NURS 100 FUNDAMENTALS OF NURSING ASSESSMENT 1
COMPLETE PRACTICE EXAM — 250 QUESTIONS WITH
VERIFIED ANSWERS & DETAILED RATIONALES
EXAM OVERVIEW
SECTION 1: NURSING PROCESS & CLINICAL JUDGMENT
(Questions 1-35)
Question 1
1. A nurse is developing a care plan for a client with impaired mobility. Which SMART goal is
most appropriate?
A) "Client will walk by discharge."
B) "Client will ambulate 50 feet with a walker without assistance within 3 days."
C) "Client will improve mobility."
D) "Client will use a wheelchair."
Answer
Answer B:
Rationale
SMART goals are Specific, Measurable, Attainable, Realistic, and Time-bound. Walking "with a
walker" is realistic and measurable. ---
Question 2
2. A nurse is using the nursing process. Which step involves collecting data about the client's
health status?
A) Diagnosis
B) Assessment
C) Planning
D) Evaluation
,Answer
Answer B:
Rationale
Assessment is the first step of the nursing process; it involves gathering subjective and objective data
about the client's health status. ---
Question 3
3. A client refuses a prescribed blood transfusion due to religious beliefs. The nurse respects
the refusal. This is an example of which ethical principle?
A) Beneficence
B) Autonomy
C) Non-maleficence
D) Justice
Answer
Answer B:
Rationale
Autonomy respects the client's right to make their own healthcare decisions. ---
Question 4
4. A nurse is documenting a client's response to a pain intervention. Which entry is most
complete?
A) "Client sleeping, no pain."
B) "Client reports pain decreased from 8/10 to 2/10 30 minutes after morphine 4 mg IV."
C) "Medication worked well."
D) "Client comfortable."
Answer
Answer B:
Rationale
,Complete documentation includes pain score, time, dose, route, and comparison. ---
Question 5
5. A nurse is using the nursing process to plan care. Which step involves setting measurable
goals?
A) Assessment
B) Diagnosis
C) Planning
D) Evaluation
Answer
Answer C:
Rationale
Planning includes developing goals and expected outcomes for the client. ---
Question 6
6. A nurse is documenting a client's education about insulin administration. Which entry is
most complete?
A) "Taught insulin injection. Client verbalized understanding."
B) "Taught insulin injection using teach-back. Client demonstrated correct injection technique. Will
recheck at next dose."
C) "Client educated."
D) "Insulin teaching done."
Answer
Answer B:
Rationale
Complete documentation includes the method used (teach-back), demonstration, and follow-up plan. --
-
Question 7
, 7. A nurse is documenting a client's progress notes using the DAR format. What does "R"
stand for?
A) Recommendation
B) Response
C) Review
D) Reassessment
Answer
Answer B:
Rationale
DAR stands for Data, Action, Response. The Response is the client's response to interventions. ---
Question 8
8. A nurse is documenting a client's goal achievement. Which is an example of a measurable
outcome?
A) "Client will be less anxious."
B) "Client will demonstrate proper wound care technique before discharge."
C) "Client will feel better."
D) "Client will understand medications."
Answer
Answer B:
Rationale
"Demonstrate" is measurable and observable, unlike vague terms like "less anxious" or "feel better." --
-
Question 9
9. A nurse is using the SBAR tool to call a provider about a client's change in condition. Which
statement is part of the "Background" component?
A) "The client's blood pressure is 90/50 mmHg."
B) "The client has a history of hypertension and was admitted for pneumonia."
C) "I recommend you increase the IV fluids."
D) "I'm calling about Mrs. Jones in room 205."
COMPLETE PRACTICE EXAM — 250 QUESTIONS WITH
VERIFIED ANSWERS & DETAILED RATIONALES
EXAM OVERVIEW
SECTION 1: NURSING PROCESS & CLINICAL JUDGMENT
(Questions 1-35)
Question 1
1. A nurse is developing a care plan for a client with impaired mobility. Which SMART goal is
most appropriate?
A) "Client will walk by discharge."
B) "Client will ambulate 50 feet with a walker without assistance within 3 days."
C) "Client will improve mobility."
D) "Client will use a wheelchair."
Answer
Answer B:
Rationale
SMART goals are Specific, Measurable, Attainable, Realistic, and Time-bound. Walking "with a
walker" is realistic and measurable. ---
Question 2
2. A nurse is using the nursing process. Which step involves collecting data about the client's
health status?
A) Diagnosis
B) Assessment
C) Planning
D) Evaluation
,Answer
Answer B:
Rationale
Assessment is the first step of the nursing process; it involves gathering subjective and objective data
about the client's health status. ---
Question 3
3. A client refuses a prescribed blood transfusion due to religious beliefs. The nurse respects
the refusal. This is an example of which ethical principle?
A) Beneficence
B) Autonomy
C) Non-maleficence
D) Justice
Answer
Answer B:
Rationale
Autonomy respects the client's right to make their own healthcare decisions. ---
Question 4
4. A nurse is documenting a client's response to a pain intervention. Which entry is most
complete?
A) "Client sleeping, no pain."
B) "Client reports pain decreased from 8/10 to 2/10 30 minutes after morphine 4 mg IV."
C) "Medication worked well."
D) "Client comfortable."
Answer
Answer B:
Rationale
,Complete documentation includes pain score, time, dose, route, and comparison. ---
Question 5
5. A nurse is using the nursing process to plan care. Which step involves setting measurable
goals?
A) Assessment
B) Diagnosis
C) Planning
D) Evaluation
Answer
Answer C:
Rationale
Planning includes developing goals and expected outcomes for the client. ---
Question 6
6. A nurse is documenting a client's education about insulin administration. Which entry is
most complete?
A) "Taught insulin injection. Client verbalized understanding."
B) "Taught insulin injection using teach-back. Client demonstrated correct injection technique. Will
recheck at next dose."
C) "Client educated."
D) "Insulin teaching done."
Answer
Answer B:
Rationale
Complete documentation includes the method used (teach-back), demonstration, and follow-up plan. --
-
Question 7
, 7. A nurse is documenting a client's progress notes using the DAR format. What does "R"
stand for?
A) Recommendation
B) Response
C) Review
D) Reassessment
Answer
Answer B:
Rationale
DAR stands for Data, Action, Response. The Response is the client's response to interventions. ---
Question 8
8. A nurse is documenting a client's goal achievement. Which is an example of a measurable
outcome?
A) "Client will be less anxious."
B) "Client will demonstrate proper wound care technique before discharge."
C) "Client will feel better."
D) "Client will understand medications."
Answer
Answer B:
Rationale
"Demonstrate" is measurable and observable, unlike vague terms like "less anxious" or "feel better." --
-
Question 9
9. A nurse is using the SBAR tool to call a provider about a client's change in condition. Which
statement is part of the "Background" component?
A) "The client's blood pressure is 90/50 mmHg."
B) "The client has a history of hypertension and was admitted for pneumonia."
C) "I recommend you increase the IV fluids."
D) "I'm calling about Mrs. Jones in room 205."
