NRSG 100 Exam 1 V3 | NRSG 100 Fundamentals of
Nursing | Actual Q&A with Rationale (NRSG100
Exam 1) | Ivy Tech
1. Which step of the nursing process involves the systematic collection of data regarding the
patient’s health status?
A. Diagnosis
B. Assessment
C. Planning
D. Evaluation
Correct Answer: B
Explanation: Assessment is the foundational first step of the nursing process where data is
gathered. This process involves using observation, physical examination, and interviews to
understand the patient’s needs. The information collected here guides the nurse in
formulating appropriate nursing diagnoses.
2. A patient tells the nurse, ‘My leg is throbbing with pain.’ This information is classified as
what type of data?
A. Subjective data
B. Objective data
C. Secondary data
,D. Diagnostic data
Correct Answer: A
Explanation: Subjective data consists of the patient’s own perceptions, feelings, and
descriptions of their condition. It is what the patient says, whereas objective data is what
the nurse observes or measures. Understanding subjective data is critical for addressing
the patient’s internal experience of illness.
3. According to Maslow’s Hierarchy of Needs, which of the following patient needs should the
nurse address first?
A. Safety and security
B. Love and belonging
C. Self-actualization
D. Physiological needs
Correct Answer: D
Explanation: Maslow’s hierarchy dictates that basic physiological needs like air, water, and
food must be met before higher-level needs. In clinical practice, the nurse prioritizes
stabilization of vital functions above all else. This ensures the most immediate threats to
the patient’s survival are handled first.
4. What is the most effective way for a nurse to prevent the spread of infection between
patients?
A. Wearing a mask for all patient interactions
, B. Performing consistent hand hygiene
C. Using sterile gloves for every task
D. Administrating prophylactic antibiotics
Correct Answer: B
Explanation: Hand hygiene is recognized as the single most important intervention in
preventing healthcare-associated infections. It should be performed before and after
patient contact and after touching contaminated surfaces. Consistent practice reduces the
transmission of pathogens between the environment and patients.
5. The nurse is preparing to remove PPE after caring for a patient on contact precautions.
Which item should be removed first?
A. Gloves
B. Gown
C. Mask
D. Goggles
Correct Answer: A
Explanation: Gloves are considered the most contaminated piece of PPE and should be
removed first to avoid contaminating other areas. The nurse must then perform hand
hygiene or continue removing other items according to the facility’s sequence. This order
minimizes the risk of self-contamination during the doffing process.
Nursing | Actual Q&A with Rationale (NRSG100
Exam 1) | Ivy Tech
1. Which step of the nursing process involves the systematic collection of data regarding the
patient’s health status?
A. Diagnosis
B. Assessment
C. Planning
D. Evaluation
Correct Answer: B
Explanation: Assessment is the foundational first step of the nursing process where data is
gathered. This process involves using observation, physical examination, and interviews to
understand the patient’s needs. The information collected here guides the nurse in
formulating appropriate nursing diagnoses.
2. A patient tells the nurse, ‘My leg is throbbing with pain.’ This information is classified as
what type of data?
A. Subjective data
B. Objective data
C. Secondary data
,D. Diagnostic data
Correct Answer: A
Explanation: Subjective data consists of the patient’s own perceptions, feelings, and
descriptions of their condition. It is what the patient says, whereas objective data is what
the nurse observes or measures. Understanding subjective data is critical for addressing
the patient’s internal experience of illness.
3. According to Maslow’s Hierarchy of Needs, which of the following patient needs should the
nurse address first?
A. Safety and security
B. Love and belonging
C. Self-actualization
D. Physiological needs
Correct Answer: D
Explanation: Maslow’s hierarchy dictates that basic physiological needs like air, water, and
food must be met before higher-level needs. In clinical practice, the nurse prioritizes
stabilization of vital functions above all else. This ensures the most immediate threats to
the patient’s survival are handled first.
4. What is the most effective way for a nurse to prevent the spread of infection between
patients?
A. Wearing a mask for all patient interactions
, B. Performing consistent hand hygiene
C. Using sterile gloves for every task
D. Administrating prophylactic antibiotics
Correct Answer: B
Explanation: Hand hygiene is recognized as the single most important intervention in
preventing healthcare-associated infections. It should be performed before and after
patient contact and after touching contaminated surfaces. Consistent practice reduces the
transmission of pathogens between the environment and patients.
5. The nurse is preparing to remove PPE after caring for a patient on contact precautions.
Which item should be removed first?
A. Gloves
B. Gown
C. Mask
D. Goggles
Correct Answer: A
Explanation: Gloves are considered the most contaminated piece of PPE and should be
removed first to avoid contaminating other areas. The nurse must then perform hand
hygiene or continue removing other items according to the facility’s sequence. This order
minimizes the risk of self-contamination during the doffing process.