NUR 170-171 FOUNDATIONS OF
NURSING EXAM 1 B QUESTIONS AND
CORRECT ANSWERS 2026/2027
1. A nurse is performing an admission assessment. Which of the following findings is
considered objective data?
A. The patient’s respiratory rate is 22 breaths per minute.
B. The patient states they feel nauseated after eating.
C. The patient reports a pain level of 6 out of 10.
D. The patient complains of feeling dizzy when standing.
Answer: A
Conceptual Explanation: Objective data are observable and measurable signs, such as
vital signs. Subjective data are what the patient says or feels (pain, nausea, dizziness).
2. When planning care for a patient, which nursing diagnosis takes the highest priority
according to Maslow’s Hierarchy of Needs?
A. Risk for loneliness related to social isolation.
B. Deficient knowledge related to new medication regimen.
C. Ineffective airway clearance related to retained secretions.
D. Low self-esteem related to body image changes.
,Answer: C
Conceptual Explanation: Physiological needs, particularly those related to ABCs (Airway,
Breathing, Circulation), are the highest priority in Maslow’s hierarchy.
3. A nurse is preparing to administer a medication. Which ‘right’ of medication administration
is the nurse checking when they confirm the patient’s date of birth and name band?
A. Right Route
B. Right Time
C. Right Documentation
D. Right Patient
Answer: D
Conceptual Explanation: The Right Patient is verified using two unique identifiers,
typically name and date of birth.
4. Which stage of a pressure injury is characterized by full-thickness skin loss with visible
adipose tissue and epibole (rolled wound edges)?
A. Stage 1
B. Stage 2
C. Stage 4
D. Stage 3
Answer: D
, Conceptual Explanation: Stage 3 involves full-thickness skin loss where fat (adipose) is
visible. Stage 4 involves exposed bone, tendon, or muscle.
5. A patient has a localized infection. Which of the following is a systemic sign that the
infection may be spreading?
A. Redness at the site
B. Edema at the site
C. Pain upon palpation
D. Fever and leukocytosis
Answer: D
Conceptual Explanation: Fever and an elevated white blood cell count (leukocytosis) are
systemic responses to infection, whereas redness and edema are localized.
6. What is the primary purpose of the ‘Implementation’ phase of the nursing process?
A. Collecting data about the patient’s health status.
B. Setting measurable goals with the patient.
C. Performing the nursing actions identified in the care plan.
D. Determining if the patient’s goals were met.
Answer: C
Conceptual Explanation: Implementation involves carrying out the planned nursing
interventions.
NURSING EXAM 1 B QUESTIONS AND
CORRECT ANSWERS 2026/2027
1. A nurse is performing an admission assessment. Which of the following findings is
considered objective data?
A. The patient’s respiratory rate is 22 breaths per minute.
B. The patient states they feel nauseated after eating.
C. The patient reports a pain level of 6 out of 10.
D. The patient complains of feeling dizzy when standing.
Answer: A
Conceptual Explanation: Objective data are observable and measurable signs, such as
vital signs. Subjective data are what the patient says or feels (pain, nausea, dizziness).
2. When planning care for a patient, which nursing diagnosis takes the highest priority
according to Maslow’s Hierarchy of Needs?
A. Risk for loneliness related to social isolation.
B. Deficient knowledge related to new medication regimen.
C. Ineffective airway clearance related to retained secretions.
D. Low self-esteem related to body image changes.
,Answer: C
Conceptual Explanation: Physiological needs, particularly those related to ABCs (Airway,
Breathing, Circulation), are the highest priority in Maslow’s hierarchy.
3. A nurse is preparing to administer a medication. Which ‘right’ of medication administration
is the nurse checking when they confirm the patient’s date of birth and name band?
A. Right Route
B. Right Time
C. Right Documentation
D. Right Patient
Answer: D
Conceptual Explanation: The Right Patient is verified using two unique identifiers,
typically name and date of birth.
4. Which stage of a pressure injury is characterized by full-thickness skin loss with visible
adipose tissue and epibole (rolled wound edges)?
A. Stage 1
B. Stage 2
C. Stage 4
D. Stage 3
Answer: D
, Conceptual Explanation: Stage 3 involves full-thickness skin loss where fat (adipose) is
visible. Stage 4 involves exposed bone, tendon, or muscle.
5. A patient has a localized infection. Which of the following is a systemic sign that the
infection may be spreading?
A. Redness at the site
B. Edema at the site
C. Pain upon palpation
D. Fever and leukocytosis
Answer: D
Conceptual Explanation: Fever and an elevated white blood cell count (leukocytosis) are
systemic responses to infection, whereas redness and edema are localized.
6. What is the primary purpose of the ‘Implementation’ phase of the nursing process?
A. Collecting data about the patient’s health status.
B. Setting measurable goals with the patient.
C. Performing the nursing actions identified in the care plan.
D. Determining if the patient’s goals were met.
Answer: C
Conceptual Explanation: Implementation involves carrying out the planned nursing
interventions.
