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WEST COAST UNIVERSITY NURS 100 – NURSING
FUNDAMENTALS AND FOUNDATIONS
COMPREHENSIVE PRACTICE EXAM QUESTIONS
WITH ANSWERS AND RATIONALES |100% PASS
|GRADED A+ 2026/27
Covers Nursing Process, Critical Thinking, Documentation,
Communication, Patient Education, Safety, Mobility, Hygiene,
Oxygenation, Nutrition, Elimination, Sleep, Pain Management, and
Wound Care
QUESTION 1
A nurse is using the nursing process to care for a patient. Which step
involves collecting data about the patient's health status?
A) Assessment
B) Diagnosis
C) Planning
D) Implementation
Verified Answer: A
Rationale: Assessment is the first step of the nursing process and
involves collecting subjective and objective data about the patient.
Diagnosis identifies the problem, Planning sets goals, Implementation
performs interventions, and Evaluation assesses outcomes.
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QUESTION 2
A nurse is documenting patient care in the electronic health record.
Which documentation entry is most appropriate?
A) "Patient seems agitated today"
B) "Patient is angry with nursing staff"
C) "Patient states, 'I am feeling anxious about my surgery'"
D) "Patient had a bad day"
Verified Answer: C
Rationale: Documentation should include direct quotes from the patient
when documenting subjective data. "Seems," "is angry," and "bad day"
are subjective interpretations and not appropriate for documentation.
QUESTION 3
A nurse is teaching a patient about a new medication. Which teaching
strategy is most effective?
A) Provide written instructions only
B) Use the teach-back method
C) Show a video once
D) Give a verbal explanation only
Verified Answer: B
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Rationale: The teach-back method (asking the patient to explain the
information in their own words) confirms understanding and identifies
areas needing clarification. It is more effective than passive methods.
QUESTION 4
A patient is at risk for falls. Which nursing intervention is most
appropriate?
A) Keep the bed in the highest position
B) Place the call light within reach
C) Raise all four side rails
D) Leave the room dark for sleeping
Verified Answer: B
Rationale: Placing the call light within reach allows the patient to call
for assistance when needed, reducing fall risk. The bed should be in the
lowest position, side rails should be used appropriately, and adequate
lighting is needed for safety.
QUESTION 5
A nurse is assessing a patient's pain using the numeric rating scale. The
patient reports a pain level of 8 out of 10. What is the appropriate
nursing action?
A) Document the finding
B) Administer pain medication as ordered
C) Reassess in 30 minutes
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D) Notify the healthcare provider
Verified Answer: B
Rationale: A pain score of 8 indicates severe pain requiring intervention.
The nurse should administer ordered analgesia. Documentation is
required but not the primary action. Reassessment should occur after
medication administration.
QUESTION 6
A patient is on strict bed rest. Which nursing intervention prevents
complications of immobility?
A) Restrict fluid intake
B) Perform passive range of motion exercises
C) Keep the patient supine at all times
D) Avoid repositioning
Verified Answer: B
Rationale: Passive range of motion exercises maintain joint mobility,
prevent contractures, and promote circulation. Fluid intake should be
encouraged, and repositioning is essential to prevent pressure injuries
and complications.
QUESTION 7
A nurse is preparing to insert an indwelling urinary catheter in a female
patient. Which landmark should the nurse identify first?
WEST COAST UNIVERSITY NURS 100 – NURSING
FUNDAMENTALS AND FOUNDATIONS
COMPREHENSIVE PRACTICE EXAM QUESTIONS
WITH ANSWERS AND RATIONALES |100% PASS
|GRADED A+ 2026/27
Covers Nursing Process, Critical Thinking, Documentation,
Communication, Patient Education, Safety, Mobility, Hygiene,
Oxygenation, Nutrition, Elimination, Sleep, Pain Management, and
Wound Care
QUESTION 1
A nurse is using the nursing process to care for a patient. Which step
involves collecting data about the patient's health status?
A) Assessment
B) Diagnosis
C) Planning
D) Implementation
Verified Answer: A
Rationale: Assessment is the first step of the nursing process and
involves collecting subjective and objective data about the patient.
Diagnosis identifies the problem, Planning sets goals, Implementation
performs interventions, and Evaluation assesses outcomes.
,2 | Page
QUESTION 2
A nurse is documenting patient care in the electronic health record.
Which documentation entry is most appropriate?
A) "Patient seems agitated today"
B) "Patient is angry with nursing staff"
C) "Patient states, 'I am feeling anxious about my surgery'"
D) "Patient had a bad day"
Verified Answer: C
Rationale: Documentation should include direct quotes from the patient
when documenting subjective data. "Seems," "is angry," and "bad day"
are subjective interpretations and not appropriate for documentation.
QUESTION 3
A nurse is teaching a patient about a new medication. Which teaching
strategy is most effective?
A) Provide written instructions only
B) Use the teach-back method
C) Show a video once
D) Give a verbal explanation only
Verified Answer: B
,3 | Page
Rationale: The teach-back method (asking the patient to explain the
information in their own words) confirms understanding and identifies
areas needing clarification. It is more effective than passive methods.
QUESTION 4
A patient is at risk for falls. Which nursing intervention is most
appropriate?
A) Keep the bed in the highest position
B) Place the call light within reach
C) Raise all four side rails
D) Leave the room dark for sleeping
Verified Answer: B
Rationale: Placing the call light within reach allows the patient to call
for assistance when needed, reducing fall risk. The bed should be in the
lowest position, side rails should be used appropriately, and adequate
lighting is needed for safety.
QUESTION 5
A nurse is assessing a patient's pain using the numeric rating scale. The
patient reports a pain level of 8 out of 10. What is the appropriate
nursing action?
A) Document the finding
B) Administer pain medication as ordered
C) Reassess in 30 minutes
, 4 | Page
D) Notify the healthcare provider
Verified Answer: B
Rationale: A pain score of 8 indicates severe pain requiring intervention.
The nurse should administer ordered analgesia. Documentation is
required but not the primary action. Reassessment should occur after
medication administration.
QUESTION 6
A patient is on strict bed rest. Which nursing intervention prevents
complications of immobility?
A) Restrict fluid intake
B) Perform passive range of motion exercises
C) Keep the patient supine at all times
D) Avoid repositioning
Verified Answer: B
Rationale: Passive range of motion exercises maintain joint mobility,
prevent contractures, and promote circulation. Fluid intake should be
encouraged, and repositioning is essential to prevent pressure injuries
and complications.
QUESTION 7
A nurse is preparing to insert an indwelling urinary catheter in a female
patient. Which landmark should the nurse identify first?
