specific, measurable, achievable, relevant, time-limited
C. Safe, measurable, active, routine, taught
D. Subjective, medical, accountable, rapid, tested
Answer: B
Rationale: SMART goals are specific, measurable, achievable, relevant, and time-limited.
8. Which patient should the nurse assess first?
A. Patient requesting pain medication for chronic back pain
B. Patient with oxygen saturation of 86%
C. Patient needing discharge teaching
D. Patient waiting for breakfast tray
Answer: B
Rationale: Low oxygen saturation indicates impaired oxygenation and requires immediate
assessment.
9. Evidence-based practice combines best evidence with:
A. Tradition and routine care
B. Provider preference only
C. Clinical expertise and patient preferences
D. Hospital policy only
Answer: C
Rationale: EBP integrates research evidence, clinician expertise, and patient values/preferences.
10. Which question is best for the “P” in PICO?
A. What intervention is being compared?
B. Who is the patient or population?
, C. What outcome is expected?
D. What time frame is used?
Answer: B
Rationale: PICO stands for Patient/Population, Intervention, Comparison, and Outcome.
11. Which statement reflects patient-centered care?
A. “The provider decides what is best.”
B. “We will include your preferences in the care plan.”
C. “Family members should not participate.”
D. “All patients receive the same care.”
Answer: B
Rationale: Patient-centered care respects patient values, needs, and preferences.
12. Which action promotes patient safety?
A. Skipping handoff report if the nurse is busy
B. Using two patient identifiers before medication administration
C. Documenting care before providing it
D. Ignoring a medication allergy if the dose is low
Answer: B
Rationale: Two identifiers help prevent patient identification errors.
13. Which is an example of primary prevention?
A. Mammogram screening
B. Rehabilitation after stroke
C. Immunization
D. Wound care after surgery
Answer: C
CORRECT ANSWERS AND RATIONALE
UPDATED 2026 GRADED A+
1. Which action best demonstrates clinical judgment by the nurse?
A. Following a provider order exactly as written
B. Collecting cues, analyzing data, prioritizing, and taking action
C. Completing documentation at the end of the shift
D. Asking another nurse to make all decisions
Answer: B
Rationale: Clinical judgment involves noticing, interpreting, prioritizing, responding, and evaluating
patient data to make safe decisions.
2. A patient reports chest pain and shortness of breath. Which nursing action is the priority?
A. Ask about family history
B. Obtain a dietary history
C. Assess airway, breathing, and circulation
D. Teach relaxation techniques
Answer: C
Rationale: ABCs are the priority when symptoms suggest a potentially life-threatening condition.
3. Which finding is subjective data?
A. Blood pressure 148/90 mmHg
B. Patient states, “I feel dizzy.”
C. Oxygen saturation 92%
D. Temperature 101.2°F
Answer: B
,Rationale: Subjective data are what the patient reports; objective data are measurable or
observable.
4. Which finding is objective data?
A. “My pain is 8 out of 10.”
B. “I feel anxious.”
C. Respiratory rate 28/min
D. “I am nauseated.”
Answer: C
Rationale: Respiratory rate is measurable and observable.
5. Which step of the nursing process involves determining whether goals were met?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
Answer: D
Rationale: Evaluation determines patient response to interventions and whether outcomes were
achieved.
6. Which nursing diagnosis is written correctly?
A. Pain related to surgery as evidenced by patient rating pain 8/10
B. Appendicitis related to infection
C. Antibiotic therapy related to pneumonia
D. CT scan related to abdominal pain
Answer: A
Rationale: A nursing diagnosis includes the problem, cause, and evidence. Medical diagnoses and
treatments are not nursing diagnoses.
,7. A SMART goal should be:
A. Simple, meaningful, accurate, realistic, timely
B. Specific, measurable, achievable, relevant, time-limited
C. Safe, measurable, active, routine, taught
D. Subjective, medical, accountable, rapid, tested
Answer: B
Rationale: SMART goals are specific, measurable, achievable, relevant, and time-limited.
8. Which patient should the nurse assess first?
A. Patient requesting pain medication for chronic back pain
B. Patient with oxygen saturation of 86%
C. Patient needing discharge teaching
D. Patient waiting for breakfast tray
Answer: B
Rationale: Low oxygen saturation indicates impaired oxygenation and requires immediate
assessment.
9. Evidence-based practice combines best evidence with:
A. Tradition and routine care
B. Provider preference only
C. Clinical expertise and patient preferences
D. Hospital policy only
Answer: C
Rationale: EBP integrates research evidence, clinician expertise, and patient values/preferences.
10. Which question is best for the “P” in PICO?
A. What intervention is being compared?
B. Who is the patient or population?
, C. What outcome is expected?
D. What time frame is used?
Answer: B
Rationale: PICO stands for Patient/Population, Intervention, Comparison, and Outcome.
11. Which statement reflects patient-centered care?
A. “The provider decides what is best.”
B. “We will include your preferences in the care plan.”
C. “Family members should not participate.”
D. “All patients receive the same care.”
Answer: B
Rationale: Patient-centered care respects patient values, needs, and preferences.
12. Which action promotes patient safety?
A. Skipping handoff report if the nurse is busy
B. Using two patient identifiers before medication administration
C. Documenting care before providing it
D. Ignoring a medication allergy if the dose is low
Answer: B
Rationale: Two identifiers help prevent patient identification errors.
13. Which is an example of primary prevention?
A. Mammogram screening
B. Rehabilitation after stroke
C. Immunization
D. Wound care after surgery
Answer: C
