Below is a comprehensive set of 100 multiple‐choice questions on the Fundamentals of
Nursing. Each question includes four answer options, the correct answer, and a brief rationale
explaining why that answer is correct.
Section 1: The Nursing Process and Clinical Reasoning
1. Which of the following is the first step in the nursing process?
A. Diagnosis
B. Assessment
C. Planning
D. Evaluation
Correct Answer: B
Rationale: The nursing process begins with assessment, where the nurse gathers
comprehensive data about the patient’s physical, emotional, and social status.
2. In the nursing process, which phase involves setting measurable, achievable goals
for patient care?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
Correct Answer: C
Rationale: Planning is the stage where the nurse formulates specific objectives and
develops a care plan based on the assessment data.
3. What is the main goal of the implementation phase in the nursing process?
A. To evaluate patient progress
B. To perform interventions as outlined in the care plan
C. To gather data about the patient
D. To set future goals
Correct Answer: B
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Rationale: Implementation involves carrying out the planned interventions to address the
patient’s needs.
4. Which phase of the nursing process involves evaluating the effectiveness of
interventions and modifying the plan as needed?
A. Assessment
B. Planning
C. Implementation
D. Evaluation
Correct Answer: D
Rationale: Evaluation assesses the patient’s response to care and determines whether
goals have been met, prompting modifications to the care plan if necessary.
5. The acronym "SOAP" in nursing documentation stands for:
A. Subjective, Objective, Assessment, Plan
B. Summary, Observation, Analysis, Plan
C. Situation, Objective, Action, Progress
D. Standard, Organization, Action, Performance
Correct Answer: A
Rationale: SOAP notes are a widely used format in healthcare that organize
documentation into Subjective data, Objective data, Assessment, and Plan.
6. Critical thinking in nursing involves:
A. Following orders without question
B. Systematically analyzing data to make informed decisions
C. Relying solely on intuition
D. Documenting only numerical data
Correct Answer: B
Rationale: Critical thinking is essential for integrating patient data, assessing situations,
and making sound clinical decisions.
7. Which of the following best describes reflective practice in nursing?
A. Repeating procedures exactly as taught
B. Continuously evaluating one’s own actions to improve patient care
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C. Delegating tasks to others
D. Memorizing policies and procedures
Correct Answer: B
Rationale: Reflective practice involves analyzing one’s own experiences and actions to
learn and improve professional practice.
8. A nursing care plan is used to:
A. Record daily vital signs only
B. Provide a structured approach to delivering individualized patient care
C. Replace the physician’s orders
D. Document legal incidents only
Correct Answer: B
Rationale: A nursing care plan outlines specific interventions and goals tailored to the
patient’s unique needs, ensuring coordinated and effective care.
9. In patient-centered care, which of the following is most important?
A. Strict adherence to standardized protocols
B. Focusing on the patient’s individual needs, values, and preferences
C. Reducing communication with patients
D. Relying solely on technology for care
Correct Answer: B
Rationale: Patient-centered care means that care is respectful of and responsive to
individual patient preferences and needs.
10. Which of the following is an example of an independent nursing intervention?
A. Administering a prescribed medication
B. Educating a patient about managing their condition
C. Inserting an IV catheter as ordered
D. Delegating tasks to nursing assistants
Correct Answer: B
Rationale: Patient education is an independent nursing intervention that is based on the
nurse’s clinical judgment and does not require a direct physician order.
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