NSG 100 Exam 1 Introduction to Nursing Concepts
– NGN Questions and Case Scenarios (Guarantee
Pass)
SECTION 1: NURSING AS A PROFESSION, HISTORY & THEORY
1. A prospective nursing student asks, "What is the primary purpose of the
nursing process?" What is the best response?
• A) To diagnose medical conditions
• B) To provide a systematic framework for delivering patient care
• C) To follow physician orders without alteration
• D) To ensure healthcare facilities make a profit
Answer: B
Rationale: The nursing process (ADPIE: Assessment, Diagnosis, Planning,
Implementation, Evaluation) is a problem-solving approach that guides nurses in
providing organized, individualized, patient-centered care. It is not used for
medical diagnosis or financial purposes.
2. A nurse is caring for a patient who is anxious about an upcoming surgery. The
nurse sits with the patient, listens to concerns, and offers reassurance. This
action demonstrates which nursing concept?
• A) Evidence-based practice
• B) Holistic nursing
• C) The medical model
• D) Task-oriented care
Answer: B
Rationale: Holistic nursing addresses the whole person—physical, psychological,
social, and spiritual dimensions. By addressing the patient's emotional and
,psychological needs alongside physical care, the nurse demonstrates holistic
practice.
3. Who developed the Self-Care Deficit Theory?
• A) Florence Nightingale
• B) Dorothea Orem
• C) Hildegard Peplau
• D) Jean Watson
Answer: B
Rationale: Dorothea Orem developed the Self-Care Deficit Theory, which focuses
on the patient's ability to perform self-care activities. Nursing care is needed
when the patient cannot meet their own self-care needs.
4. A nurse is caring for a patient who reports nausea and states feeling isolated
from family. According to Maslow's hierarchy of needs, which need should the
nurse address first?
• A) Belonging needs
• B) Physiologic needs
• C) Self-esteem needs
• D) Safety needs
Answer: B
Rationale: According to Maslow's hierarchy, physiologic needs (such as relief from
nausea) take priority over higher-level needs like belonging and self-esteem. Basic
survival needs must be met before addressing psychosocial concerns.
5. Which nursing theorist is known for developing the Interpersonal Relations
Theory?
, • A) Florence Nightingale
• B) Dorothea Orem
• C) Hildegard Peplau
• D) Jean Watson
Answer: C
Rationale: Hildegard Peplau developed the Interpersonal Relations Theory, which
emphasizes the nurse-patient relationship as the foundation of nursing practice.
6. A nurse reviews research findings before implementing a new patient care
protocol. This is an example of:
• A) Intuition
• B) Tradition
• C) Evidence-based practice
• D) Trial and error
Answer: C
Rationale: Evidence-based practice involves integrating the best available
research evidence with clinical expertise and patient preferences to guide nursing
care.
7. Which of the following is an example of a nurse-initiated (independent)
nursing intervention? (Select all that apply)
• A) Medication administration
• B) Patient positioning
• C) Medication teaching
• D) Family teaching
Answer: B, C, D
Rationale: Independent nursing interventions do not require an order from
, another healthcare professional. Examples include patient positioning,
medication teaching, and family teaching. Medication administration requires a
provider's order.
8. The nurse is preparing to discharge a patient after a hospital stay. Which task
should the nurse perform to determine if goals have been met?
• A) Collect data related to the goal and make decisions about nursing care
effectiveness
• B) Collect data to develop new nursing diagnoses for the home health nurse
• C) Collect data to provide discharge instructions
• D) Collect data related to patient-specific outcomes for accrediting bodies
Answer: A
Rationale: Outcomes are evaluated to determine if the patient's goals have been
met and the effectiveness of the plan of care. Based on evaluation, the plan is
continued, modified, or terminated.
9. Which statement best describes the evaluation phase of the nursing process?
• A) Evaluation is performed throughout all phases of the nursing process
• B) Evaluation is performed only after nursing interventions are performed
• C) Evaluation focuses on determining changes and preventing
complications
• D) Evaluation is determined based on gathering subjective and objective
data
Answer: A
Rationale: Evaluation is a continuous, fluid process used throughout all phases of
the nursing process to determine the effectiveness of planned interventions. It
includes reassessment of the patient.
