NURS100: FUNDAMENTALS OF NURSING ACTUAL
PRACTICE EXAM WITH WELL ELABORATED AND
MOST TESTED REAL PRACTICE QUESTIONS AND 100%
CORRECT VERIFIED ANSWERS WITH DETAILED
RATIONALES PLUS EXPERT ANSWER KEY 2026-2027
Q&A 100% GUARANTEED PASS A+ INSTANT
DOWNLOAD PDF
1. A nurse is preparing to perform palpation on a client during a physical
assessment. Which of the following is the nurse assessing during palpation?
A) Unexpected sounds made by tapping on the client's skin
B) Skin temperature, moisture, or unexpected findings
C) Heart sounds, lung sounds, and bowel sounds
D) The client's cleanliness and grooming
Rationale: Palpation is used to assess skin temperature, moisture, texture,
and unexpected findings such as lumps and deformities. Auscultation is
used for heart, lung, and bowel sounds. Tapping (percussion) is used to
assess sounds, and inspection is used for cleanliness and grooming.
2. A nurse is preparing to irrigate a client's leg wound. Which pieces of
personal protective equipment (PPE) should the nurse wear? (Select all that
apply)
A) N95 mask
B) Surgical cap
C) Gloves
D) Gown
E) Goggles
Rationale: During wound irrigation, the nurse should wear gloves, a
gown, and goggles (or a face shield) to prevent contact with blood, bodily
fluids, and splashes. An N95 mask and surgical cap are not required for
standard wound irrigation unless specific isolation precautions are
indicated.
,3. The nurse is completing documentation in a client's medical record. Which
of the following entries displays proper documentation by the nurse?
A) "The client is feeling better"
B) "The client's abdomen is soft and non-distended"
C) "The client's status is unchanged"
D) "The client appears in pain"
Rationale: Documentation should include factual, accurate, and objective
information. Subjective terms like "feeling better," "unchanged," or
"appears" should be replaced with objective, measurable data. A soft, non-
distended abdomen is an objective assessment finding.
4. A nurse in the emergency department has received report on a child who has
a laceration to the right calf. Which step of the nursing process should the
nurse perform first?
A) Assessment
B) Analysis
C) Evaluation
D) Planning
Rationale: The first step of the nursing process is assessment. During this
step, the nurse gathers information by performing a physical exam,
interviewing the client, and observing the client.
5. A nurse has just received report on a newly admitted client who speaks a
different language than the nurse. Which action should the nurse take to
assist with effective communication during the initial assessment?
A) Enlist the aid of the client's school-age child to interpret
B) Ask the client's best friend to interpret for the nurse and client
C) Use jokes and laughter to make the client feel more at ease
D) Request assistance from a professional interpreter
Rationale: The nurse should enlist a professional interpreter if the client
speaks a different language. Using family members or friends is not
appropriate as they may not provide accurate translations and may not
maintain confidentiality.
6. Which organization played a key role in standardizing the nursing process
framework used in modern nursing practice?
, A) Centers for Disease Control and Prevention (CDC)
B) American Nurses Association (ANA)
C) World Health Organization (WHO)
D) National Council of State Boards of Nursing (NCSBN)
Rationale: The American Nurses Association (ANA) helped standardize
the nursing process, which includes assessment, diagnosis, planning,
implementation, and evaluation. The CDC focuses on disease control,
WHO on global health, and NCSBN on licensure.
7. During which phase of the nursing process does the nurse formulate
S.M.A.R.T. goals with the patient?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
Rationale: During the planning phase, the nurse collaborates with the
patient to set specific, measurable, attainable, realistic, and time-bound
(S.M.A.R.T.) goals. Assessment involves data collection, implementation is
carrying out interventions, and evaluation determines if goals were met.
8. After administering a pain medication, the nurse reassesses the client's pain
level 30 minutes later. This action reflects which step of the nursing process?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
Rationale: Reassessing the client's pain level after an intervention is part
of the evaluation phase of the nursing process, which determines whether
the goals have been met. Assessment is the initial data collection, planning
involves goal setting, and implementation is carrying out the intervention.
9. A nurse is performing a health assessment on a newly admitted patient.
Which of the following is considered subjective data?
A) The patient's heart rate is 110 beats per minute.
B) The patient reports feeling nauseated after breakfast.
