Exam 1: NUR201 / NUR 201 (Latest
Update) Medical-
Surgical Nursing I | Questions and
Verified Answers 100% Correct |
Grade A – Fortis
Question 1
Which action by a student nurse indicates an understanding of a therapeutic
relationship?
A. Sharing personal experiences to comfort the patient
B. Setting clear boundaries and focusing on the client's needs
C. Exchanging phone numbers for follow-up support
D. Discussing the nurse's personal opinions about treatment options
Correct Answer: B. Setting clear boundaries and focusing on the client's needs
Rationale: A therapeutic relationship is a partnership where the nurse and client work
together to improve client outcomes. It is structured, goal-oriented, and focuses only on
the client's needs. Social relationships, in contrast, focus on both individuals' needs and
lack boundaries .
Question 2
The nurse must be competent in three areas of nursing practice. These are:
A. Technical skills, interpersonal skills, and critical thinking
B. Leadership, autonomy, and advanced degree
C. Communication, documentation, and assessment
D. Clinical skills, administrative skills, and research skills
,Correct Answer: A. Technical skills, interpersonal skills, and critical thinking
Rationale: Nurses must be competent in three key areas: specific skills (technical),
function (interpersonal), and knowledge (critical thinking) .
Question 3
What is the role of the nurse as an advocate?
A. To make decisions for the patient
B. To protect the patient's rights and ensure their wishes are followed
C. To provide all direct patient care independently
D. To prioritize cost reduction over patient needs
Correct Answer: B. To protect the patient's rights and ensure their wishes are followed
Rationale: An advocate protects the rights of the patient and ensures their wishes are
followed by helping them speak for themselves when necessary . Advocacy is an
ethical/legal skill of the nurse.
Question 4
What does the "A" stand for in the ADPIE nursing process?
A. Analysis
B. Assessment
C. Action
D. Advocacy
Correct Answer: B. Assessment
Rationale: AD PIE stands for Assessment, Diagnosis, Planning, Implementation, and
Evaluation. Assessment is the first phase of the nursing process .
Question 5
The nurse is caring for a patient who is pancytopenic. Which action by unlicensed
assistive personnel (UAP) requires an intervention by the nurse?
,A. The UAP adds baking soda to the patient's saline oral rinses
B. The UAP assists the patient to use dental floss after eating
C. The UAP puts fluoride toothpaste on the patient's toothbrush
D. The UAP has the patient rinse after meals with a saline solution
Correct Answer: B. The UAP assists the patient to use dental floss after eating
Rationale: Use of dental floss is avoided in patients with pancytopenia because of the
risk for infection and bleeding. The other actions are appropriate for oral care of a
pancytopenic patient .
Question 6
Observable and measurable data is referred to as what type of data?
A. Subjective data
B. Assessment data
C. Objective data
D. Focused data
Correct Answer: C. Objective data
Rationale: Objective data is observable and measurable—data that can be seen, heard,
or felt by someone other than the person experiencing it. Examples include elevated
temperature, skin moisture, and vomiting .
Question 7
Data that is collected regarding a problem that has been identified and is still in
existence is what type of assessment?
A. Time lapse assessment
B. Urgent assessment
C. Primary assessment
D. Focus assessment
Correct Answer: D. Focus assessment
, Rationale: A focused assessment is conducted to collect data about a problem that has
been identified and is still in existence. It targets a specific area of concern .
Question 8
What is the correct order of the nursing process?
A. Planning → Assessment → Diagnosis → Implementation → Evaluation
B. Assessment → Diagnosis → Planning → Implementation → Evaluation
C. Assessment → Planning → Implementation → Diagnosis → Evaluation
D. Diagnosis → Planning → Implementation → Assessment → Evaluation
Correct Answer: B. Assessment → Diagnosis → Planning → Implementation →
Evaluation
Rationale: The correct order of the nursing process is Assessment, Diagnosis, Planning,
Implementation, and Evaluation (ADPIE) .
Question 9
The nurse is illustrating which phase of the nursing process when developing a
plan for the patient's care?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
Correct Answer: C. Planning
Rationale: The planning phase involves developing a plan for the patient's care,
including setting goals and selecting interventions to achieve those goals .
Question 10
The patient has just returned from surgery and the nurse is documenting. Which
phase of the nursing process does this illustrate?
