NUR 265 Exam 1 Review | Latest Update 2026/2027 | 200
Questions and Verified Answers | Galen College Complete
Q&A Guide | A+ Graded
1. The first step of the nursing process is:
A. Diagnosis
B. Planning
C. Assessment
D. Implementation
Answer: C. Assessment
Rationale: The nursing process follows a specific order: Assessment → Diagnosis → Planning →
Implementation → Evaluation. Assessment is the first step, during which the nurse collects
comprehensive data about the patient.
2. Which nursing action reflects the planning phase of the nursing process?
A. Collecting vital signs
B. Identifying patient problems
C. Setting measurable goals
D. Administering medication
Answer: C. Setting measurable goals
Rationale: The planning phase involves setting measurable, achievable goals and outcomes for the
patient. Collecting vital signs is part of assessment, identifying problems is diagnosis, and administering
medication is implementation.
,3. A nursing diagnosis is best defined as:
A. A medical condition
B. A patient response to illness
C. A laboratory abnormality
D. A physician's order
Answer: B. A patient response to illness
Rationale: A nursing diagnosis describes a patient's response to a health condition or life process,
distinct from a medical diagnosis which identifies a disease.
4. The best way to prevent the spread of infection is:
A. Wearing gloves
B. Proper hand hygiene
C. Wearing a mask
D. Isolating the patient
Answer: B. Proper hand hygiene
Rationale: Proper hand hygiene is the single most effective measure to prevent the spread of infection
in healthcare settings.
5. Which precaution is required for a patient with tuberculosis?
,A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
Answer: C. Airborne precautions
Rationale: Tuberculosis requires airborne precautions, including an N95 respirator and negative pressure
isolation room, because the organism is transmitted via small droplet nuclei that remain suspended in
the air.
6. A patient with Clostridium difficile requires which type of precautions?
A. Droplet precautions
B. N95 mask
C. Contact precautions
D. Reverse isolation
Answer: C. Contact precautions
Rationale: C. difficile is transmitted via the fecaloral route and requires contact precautions, including
gown and gloves, because the spores can survive on surfaces.
7. Personal protective equipment (PPE) should be removed in which order?
A. Gloves, gown, mask
B. Mask, gloves, gown
C. Gown, gloves, mask
, D. Gloves, mask, gown
Answer: A. Gloves, gown, mask
Rationale: The correct order for removing PPE is: gloves first (most contaminated), then gown, then
mask (least contaminated). This sequence minimizes the risk of contamination.
8. A nurse observes a colleague failing to perform proper hand hygiene and reports the incident to the
charge nurse. The charge nurse ignores the report due to a personal relationship with the colleague.
Which ethical concept best describes the reporting nurse's experience?
A. Moral indifference
B. Moral distress
C. Ethical dilemma
D. Moral outrage
Answer: B. Moral distress
Rationale: Moral distress occurs when a nurse recognizes the ethically appropriate action but is unable
to act due to external or internal barriers. The nurse acted appropriately by reporting the violation, but
the charge nurse's refusal to intervene prevented resolution.
9. A nurse manager consistently makes decisions based on outcomes that benefit the majority of staff
members. Which ethical framework is being used?
A. Rightsbased reasoning
B. Dutybased reasoning
C. Utilitarianism
D. Ethical universalism
Questions and Verified Answers | Galen College Complete
Q&A Guide | A+ Graded
1. The first step of the nursing process is:
A. Diagnosis
B. Planning
C. Assessment
D. Implementation
Answer: C. Assessment
Rationale: The nursing process follows a specific order: Assessment → Diagnosis → Planning →
Implementation → Evaluation. Assessment is the first step, during which the nurse collects
comprehensive data about the patient.
2. Which nursing action reflects the planning phase of the nursing process?
A. Collecting vital signs
B. Identifying patient problems
C. Setting measurable goals
D. Administering medication
Answer: C. Setting measurable goals
Rationale: The planning phase involves setting measurable, achievable goals and outcomes for the
patient. Collecting vital signs is part of assessment, identifying problems is diagnosis, and administering
medication is implementation.
,3. A nursing diagnosis is best defined as:
A. A medical condition
B. A patient response to illness
C. A laboratory abnormality
D. A physician's order
Answer: B. A patient response to illness
Rationale: A nursing diagnosis describes a patient's response to a health condition or life process,
distinct from a medical diagnosis which identifies a disease.
4. The best way to prevent the spread of infection is:
A. Wearing gloves
B. Proper hand hygiene
C. Wearing a mask
D. Isolating the patient
Answer: B. Proper hand hygiene
Rationale: Proper hand hygiene is the single most effective measure to prevent the spread of infection
in healthcare settings.
5. Which precaution is required for a patient with tuberculosis?
,A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
Answer: C. Airborne precautions
Rationale: Tuberculosis requires airborne precautions, including an N95 respirator and negative pressure
isolation room, because the organism is transmitted via small droplet nuclei that remain suspended in
the air.
6. A patient with Clostridium difficile requires which type of precautions?
A. Droplet precautions
B. N95 mask
C. Contact precautions
D. Reverse isolation
Answer: C. Contact precautions
Rationale: C. difficile is transmitted via the fecaloral route and requires contact precautions, including
gown and gloves, because the spores can survive on surfaces.
7. Personal protective equipment (PPE) should be removed in which order?
A. Gloves, gown, mask
B. Mask, gloves, gown
C. Gown, gloves, mask
, D. Gloves, mask, gown
Answer: A. Gloves, gown, mask
Rationale: The correct order for removing PPE is: gloves first (most contaminated), then gown, then
mask (least contaminated). This sequence minimizes the risk of contamination.
8. A nurse observes a colleague failing to perform proper hand hygiene and reports the incident to the
charge nurse. The charge nurse ignores the report due to a personal relationship with the colleague.
Which ethical concept best describes the reporting nurse's experience?
A. Moral indifference
B. Moral distress
C. Ethical dilemma
D. Moral outrage
Answer: B. Moral distress
Rationale: Moral distress occurs when a nurse recognizes the ethically appropriate action but is unable
to act due to external or internal barriers. The nurse acted appropriately by reporting the violation, but
the charge nurse's refusal to intervene prevented resolution.
9. A nurse manager consistently makes decisions based on outcomes that benefit the majority of staff
members. Which ethical framework is being used?
A. Rightsbased reasoning
B. Dutybased reasoning
C. Utilitarianism
D. Ethical universalism