C) The patient's skin is warm and dry to the touch.
PRACTICE EXAM WITH WELL ELABORATED AND
MOST TESTED REAL PRACTICE QUESTIONS AND 100%
CORRECT VERIFIED ANSWERS WITH DETAILED
RATIONALES PLUS EXPERT ANSWER KEY 2026-2027
Q&A 100% GUARANTEED PASS A+ INSTANT
DOWNLOAD PDF
1. A nurse is preparing to perform palpation on a client during a physical
assessment. Which of the following is the nurse assessing during palpation?
A) Unexpected sounds made by tapping on the client's skin
B) Skin temperature, moisture, or unexpected findings
C) Heart sounds, lung sounds, and bowel sounds
D) The client's cleanliness and grooming
Rationale: Palpation is used to assess skin temperature, moisture, texture,
and unexpected findings such as lumps and deformities. Auscultation is
used for heart, lung, and bowel sounds. Tapping (percussion) is used to
assess sounds, and inspection is used for cleanliness and grooming.
2. A nurse is preparing to irrigate a client's leg wound. Which pieces of
personal protective equipment (PPE) should the nurse wear? (Select all that
apply)
A) N95 mask
B) Surgical cap
C) Gloves
D) Gown
E) Goggles
Rationale: During wound irrigation, the nurse should wear gloves, a
gown, and goggles (or a face shield) to prevent contact with blood, bodily
fluids, and splashes. An N95 mask and surgical cap are not required for
standard wound irrigation unless specific isolation precautions are
indicated.
,3. The nurse is completing documentation in a client's medical record. Which
of the following entries displays proper documentation by the nurse?
A) "The client is feeling better"
B) "The client's abdomen is soft and non-distended"
C) "The client's status is unchanged"
D) "The client appears in pain"
Rationale: Documentation should include factual, accurate, and objective
information. Subjective terms like "feeling better," "unchanged," or
"appears" should be replaced with objective, measurable data. A soft, non-
distended abdomen is an objective assessment finding.
4. A nurse in the emergency department has received report on a child who has
a laceration to the right calf. Which step of the nursing process should the
nurse perform first?
A) Assessment
B) Analysis
C) Evaluation
D) Planning
Rationale: The first step of the nursing process is assessment. During this
step, the nurse gathers information by performing a physical exam,
interviewing the client, and observing the client.
5. A nurse has just received report on a newly admitted client who speaks a
different language than the nurse. Which action should the nurse take to
assist with effective communication during the initial assessment?
A) Enlist the aid of the client's school-age child to interpret
B) Ask the client's best friend to interpret for the nurse and client
C) Use jokes and laughter to make the client feel more at ease
D) Request assistance from a professional interpreter
Rationale: The nurse should enlist a professional interpreter if the client
speaks a different language. Using family members or friends is not
appropriate as they may not provide accurate translations and may not
maintain confidentiality.
6. Which organization played a key role in standardizing the nursing process
framework used in modern nursing practice?
, A) Centers for Disease Control and Prevention (CDC)
B) American Nurses Association (ANA)
C) World Health Organization (WHO)
D) National Council of State Boards of Nursing (NCSBN)
Rationale: The American Nurses Association (ANA) helped standardize
the nursing process, which includes assessment, diagnosis, planning,
implementation, and evaluation. The CDC focuses on disease control,
WHO on global health, and NCSBN on licensure.
7. During which phase of the nursing process does the nurse formulate
S.M.A.R.T. goals with the patient?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
Rationale: During the planning phase, the nurse collaborates with the
patient to set specific, measurable, attainable, realistic, and time-bound
(S.M.A.R.T.) goals. Assessment involves data collection, implementation is
carrying out interventions, and evaluation determines if goals were met.
8. After administering a pain medication, the nurse reassesses the client's pain
level 30 minutes later. This action reflects which step of the nursing process?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
Rationale: Reassessing the client's pain level after an intervention is part
of the evaluation phase of the nursing process, which determines whether
the goals have been met. Assessment is the initial data collection, planning
involves goal setting, and implementation is carrying out the intervention.
9. A nurse is performing a health assessment on a newly admitted patient.
Which of the following is considered subjective data?
A) The patient's heart rate is 110 beats per minute.
B) The patient reports feeling nauseated after breakfast.
C) The patient's skin is warm and dry to the touch.
