NUR 212 EXAM 1 PREPARATION: COMPREHENSIVE PRACTICE
QUESTIONS & STUDY GUIDE COMPLETE WITH 100% VERIFIED
ANSWERS
Table of Contents
Section Domain Approx. Page
Questions Reference
1 Nursing Process and Clinical Judgment 50 Part 1, Q1-
(ADPIE, Critical Thinking, Prioritization) 50
2 Assessment and Data Collection 40 Part 2, Q51-
(Subjective vs. Objective, Cues) 90
3 Diagnosis and Planning (PES Format, 40 Part 3, Q91-
SMART Goals, Outcomes) 130
4 Implementation and Intervention 40 Part 4,
(Independent vs. Dependent, Safety) Q131-170
5 Evaluation and Prioritization 30 Part 5,
Frameworks (ABC, Maslow, Rapid Q171-200
Response)
,Section 1: Nursing Process and Clinical Judgment (Q1-50)
Q1: The nurse is caring for a patient with acute renal failure. The nurse
reviews the lab results and notes a potassium level of 6.2 mEq/L.
Which step of the nursing process is the nurse performing?
A. Planning
B. Evaluation
C. Assessment
D. Assessment
Correct Answer: D
Rationale: Reviewing lab results is part of the Assessment phase, which
involves gathering data. The nurse is collecting objective data to form a
clinical judgment.
Q2: A nurse is developing a care plan for a patient with impaired
mobility. Which action demonstrates the Planning phase of the
nursing process?
A. Establishing a goal that the patient will ambulate 50 feet by
discharge
B. Assisting the patient to the bathroom
C. Checking the patient's skin for breakdown
D. Documenting that the patient refused to ambulate
Correct Answer: A
Rationale: Planning involves setting priorities, establishing measurable
outcomes, and determining interventions. Setting a goal for ambulation
is part of planning. Assisting and checking are
implementation/assessment. Documenting is
evaluation/implementation.
,Q3: The nurse is caring for a patient with severe dyspnea. The nurse
raises the head of the bed and administers oxygen as prescribed.
Which step of the nursing process is the nurse demonstrating?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
Correct Answer: D
Rationale: Implementation is the step where the nurse carries out the
planned interventions. Raising the bed and administering oxygen are
direct nursing interventions.
Q4: A nurse notes that a patient's surgical wound is red, swollen, and
has purulent drainage. The nurse documents this finding. Which
component of the nursing diagnosis does this represent?
A. Etiology
B. Defining characteristics
C. Goal statement
D. Evaluation criterion
Correct Answer: B
Rationale: Defining characteristics are the observable signs and
symptoms that support the diagnosis. Redness, swelling, and purulent
drainage are objective defining characteristics.
Q5: A patient tells the nurse, "I am worried about how I will pay for
my medications when I go home." Which type of data is the nurse
collecting?
A. Objective data
B. Subjective data
C. Tertiary data
, D. Secondary data
Correct Answer: B
Rationale: Subjective data are spoken information provided by the
patient, including feelings, perceptions, and concerns. Worry about
finances is a subjective concern.
Q6: A nurse is prioritizing care for four patients. Which patient should
the nurse assess first?
A. A patient requesting pain medication for a headache
B. A patient with a fever of 101.2°F (38.4°C)
C. A patient with new-onset shortness of breath and a respiratory rate
of 32
D. A patient who needs discharge teaching
Correct Answer: C
Rationale: Using the ABC framework, airway and breathing take priority.
A respiratory rate of 32 and new-onset shortness of breath indicate a
potential respiratory emergency.
Q7: Which nursing action is an example of an independent nursing
intervention?
A. Repositioning a patient every 2 hours to prevent pressure ulcers
B. Administering a prescribed antihypertensive medication
C. Inserting a urinary catheter based on a provider's order
D. Obtaining a sputum culture as prescribed
Correct Answer: A
Rationale: Independent nursing interventions are actions the nurse can
perform without a provider's order, based on nursing knowledge and
standards of practice. Repositioning is an independent nursing action.
