Nursing 101 Fundamentals of Nursing Practice Exam 1,
Part 1 Q&A’s Latest 2025 Solution A+ Rated
The clinical instructor is discussing about the Nursing Process. She mentioned that when a
cluster of actual or high-risk diagnosis are present because of a certain situation it is called:
A. Wellness nursing diagnosis
B. Actual nursing diagnosis
C. Syndrome nursing diagnosis
D. Risk nursing diagnosis - ANS ✔ - C. Syndrome nursing diagnosis
Presence of both actual and high-risk diagnosis is called a syndrome nursing diagnosis.
Wellness nursing diagnosis focuses on the clinical judgment on an individual from a specific
to higher level of wellness. Actual diagnoses are clinical judgment of the nurse that is
validated. A risk diagnosis is based on the clinical are based on clinical judgment that the
client may develop vulnerability to the problem.
The nurse in charge measures a patient's temperature at 101 degrees F. What is the
equivalent centigrade temperature?
A. 36.3 degrees C
B. 37.95 degrees C
C. 40.03 degrees C
D. 38.01 degrees C - ANS ✔ - B. 37.95
To convert °F to °C use this formula, ( °F - 32 ) (0.55). While when converting °C to °F use
this formula, ( °C x 1.8) + 32. Note that 0.55 is 5/9 and 1.8 is 9/5.
During a change-of-shift report, it would be important for the nurse relinquishing
responsibility for care of the patient to communicate. Which of the following facts to the
nurse assuming responsibility for care of the patient?
A. That the patient verbalized, "My headache is gone."
B. That the patient's barium enema performed 3 days ago was negative
,C. Patient's NGT was removed 2 hours ago
D. Patient's family came for a visit this morning. - ANS ✔ - C. Patient's NGT was removed 2
hours ago
The change-of-shift report should indicate significant recent changes in the patient's
condition that the nurse assuming responsibility for care of the patient will need to monitor.
The other options are not critical enough to include in the report
A client is receiving 115 ml/hr of continuous IVF. The nurse notices that the venipuncture
site is red and swollen. Which of the following interventions would the nurse perform first?
A. Stop the infusion
B. Call the attending physician
C. Slow that infusion to 20 ml/hr
D. Place a cold towel on the site - ANS ✔ - A. Stop the infusion
The sign and symptoms indicate extravasation so the IVF should be stopped immediately
and put warm not cold towel on the affected site.
Which data would be of greatest concern to the nurse when completing the nursing
assessment of a 68-year-old woman hospitalized due to Pneumonia?
A. Oriented to date, time and place
B. Clear breath sounds
C. Capillary refill greater than 3 seconds and buccal cyanosis
D. Hemoglobin of 13 g/dl - ANS ✔ - C. Capillary refill greater than 3 seconds and buccal
cyanosis
Capillary refill greater than 3 seconds and buccal cyanosis indicate decreased oxygen to the
tissues which requires immediate attention/intervention. Oriented to date, time and place,
hemoglobin of 13 g/dl are normal data.
What is the order of the nursing process?
A. Assessing, diagnosing, implementing, evaluating, planning
, B. Diagnosing, assessing, planning, implementing, evaluating
C. Assessing, diagnosing, planning, implementing, evaluating
D. Planning, evaluating, diagnosing, assessing, implementing - ANS ✔ - C. Assessing,
diagnosing, planning, implementing, evaluating
The correct order of the nursing process is assessing, diagnosing, planning, implementing,
evaluating.
Which of the following is the most important purpose of planning care with a patient?
A. Development of a standardized NCP.
B. Expansion of the current taxonomy of nursing diagnosis
C. Making of individualized patient care
D. Incorporation of both nursing and medical diagnoses in patient care - ANS ✔ - C. Making
of individualized patient care
To be effective, the nursing care plan developed in the planning phase of the nursing process
must reflect the individualized needs of the patient.
What nursing action is appropriate when obtaining a sterile urine specimen from an
indwelling catheter to prevent infection?
A. Use sterile gloves when obtaining urine
B. Open the drainage bag and pour out the urine
C. Disconnect the catheter from the tubing and get urine
D. Aspirate urine from the tubing port using a sterile syringe - ANS ✔ - D. Aspirate urine from
the tubing port using a sterile syringe
The nurse should aspirate the urine from the port using a sterile syringe to obtain a urine
specimen. Opening a closed drainage system increase the risk of urinary tract infection.
