NU 131
EXAM 1
Nursing and Healthcare I
Actual Questions w/Correct Answers
Galen College of Nursing
What you Will Get:
• 50 verified questions
• Correct answers with Detailed Rationales.
• Ideal for exam preparation and concept
reinforcement.
,1. The nurse is reviewing the health history of a client and notes that the patient
describes their pain as “sharp and stabbing, rated 8/10.” The nurse recognizes
this as which type of data?
A. Objective data, also known as signs
B. Subjective data, also known as symptoms
C. Secondary data, also known as referrals
D. Tertiary data, also known as assessments
Correct Answer:
B. Subjective data, also known as symptoms
Rationale:
Subjective data consist of information reported directly by the client. Pain cannot be
directly observed or objectively measured by another person. The client’s description of
the pain as sharp and stabbing and the rating of 8 out of 10 are therefore subjective
findings. Subjective findings are commonly called symptoms.
Why the Other Choices Are Wrong:
• A. Objective data: Objective data are observable or measurable findings, such
as blood pressure, temperature, laboratory results, swelling, or a rash.
• C. Secondary data: Secondary data may come from family members,
caregivers, or medical records, but “referrals” is not another term for subjective
data.
• D. Tertiary data: Tertiary data are not a standard basic nursing classification for
assessment findings, and an assessment is a process rather than a type of
client-reported data.
2. During which step of the nursing process does the nurse collect client
information through physical assessment, interviews, and chart review?
A. Diagnosis
B. Planning
C. Implementation
D. Assessment
Correct Answer:
D. Assessment
Rationale:
Assessment is the first step of the nursing process. During assessment, the nurse
,systematically gathers subjective and objective information by interviewing the client,
performing a physical examination, reviewing the medical record, observing the client,
and consulting other members of the health care team.
Why the Other Choices Are Wrong:
• A. Diagnosis: During diagnosis, the nurse analyzes assessment findings and
identifies actual or potential client problems.
• B. Planning: During planning, the nurse establishes priorities, outcomes, and
nursing interventions.
• C. Implementation: During implementation, the nurse performs the planned
interventions and provides care.
3. A nurse is caring for a postoperative client who had an expected outcome of
ambulating 100 feet by post-op day 2 but only ambulated 50 feet. Which step of
the nursing process is the nurse performing when reviewing this outcome?
A. Implementation
B. Evaluation
C. Planning
D. Analysis
Correct Answer:
B. Evaluation
Rationale:
Evaluation involves comparing the client’s actual response with the expected outcome.
The nurse is determining whether the goal of walking 100 feet was met, partially met, or
not met. Because the client walked only 50 feet, the outcome was partially met and the
care plan may require revision.
Why the Other Choices Are Wrong:
• A. Implementation: Implementation would include assisting the client to
ambulate or performing another planned intervention.
• C. Planning: Planning occurs when outcomes and interventions are initially
established.
• D. Analysis: Analysis is involved in interpreting assessment data and formulating
a nursing diagnosis, but it is not the named final step of ADPIE.
, 4. Which historical nurse is credited with developing a system of call bells and
dumbwaiters, dropping religious admission requirements, and emphasizing the
importance of environment on patient outcomes?
A. Clara Barton
B. Mary Seacole
C. Florence Nightingale
D. Lillian Wald
Correct Answer:
C. Florence Nightingale
Rationale:
Florence Nightingale transformed nursing practice by emphasizing cleanliness,
ventilation, sanitation, nutrition, light, and environmental conditions. She also improved
hospital organization and communication systems and promoted nursing education
based on preparation and competence rather than religious affiliation.
Why the Other Choices Are Wrong:
• A. Clara Barton: Clara Barton founded the American Red Cross and provided
care during the American Civil War.
• B. Mary Seacole: Mary Seacole was a Jamaican nurse known for providing care
in Crimea and using knowledge of herbal remedies.
• D. Lillian Wald: Lillian Wald established the Henry Street Settlement and helped
develop public health nursing.
5. The nurse is writing a goal for a client: “The client will walk one mile daily by
March 19.” The nurse identifies this as which type of goal?
A. Process goal
B. SMART goal
C. Long-term goal
D. Nursing diagnosis
Correct Answer:
B. SMART goal
Rationale:
A SMART goal is specific, measurable, attainable, realistic or relevant, and time-bound.
This goal identifies a specific activity, provides a measurable distance, and includes a
deadline.
