NUR155 Exam 1, 2, 3 & 4 Study Guide
Questions & Answers | Latest Fall
Galen.
1. Which action best demonstrates the nursing process?
A. Administering medications without assessment
B. Collecting data, identifying problems, planning care, implementing
interventions, and evaluating outcomes
C. Following the physician's orders without modification
D. Documenting care only after discharge
Correct Answer: B
Rationale: The nursing process is a systematic approach consisting of
assessment, diagnosis, planning, implementation, and evaluation.
2. Which assessment finding should the nurse consider subjective data?
A. Blood pressure of 128/76 mmHg
B. Temperature of 37.1°C
C. Patient reports feeling nauseated
D. Respiratory rate of 18/min
Correct Answer: C
Rationale: Subjective data are symptoms or experiences reported by the
patient and cannot be directly measured by the nurse.
3. Which nursing action is most appropriate when establishing a
therapeutic relationship?
A. Changing the subject when the patient becomes emotional
B. Giving personal advice
C. Actively listening to the patient
D. Promising that everything will be fine
,Correct Answer: C
Rationale: Active listening promotes trust, demonstrates respect, and
encourages patients to express their concerns.
4. Which statement is an example of therapeutic communication?
A. “You shouldn't worry about that.”
B. “Why did you do that?”
C. “Tell me more about what concerns you.”
D. “Everything will work out.”
Correct Answer: C
Rationale: Open-ended statements encourage patients to discuss their
thoughts and feelings without directing or judging them.
5. Which vital sign should the nurse assess first when a patient reports
difficulty breathing?
A. Temperature
B. Respiratory rate
C. Blood pressure
D. Pain level
Correct Answer: B
Rationale: Respiratory status is an immediate priority when a patient
reports difficulty breathing.
6. Which position generally promotes lung expansion in a patient
experiencing shortness of breath?
A. Supine
B. Prone
C. High-Fowler's
D. Trendelenburg
Correct Answer: C
, Rationale: High-Fowler's positioning promotes maximal chest expansion
and can improve ventilation.
7. Which finding is most concerning in a patient?
A. Pulse of 78/min
B. Respiratory rate of 8/min
C. Temperature of 36.8°C
D. Blood pressure of 118/72 mmHg
Correct Answer: B
Rationale: A respiratory rate of 8/min indicates bradypnea and may reflect
inadequate ventilation, requiring prompt assessment.
8. What is the primary purpose of hand hygiene in healthcare?
A. Preventing medication errors
B. Preventing transmission of microorganisms
C. Improving patient comfort
D. Reducing documentation time
Correct Answer: B
Rationale: Hand hygiene is one of the most effective measures for reducing
transmission of infectious microorganisms.
9. Which action is appropriate when removing contaminated gloves?
A. Touching the outside of both gloves with bare hands
B. Removing both gloves simultaneously
C. Avoiding contact with the contaminated outer surfaces
D. Washing the gloves before removing them
Correct Answer: C
Rationale: Gloves should be removed in a manner that prevents
contamination of the hands and surrounding environment.
Questions & Answers | Latest Fall
Galen.
1. Which action best demonstrates the nursing process?
A. Administering medications without assessment
B. Collecting data, identifying problems, planning care, implementing
interventions, and evaluating outcomes
C. Following the physician's orders without modification
D. Documenting care only after discharge
Correct Answer: B
Rationale: The nursing process is a systematic approach consisting of
assessment, diagnosis, planning, implementation, and evaluation.
2. Which assessment finding should the nurse consider subjective data?
A. Blood pressure of 128/76 mmHg
B. Temperature of 37.1°C
C. Patient reports feeling nauseated
D. Respiratory rate of 18/min
Correct Answer: C
Rationale: Subjective data are symptoms or experiences reported by the
patient and cannot be directly measured by the nurse.
3. Which nursing action is most appropriate when establishing a
therapeutic relationship?
A. Changing the subject when the patient becomes emotional
B. Giving personal advice
C. Actively listening to the patient
D. Promising that everything will be fine
,Correct Answer: C
Rationale: Active listening promotes trust, demonstrates respect, and
encourages patients to express their concerns.
4. Which statement is an example of therapeutic communication?
A. “You shouldn't worry about that.”
B. “Why did you do that?”
C. “Tell me more about what concerns you.”
D. “Everything will work out.”
Correct Answer: C
Rationale: Open-ended statements encourage patients to discuss their
thoughts and feelings without directing or judging them.
5. Which vital sign should the nurse assess first when a patient reports
difficulty breathing?
A. Temperature
B. Respiratory rate
C. Blood pressure
D. Pain level
Correct Answer: B
Rationale: Respiratory status is an immediate priority when a patient
reports difficulty breathing.
6. Which position generally promotes lung expansion in a patient
experiencing shortness of breath?
A. Supine
B. Prone
C. High-Fowler's
D. Trendelenburg
Correct Answer: C
, Rationale: High-Fowler's positioning promotes maximal chest expansion
and can improve ventilation.
7. Which finding is most concerning in a patient?
A. Pulse of 78/min
B. Respiratory rate of 8/min
C. Temperature of 36.8°C
D. Blood pressure of 118/72 mmHg
Correct Answer: B
Rationale: A respiratory rate of 8/min indicates bradypnea and may reflect
inadequate ventilation, requiring prompt assessment.
8. What is the primary purpose of hand hygiene in healthcare?
A. Preventing medication errors
B. Preventing transmission of microorganisms
C. Improving patient comfort
D. Reducing documentation time
Correct Answer: B
Rationale: Hand hygiene is one of the most effective measures for reducing
transmission of infectious microorganisms.
9. Which action is appropriate when removing contaminated gloves?
A. Touching the outside of both gloves with bare hands
B. Removing both gloves simultaneously
C. Avoiding contact with the contaminated outer surfaces
D. Washing the gloves before removing them
Correct Answer: C
Rationale: Gloves should be removed in a manner that prevents
contamination of the hands and surrounding environment.