Jake is complaining of shortness of breath. The nurse assesses his respiratory rate to be 30
breaths per minute and documents that Jake is tachypneic. The nurse understands that
tachypnea means:
Part 1 Q&A’s Latest 2025 Solution A+ Rated
The clinical instructor is discussing about the Nursing Process. She mentioned that when a
cluster of actual or high-risk diagnosis are present because of a certain situation it is called:
A. Wellness nursing diagnosis
B. Actual nursing diagnosis
C. Syndrome nursing diagnosis
D. Risk nursing diagnosis - ANS ✔ - C. Syndrome nursing diagnosis
Presence of both actual and high-risk diagnosis is called a syndrome nursing diagnosis.
Wellness nursing diagnosis focuses on the clinical judgment on an individual from a specific
to higher level of wellness. Actual diagnoses are clinical judgment of the nurse that is
validated. A risk diagnosis is based on the clinical are based on clinical judgment that the
client may develop vulnerability to the problem.
The nurse in charge measures a patient's temperature at 101 degrees F. What is the
equivalent centigrade temperature?
A. 36.3 degrees C
B. 37.95 degrees C
C. 40.03 degrees C
D. 38.01 degrees C - ANS ✔ - B. 37.95
To convert °F to °C use this formula, ( °F - 32 ) (0.55). While when converting °C to °F use
this formula, ( °C x 1.8) + 32. Note that 0.55 is 5/9 and 1.8 is 9/5.
During a change-of-shift report, it would be important for the nurse relinquishing
responsibility for care of the patient to communicate. Which of the following facts to the
nurse assuming responsibility for care of the patient?
A. That the patient verbalized, "My headache is gone."
B. That the patient's barium enema performed 3 days ago was negative
,C. Patient's NGT was removed 2 hours ago
D. Patient's family came for a visit this morning. - ANS ✔ - C. Patient's NGT was removed 2
hours ago
The change-of-shift report should indicate significant recent changes in the patient's
condition that the nurse assuming responsibility for care of the patient will need to monitor.
The other options are not critical enough to include in the report
A client is receiving 115 ml/hr of continuous IVF. The nurse notices that the venipuncture
site is red and swollen. Which of the following interventions would the nurse perform first?
A. Stop the infusion
B. Call the attending physician
C. Slow that infusion to 20 ml/hr
D. Place a cold towel on the site - ANS ✔ - A. Stop the infusion
The sign and symptoms indicate extravasation so the IVF should be stopped immediately
and put warm not cold towel on the affected site.
Which data would be of greatest concern to the nurse when completing the nursing
assessment of a 68-year-old woman hospitalized due to Pneumonia?
A. Oriented to date, time and place
B. Clear breath sounds
C. Capillary refill greater than 3 seconds and buccal cyanosis
D. Hemoglobin of 13 g/dl - ANS ✔ - C. Capillary refill greater than 3 seconds and buccal
cyanosis
Capillary refill greater than 3 seconds and buccal cyanosis indicate decreased oxygen to the
tissues which requires immediate attention/intervention. Oriented to date, time and place,
hemoglobin of 13 g/dl are normal data.
What is the order of the nursing process?
A. Assessing, diagnosing, implementing, evaluating, planning
, B. Diagnosing, assessing, planning, implementing, evaluating
C. Assessing, diagnosing, planning, implementing, evaluating
D. Planning, evaluating, diagnosing, assessing, implementing - ANS ✔ - C. Assessing,
diagnosing, planning, implementing, evaluating
The correct order of the nursing process is assessing, diagnosing, planning, implementing,
evaluating.
Which of the following is the most important purpose of planning care with a patient?
A. Development of a standardized NCP.
B. Expansion of the current taxonomy of nursing diagnosis
C. Making of individualized patient care
D. Incorporation of both nursing and medical diagnoses in patient care - ANS ✔ - C. Making
of individualized patient care
To be effective, the nursing care plan developed in the planning phase of the nursing process
must reflect the individualized needs of the patient.
What nursing action is appropriate when obtaining a sterile urine specimen from an
indwelling catheter to prevent infection?
A. Use sterile gloves when obtaining urine
B. Open the drainage bag and pour out the urine
C. Disconnect the catheter from the tubing and get urine
D. Aspirate urine from the tubing port using a sterile syringe - ANS ✔ - D. Aspirate urine from
the tubing port using a sterile syringe
The nurse should aspirate the urine from the port using a sterile syringe to obtain a urine
specimen. Opening a closed drainage system increase the risk of urinary tract infection.
Jake is complaining of shortness of breath. The nurse assesses his respiratory rate to be 30
breaths per minute and documents that Jake is tachypneic. The nurse understands that
tachypnea means:
