NUR 242 — Exam 1
Fundamentals of Nursing
— Complete Question Bank
NCLEX-Style Practice Questions with Detailed Rationales
Topic: Comprehensive Fundamentals of Nursing — 200 Questions
Edition 1 · September 2026
Table of Contents
1. Instructions for Use 2
2. Practice Questions with Answers & Rationales — Fundamentals of Nursing (200 2
Questions)
NUR 242 · Galen College of Nursing Page 1
,NUR 242 EXAM 1 PRACTICE GUIDE INSTRUCTIONS & PRACTICE QUESTIONS
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is. All questions are based on the Galen College of Nursing NUR 242 Medical-
Surgical Nursing Concepts curriculum.
Category: Fundamentals of Nursing — Comprehensive Review (200
Questions)
1. A nursing student is learning the nursing process. The student correctly
identifies that ADPIE stands for which of the following?
A. Assessment, Diagnosis, Planning, Intervention, Evaluation
B. Assessment, Diagnosis, Planning, Implementation, Evaluation
C. Assessment, Data collection, Planning, Intervention, Evaluation
D. Assessment, Diagnosis, Procedures, Intervention, Evaluation
Correct Answer: A
Rationale: ADPIE stands for Assessment, Diagnosis, Planning, Intervention, and
Evaluation. This framework guides nurses in delivering client-focused care using critical
thinking and evidence-based practice.
Tested Concept: Nursing process — ADPIE
Source Concept: "ADPIE - Nursing Process: Assessment, Diagnosis, Plan, Intervention,
Evaluation."
Easy
,2. According to the World Health Organization (WHO), health is defined as which
of the following?
A. A state of complete physical, mental, and social well-being, not merely the absence
of disease
B. The absence of disease or infirmity
C. The ability to perform activities of daily living independently
D. A state of physical fitness and emotional stability
Correct Answer: A
Rationale: The WHO defines health as a state of complete physical, mental, and social
well-being, not merely the absence of disease or infirmity. This holistic definition
recognizes the multidimensional nature of health.
Tested Concept: WHO definition of health
Source Concept: "Health is a state of complete physical, mental and social well-being and
not merely the absence of disease or infirmity."
Easy
, 3. A nurse is educating a client about disease prevention. The nurse identifies that
a mammogram for breast cancer screening is an example of which level of
prevention?
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: A
Rationale: Secondary prevention involves screening and early detection of disease to
prevent progression. Mammograms are screening tests used for early detection of
breast cancer.
Tested Concept: Levels of prevention — secondary
Source Concept: "Primary- Prevention. Secondary- Screening. Tertiary-Rehab."
Easy