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FOUNDATIONS OF NURSING (NUR 155)- NUR155 EXAM 3
QUESTIONS AND CORRECT VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR- JUST RELEASED
FOUNDATIONS OF NURSING (NUR 155): NUR155 EXAM 3
Exam Coverage
1. Nursing assessment, clinical judgment, prioritization, and safe decision-making.
2. Infection prevention, standard precautions, transmission-based precautions, and aseptic
technique.
3. Vital signs, pain assessment, physical assessment, and recognition of abnormal findings.
4. Medication administration, medication safety, adverse effects, and patient education.
5. Mobility, positioning, transfers, fall prevention, and prevention of pressure injuries.
6. Hygiene, nutrition, hydration, elimination, and basic comfort measures.
7. Oxygenation, respiratory assessment, airway safety, and basic oxygen therapy.
8. Fluid and electrolyte balance, intake and output, and common laboratory findings.
9. Documentation, communication, delegation, patient safety, and legal/ethical nursing
responsibilities.
10. Wound care, perioperative concepts, specimen collection, patient teaching, and
discharge planning.
1. Which nursing action best demonstrates the assessment phase of the nursing process when
admitting a newly hospitalized patient?
A. Identifying the patient's nursing diagnoses
B. Collecting subjective and objective health information
C. Selecting interventions to address identified problems
D. Determining whether previously established goals were achieved
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Answer: B
Rationale: Assessment involves systematic collection of subjective and objective data before
nursing diagnoses and interventions are established.
2. A patient reports severe abdominal pain during the initial interview. What should the nurse
do first?
A. Document the complaint after completing the entire assessment
B. Ask the patient to wait until the physical examination is complete
C. Assess the pain characteristics and associated symptoms
D. Administer medication without obtaining additional information
Answer: C
Rationale: Pain requires prompt assessment of location, intensity, quality, timing, and
associated findings before appropriate intervention.
3. Which finding should the nurse recognize as objective assessment data?
A. The patient states that the incision feels painful
B. The patient reports feeling nauseated
C. The patient says the room feels too cold
D. The nurse observes redness surrounding the incision
Answer: D
Rationale: Objective data are observable or measurable findings obtained through examination
or diagnostic measurements.
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4. Why should a nurse validate an unusual assessment finding before documenting it as an
abnormality?
A. Validation helps determine whether the finding is accurate
B. Validation eliminates the need for additional assessment
C. Validation allows the nurse to avoid notifying the provider
D. Validation guarantees that the patient has a diagnosis
Answer: A
Rationale: Unexpected findings should be reassessed or verified because errors in
measurement or observation can lead to inappropriate clinical decisions.
5. Which patient should a nurse assess first when caring for four patients on a medical-
surgical unit?
A. A patient requesting assistance with bathing
B. A patient reporting sudden difficulty breathing
C. A patient requesting discharge instructions
D. A patient reporting mild chronic back discomfort
Answer: B
Rationale: Sudden respiratory difficulty threatens airway and breathing and therefore takes
priority over routine or nonurgent needs.
6. The nurse uses the nursing process to organize patient care. Which sequence is correct?
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A. Diagnosis, assessment, planning, evaluation, implementation
B. Planning, diagnosis, assessment, implementation, evaluation
C. Assessment, diagnosis, planning, implementation, evaluation
D. Assessment, planning, diagnosis, evaluation, implementation
Answer: C
Rationale: The traditional nursing process follows assessment, diagnosis, planning,
implementation, and evaluation.
7. Which statement best describes subjective data?
A. Information obtained from laboratory results
B. Information directly observed by the nurse
C. Information measured using equipment
D. Information reported by the patient about personal experiences
Answer: D
Rationale: Subjective data consist of information experienced and reported by the patient, such
as pain, nausea, or dizziness.
8. A nurse obtains a blood pressure of 180/110 mmHg in a patient who appears comfortable.
What is the most appropriate initial action?
