NURS 142 MIDTERM EXAM — 2026/2027
100 QUESTIONS AND CORRECT ANSWERS | 100% PASS ASSURED | GRADED A+ | 100%
VERIFIED
Core Domains: Nursing Process (Assessment, Diagnosis, Planning, Implementation, Evaluation), Critical Thinking & Clinical Judgment,
Health Assessment & Vital Signs, Medication Administration & Pharmacology Fundamentals, Dosage Calculations & Medication Safety,
Infection Control & Standard Precautions, Medical & Surgical Asepsis, Safety & Fall Prevention, Patient Positioning & Mobility, Hygiene &
Personal Care, Wound Care & Pressure Injury Prevention, Elimination (Urinary & Bowel), Oxygenation & Respiratory Care, Fluid &
Electrolyte Balance, Nutrition & Hydration, Pain Assessment & Management, Perioperative Nursing Care, Documentation & Reporting,
Legal & Ethical Principles in Nursing, Communication & Therapeutic Relationships, Patient Education, Cultural & Spiritual Considerations,
End-of-Life Care, and Delegation & Supervision
Exam Structure
NURS 142 Midterm Exam is commonly structured as follows:
100 multiple-choice questions
Single-best-answer format
Application-, analysis-, and clinical judgment–focused items
Integrated case-based scenarios
Questions incorporating NCLEX-style priority, safety, and delegation frameworks
Select-all-that-apply (SATA) items as applicable
Pharmacology and dosage calculation questions
Comprehensive coverage of fundamentals nursing concepts
Introduction
This NURS 142 Midterm Exam for the 2026/2027 academic cycle reflects undergraduate nursing curriculum standards emphasizing safe, competent, and
evidence-based foundational nursing care. The midterm examination evaluates understanding of nursing process, basic nursing skills, medication
administration, health assessment, infection control, safety principles, and clinical judgment required for progression in nursing programs and preparation for
NCLEX-RN licensure. Mastery of fundamentals content establishes the essential framework for all subsequent nursing practice across healthcare settings.
Questions
1. Which phase of the nursing process involves collecting data about a patient's health status?
A) Assessment
B) Diagnosis
C) Planning
D) Evaluation
The assessment phase is the first step in the nursing process, where the nurse gathers subjective and objective data to
form a comprehensive understanding of the patient's health status.
2. What is the priority nursing action when a patient's oxygen saturation drops to 88%?
A) Notify the provider
B) Administer supplemental oxygen
C) Assess lung sounds
D) Elevate the head of the bed
, Administering supplemental oxygen is the priority action to improve oxygenation and prevent hypoxia, which can lead
to organ damage or failure.
3. Which of the following is the correct technique for measuring a patient's blood pressure?
A) Place the cuff above the elbow
B) Position the patient's arm at heart level
C) Inflate the cuff to 100 mmHg
D) Use a cuff that is too small for the arm
Positioning the patient's arm at heart level ensures an accurate blood pressure reading by preventing false elevations
or reductions due to gravity.
4. What is the primary purpose of standard precautions in infection control?
A) To isolate patients with infectious diseases
B) To prevent the transmission of bloodborne and other pathogens
C) To reduce the use of personal protective equipment (PPE)
D) To limit visitor access to patient rooms
Standard precautions are designed to prevent the transmission of infections by assuming that every patient is
potentially infectious and applying consistent infection control practices.
5. Which of the following is a sign of fluid overload in a patient?
A) Dry mucous membranes
B) Crackles in the lungs
C) Decreased urine output
D) Hypotension
Crackles in the lungs indicate fluid accumulation, which is a classic sign of fluid overload and potential pulmonary
edema.
6. What is the correct procedure for administering an intramuscular injection?
A) Insert the needle at a 15-degree angle
B) Use the Z-track method to prevent leakage
C) Aspirate for 10 seconds before injecting
D) Massage the site after injection
The Z-track method involves pulling the skin laterally before inserting the needle and releasing it after injection to seal
the drug in the muscle and prevent leakage into subcutaneous tissue.
