NUR 104 MIDTERM EXAM – QUESTIONS AND ANSWERS | VERIFIED AND WELL DETAILED ANSWERS | PLUS
RATIONALES | GUARANTEED PASS | LATEST EXAM UPDATE
Core Domains:
1. Foundational Nursing Theories and Concepts
2. Anatomy and Physiology Fundamentals
3. Basic Patient Care and Safety Protocols
4. Infection Control and Prevention
5. Medication Administration and Calculations
6. Legal and Ethical Principles in Nursing
7. Communication and Therapeutic Relationships
8. Health Assessment and Vital Signs
9. Nutrition and Elimination
10. Psychosocial and Developmental Considerations
Introduction:
This comprehensive midterm examination is designed to rigorously assess your foundational knowledge and clinical
reasoning skills essential for success in NUR 104. The exam encompasses a wide range of core nursing domains, from
theoretical concepts and anatomical principles to practical applications in patient care, safety, and legal-ethical
practice. You will encounter a combination of multiple-choice questions and scenario-based items that challenge you to
apply critical thinking in real-world clinical situations. This assessment emphasizes safe, competent, and holistic
decision-making, preparing you for the complexities of professional nursing practice. Carefully read each question and
choose the best possible answer based on evidence-based practice and established nursing standards.
,SECTION ONE: QUESTIONS 1 – 100
1. A nurse is preparing to administer an oral medication to a patient. Which of the following actions is the most
critical for ensuring patient safety?
A. Checking the patient's room number against the medication administration record.
B. Asking the patient if they have taken this medication before.
C. Verifying the patient's identity using two unique identifiers.
D. Reviewing the patient's latest laboratory results.
🟢 C. Verifying the patient's identity using two unique identifiers.
🔴 Explanation: The most critical action in medication administration is verifying the patient's identity using at least
two unique identifiers (e.g., name and date of birth) to ensure the right patient receives the right medication. This is
a foundational safety protocol to prevent medication errors.
2. According to Maslow's hierarchy of needs, which of the following patient needs should the nurse prioritize
first?
A. Self-esteem and respect from others.
B. A sense of love and belonging within the family.
C. The need for food, water, and shelter.
D. The need for personal growth and achievement.
🟢 C. The need for food, water, and shelter.
🔴 Explanation: Maslow's hierarchy identifies physiological needs (food, water, shelter, oxygen) as the most basic
and fundamental, requiring prioritization for survival. These needs must be met before higher-level needs (e.g.,
,safety, love, esteem) can be addressed.
3. A patient with a history of falls is at risk for injury. Which nursing intervention is most appropriate to prevent
falls?
A. Keeping all four bed rails up at all times.
B. Applying a physical restraint to prevent movement.
C. Ensuring the call light is within easy reach of the patient.
D. Maintaining the bed in the highest position for easy transfer.
🟢 C. Ensuring the call light is within easy reach of the patient.
🔴 Explanation: Ensuring the call light is within reach empowers the patient to call for assistance, promoting
independence and safety. This is a standard, least-restrictive intervention for fall prevention.
4. The nurse is caring for a patient with an indwelling urinary catheter. Which of the following actions is essential
for preventing a catheter-associated urinary tract infection (CAUTI)?
A. Emptying the urinary drainage bag every 24 hours.
B. Hanging the drainage bag on the bed rail for easy observation.
C. Ensuring the drainage bag is positioned below the level of the bladder.
D. Irrigating the catheter with normal saline daily.
🟢 C. Ensuring the drainage bag is positioned below the level of the bladder.
🔴 Explanation: Maintaining a closed drainage system with the bag below the bladder level prevents backflow of
urine, reducing the risk of infection. This is a key intervention in CAUTI prevention.
5. Which of the following is an example of a subjective data point collected during a patient assessment?
, A. Patient's blood pressure reading is 140/90 mmHg.
B. Patient's heart rate is 88 beats per minute.
C. Patient states, "I have a sharp pain in my chest."
D. Patient has a 2 cm wound on the left heel.
🟢 C. Patient states, "I have a sharp pain in my chest."
🔴 Explanation: Subjective data are the patient's spoken perceptions or feelings, which cannot be measured or
observed directly by another person. Pain, nausea, and anxiety are classic examples.
6. A nurse is teaching a patient with a new diagnosis of diabetes about insulin administration. This role is best
described as:
A. Caregiver.
B. Advocate.
C. Educator.
D. Manager.
🟢 C. Educator.
🔴 Explanation: The nurse's role as an educator involves providing information and teaching skills to help patients
manage their health conditions. Teaching insulin administration is a key component of patient education.