A. Recheck the blood pressure using appropriate technique
B. Immediately document the value as the patient's baseline
FOUNDATIONS OF NURSING (NUR 155)- NUR155 EXAM 3
QUESTIONS AND CORRECT VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR- JUST RELEASED
FOUNDATIONS OF NURSING (NUR 155): NUR155 EXAM 3
Exam Coverage
1. Nursing assessment, clinical judgment, prioritization, and safe decision-making.
2. Infection prevention, standard precautions, transmission-based precautions, and aseptic
technique.
3. Vital signs, pain assessment, physical assessment, and recognition of abnormal findings.
4. Medication administration, medication safety, adverse effects, and patient education.
5. Mobility, positioning, transfers, fall prevention, and prevention of pressure injuries.
6. Hygiene, nutrition, hydration, elimination, and basic comfort measures.
7. Oxygenation, respiratory assessment, airway safety, and basic oxygen therapy.
8. Fluid and electrolyte balance, intake and output, and common laboratory findings.
9. Documentation, communication, delegation, patient safety, and legal/ethical nursing
responsibilities.
10. Wound care, perioperative concepts, specimen collection, patient teaching, and
discharge planning.
1. Which nursing action best demonstrates the assessment phase of the nursing process when
admitting a newly hospitalized patient?
A. Identifying the patient's nursing diagnoses
B. Collecting subjective and objective health information
C. Selecting interventions to address identified problems
D. Determining whether previously established goals were achieved
, Page 2 of 105
Answer: B
Rationale: Assessment involves systematic collection of subjective and objective data before
nursing diagnoses and interventions are established.
2. A patient reports severe abdominal pain during the initial interview. What should the nurse
do first?
A. Document the complaint after completing the entire assessment
B. Ask the patient to wait until the physical examination is complete
C. Assess the pain characteristics and associated symptoms
D. Administer medication without obtaining additional information
Answer: C
Rationale: Pain requires prompt assessment of location, intensity, quality, timing, and
associated findings before appropriate intervention.
3. Which finding should the nurse recognize as objective assessment data?
A. The patient states that the incision feels painful
B. The patient reports feeling nauseated
C. The patient says the room feels too cold
D. The nurse observes redness surrounding the incision
Answer: D
Rationale: Objective data are observable or measurable findings obtained through examination
or diagnostic measurements.
, Page 3 of 105
4. Why should a nurse validate an unusual assessment finding before documenting it as an
abnormality?
A. Validation helps determine whether the finding is accurate
B. Validation eliminates the need for additional assessment
C. Validation allows the nurse to avoid notifying the provider
D. Validation guarantees that the patient has a diagnosis
Answer: A
Rationale: Unexpected findings should be reassessed or verified because errors in
measurement or observation can lead to inappropriate clinical decisions.
5. Which patient should a nurse assess first when caring for four patients on a medical-
surgical unit?
A. A patient requesting assistance with bathing
B. A patient reporting sudden difficulty breathing
C. A patient requesting discharge instructions
D. A patient reporting mild chronic back discomfort
Answer: B
Rationale: Sudden respiratory difficulty threatens airway and breathing and therefore takes
priority over routine or nonurgent needs.
6. The nurse uses the nursing process to organize patient care. Which sequence is correct?
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A. Diagnosis, assessment, planning, evaluation, implementation
B. Planning, diagnosis, assessment, implementation, evaluation
C. Assessment, diagnosis, planning, implementation, evaluation
D. Assessment, planning, diagnosis, evaluation, implementation
Answer: C
Rationale: The traditional nursing process follows assessment, diagnosis, planning,
implementation, and evaluation.
7. Which statement best describes subjective data?
A. Information obtained from laboratory results
B. Information directly observed by the nurse
C. Information measured using equipment
D. Information reported by the patient about personal experiences
Answer: D
Rationale: Subjective data consist of information experienced and reported by the patient, such
as pain, nausea, or dizziness.
8. A nurse obtains a blood pressure of 180/110 mmHg in a patient who appears comfortable.
What is the most appropriate initial action?
A. Recheck the blood pressure using appropriate technique
B. Immediately document the value as the patient's baseline