7. Which of the following is a priority nursing intervention for a patient at risk for falls?
A) Encourage ambulation without assistance
B) Keep the bed in the lowest position
C) Remove all personal belongings from the room
D) Administer sedatives to promote rest
Keeping the bed in the lowest position reduces the risk of injury if the patient falls out of bed, promoting safety and
preventing complications.
8. What is the most appropriate position for a patient experiencing dyspnea?
, A) Supine
B) High Fowler's
C) Prone
D) Trendelenburg
High Fowler's position facilitates lung expansion and improves oxygenation by allowing gravity to assist in the
expansion of the lungs.
9. Which of the following is an example of a non-pharmacological pain management technique?
A) Administering acetaminophen
B) Guided imagery
C) Applying a heating pad to a fracture
D) Encouraging deep breathing during an acute MI
Guided imagery is a non-pharmacological technique that helps patients focus on positive mental images to reduce pain
perception and promote relaxation.
10. What is the primary purpose of the SBAR communication tool?
A) To document patient care in the medical record
B) To standardize communication between healthcare providers
C) To assess a patient's pain level
D) To evaluate the effectiveness of interventions
SBAR (Situation, Background, Assessment, Recommendation) is a structured communication tool designed to improve
the clarity and effectiveness of information exchange among healthcare team members.
11. Which of the following is a normal adult heart rate range?
A) 40-60 bpm
B) 60-100 bpm
C) 100-120 bpm
D) 120-140 bpm
A normal adult heart rate ranges from 60 to 100 beats per minute, reflecting the heart's efficient pumping of blood to
meet the body's metabolic demands.
12. What is the first action a nurse should take if a patient reports chest pain?
A) Administer nitroglycerin
B) Assess the patient's vital signs
C) Notify the provider immediately
D) Place the patient in a supine position
Assessing vital signs provides critical information about the patient's hemodynamic status and helps guide further
interventions for chest pain, which could indicate a cardiac event.
13. Which of the following is a sign of dehydration?
A) Bounding pulse
B) Poor skin turgor
C) Increased urine output
D) Moist mucous membranes
100 QUESTIONS AND CORRECT ANSWERS | 100% PASS ASSURED | GRADED A+ | 100%
VERIFIED
Core Domains: Nursing Process (Assessment, Diagnosis, Planning, Implementation, Evaluation), Critical Thinking & Clinical Judgment,
Health Assessment & Vital Signs, Medication Administration & Pharmacology Fundamentals, Dosage Calculations & Medication Safety,
Infection Control & Standard Precautions, Medical & Surgical Asepsis, Safety & Fall Prevention, Patient Positioning & Mobility, Hygiene &
Personal Care, Wound Care & Pressure Injury Prevention, Elimination (Urinary & Bowel), Oxygenation & Respiratory Care, Fluid &
Electrolyte Balance, Nutrition & Hydration, Pain Assessment & Management, Perioperative Nursing Care, Documentation & Reporting,
Legal & Ethical Principles in Nursing, Communication & Therapeutic Relationships, Patient Education, Cultural & Spiritual Considerations,
End-of-Life Care, and Delegation & Supervision
Exam Structure
NURS 142 Midterm Exam is commonly structured as follows:
100 multiple-choice questions
Single-best-answer format
Application-, analysis-, and clinical judgment–focused items
Integrated case-based scenarios
Questions incorporating NCLEX-style priority, safety, and delegation frameworks
Select-all-that-apply (SATA) items as applicable
Pharmacology and dosage calculation questions
Comprehensive coverage of fundamentals nursing concepts
Introduction
This NURS 142 Midterm Exam for the 2026/2027 academic cycle reflects undergraduate nursing curriculum standards emphasizing safe, competent, and
evidence-based foundational nursing care. The midterm examination evaluates understanding of nursing process, basic nursing skills, medication
administration, health assessment, infection control, safety principles, and clinical judgment required for progression in nursing programs and preparation for
NCLEX-RN licensure. Mastery of fundamentals content establishes the essential framework for all subsequent nursing practice across healthcare settings.
Questions
1. Which phase of the nursing process involves collecting data about a patient's health status?
A) Assessment
B) Diagnosis
C) Planning
D) Evaluation
The assessment phase is the first step in the nursing process, where the nurse gathers subjective and objective data to
form a comprehensive understanding of the patient's health status.
2. What is the priority nursing action when a patient's oxygen saturation drops to 88%?
A) Notify the provider
B) Administer supplemental oxygen
C) Assess lung sounds
D) Elevate the head of the bed
, Administering supplemental oxygen is the priority action to improve oxygenation and prevent hypoxia, which can lead
to organ damage or failure.
3. Which of the following is the correct technique for measuring a patient's blood pressure?
A) Place the cuff above the elbow
B) Position the patient's arm at heart level
C) Inflate the cuff to 100 mmHg
D) Use a cuff that is too small for the arm
Positioning the patient's arm at heart level ensures an accurate blood pressure reading by preventing false elevations
or reductions due to gravity.
4. What is the primary purpose of standard precautions in infection control?
A) To isolate patients with infectious diseases
B) To prevent the transmission of bloodborne and other pathogens
C) To reduce the use of personal protective equipment (PPE)
D) To limit visitor access to patient rooms
Standard precautions are designed to prevent the transmission of infections by assuming that every patient is
potentially infectious and applying consistent infection control practices.
5. Which of the following is a sign of fluid overload in a patient?
A) Dry mucous membranes
B) Crackles in the lungs
C) Decreased urine output
D) Hypotension
Crackles in the lungs indicate fluid accumulation, which is a classic sign of fluid overload and potential pulmonary
edema.
6. What is the correct procedure for administering an intramuscular injection?
A) Insert the needle at a 15-degree angle
B) Use the Z-track method to prevent leakage
C) Aspirate for 10 seconds before injecting
D) Massage the site after injection
The Z-track method involves pulling the skin laterally before inserting the needle and releasing it after injection to seal
the drug in the muscle and prevent leakage into subcutaneous tissue.
7. Which of the following is a priority nursing intervention for a patient at risk for falls?
A) Encourage ambulation without assistance
B) Keep the bed in the lowest position
C) Remove all personal belongings from the room
D) Administer sedatives to promote rest
Keeping the bed in the lowest position reduces the risk of injury if the patient falls out of bed, promoting safety and
preventing complications.
8. What is the most appropriate position for a patient experiencing dyspnea?
, A) Supine
B) High Fowler's
C) Prone
D) Trendelenburg
High Fowler's position facilitates lung expansion and improves oxygenation by allowing gravity to assist in the
expansion of the lungs.
9. Which of the following is an example of a non-pharmacological pain management technique?
A) Administering acetaminophen
B) Guided imagery
C) Applying a heating pad to a fracture
D) Encouraging deep breathing during an acute MI
Guided imagery is a non-pharmacological technique that helps patients focus on positive mental images to reduce pain
perception and promote relaxation.
10. What is the primary purpose of the SBAR communication tool?
A) To document patient care in the medical record
B) To standardize communication between healthcare providers
C) To assess a patient's pain level
D) To evaluate the effectiveness of interventions
SBAR (Situation, Background, Assessment, Recommendation) is a structured communication tool designed to improve
the clarity and effectiveness of information exchange among healthcare team members.
11. Which of the following is a normal adult heart rate range?
A) 40-60 bpm
B) 60-100 bpm
C) 100-120 bpm
D) 120-140 bpm
A normal adult heart rate ranges from 60 to 100 beats per minute, reflecting the heart's efficient pumping of blood to
meet the body's metabolic demands.
12. What is the first action a nurse should take if a patient reports chest pain?
A) Administer nitroglycerin
B) Assess the patient's vital signs
C) Notify the provider immediately
D) Place the patient in a supine position
Assessing vital signs provides critical information about the patient's hemodynamic status and helps guide further
interventions for chest pain, which could indicate a cardiac event.
13. Which of the following is a sign of dehydration?
A) Bounding pulse
B) Poor skin turgor
C) Increased urine output
D) Moist mucous membranes
