NUR160/NUR 160 Exam 1 V2 |
Fundamental Concepts of Practical
Nursing II Q&A with Rationale | Hondros
College of Nursing
1. A licensed practical nurse (LPN) is assisting with the data collection for a newly admitted
patient. Which step of the nursing process is currently being performed?
A. Implementation
B. Evaluation
C. Diagnosis
D. Assessment
Correct Answer: D
Rationale: Assessment is the initial step of the nursing process where the nurse gathers
subjective and objective information. During this phase, the nurse reviews medical history
and performs physical examinations to establish a baseline. This data is essential for
identifying the patient’s current health status and planning future care.
2. Which ethical principle is the nurse upholding when they ensure a patient has all the
information needed to make an informed decision about their surgery?
A. Justice
B. Nonmaleficence
,C. Fidelity
D. Autonomy
Correct Answer: D
Rationale: Autonomy refers to the right of patients to make their own decisions regarding
their healthcare. The nurse supports this principle by providing clear information and
respecting the patient’s choices. It ensures that the patient is the primary decision-maker in
their own treatment plan.
3. The nurse is preparing to administer an intramuscular injection to an adult. What is the
preferred site for this injection to avoid major nerves and blood vessels?
A. Dorsogluteal
B. Vastus lateralis
C. Deltoid
D. Ventrogluteal
Correct Answer: D
Rationale: The ventrogluteal site is considered the safest for large-volume intramuscular
injections in adults. It is situated away from major nerves and blood vessels, reducing the
risk of injury. This site is preferred over the dorsogluteal site because it provides a larger
muscle mass for absorption.
, 4. When a nurse documents that a patient ‘walked 50 feet in the hallway without shortness
of breath,’ what type of data is being recorded?
A. Objective
B. Abstract
C. Inferred
D. Subjective
Correct Answer: A
Rationale: Objective data are observable and measurable findings that can be verified by
another person. In this case, the distance walked and the lack of visible respiratory distress
are facts the nurse can measure or see directly. This type of documentation provides a
clear, factual account of the patient’s physical performance.
5. A patient is on contact precautions due to a Methicillin-resistant Staphylococcus aureus
(MRSA) wound infection. Which personal protective equipment (PPE) must the nurse don
before entering the room?
A. Mask and goggles
B. Gown and gloves
C. N95 respirator
D. Gloves only
Correct Answer: B
Fundamental Concepts of Practical
Nursing II Q&A with Rationale | Hondros
College of Nursing
1. A licensed practical nurse (LPN) is assisting with the data collection for a newly admitted
patient. Which step of the nursing process is currently being performed?
A. Implementation
B. Evaluation
C. Diagnosis
D. Assessment
Correct Answer: D
Rationale: Assessment is the initial step of the nursing process where the nurse gathers
subjective and objective information. During this phase, the nurse reviews medical history
and performs physical examinations to establish a baseline. This data is essential for
identifying the patient’s current health status and planning future care.
2. Which ethical principle is the nurse upholding when they ensure a patient has all the
information needed to make an informed decision about their surgery?
A. Justice
B. Nonmaleficence
,C. Fidelity
D. Autonomy
Correct Answer: D
Rationale: Autonomy refers to the right of patients to make their own decisions regarding
their healthcare. The nurse supports this principle by providing clear information and
respecting the patient’s choices. It ensures that the patient is the primary decision-maker in
their own treatment plan.
3. The nurse is preparing to administer an intramuscular injection to an adult. What is the
preferred site for this injection to avoid major nerves and blood vessels?
A. Dorsogluteal
B. Vastus lateralis
C. Deltoid
D. Ventrogluteal
Correct Answer: D
Rationale: The ventrogluteal site is considered the safest for large-volume intramuscular
injections in adults. It is situated away from major nerves and blood vessels, reducing the
risk of injury. This site is preferred over the dorsogluteal site because it provides a larger
muscle mass for absorption.
, 4. When a nurse documents that a patient ‘walked 50 feet in the hallway without shortness
of breath,’ what type of data is being recorded?
A. Objective
B. Abstract
C. Inferred
D. Subjective
Correct Answer: A
Rationale: Objective data are observable and measurable findings that can be verified by
another person. In this case, the distance walked and the lack of visible respiratory distress
are facts the nurse can measure or see directly. This type of documentation provides a
clear, factual account of the patient’s physical performance.
5. A patient is on contact precautions due to a Methicillin-resistant Staphylococcus aureus
(MRSA) wound infection. Which personal protective equipment (PPE) must the nurse don
before entering the room?
A. Mask and goggles
B. Gown and gloves
C. N95 respirator
D. Gloves only
Correct Answer: B
