AND ANSWERS | VERIFIED AND WELL-DETAILED ANSWERS | DETAILED EXPLANATIONS
AND
RATIONALES | COMPLETE EXAM PREPARATION STUDY GUIDE | PRACTICE QUESTIONS |
LATEST EXAM UPDATE
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CORE DOMAINS*
• Nursing foundations, roles, responsibilities, and professional practice
• Nursing process, clinical judgment, assessment, and documentation
• Safety, infection prevention, and risk reduction
• Fundamental nursing skills and patient care
• Communication, therapeutic relationships, and patient education
• Vital signs, nutrition, elimination, mobility, and hygiene
• Medication administration and basic pharmacologic principles
• Psychosocial, ethical, legal, and culturally responsive nursing care
• Health promotion, wellness, and developmental considerations
• Basic emergency care, prioritization, delegation, and care coordination
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INTRODUCTION*
This comprehensive NACE 1 Foundations of Nursing LPN-RN NLN assessment is designed to
strengthen foundational nursing knowledge, clinical reasoning, patient-safety awareness,
and practical decision-making. The multiple-choice questions address essential concepts
expected of beginning nursing professionals, including assessment, communication, infection
prevention, documentation, basic patient care, medication safety, ethical responsibilities,
and prioritization. Questions range from foundational recall to application and clinical-
judgment scenarios. Each item provides four answer choices followed immediately by the
correct answer and an educational rationale so that learners can identify knowledge gaps,
understand why an option is best, and develop stronger examination strategies while
connecting nursing principles to safe patient care.
SECTION ONE: QUESTIONS 1–100
Question 1. Which action best demonstrates the primary purpose of the nursing process?
A. Completing required documentation
B. Providing individualized, systematic patient care
C. Following medical prescriptions exactly
D. Performing technical procedures efficiently
Correct Answer: B. Providing individualized, systematic patient care
,Explanation: The nursing process provides a systematic framework for individualized nursing
care. It involves assessment, nursing diagnosis, planning, implementation, and evaluation,
allowing nurses to identify patient needs and adjust care according to responses.
Question 2. Which nursing-process step involves collecting subjective and objective
information about a patient?
A. Assessment
B. Planning
C. Implementation
D. Evaluation
Correct Answer: A. Assessment
Explanation: Assessment is the first step of the nursing process. The nurse gathers subjective
information from the patient and objective information through observation, physical
examination, and available clinical data.
Question 3. A patient states, “I feel nauseated.” How should the nurse classify this
information?
A. Objective data
B. Diagnostic data
C. Subjective data
D. Measurable data
Correct Answer: C. Subjective data
Explanation: Subjective data consist of information reported by the patient, such as pain,
nausea, dizziness, or anxiety. Objective data are observable or measurable findings.
Question 4. Which finding is an example of objective data?
A. “My stomach hurts.”
B. “I feel weak.”
C. “I am anxious.”
D. Temperature of 38.4°C (101.1°F)
Correct Answer: D. Temperature of 38.4°C (101.1°F)
Explanation: A measured temperature is objective because it can be observed and verified
by another person. The other findings are patient-reported experiences.
Question 5. Which nursing action is most appropriate when a patient's assessment data
appear inconsistent?
A. Ignore the discrepancy
B. Validate the information
, C. Immediately document the first finding
D. Ask another patient for confirmation
Correct Answer: B. Validate the information
Explanation: Inconsistent or questionable findings should be validated before being used for
clinical decision-making. Validation may include reassessing the patient, checking
equipment, or obtaining additional information.
Question 6. Which component of the nursing process follows nursing diagnosis?
A. Assessment
B. Planning
C. Evaluation
D. Data collection
Correct Answer: B. Planning
Explanation: The traditional nursing process follows the sequence assessment, nursing
diagnosis, planning, implementation, and evaluation. Planning establishes measurable goals
and appropriate nursing interventions.
Question 7. Which goal is written most appropriately for a patient at risk for falls?
A. Patient will be safer.
B. Patient will avoid falls.
C. Patient will remain free from falls during hospitalization.
D. Patient will understand fall prevention sometime soon.
Correct Answer: C. Patient will remain free from falls during hospitalization.
Explanation: An effective goal should be patient-centered, measurable, and time-oriented.
Remaining free from falls during hospitalization provides a clear outcome that can be
evaluated.
Question 8. Which action represents evaluation in the nursing process?
A. Identifying abnormal findings
B. Establishing nursing diagnoses
C. Determining whether expected outcomes were achieved
D. Carrying out prescribed interventions
Correct Answer: C. Determining whether expected outcomes were achieved
Explanation: Evaluation determines whether patient outcomes have been met and whether
the plan of care should be continued, modified, or discontinued.
Question 9. Which nursing diagnosis statement is written correctly?