NUR 155 Foundations of
Nursing
Comprehensive 100-Question Test
Bank
Latest 2025/2026 | All Exams
Combined | Detailed Rationales
,DOMAIN 1: FOUNDATIONS OF NURSING PRACTICE
(Questions 1-20)
Question 1
Which of the following is the first step in the nursing process?
A. Planning
B. Assessment
C. Implementation
D. Evaluation
Correct Answer: B
Rationale: Assessment is the initial phase of the nursing process where data
is collected to identify patient needs. This is grounded in evidence-based
practice for systematic clinical reasoning. The nursing process follows a
specific order: Assessment, Diagnosis, Planning, Implementation, Evaluation .
Question 2
A nurse is applying knowledge and experience to identify patient problems
and direct clinical judgments. This describes:
A. Intuition
B. Trial and error
,C. Critical thinking
D. Rote memorization
Correct Answer: C
Rationale: Critical thinking is the application of knowledge and experience to
identify patient problems and direct clinical judgments and actions that result
in positive patient outcomes. Intuition (A) is a hunch or immediate
understanding, while trial and error (B) involves trying different
interventions to see what works .
Question 3
What is the normal range for an adult's oral temperature in Celsius?
A. 35.5–37.0°C
B. 36.5–37.5°C
C. 37.5–38.5°C
D. 38.0–39.0°C
Correct Answer: B
Rationale: The standard normal range for adult oral temperature is 36.5–
37.5°C (97.7–99.5°F), based on physiological norms in nursing fundamentals
to guide accurate vital sign interpretation .
, Question 4
The baseline vital signs for a client with pneumonia are: temperature 98.8° F
(37.1° C) oral, pulse 74 beats/min, respirations 18 breaths/min, and blood
pressure 124/76 mm Hg. The client's temperature suddenly spikes to 103° F
(39.4° C). Which corresponding respiratory rate would the nurse anticipate?
A. 12 breaths/min
B. 16 breaths/min
C. 18 breaths/min
D. 22 breaths/min
Correct Answer: D
Rationale: Elevations in body temperature cause a corresponding increase in
respiratory rate. This occurs because the metabolic needs of the body increase
with fever, requiring more oxygen. With increased demand for oxygen, the
body needs an increased supply .
Question 5
Which ethical principle involves doing no harm to the patient?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
Correct Answer: C