EXAM 1
Nursing and Healthcare I
Actual Questions w/Correct Answers
Galen College of Nursing
What you Will Get:
• 50 verified questions
• Correct answers with Detailed Rationales.
• Ideal for exam preparation and concept
reinforcement.
,1. The nurse is reviewing the health history of a client and notes that the patient
describes their pain as “sharp and stabbing, rated 8/10.” The nurse recognizes
this as which type of data?
A. Objective data, also known as signs
B. Subjective data, also known as symptoms
C. Secondary data, also known as referrals
D. Tertiary data, also known as assessments
Correct Answer:
B. Subjective data, also known as symptoms
Rationale:
Subjective data consist of information reported directly by the client. Pain cannot be
directly observed or objectively measured by another person. The client’s description of
the pain as sharp and stabbing and the rating of 8 out of 10 are therefore subjective
findings. Subjective findings are commonly called symptoms.
Why the Other Choices Are Wrong:
• A. Objective data: Objective data are observable or measurable findings, such
as blood pressure, temperature, laboratory results, swelling, or a rash.
• C. Secondary data: Secondary data may come from family members,
caregivers, or medical records, but “referrals” is not another term for subjective
data.
• D. Tertiary data: Tertiary data are not a standard basic nursing classification for
assessment findings, and an assessment is a process rather than a type of
client-reported data.
2. During which step of the nursing process does the nurse collect client
information through physical assessment, interviews, and chart review?
A. Diagnosis
B. Planning
C. Implementation
D. Assessment
Correct Answer:
D. Assessment
Rationale:
Assessment is the first step of the nursing process. During assessment, the nurse
,systematically gathers subjective and objective information by interviewing the client,
performing a physical examination, reviewing the medical record, observing the client,
and consulting other members of the health care team.
Why the Other Choices Are Wrong:
• A. Diagnosis: During diagnosis, the nurse analyzes assessment findings and
identifies actual or potential client problems.
• B. Planning: During planning, the nurse establishes priorities, outcomes, and
nursing interventions.
• C. Implementation: During implementation, the nurse performs the planned
interventions and provides care.
3. A nurse is caring for a postoperative client who had an expected outcome of
ambulating 100 feet by post-op day 2 but only ambulated 50 feet. Which step of
the nursing process is the nurse performing when reviewing this outcome?
A. Implementation
B. Evaluation
C. Planning
D. Analysis
Correct Answer:
B. Evaluation
Rationale:
Evaluation involves comparing the client’s actual response with the expected outcome.
The nurse is determining whether the goal of walking 100 feet was met, partially met, or
not met. Because the client walked only 50 feet, the outcome was partially met and the
care plan may require revision.
Why the Other Choices Are Wrong:
• A. Implementation: Implementation would include assisting the client to
ambulate or performing another planned intervention.
• C. Planning: Planning occurs when outcomes and interventions are initially
established.
• D. Analysis: Analysis is involved in interpreting assessment data and formulating
a nursing diagnosis, but it is not the named final step of ADPIE.
, 4. Which historical nurse is credited with developing a system of call bells and
dumbwaiters, dropping religious admission requirements, and emphasizing the
importance of environment on patient outcomes?
A. Clara Barton
B. Mary Seacole
C. Florence Nightingale
D. Lillian Wald
Correct Answer:
C. Florence Nightingale
Rationale:
Florence Nightingale transformed nursing practice by emphasizing cleanliness,
ventilation, sanitation, nutrition, light, and environmental conditions. She also improved
hospital organization and communication systems and promoted nursing education
based on preparation and competence rather than religious affiliation.
Why the Other Choices Are Wrong:
• A. Clara Barton: Clara Barton founded the American Red Cross and provided
care during the American Civil War.
• B. Mary Seacole: Mary Seacole was a Jamaican nurse known for providing care
in Crimea and using knowledge of herbal remedies.
• D. Lillian Wald: Lillian Wald established the Henry Street Settlement and helped
develop public health nursing.
5. The nurse is writing a goal for a client: “The client will walk one mile daily by
March 19.” The nurse identifies this as which type of goal?
A. Process goal
B. SMART goal
C. Long-term goal
D. Nursing diagnosis
Correct Answer:
B. SMART goal
Rationale:
A SMART goal is specific, measurable, attainable, realistic or relevant, and time-bound.
This goal identifies a specific activity, provides a measurable distance, and includes a
deadline.
