NSG 100 Exam 1 – Introduction to Nursing
Concepts Questions And Answers Plus
Rationales | Qs & Ans 2026 | Instant Pdf
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1. A nurse is caring for a postoperative patient who reports pain at a
level of 8 on a 0–10 scale. According to the nursing process, which
action should the nurse take first?
A. Reposition the patient
B. Administer the prescribed analgesic
C. Apply a warm compress
D. Notify the provider
Answer: B
Rationale: The nursing process is ADPIE: Assessment, Diagnosis,
Planning, Implementation, Evaluation. After assessing pain (8/10), the
nurse implements the prescribed analgesic. Nonpharmacologic measures
are adjuncts.
2. A nurse is providing hand hygiene education to a new nursing
assistant. Which statement indicates correct understanding?
A. “I can use alcohol-based hand rub if my hands are visibly soiled.”
B. “I should wash my hands for at least 5 seconds.”
,C. “I must wash my hands before and after contact with each patient.”
D. “Hand hygiene is only necessary after removing gloves.”
Answer: C
Rationale: Hand hygiene is required before and after each patient
contact, before aseptic procedures, and after removing gloves. ABHR is
not effective on visible soil; soap and water is required.
3. A patient asks the nurse, “What does the ‘D’ in ADPIE stand for?”
Which response is correct?
A. Diagnosis
B. Documentation
C. Discharge
D. Delegation
Answer: A
Rationale: ADPIE stands for Assessment, Diagnosis, Planning,
Implementation, Evaluation. Diagnosis is the second step where the
nurse identifies nursing problems based on assessment data.
4. A nurse is preparing to obtain informed consent for a surgical
procedure. Which action is the nurse’s responsibility?
A. Explain the risks and benefits of the procedure
B. Obtain the patient’s signature on the consent form
C. Ensure the patient understands the information provided by the
provider
D. Decide if the patient is competent to consent
,Answer: C
Rationale: The nurse’s role in informed consent is to witness the
signature, ensure the patient is competent, and verify that the patient
understands the information. The provider explains risks/benefits.
5. A patient is placed on contact precautions for Clostridioides
difficile. Which personal protective equipment (PPE) is required?
A. Surgical mask only
B. N95 respirator
C. Gown and gloves
D. Gown, gloves, and face shield
Answer: C
Rationale: Contact precautions require gown and gloves. Mask is for
droplet/airborne. C. diff requires soap and water for hand hygiene (ABHR
ineffective).
6. A nurse is assessing a patient’s blood pressure and obtains a
reading of 142/92 mmHg. The patient has no history of
hypertension. Which action should the nurse take first?
A. Document the reading as normal
B. Recheck the blood pressure in the opposite arm after 5 minutes of rest
C. Notify the provider immediately
D. Administer an antihypertensive medication
Answer: B
Rationale: A single elevated reading may be due to patient anxiety,
, activity, or improper technique. Recheck after rest. Confirm elevation
before notifying provider.
7. A nurse is teaching a patient how to use a walker. Which
instruction is correct?
A. “Move the walker forward, then step with your weaker leg first.”
B. “Move the walker forward, then step with your stronger leg first.”
C. “Keep the walker at waist height.”
D. “Use the walker only on stairs.”
Answer: A
Rationale: Move walker forward, step with weaker (affected) leg, then
bring stronger leg forward. Elbows should be slightly bent (not waist
height).
8. A patient has an advance directive that appoints a healthcare
proxy. What is the role of the healthcare proxy?
A. Make financial decisions for the patient
B. Make healthcare decisions when the patient is incapacitated
C. Decide when to withdraw life support without patient input
D. Provide emotional support only
Answer: B
Rationale: A healthcare proxy (durable power of attorney for healthcare)
makes medical decisions based on the patient’s wishes when the patient
cannot.
Concepts Questions And Answers Plus
Rationales | Qs & Ans 2026 | Instant Pdf
Download
1. A nurse is caring for a postoperative patient who reports pain at a
level of 8 on a 0–10 scale. According to the nursing process, which
action should the nurse take first?
A. Reposition the patient
B. Administer the prescribed analgesic
C. Apply a warm compress
D. Notify the provider
Answer: B
Rationale: The nursing process is ADPIE: Assessment, Diagnosis,
Planning, Implementation, Evaluation. After assessing pain (8/10), the
nurse implements the prescribed analgesic. Nonpharmacologic measures
are adjuncts.
2. A nurse is providing hand hygiene education to a new nursing
assistant. Which statement indicates correct understanding?
A. “I can use alcohol-based hand rub if my hands are visibly soiled.”
B. “I should wash my hands for at least 5 seconds.”
,C. “I must wash my hands before and after contact with each patient.”
D. “Hand hygiene is only necessary after removing gloves.”
Answer: C
Rationale: Hand hygiene is required before and after each patient
contact, before aseptic procedures, and after removing gloves. ABHR is
not effective on visible soil; soap and water is required.
3. A patient asks the nurse, “What does the ‘D’ in ADPIE stand for?”
Which response is correct?
A. Diagnosis
B. Documentation
C. Discharge
D. Delegation
Answer: A
Rationale: ADPIE stands for Assessment, Diagnosis, Planning,
Implementation, Evaluation. Diagnosis is the second step where the
nurse identifies nursing problems based on assessment data.
4. A nurse is preparing to obtain informed consent for a surgical
procedure. Which action is the nurse’s responsibility?
A. Explain the risks and benefits of the procedure
B. Obtain the patient’s signature on the consent form
C. Ensure the patient understands the information provided by the
provider
D. Decide if the patient is competent to consent
,Answer: C
Rationale: The nurse’s role in informed consent is to witness the
signature, ensure the patient is competent, and verify that the patient
understands the information. The provider explains risks/benefits.
5. A patient is placed on contact precautions for Clostridioides
difficile. Which personal protective equipment (PPE) is required?
A. Surgical mask only
B. N95 respirator
C. Gown and gloves
D. Gown, gloves, and face shield
Answer: C
Rationale: Contact precautions require gown and gloves. Mask is for
droplet/airborne. C. diff requires soap and water for hand hygiene (ABHR
ineffective).
6. A nurse is assessing a patient’s blood pressure and obtains a
reading of 142/92 mmHg. The patient has no history of
hypertension. Which action should the nurse take first?
A. Document the reading as normal
B. Recheck the blood pressure in the opposite arm after 5 minutes of rest
C. Notify the provider immediately
D. Administer an antihypertensive medication
Answer: B
Rationale: A single elevated reading may be due to patient anxiety,
, activity, or improper technique. Recheck after rest. Confirm elevation
before notifying provider.
7. A nurse is teaching a patient how to use a walker. Which
instruction is correct?
A. “Move the walker forward, then step with your weaker leg first.”
B. “Move the walker forward, then step with your stronger leg first.”
C. “Keep the walker at waist height.”
D. “Use the walker only on stairs.”
Answer: A
Rationale: Move walker forward, step with weaker (affected) leg, then
bring stronger leg forward. Elbows should be slightly bent (not waist
height).
8. A patient has an advance directive that appoints a healthcare
proxy. What is the role of the healthcare proxy?
A. Make financial decisions for the patient
B. Make healthcare decisions when the patient is incapacitated
C. Decide when to withdraw life support without patient input
D. Provide emotional support only
Answer: B
Rationale: A healthcare proxy (durable power of attorney for healthcare)
makes medical decisions based on the patient’s wishes when the patient
cannot.