– NGN Questions and Case Scenarios (Guarantee
Pass)
SECTION 1: NURSING AS A PROFESSION, HISTORY & THEORY
1. A prospective nursing student asks, "What is the primary purpose of the
nursing process?" What is the best response?
• A) To diagnose medical conditions
• B) To provide a systematic framework for delivering patient care
• C) To follow physician orders without alteration
• D) To ensure healthcare facilities make a profit
Answer: B
Rationale: The nursing process (ADPIE: Assessment, Diagnosis, Planning,
Implementation, Evaluation) is a problem-solving approach that guides nurses in
providing organized, individualized, patient-centered care. It is not used for
medical diagnosis or financial purposes.
2. A nurse is caring for a patient who is anxious about an upcoming surgery. The
nurse sits with the patient, listens to concerns, and offers reassurance. This
action demonstrates which nursing concept?
• A) Evidence-based practice
• B) Holistic nursing
• C) The medical model
• D) Task-oriented care
Answer: B
Rationale: Holistic nursing addresses the whole person—physical, psychological,
social, and spiritual dimensions. By addressing the patient's emotional and
,psychological needs alongside physical care, the nurse demonstrates holistic
practice.
3. Who developed the Self-Care Deficit Theory?
• A) Florence Nightingale
• B) Dorothea Orem
• C) Hildegard Peplau
• D) Jean Watson
Answer: B
Rationale: Dorothea Orem developed the Self-Care Deficit Theory, which focuses
on the patient's ability to perform self-care activities. Nursing care is needed
when the patient cannot meet their own self-care needs.
4. A nurse is caring for a patient who reports nausea and states feeling isolated
from family. According to Maslow's hierarchy of needs, which need should the
nurse address first?
• A) Belonging needs
• B) Physiologic needs
• C) Self-esteem needs
• D) Safety needs
Answer: B
Rationale: According to Maslow's hierarchy, physiologic needs (such as relief from
nausea) take priority over higher-level needs like belonging and self-esteem. Basic
survival needs must be met before addressing psychosocial concerns.
5. Which nursing theorist is known for developing the Interpersonal Relations
Theory?
, • A) Florence Nightingale
• B) Dorothea Orem
• C) Hildegard Peplau
• D) Jean Watson
Answer: C
Rationale: Hildegard Peplau developed the Interpersonal Relations Theory, which
emphasizes the nurse-patient relationship as the foundation of nursing practice.
6. A nurse reviews research findings before implementing a new patient care
protocol. This is an example of:
• A) Intuition
• B) Tradition
• C) Evidence-based practice
• D) Trial and error
Answer: C
Rationale: Evidence-based practice involves integrating the best available
research evidence with clinical expertise and patient preferences to guide nursing
care.
7. Which of the following is an example of a nurse-initiated (independent)
nursing intervention? (Select all that apply)
• A) Medication administration
• B) Patient positioning
• C) Medication teaching
• D) Family teaching
Answer: B, C, D
Rationale: Independent nursing interventions do not require an order from
, another healthcare professional. Examples include patient positioning,
medication teaching, and family teaching. Medication administration requires a
provider's order.
8. The nurse is preparing to discharge a patient after a hospital stay. Which task
should the nurse perform to determine if goals have been met?
• A) Collect data related to the goal and make decisions about nursing care
effectiveness
• B) Collect data to develop new nursing diagnoses for the home health nurse
• C) Collect data to provide discharge instructions
• D) Collect data related to patient-specific outcomes for accrediting bodies
Answer: A
Rationale: Outcomes are evaluated to determine if the patient's goals have been
met and the effectiveness of the plan of care. Based on evaluation, the plan is
continued, modified, or terminated.
9. Which statement best describes the evaluation phase of the nursing process?
• A) Evaluation is performed throughout all phases of the nursing process
• B) Evaluation is performed only after nursing interventions are performed
• C) Evaluation focuses on determining changes and preventing
complications
• D) Evaluation is determined based on gathering subjective and objective
data
Answer: A
Rationale: Evaluation is a continuous, fluid process used throughout all phases of
the nursing process to determine the effectiveness of planned interventions. It
includes reassessment of the patient.
