Exam 1: Nursing 101 Fundamentals of Nursing Practice Test (Latest 2025/2026 Update) NCLEX Questions with Verified Answers| 100% Correct| Graded A- Carolinas College of Health Sciences.

Exam 1: Nursing 101 Fundamentals of Nursing
Practice Test (Latest 2025/2026 Update) NCLEX
Questions with Verified Answers| 100% Correct|
Graded A- Carolinas College of Health Sciences.


Question:
A client is receiving 115 ml/hr of continuous IVF. The nurse notices that
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the venipuncture site is red and swollen. Which of the following
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interventions would the nurse perform first? i,- i,- i,- i,- i,-




A. Stop the infusion
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B. Call the attending physician
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C. Slow that infusion to 20 ml/hr
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D. Place a cold towel on the site?
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Answer:

A. Stop the infusion
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The sign and symptoms indicate extravasation so the IVF should be
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stopped immediately and put warm not cold towel on the affected site.
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Question:

,Which data would be of greatest concern to the nurse when completing
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the nursing assessment of a 68-year-old woman hospitalized due to
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Pneumonia?
A. Oriented to date, time and place
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B. Clear breath sounds
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C. Capillary refill greater than 3 seconds and buccal cyanosis
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D. Hemoglobin of 13 g/dl?
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Answer:

C. Capillary refill greater than 3 seconds and buccal cyanosis
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Capillary refill greater than 3 seconds and buccal cyanosis indicate
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decreased oxygen to the tissues which requires immediate
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attention/intervention. Oriented to date, time and place, hemoglobin of i,- i,- i,- i,- i,- i,- i,- i,- i,-


13 g/dl are normal data.
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Question:
What is the order of the nursing process?
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A. Assessing, diagnosing, implementing, evaluating, planning
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B. Diagnosing, assessing, planning, implementing, evaluating
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C. Assessing, diagnosing, planning, implementing, evaluating
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D. Planning, evaluating, diagnosing, assessing, implementing?
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Answer:

C. Assessing, diagnosing, planning, implementing, evaluating
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,The correct order of the nursing process is assessing, diagnosing,
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planning, implementing, evaluating. i,- i,-




Question:

Which of the following is the most important purpose of planning care
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with a patient?i,- i,-




A. Development of a standardized NCP.
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B. Expansion of the current taxonomy of nursing diagnosis
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C. Making of individualized patient care
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D. Incorporation of both nursing and medical diagnoses in patient care?
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Answer:

C. Making of individualized patient care
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To be effective, the nursing care plan developed in the planning phase of
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the nursing process must reflect the individualized needs of the patient.
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Question:

What nursing action is appropriate when obtaining a sterile urine
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specimen from an indwelling catheter to prevent infection?
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A. Use sterile gloves when obtaining urine
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B. Open the drainage bag and pour out the urine
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, C. Disconnect the catheter from the tubing and get urine
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D. Aspirate urine from the tubing port using a sterile syringe?
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Answer:

D. Aspirate urine from the tubing port using a sterile syringe
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The nurse should aspirate the urine from the port using a sterile syringe
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to obtain a urine specimen. Opening a closed drainage system increase
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the risk of urinary tract infection.
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Question:

Jake is complaining of shortness of breath. The nurse assesses his
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respiratory rate to be 30 breaths per minute and documents that Jake is
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tachypneic. The nurse understands that tachypnea means:
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A. Pulse rate greater than 100 beats per minute
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B. Blood pressure of 140/90
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C. Respiratory rate greater than 20 breaths per minute
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D. Frequent bowel sounds?
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Answer:

C. Respiratory rate greater than 20 breaths per minute
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A respiratory rate of greater than 20 breaths per minute is tachypnea. A
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blood pressure of 140/90 is considered hypertension. Pulse greater than
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100 beats per minute is tachycardia. Frequent bowel sounds refer to
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hyper-active bowel sounds. i,- i,-