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NUR 160 HONDROS - EXAM 1 LATEST 2026/2027 |
FUNDAMENTAL CONCEPTS OF PRACTICAL
NURSING II | MULTIPLE-CHOICE | 40 VERIFIED
Q&A | DETAILED RATIONALES | PASS
GUARANTEED – A+ GRADED
EXAM BLUEPRINT OVERVIEW
Topic Approximate Weight
Nursing Process (ADPIE) & Critical Thinking ~20%
Safety & Infection Control ~20%
Vital Signs & Physical Assessment ~20%
Medication Administration & Safety ~15%
Legal & Ethical Issues ~15%
Documentation & Communication ~10%
SECTION 1: NURSING PROCESS (ADPIE) & CRITICAL THINKING - Questions 1-8
Q1: Nursing Process - Assessment
A nurse is caring for a patient with shortness of breath. What is the first step in the nursing process?
A. Implement oxygen therapy
B. Assess respiratory status
C. Develop a care plan
D. Evaluate patient response
Correct Answer: B
Rationale: Assessment is the first step in the nursing process. The nurse must collect data about the
patient's respiratory status before taking any action. Implementation (oxygen therapy), planning
(care plan), and evaluation (patient response) are subsequent steps. You cannot plan or implement
care without first gathering assessment data. [100% CORRECT]
, 2
Q2: Critical Thinking - Prioritization
A nurse receives shift report on four patients. Which patient should the nurse assess FIRST?
A. A patient with a new admission order for antibiotics
B. A patient who is scheduled for a dressing change
C. A patient reporting chest pain that is unrelieved by medication
D. A patient who needs assistance with ambulation
Correct Answer: C
Rationale: Prioritization is based on the ABCs (Airway, Breathing, Circulation) and Maslow's
hierarchy. Chest pain unrelieved by medication suggests a potential cardiac event, which threatens
circulation and requires immediate assessment. New admissions, scheduled dressings, and
ambulation assistance can wait until the unstable patient is assessed. [100% CORRECT]
Q3: Nursing Process - Diagnosis
After assessing a patient with impaired skin integrity, the nurse writes the nursing diagnosis:
"Impaired Skin Integrity related to decreased mobility as evidenced by stage 2 pressure ulcer." This
statement represents which component of the nursing process?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
Correct Answer: B
Rationale: The nursing diagnosis is the second step of the nursing process, where the nurse analyzes
assessment data to identify patient problems. The statement uses NANDA-I format (problem,
etiology, signs/symptoms). Assessment is data collection, planning sets goals, and implementation
carries out interventions. [100% CORRECT]
Q4: Nursing Process - Implementation
During the implementation phase, the nurse:
A. Identifies nursing diagnoses
B. Carries out the planned nursing interventions
C. Writes patient goals
D. Collects subjective and objective data
Correct Answer: B
Rationale: Implementation is the action phase of the nursing process where the nurse carries out
the planned interventions. This includes performing nursing actions, delegating tasks, and
documenting care provided. Assessment is data collection, diagnosis identifies problems, and
planning writes goals. [100% CORRECT]
Q5: Nursing Process - Evaluation
A nurse implemented a fall prevention protocol for an elderly patient. The next day, the patient is
found ambulating without assistance. Which step of the nursing process should the nurse take?
A. Reassess the patient's fall risk
B. Modify the care plan to include further interventions
NUR 160 HONDROS - EXAM 1 LATEST 2026/2027 |
FUNDAMENTAL CONCEPTS OF PRACTICAL
NURSING II | MULTIPLE-CHOICE | 40 VERIFIED
Q&A | DETAILED RATIONALES | PASS
GUARANTEED – A+ GRADED
EXAM BLUEPRINT OVERVIEW
Topic Approximate Weight
Nursing Process (ADPIE) & Critical Thinking ~20%
Safety & Infection Control ~20%
Vital Signs & Physical Assessment ~20%
Medication Administration & Safety ~15%
Legal & Ethical Issues ~15%
Documentation & Communication ~10%
SECTION 1: NURSING PROCESS (ADPIE) & CRITICAL THINKING - Questions 1-8
Q1: Nursing Process - Assessment
A nurse is caring for a patient with shortness of breath. What is the first step in the nursing process?
A. Implement oxygen therapy
B. Assess respiratory status
C. Develop a care plan
D. Evaluate patient response
Correct Answer: B
Rationale: Assessment is the first step in the nursing process. The nurse must collect data about the
patient's respiratory status before taking any action. Implementation (oxygen therapy), planning
(care plan), and evaluation (patient response) are subsequent steps. You cannot plan or implement
care without first gathering assessment data. [100% CORRECT]
, 2
Q2: Critical Thinking - Prioritization
A nurse receives shift report on four patients. Which patient should the nurse assess FIRST?
A. A patient with a new admission order for antibiotics
B. A patient who is scheduled for a dressing change
C. A patient reporting chest pain that is unrelieved by medication
D. A patient who needs assistance with ambulation
Correct Answer: C
Rationale: Prioritization is based on the ABCs (Airway, Breathing, Circulation) and Maslow's
hierarchy. Chest pain unrelieved by medication suggests a potential cardiac event, which threatens
circulation and requires immediate assessment. New admissions, scheduled dressings, and
ambulation assistance can wait until the unstable patient is assessed. [100% CORRECT]
Q3: Nursing Process - Diagnosis
After assessing a patient with impaired skin integrity, the nurse writes the nursing diagnosis:
"Impaired Skin Integrity related to decreased mobility as evidenced by stage 2 pressure ulcer." This
statement represents which component of the nursing process?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
Correct Answer: B
Rationale: The nursing diagnosis is the second step of the nursing process, where the nurse analyzes
assessment data to identify patient problems. The statement uses NANDA-I format (problem,
etiology, signs/symptoms). Assessment is data collection, planning sets goals, and implementation
carries out interventions. [100% CORRECT]
Q4: Nursing Process - Implementation
During the implementation phase, the nurse:
A. Identifies nursing diagnoses
B. Carries out the planned nursing interventions
C. Writes patient goals
D. Collects subjective and objective data
Correct Answer: B
Rationale: Implementation is the action phase of the nursing process where the nurse carries out
the planned interventions. This includes performing nursing actions, delegating tasks, and
documenting care provided. Assessment is data collection, diagnosis identifies problems, and
planning writes goals. [100% CORRECT]
Q5: Nursing Process - Evaluation
A nurse implemented a fall prevention protocol for an elderly patient. The next day, the patient is
found ambulating without assistance. Which step of the nursing process should the nurse take?
A. Reassess the patient's fall risk
B. Modify the care plan to include further interventions
