Answers | Nursing Fundamentals Practice
Questions & Rationales
Final Study Tips for Hondros NUR 205 Exam 1:
Master the Nursing Process: ADPIE – Assessment, Diagnosis, Planning,
Implementation, Evaluation. Know the difference between subjective and
objective data.
Infection Control: Know standard vs. transmission-based precautions
(contact, droplet, airborne). Memorize the correct order for donning and
removing PPE.
Safety & Mobility: Prioritize fall prevention, DVT prevention (SCDs,
anticoagulants), and proper patient positioning.
Medication Calculations: Practice dosage calculations (tablets, mL/hr,
gtt/min). Know the Z-track method, insulin administration, and
subcutaneous injection sites.
Nutrition: Know different diets (clear liquid, full liquid, mechanical soft, low
sodium, low fiber) and which foods are allowed.
Elimination: Understand Foley catheter care, bowel retraining, and signs of
impaction/infection.
Vital Signs: Know normal ranges and when to report abnormal findings
(SpO2 <90%, HR <60 with symptoms, BP >180/110 with symptoms).
Good luck on your Hondros NUR 205 Exam 1!
Section 1: Nursing Process & Critical Thinking (Questions 1–20)
1. The nurse is caring for a patient who reports pain of 8 on a 0-10 scale. The
nurse administers the prescribed analgesic and re-assesses the pain 30
minutes later. This action reflects which phase of the nursing process?
,A) Assessment
B) Diagnosis
C) Implementation
D) Evaluation
Answer: D
Rationale: Evaluation is the fifth step of the nursing process, in which the
nurse determines whether the patient's goals have been met and whether
interventions were effective. Reassessing pain after medication
administration is a direct evaluation of the intervention's effectiveness.
2. A patient is admitted with dehydration. The nurse collects data including
vital signs, skin turgor, and urine output. This is an example of which phase
of the nursing process?
A) Assessment
B) Diagnosis
C) Planning
D) Implementation
Answer: A
Rationale: Assessment is the first phase of the nursing process, involving
systematic collection of data about the patient's health status. Data may be
subjective (patient-reported) or objective (observed/measured).
3. Which nursing diagnosis is written correctly according to NANDA-I
format?
A) Risk for infection related to surgical incision
B) Impaired skin integrity related to immobility as evidenced by stage 2
pressure injury on sacrum
C) Pain related to surgery
,D) Anxiety related to unknown outcome as evidenced by patient stating "I'm
scared"
Answer: B
Rationale: A correctly written nursing diagnosis includes the problem
(NANDA label), related factors (etiology), and defining characteristics (as
evidenced by). The format is "Problem related to etiology as evidenced by
defining characteristics."
4. A patient with diabetes mellitus has a blood glucose level of 350 mg/dL.
The nurse administers insulin as prescribed. This action is part of which
phase of the nursing process?
A) Assessment
B) Diagnosis
C) Implementation
D) Evaluation
Answer: C
Rationale: Implementation is the phase in which the nurse performs the
interventions identified in the care plan. Administering medication is a
direct nursing intervention.
5. The nurse is developing a care plan for a patient with impaired mobility.
Which of the following is an appropriately written goal?
A) "Patient will ambulate in the hallway."
B) "Patient will walk 50 feet without assistance by end of shift."
C) "Patient will be able to walk."
D) "Patient's mobility will improve."
Answer: B
, *Rationale: SMART goals are Specific, Measurable, Achievable, Realistic, and
Time-bound. "Walk 50 feet without assistance by end of shift" meets all
SMART criteria.*
6. A patient's blood pressure is 180/100 mmHg. The nurse rechecks the blood
pressure in the other arm and then notifies the healthcare provider. This
demonstrates:
A) Implementation
B) Critical thinking
C) Delegation
D) Evaluation
Answer: B
Rationale: Critical thinking involves analyzing data, considering alternatives,
and making clinical judgments. The nurse is using critical thinking to verify
abnormal findings and determine appropriate action.
7. Which of the following is an example of objective data?
A) Patient reports feeling nauseated
B) Patient states "I have a headache"
C) Patient's temperature is 101.2°F (38.4°C)
D) Patient says "I feel weak"
Answer: C
Rationale: Objective data are observable and measurable facts obtained
through observation, physical examination, or laboratory tests. Temperature
is measurable. Subjective data are reported by the patient.
8. The nurse is prioritizing care for four patients. Which patient should the
nurse assess first?