HONDROS COLLEGE OF NURSING
Bachelor of Science in Nursing (BSN)
NUR 155 — Critical Thinking for the Practical Nurse
Academic Year: 2026/2027
Comprehensive Question Bank NCLEX-style · Exam 1 Review
Question 1
A nurse is using the SPICES tool to assess an older adult patient. The nurse
asks about the patient's sleep patterns. Which component of SPICES is
being addressed?
A. Problems with Eating or Feeding
B. Incontinence
C. Sleep Disorders
D. Confusion
Correct answer: C. Sleep Disorders
Rationale:
SPICES stands for: S = Sleep Disorders, P = Problems with Eating or Feeding, I =
Incontinence, C = Confusion, E = Evidence of Falls, S = Skin Breakdown. Asking about
sleep addresses the 'S' for Sleep Disorders.
, Question 2
A nurse is using the SPICES tool and asks about bowel and bladder control.
Which component is being assessed?
A. Sleep Disorders
B. Problems with Eating or Feeding
C. Incontinence
D. Confusion
Correct answer: C. Incontinence
Rationale:
The 'I' in SPICES stands for Incontinence (bowel and/or bladder). Option A is Sleep
Disorders; B is Problems with Eating or Feeding; D is Confusion.
Question 3
A nurse is using the SPICES tool and identifies that a patient has evidence
of falls. Which component of SPICES is this?
A. Confusion
B. Evidence of Falls
C. Skin Breakdown
D. Sleep Disorders
Correct answer: B. Evidence of Falls
Rationale:
The 'E' in SPICES stands for Evidence of Falls. Option A is Confusion; C is Skin
Breakdown; D is Sleep Disorders.
, Question 4
A nurse is using the SPICES tool and identifies skin breakdown. Which
component of SPICES is this?
A. Sleep Disorders
B. Problems with Eating or Feeding
C. Evidence of Falls
D. Skin Breakdown
Correct answer: D. Skin Breakdown
Rationale:
The second 'S' in SPICES stands for Skin Breakdown. Option A is Sleep Disorders; B is
Problems with Eating or Feeding; C is Evidence of Falls.
Question 5
A nurse is using the SPICES tool and identifies that a patient has problems
with eating or feeding. Which component of SPICES is this?
A. Sleep Disorders
B. Problems with Eating or Feeding
C. Incontinence
D. Confusion
Correct answer: B. Problems with Eating or Feeding
Rationale:
The 'P' in SPICES stands for Problems with Eating or Feeding. Option A is Sleep
Disorders; C is Incontinence; D is Confusion.
, Question 6
A nurse is using the SPICES tool and identifies that a patient has confusion.
Which component of SPICES is this?
A. Sleep Disorders
B. Problems with Eating or Feeding
C. Incontinence
D. Confusion
Correct answer: D. Confusion
Rationale:
The 'C' in SPICES stands for Confusion. Option A is Sleep Disorders; B is Problems with
Eating or Feeding; C is Incontinence.
Bachelor of Science in Nursing (BSN)
NUR 155 — Critical Thinking for the Practical Nurse
Academic Year: 2026/2027
Comprehensive Question Bank NCLEX-style · Exam 1 Review
Question 1
A nurse is using the SPICES tool to assess an older adult patient. The nurse
asks about the patient's sleep patterns. Which component of SPICES is
being addressed?
A. Problems with Eating or Feeding
B. Incontinence
C. Sleep Disorders
D. Confusion
Correct answer: C. Sleep Disorders
Rationale:
SPICES stands for: S = Sleep Disorders, P = Problems with Eating or Feeding, I =
Incontinence, C = Confusion, E = Evidence of Falls, S = Skin Breakdown. Asking about
sleep addresses the 'S' for Sleep Disorders.
, Question 2
A nurse is using the SPICES tool and asks about bowel and bladder control.
Which component is being assessed?
A. Sleep Disorders
B. Problems with Eating or Feeding
C. Incontinence
D. Confusion
Correct answer: C. Incontinence
Rationale:
The 'I' in SPICES stands for Incontinence (bowel and/or bladder). Option A is Sleep
Disorders; B is Problems with Eating or Feeding; D is Confusion.
Question 3
A nurse is using the SPICES tool and identifies that a patient has evidence
of falls. Which component of SPICES is this?
A. Confusion
B. Evidence of Falls
C. Skin Breakdown
D. Sleep Disorders
Correct answer: B. Evidence of Falls
Rationale:
The 'E' in SPICES stands for Evidence of Falls. Option A is Confusion; C is Skin
Breakdown; D is Sleep Disorders.
, Question 4
A nurse is using the SPICES tool and identifies skin breakdown. Which
component of SPICES is this?
A. Sleep Disorders
B. Problems with Eating or Feeding
C. Evidence of Falls
D. Skin Breakdown
Correct answer: D. Skin Breakdown
Rationale:
The second 'S' in SPICES stands for Skin Breakdown. Option A is Sleep Disorders; B is
Problems with Eating or Feeding; C is Evidence of Falls.
Question 5
A nurse is using the SPICES tool and identifies that a patient has problems
with eating or feeding. Which component of SPICES is this?
A. Sleep Disorders
B. Problems with Eating or Feeding
C. Incontinence
D. Confusion
Correct answer: B. Problems with Eating or Feeding
Rationale:
The 'P' in SPICES stands for Problems with Eating or Feeding. Option A is Sleep
Disorders; C is Incontinence; D is Confusion.
, Question 6
A nurse is using the SPICES tool and identifies that a patient has confusion.
Which component of SPICES is this?
A. Sleep Disorders
B. Problems with Eating or Feeding
C. Incontinence
D. Confusion
Correct answer: D. Confusion
Rationale:
The 'C' in SPICES stands for Confusion. Option A is Sleep Disorders; B is Problems with
Eating or Feeding; C is Incontinence.
