Practice Questions with Answers, Rationales
& Exam Blueprint for Nursing Students
Description:
Prepare for NURS 110 Exam 2 with this comprehensive 2026/2027 test bank featuring 100
exam-style questions with detailed answers, rationales, and an exam blueprint. Covering the
nursing process, clinical judgment, ethics, infection control, vital signs, medication safety,
mobility, fluid and electrolyte balance, delegation, cultural competence, and more, this
nursing exam prep resource mirrors real university assessments. Includes SATA, matrix,
ordered-response, and calculation items aligned with QSEN and NCSBN standards. Ideal
for study guides, exam prep, and digital learning.
Download your NURS 110 Exam 2 test bank today and pass with confidence.
, NURS 110 Exam 2 Test Bank 2026/2027 — 100 Questions +
Answers
Section I: The Nursing Process and Clinical Judgment
1. A nurse is caring for a patient who underwent abdominal surgery 24 hours ago. The patient
reports incisional pain rated 7/10. The nurse administers the prescribed PRN analgesic. Thirty
minutes later, the nurse reassesses the patient's pain level as 3/10 and documents the finding.
This reassessment most accurately represents which step of the nursing process?
A. Assessment
B. Diagnosis
C. Implementation
D. Evaluation
Answer: D
Explanation: Evaluation is the final step of the nursing process, during which the nurse
determines whether the interventions implemented were effective by comparing the patient's
current status against the expected outcomes. The nurse's reassessment of pain after
administering medication directly evaluates the effectiveness of the intervention. Assessment (A)
refers to data collection, Diagnosis (B) involves clinical judgment about the patient's response,
and Implementation (C) is the actual performance of the intervention.
2. A nurse gathers the following data from a newly admitted patient: heart rate 88 beats per minute,
blood pressure 126/78 mmHg, bilateral lung sounds clear to auscultation, and the patient reports
feeling nauseated. Which step of the nursing process does this activity represent?
A. Planning
B. Assessment
C. Implementation
D. Evaluation
Answer: B
, Explanation: Assessment involves the systematic collection of both subjective data (the patient's
report of nausea) and objective data (vital signs and lung sounds) to establish a baseline and
identify actual or potential health problems. This is the first step of the nursing process and
provides the foundation for all subsequent phases. Planning (A) involves goal setting,
Implementation (C) is the execution of interventions, and Evaluation (D) determines outcome
achievement.
3. A nurse documents the following statement in a patient's care plan: "Patient will ambulate 50 feet
with a front-wheeled walker by the end of the shift without experiencing shortness of breath."
This statement is best classified as which component of the nursing process?
A. Nursing diagnosis
B. Goal/outcome statement
C. Nursing intervention
D. Subjective data
Answer: B
Explanation: This is a correctly written patient-centered goal statement developed during the
Planning phase of the nursing process. It is specific, measurable, time-bound, and describes an
expected patient outcome. A nursing diagnosis (A) identifies a patient problem or risk, a nursing
intervention (C) describes an action the nurse will perform, and subjective data (D) consists of
information reported by the patient.
4. A nurse is applying the NCSBN Clinical Judgment Measurement Model while caring for a
patient with acute shortness of breath. After the nurse recognizes and analyzes relevant cues,
which action should the nurse take next?
A. Generate solutions
B. Take action
C. Prioritize hypotheses
D. Evaluate outcomes
Answer: C
, Explanation: The NCSBN Clinical Judgment Measurement Model follows a sequential
cognitive process: Recognize Cues, Analyze Cues, Prioritize Hypotheses, Generate Solutions,
Take Action, and Evaluate Outcomes. After analyzing the cues, the nurse must prioritize
hypotheses by determining which potential explanations for the patient's condition are most
urgent or likely. This prioritization guides the selection of appropriate interventions.
5. A patient presents with a blood pressure of 82/50 mmHg, heart rate of 122 beats per minute, and
reports feeling lightheaded and dizzy. The nurse immediately positions the patient supine with
legs elevated and notifies the provider. This sequence of actions most clearly demonstrates which
professional nursing concept?
A. Proper delegation of tasks
B. Clinical judgment and timely intervention
C. Evaluation of an established care plan
D. Ethical decision-making
Answer: B
Explanation: The nurse recognized abnormal assessment findings (hypotension, tachycardia,
dizziness), analyzed these cues to identify potential hypovolemic shock, prioritized this as an
urgent concern, and took immediate action to stabilize the patient. This sequence exemplifies
clinical judgment in nursing practice. Delegation (A) involves assigning tasks to other personnel,
Evaluation (C) occurs after interventions are implemented, and Ethical decision-making (D)
involves moral reasoning rather than urgent clinical response.
6. Which of the following represents a correctly formulated nursing diagnosis?
A. "Congestive heart failure"
B. "Risk for falls related to generalized weakness and unsteady gait"
C. "Patient will remain free from injury"
D. "Administer oxygen at 2 liters per nasal cannula"
Answer: B