QUESTIONS & STUDY GUIDE COMPLETE WITH 100% VERIFIED
ANSWERS
Table of Contents
Section Domain Approx. Page
Questions Reference
1 Nursing Process and Clinical Judgment 50 Part 1, Q1-
(ADPIE, Critical Thinking, Prioritization) 50
2 Assessment and Data Collection 40 Part 2, Q51-
(Subjective vs. Objective, Cues) 90
3 Diagnosis and Planning (PES Format, 40 Part 3, Q91-
SMART Goals, Outcomes) 130
4 Implementation and Intervention 40 Part 4,
(Independent vs. Dependent, Safety) Q131-170
5 Evaluation and Prioritization 30 Part 5,
Frameworks (ABC, Maslow, Rapid Q171-200
Response)
,Section 1: Nursing Process and Clinical Judgment (Q1-50)
Q1: The nurse is caring for a patient with acute renal failure. The nurse
reviews the lab results and notes a potassium level of 6.2 mEq/L.
Which step of the nursing process is the nurse performing?
A. Planning
B. Evaluation
C. Assessment
D. Assessment
Correct Answer: D
Rationale: Reviewing lab results is part of the Assessment phase, which
involves gathering data. The nurse is collecting objective data to form a
clinical judgment.
Q2: A nurse is developing a care plan for a patient with impaired
mobility. Which action demonstrates the Planning phase of the
nursing process?
A. Establishing a goal that the patient will ambulate 50 feet by
discharge
B. Assisting the patient to the bathroom
C. Checking the patient's skin for breakdown
D. Documenting that the patient refused to ambulate
Correct Answer: A
Rationale: Planning involves setting priorities, establishing measurable
outcomes, and determining interventions. Setting a goal for ambulation
is part of planning. Assisting and checking are
implementation/assessment. Documenting is
evaluation/implementation.
,Q3: The nurse is caring for a patient with severe dyspnea. The nurse
raises the head of the bed and administers oxygen as prescribed.
Which step of the nursing process is the nurse demonstrating?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
Correct Answer: D
Rationale: Implementation is the step where the nurse carries out the
planned interventions. Raising the bed and administering oxygen are
direct nursing interventions.
Q4: A nurse notes that a patient's surgical wound is red, swollen, and
has purulent drainage. The nurse documents this finding. Which
component of the nursing diagnosis does this represent?
A. Etiology
B. Defining characteristics
C. Goal statement
D. Evaluation criterion
Correct Answer: B
Rationale: Defining characteristics are the observable signs and
symptoms that support the diagnosis. Redness, swelling, and purulent
drainage are objective defining characteristics.
Q5: A patient tells the nurse, "I am worried about how I will pay for
my medications when I go home." Which type of data is the nurse
collecting?
A. Objective data
B. Subjective data
C. Tertiary data
, D. Secondary data
Correct Answer: B
Rationale: Subjective data are spoken information provided by the
patient, including feelings, perceptions, and concerns. Worry about
finances is a subjective concern.
Q6: A nurse is prioritizing care for four patients. Which patient should
the nurse assess first?
A. A patient requesting pain medication for a headache
B. A patient with a fever of 101.2°F (38.4°C)
C. A patient with new-onset shortness of breath and a respiratory rate
of 32
D. A patient who needs discharge teaching
Correct Answer: C
Rationale: Using the ABC framework, airway and breathing take priority.
A respiratory rate of 32 and new-onset shortness of breath indicate a
potential respiratory emergency.
Q7: Which nursing action is an example of an independent nursing
intervention?
A. Repositioning a patient every 2 hours to prevent pressure ulcers
B. Administering a prescribed antihypertensive medication
C. Inserting a urinary catheter based on a provider's order
D. Obtaining a sputum culture as prescribed
Correct Answer: A
Rationale: Independent nursing interventions are actions the nurse can
perform without a provider's order, based on nursing knowledge and
standards of practice. Repositioning is an independent nursing action.