Update) Medical-
Surgical Nursing I | Questions and
Verified Answers 100% Correct |
Grade A – Fortis
Question 1
Which action by a student nurse indicates an understanding of a therapeutic
relationship?
A. Sharing personal experiences to comfort the patient
B. Setting clear boundaries and focusing on the client's needs
C. Exchanging phone numbers for follow-up support
D. Discussing the nurse's personal opinions about treatment options
Correct Answer: B. Setting clear boundaries and focusing on the client's needs
Rationale: A therapeutic relationship is a partnership where the nurse and client work
together to improve client outcomes. It is structured, goal-oriented, and focuses only on
the client's needs. Social relationships, in contrast, focus on both individuals' needs and
lack boundaries .
Question 2
The nurse must be competent in three areas of nursing practice. These are:
A. Technical skills, interpersonal skills, and critical thinking
B. Leadership, autonomy, and advanced degree
C. Communication, documentation, and assessment
D. Clinical skills, administrative skills, and research skills
,Correct Answer: A. Technical skills, interpersonal skills, and critical thinking
Rationale: Nurses must be competent in three key areas: specific skills (technical),
function (interpersonal), and knowledge (critical thinking) .
Question 3
What is the role of the nurse as an advocate?
A. To make decisions for the patient
B. To protect the patient's rights and ensure their wishes are followed
C. To provide all direct patient care independently
D. To prioritize cost reduction over patient needs
Correct Answer: B. To protect the patient's rights and ensure their wishes are followed
Rationale: An advocate protects the rights of the patient and ensures their wishes are
followed by helping them speak for themselves when necessary . Advocacy is an
ethical/legal skill of the nurse.
Question 4
What does the "A" stand for in the ADPIE nursing process?
A. Analysis
B. Assessment
C. Action
D. Advocacy
Correct Answer: B. Assessment
Rationale: AD PIE stands for Assessment, Diagnosis, Planning, Implementation, and
Evaluation. Assessment is the first phase of the nursing process .
Question 5
The nurse is caring for a patient who is pancytopenic. Which action by unlicensed
assistive personnel (UAP) requires an intervention by the nurse?
,A. The UAP adds baking soda to the patient's saline oral rinses
B. The UAP assists the patient to use dental floss after eating
C. The UAP puts fluoride toothpaste on the patient's toothbrush
D. The UAP has the patient rinse after meals with a saline solution
Correct Answer: B. The UAP assists the patient to use dental floss after eating
Rationale: Use of dental floss is avoided in patients with pancytopenia because of the
risk for infection and bleeding. The other actions are appropriate for oral care of a
pancytopenic patient .
Question 6
Observable and measurable data is referred to as what type of data?
A. Subjective data
B. Assessment data
C. Objective data
D. Focused data
Correct Answer: C. Objective data
Rationale: Objective data is observable and measurable—data that can be seen, heard,
or felt by someone other than the person experiencing it. Examples include elevated
temperature, skin moisture, and vomiting .
Question 7
Data that is collected regarding a problem that has been identified and is still in
existence is what type of assessment?
A. Time lapse assessment
B. Urgent assessment
C. Primary assessment
D. Focus assessment
Correct Answer: D. Focus assessment
, Rationale: A focused assessment is conducted to collect data about a problem that has
been identified and is still in existence. It targets a specific area of concern .
Question 8
What is the correct order of the nursing process?
A. Planning → Assessment → Diagnosis → Implementation → Evaluation
B. Assessment → Diagnosis → Planning → Implementation → Evaluation
C. Assessment → Planning → Implementation → Diagnosis → Evaluation
D. Diagnosis → Planning → Implementation → Assessment → Evaluation
Correct Answer: B. Assessment → Diagnosis → Planning → Implementation →
Evaluation
Rationale: The correct order of the nursing process is Assessment, Diagnosis, Planning,
Implementation, and Evaluation (ADPIE) .
Question 9
The nurse is illustrating which phase of the nursing process when developing a
plan for the patient's care?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
Correct Answer: C. Planning
Rationale: The planning phase involves developing a plan for the patient's care,
including setting goals and selecting interventions to achieve those goals .
Question 10
The patient has just returned from surgery and the nurse is documenting. Which
phase of the nursing process does this illustrate?
