NUR 170 Exam 1-4 Version A – 260 Practice Questions with
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Quick Reference Summary Table
Exam Topic Question Numbers
Exam 1 Foundations of Medical-Surgical Nursing Q1–Q65
Exam 2 Medical-Surgical Nursing II Q66–Q130
Exam 3 Medical-Surgical Nursing III Q131–Q195
Exam 4 Medical-Surgical Nursing IV Q196–Q260
Section 1: Exam 1 – Foundations of Medical-Surgical Nursing (Q1–Q65)
Nursing Process & Critical Thinking
Q1. Which of the following is the first step of the nursing process?
A) Implementation
B) Planning
C) Assessment
D) Evaluation
,Answer: C – Assessment
Explanation: Assessment is the systematic collection of data to determine a patient's health
status. It precedes diagnosis, planning, implementation, and evaluation. Without a thorough
assessment, the nurse cannot identify actual or potential problems, making it the
foundational and initial step of the nursing process.
Q2. A nurse is reviewing a patient's plan of care. Which statement is an example of a
correctly written outcome?
A) The patient will be able to walk down the hall by tomorrow
B) The patient will ambulate 50 feet with a walker by discharge
C) The patient's pain will be manageable
D) The patient will have improved lung sounds
Answer: B – The patient will ambulate 50 feet with a walker by discharge
Explanation: A correctly written outcome is specific, measurable, attainable, relevant, and
time-bound (SMART). Ambulating 50 feet with a walker by discharge includes a specific
distance, method, and time frame. The other options are vague, lack measurement, or do
not contain a clear target time.
Q3. The nurse is planning care for a patient with impaired skin integrity. Which
nursing diagnosis is correctly stated using the PES format?
,A) Impaired skin integrity
B) Impaired skin integrity related to immobility as evidenced by stage 2 pressure ulcer on
sacrum
C) The patient has a pressure ulcer
D) Skin breakdown
Answer: B – Impaired skin integrity related to immobility as evidenced by stage 2
pressure ulcer on sacrum
Explanation: The PES format includes Problem (impaired skin integrity), Etiology (related to
immobility), and Signs/Symptoms (as evidenced by stage 2 pressure ulcer on sacrum). This
provides a complete, clinically useful nursing diagnosis.
Client-Centered Care & Cultural Competence
Q4. A nurse wishes to provide client-centered care in all interactions. Which action
by the nurse best demonstrates this concept?
A) Ensures that all the client's basic needs are met
B) Tells the client and family about all upcoming tests
C) Assesses for cultural influences affecting health care
D) Thoroughly orients the client and family to the room
Answer: C – Assesses for cultural influences affecting health care
, Explanation: Competency in client-focused care is demonstrated when the nurse focuses on
communication, culture, respect, compassion, client education, and empowerment. By
assessing the effect of the client's culture on health care, the nurse is practicing client-
centered care.
Infection Control & Asepsis
Q5. Which term describes the complete elimination of all microorganisms, including
spores, from an object?
A) Medical asepsis
B) Disinfection
C) Surgical asepsis
D) Standard precautions
Answer: C – Surgical asepsis
Explanation: Surgical asepsis (sterile technique) destroys all microorganisms and spores.
Medical asepsis reduces the number of organisms. Disinfection kills most pathogens but not
spores. Standard precautions apply to all patients.
Q6. When preparing a sterile field, the nurse must keep the field at or above which
level?
Verified Answers & Rationales LATEST UPDATE THIS YEAR |
INSTANT PDF DOWNLOAD NOW
Quick Reference Summary Table
Exam Topic Question Numbers
Exam 1 Foundations of Medical-Surgical Nursing Q1–Q65
Exam 2 Medical-Surgical Nursing II Q66–Q130
Exam 3 Medical-Surgical Nursing III Q131–Q195
Exam 4 Medical-Surgical Nursing IV Q196–Q260
Section 1: Exam 1 – Foundations of Medical-Surgical Nursing (Q1–Q65)
Nursing Process & Critical Thinking
Q1. Which of the following is the first step of the nursing process?
A) Implementation
B) Planning
C) Assessment
D) Evaluation
,Answer: C – Assessment
Explanation: Assessment is the systematic collection of data to determine a patient's health
status. It precedes diagnosis, planning, implementation, and evaluation. Without a thorough
assessment, the nurse cannot identify actual or potential problems, making it the
foundational and initial step of the nursing process.
Q2. A nurse is reviewing a patient's plan of care. Which statement is an example of a
correctly written outcome?
A) The patient will be able to walk down the hall by tomorrow
B) The patient will ambulate 50 feet with a walker by discharge
C) The patient's pain will be manageable
D) The patient will have improved lung sounds
Answer: B – The patient will ambulate 50 feet with a walker by discharge
Explanation: A correctly written outcome is specific, measurable, attainable, relevant, and
time-bound (SMART). Ambulating 50 feet with a walker by discharge includes a specific
distance, method, and time frame. The other options are vague, lack measurement, or do
not contain a clear target time.
Q3. The nurse is planning care for a patient with impaired skin integrity. Which
nursing diagnosis is correctly stated using the PES format?
,A) Impaired skin integrity
B) Impaired skin integrity related to immobility as evidenced by stage 2 pressure ulcer on
sacrum
C) The patient has a pressure ulcer
D) Skin breakdown
Answer: B – Impaired skin integrity related to immobility as evidenced by stage 2
pressure ulcer on sacrum
Explanation: The PES format includes Problem (impaired skin integrity), Etiology (related to
immobility), and Signs/Symptoms (as evidenced by stage 2 pressure ulcer on sacrum). This
provides a complete, clinically useful nursing diagnosis.
Client-Centered Care & Cultural Competence
Q4. A nurse wishes to provide client-centered care in all interactions. Which action
by the nurse best demonstrates this concept?
A) Ensures that all the client's basic needs are met
B) Tells the client and family about all upcoming tests
C) Assesses for cultural influences affecting health care
D) Thoroughly orients the client and family to the room
Answer: C – Assesses for cultural influences affecting health care
, Explanation: Competency in client-focused care is demonstrated when the nurse focuses on
communication, culture, respect, compassion, client education, and empowerment. By
assessing the effect of the client's culture on health care, the nurse is practicing client-
centered care.
Infection Control & Asepsis
Q5. Which term describes the complete elimination of all microorganisms, including
spores, from an object?
A) Medical asepsis
B) Disinfection
C) Surgical asepsis
D) Standard precautions
Answer: C – Surgical asepsis
Explanation: Surgical asepsis (sterile technique) destroys all microorganisms and spores.
Medical asepsis reduces the number of organisms. Disinfection kills most pathogens but not
spores. Standard precautions apply to all patients.
Q6. When preparing a sterile field, the nurse must keep the field at or above which
level?