7. During a fire drill on a medical-surgical unit, the nurse's first priority is to:
A. Evacuate all ambulatory patients immediately.
B. Rescue patients in immediate danger.
C. Close all windows and doors to contain the fire.
D. Use the nearest fire extinguisher to put out the fire.
RATIONALES | GUARANTEED PASS | LATEST EXAM UPDATE
Core Domains:
1. Foundational Nursing Theories and Concepts
2. Anatomy and Physiology Fundamentals
3. Basic Patient Care and Safety Protocols
4. Infection Control and Prevention
5. Medication Administration and Calculations
6. Legal and Ethical Principles in Nursing
7. Communication and Therapeutic Relationships
8. Health Assessment and Vital Signs
9. Nutrition and Elimination
10. Psychosocial and Developmental Considerations
Introduction:
This comprehensive midterm examination is designed to rigorously assess your foundational knowledge and clinical
reasoning skills essential for success in NUR 104. The exam encompasses a wide range of core nursing domains, from
theoretical concepts and anatomical principles to practical applications in patient care, safety, and legal-ethical
practice. You will encounter a combination of multiple-choice questions and scenario-based items that challenge you to
apply critical thinking in real-world clinical situations. This assessment emphasizes safe, competent, and holistic
decision-making, preparing you for the complexities of professional nursing practice. Carefully read each question and
choose the best possible answer based on evidence-based practice and established nursing standards.
,SECTION ONE: QUESTIONS 1 – 100
1. A nurse is preparing to administer an oral medication to a patient. Which of the following actions is the most
critical for ensuring patient safety?
A. Checking the patient's room number against the medication administration record.
B. Asking the patient if they have taken this medication before.
C. Verifying the patient's identity using two unique identifiers.
D. Reviewing the patient's latest laboratory results.
🟢 C. Verifying the patient's identity using two unique identifiers.
🔴 Explanation: The most critical action in medication administration is verifying the patient's identity using at least
two unique identifiers (e.g., name and date of birth) to ensure the right patient receives the right medication. This is
a foundational safety protocol to prevent medication errors.
2. According to Maslow's hierarchy of needs, which of the following patient needs should the nurse prioritize
first?
A. Self-esteem and respect from others.
B. A sense of love and belonging within the family.
C. The need for food, water, and shelter.
D. The need for personal growth and achievement.
🟢 C. The need for food, water, and shelter.
🔴 Explanation: Maslow's hierarchy identifies physiological needs (food, water, shelter, oxygen) as the most basic
and fundamental, requiring prioritization for survival. These needs must be met before higher-level needs (e.g.,
,safety, love, esteem) can be addressed.
3. A patient with a history of falls is at risk for injury. Which nursing intervention is most appropriate to prevent
falls?
A. Keeping all four bed rails up at all times.
B. Applying a physical restraint to prevent movement.
C. Ensuring the call light is within easy reach of the patient.
D. Maintaining the bed in the highest position for easy transfer.
🟢 C. Ensuring the call light is within easy reach of the patient.
🔴 Explanation: Ensuring the call light is within reach empowers the patient to call for assistance, promoting
independence and safety. This is a standard, least-restrictive intervention for fall prevention.
4. The nurse is caring for a patient with an indwelling urinary catheter. Which of the following actions is essential
for preventing a catheter-associated urinary tract infection (CAUTI)?
A. Emptying the urinary drainage bag every 24 hours.
B. Hanging the drainage bag on the bed rail for easy observation.
C. Ensuring the drainage bag is positioned below the level of the bladder.
D. Irrigating the catheter with normal saline daily.
🟢 C. Ensuring the drainage bag is positioned below the level of the bladder.
🔴 Explanation: Maintaining a closed drainage system with the bag below the bladder level prevents backflow of
urine, reducing the risk of infection. This is a key intervention in CAUTI prevention.
5. Which of the following is an example of a subjective data point collected during a patient assessment?
, A. Patient's blood pressure reading is 140/90 mmHg.
B. Patient's heart rate is 88 beats per minute.
C. Patient states, "I have a sharp pain in my chest."
D. Patient has a 2 cm wound on the left heel.
🟢 C. Patient states, "I have a sharp pain in my chest."
🔴 Explanation: Subjective data are the patient's spoken perceptions or feelings, which cannot be measured or
observed directly by another person. Pain, nausea, and anxiety are classic examples.
6. A nurse is teaching a patient with a new diagnosis of diabetes about insulin administration. This role is best
described as:
A. Caregiver.
B. Advocate.
C. Educator.
D. Manager.
🟢 C. Educator.
🔴 Explanation: The nurse's role as an educator involves providing information and teaching skills to help patients
manage their health conditions. Teaching insulin administration is a key component of patient education.
7. During a fire drill on a medical-surgical unit, the nurse's first priority is to:
A. Evacuate all ambulatory patients immediately.
B. Rescue patients in immediate danger.
C. Close all windows and doors to contain the fire.
D. Use the nearest fire extinguisher to put out the fire.
