NRSG 100 Final Exam V1 | NRSG 100
Fundamentals of Nursing | Actual Q&A
with Rationale (NRSG100 Final Exam) | Ivy
Tech
1. A nurse is performing a physical assessment on a newly admitted patient. Which step of
the nursing process is being utilized?
A. Diagnosis
B. Assessment
C. Planning
D. Implementation
Correct Answer: B
Assessment is the first step of the nursing process and involves the systematic collection
of data. This phase is critical because all subsequent steps depend on the accuracy of the
information gathered. During this time, the nurse identifies patient strengths and health
problems through observation and examination.
2. When preparing to move a patient up in bed, which principle of body mechanics should the
nurse implement?
A. Keep the feet close together for stability.
B. Keep the bed in the lowest position.
,C. Bend at the waist to use back muscles.
D. Tighten the abdominal muscles and gluteal muscles.
Correct Answer: D
Tightening the core muscles provides a natural internal girdle that protects the spine
during movement. The nurse should always maintain a wide base of support rather than
keeping feet together. Bending at the knees instead of the waist prevents lower back strain
and injury.
3. A nurse is caring for a patient who has a prescription for a clear liquid diet. Which item is
appropriate for the nurse to provide?
A. Orange juice with pulp
B. Vanilla pudding
C. Cream of chicken soup
D. Apple juice
Correct Answer: D
Clear liquid diets consist of foods that are transparent to light and liquid at room
temperature. Apple juice is considered clear, whereas orange juice with pulp contains
solids that are restricted. Cream-based items and pudding are part of a full liquid diet, not a
clear liquid diet.
, 4. The nurse is assessing a patient’s radial pulse and finds it to be irregular. What is the
priority nursing action?
A. Document the finding as normal.
B. Assess the apical pulse for one full minute.
C. Re-assess the radial pulse in 15 minutes.
D. Notify the provider immediately.
Correct Answer: B
An irregular radial pulse requires a more definitive assessment to determine the heart’s
true rate and rhythm. Assessing the apical pulse for 60 seconds is the gold standard for
evaluating cardiac irregularities. This action helps identify a pulse deficit and provides
more accurate data before contacting a physician.
5. A patient has been placed on Contact Precautions due to a Clostridium difficile infection.
Which hand hygiene method is mandatory?
A. Alcohol-based hand sanitizer
B. Washing with soap and water
C. Using a dry paper towel
D. Applying sterile gloves only
Correct Answer: B
Fundamentals of Nursing | Actual Q&A
with Rationale (NRSG100 Final Exam) | Ivy
Tech
1. A nurse is performing a physical assessment on a newly admitted patient. Which step of
the nursing process is being utilized?
A. Diagnosis
B. Assessment
C. Planning
D. Implementation
Correct Answer: B
Assessment is the first step of the nursing process and involves the systematic collection
of data. This phase is critical because all subsequent steps depend on the accuracy of the
information gathered. During this time, the nurse identifies patient strengths and health
problems through observation and examination.
2. When preparing to move a patient up in bed, which principle of body mechanics should the
nurse implement?
A. Keep the feet close together for stability.
B. Keep the bed in the lowest position.
,C. Bend at the waist to use back muscles.
D. Tighten the abdominal muscles and gluteal muscles.
Correct Answer: D
Tightening the core muscles provides a natural internal girdle that protects the spine
during movement. The nurse should always maintain a wide base of support rather than
keeping feet together. Bending at the knees instead of the waist prevents lower back strain
and injury.
3. A nurse is caring for a patient who has a prescription for a clear liquid diet. Which item is
appropriate for the nurse to provide?
A. Orange juice with pulp
B. Vanilla pudding
C. Cream of chicken soup
D. Apple juice
Correct Answer: D
Clear liquid diets consist of foods that are transparent to light and liquid at room
temperature. Apple juice is considered clear, whereas orange juice with pulp contains
solids that are restricted. Cream-based items and pudding are part of a full liquid diet, not a
clear liquid diet.
, 4. The nurse is assessing a patient’s radial pulse and finds it to be irregular. What is the
priority nursing action?
A. Document the finding as normal.
B. Assess the apical pulse for one full minute.
C. Re-assess the radial pulse in 15 minutes.
D. Notify the provider immediately.
Correct Answer: B
An irregular radial pulse requires a more definitive assessment to determine the heart’s
true rate and rhythm. Assessing the apical pulse for 60 seconds is the gold standard for
evaluating cardiac irregularities. This action helps identify a pulse deficit and provides
more accurate data before contacting a physician.
5. A patient has been placed on Contact Precautions due to a Clostridium difficile infection.
Which hand hygiene method is mandatory?
A. Alcohol-based hand sanitizer
B. Washing with soap and water
C. Using a dry paper towel
D. Applying sterile gloves only
Correct Answer: B
