NUR155 Exam 1, 2, 3 & 4
Study Guide Practice
Questions With Answers
2026
1. A nurse is performing an initial assessment. Which action should occur
first?
A. Develop the care plan
B. Collect relevant patient information
C. Evaluate expected outcomes
D. Implement nursing interventions
Correct Answer: B
Rationale: Assessment is the first step of the nursing process and involves
collecting information about the patient's health status.
2. Which finding represents objective data?
A. “I feel dizzy.”
B. “My stomach hurts.”
C. Skin temperature of 38.2°C
D. “I feel anxious.”
Correct Answer: C
Rationale: Objective data are measurable or observable findings obtained
through assessment.
3. A patient states, “I am frightened about my surgery.” Which response
is most therapeutic?
,A. “There is nothing to worry about.”
B. “Many people have this surgery.”
C. “Tell me what concerns you most about the surgery.”
D. “You should try not to think about it.”
Correct Answer: C
Rationale: This response acknowledges the patient's feelings and
encourages further expression of concerns.
4. Which communication technique involves repeating the patient's
main idea in different words?
A. Clarification
B. Paraphrasing
C. Confrontation
D. Changing the subject
Correct Answer: B
Rationale: Paraphrasing restates the patient's message in different words
to confirm understanding.
5. Which behavior is most likely to interfere with therapeutic
communication?
A. Maintaining appropriate eye contact
B. Listening attentively
C. Giving unsolicited advice
D. Using open-ended questions
Correct Answer: C
Rationale: Unsolicited advice can reduce patient autonomy and may
prevent the patient from exploring their own concerns.
6. Which action demonstrates culturally sensitive nursing care?
A. Assuming all patients have identical beliefs
B. Asking the patient about relevant cultural preferences
,C. Ignoring cultural practices
D. Requiring every patient to follow the same routine
Correct Answer: B
Rationale: Asking patients about their preferences helps nurses provide
individualized and culturally respectful care.
7. Which assessment finding requires the most immediate intervention?
A. Mild headache
B. Oxygen saturation of 84%
C. Decreased appetite
D. Difficulty sleeping
Correct Answer: B
Rationale: Significant hypoxemia can threaten life and requires prompt
assessment and intervention.
8. Which component of the ABC priority framework refers to circulation?
A. Airway
B. Breathing
C. Circulation
D. Consciousness
Correct Answer: C
Rationale: Circulation focuses on adequate cardiac output and blood flow
to vital tissues.
9. Which pulse finding should the nurse report for further evaluation?
A. Regular pulse of 76/min
B. Regular pulse of 82/min
C. Irregular pulse with new onset
D. Pulse of 72/min after rest
Correct Answer: C
, Rationale: A newly irregular pulse may indicate an abnormal cardiac
rhythm and warrants further assessment.
10. Which blood pressure reading indicates hypertension requiring
follow-up?
A. 90/60 mmHg
B. 110/70 mmHg
C. 118/76 mmHg
D. 168/96 mmHg
Correct Answer: D
Rationale: A blood pressure of 168/96 mmHg is markedly elevated and
requires clinical evaluation.
11. What is the purpose of obtaining a baseline set of vital signs?
A. To determine the patient's insurance status
B. To provide measurements for future comparison
C. To replace the physical examination
D. To determine the patient's diagnosis independently
Correct Answer: B
Rationale: Baseline measurements provide a reference against which
future changes can be evaluated.
12. Which technique is appropriate when measuring an adult patient's
pulse?
A. Count for a shorter period without adjustment
B. Assess rate, rhythm, and strength
C. Measure only the rhythm
D. Ignore irregular beats
Correct Answer: B
Rationale: Pulse assessment includes rate, rhythm, and strength or
amplitude.
Study Guide Practice
Questions With Answers
2026
1. A nurse is performing an initial assessment. Which action should occur
first?
A. Develop the care plan
B. Collect relevant patient information
C. Evaluate expected outcomes
D. Implement nursing interventions
Correct Answer: B
Rationale: Assessment is the first step of the nursing process and involves
collecting information about the patient's health status.
2. Which finding represents objective data?
A. “I feel dizzy.”
B. “My stomach hurts.”
C. Skin temperature of 38.2°C
D. “I feel anxious.”
Correct Answer: C
Rationale: Objective data are measurable or observable findings obtained
through assessment.
3. A patient states, “I am frightened about my surgery.” Which response
is most therapeutic?
,A. “There is nothing to worry about.”
B. “Many people have this surgery.”
C. “Tell me what concerns you most about the surgery.”
D. “You should try not to think about it.”
Correct Answer: C
Rationale: This response acknowledges the patient's feelings and
encourages further expression of concerns.
4. Which communication technique involves repeating the patient's
main idea in different words?
A. Clarification
B. Paraphrasing
C. Confrontation
D. Changing the subject
Correct Answer: B
Rationale: Paraphrasing restates the patient's message in different words
to confirm understanding.
5. Which behavior is most likely to interfere with therapeutic
communication?
A. Maintaining appropriate eye contact
B. Listening attentively
C. Giving unsolicited advice
D. Using open-ended questions
Correct Answer: C
Rationale: Unsolicited advice can reduce patient autonomy and may
prevent the patient from exploring their own concerns.
6. Which action demonstrates culturally sensitive nursing care?
A. Assuming all patients have identical beliefs
B. Asking the patient about relevant cultural preferences
,C. Ignoring cultural practices
D. Requiring every patient to follow the same routine
Correct Answer: B
Rationale: Asking patients about their preferences helps nurses provide
individualized and culturally respectful care.
7. Which assessment finding requires the most immediate intervention?
A. Mild headache
B. Oxygen saturation of 84%
C. Decreased appetite
D. Difficulty sleeping
Correct Answer: B
Rationale: Significant hypoxemia can threaten life and requires prompt
assessment and intervention.
8. Which component of the ABC priority framework refers to circulation?
A. Airway
B. Breathing
C. Circulation
D. Consciousness
Correct Answer: C
Rationale: Circulation focuses on adequate cardiac output and blood flow
to vital tissues.
9. Which pulse finding should the nurse report for further evaluation?
A. Regular pulse of 76/min
B. Regular pulse of 82/min
C. Irregular pulse with new onset
D. Pulse of 72/min after rest
Correct Answer: C
, Rationale: A newly irregular pulse may indicate an abnormal cardiac
rhythm and warrants further assessment.
10. Which blood pressure reading indicates hypertension requiring
follow-up?
A. 90/60 mmHg
B. 110/70 mmHg
C. 118/76 mmHg
D. 168/96 mmHg
Correct Answer: D
Rationale: A blood pressure of 168/96 mmHg is markedly elevated and
requires clinical evaluation.
11. What is the purpose of obtaining a baseline set of vital signs?
A. To determine the patient's insurance status
B. To provide measurements for future comparison
C. To replace the physical examination
D. To determine the patient's diagnosis independently
Correct Answer: B
Rationale: Baseline measurements provide a reference against which
future changes can be evaluated.
12. Which technique is appropriate when measuring an adult patient's
pulse?
A. Count for a shorter period without adjustment
B. Assess rate, rhythm, and strength
C. Measure only the rhythm
D. Ignore irregular beats
Correct Answer: B
Rationale: Pulse assessment includes rate, rhythm, and strength or
amplitude.
