NUR 1211C / NUR1211 Final Exam Mastery
Pack Keiser University – 2026 Guaranteed
Pass
Total Questions: 150
Format: Multiple Choice
Time Limit: 3 hours
Passing Score: 80%
Section 1: Foundations of Nursing Practice (Questions 1–20)
1. According to Maslow's hierarchy of needs, which patient need should the
nurse address first?
A) Self-esteem
B) Belonging
C) Physiological needs (air, water, food, shelter)
D) Self-actualization
Answer: C
Rationale: Maslow's hierarchy prioritizes basic physiological needs (oxygen,
water, food, elimination, temperature, rest) before higher-level needs. Safety
and security come next, followed by love/belonging, esteem, and self-
actualization.
2. A patient is admitted with a diagnosis of pneumonia. The nurse collects
data including vital signs, lung sounds, and oxygen saturation. This is an
example of which phase of the nursing process?
,A) Assessment
B) Diagnosis
C) Planning
D) Evaluation
Answer: A
Rationale: Assessment is the first phase of the nursing process, involving
systematic data collection about the patient's health status. Data may be
subjective (patient-reported) or objective (observed/measured).
3. Which nursing diagnosis is written correctly?
A) Risk for infection related to surgical incision
B) Impaired skin integrity related to immobility as evidenced by stage 2
pressure injury
C) Pain related to surgery
D) Anxiety
Answer: B
Rationale: A correctly written nursing diagnosis includes the problem
(NANDA label), related factors (etiology), and defining characteristics
(evidence). The format is "Problem related to etiology as evidenced by
signs/symptoms."
4. A patient with diabetes mellitus has a blood glucose level of 45 mg/dL and
is confused and diaphoretic. What is the nurse's priority action?
A) Administer 15g of fast-acting carbohydrate
B) Administer insulin as ordered
C) Call the healthcare provider
D) Recheck blood glucose in 30 minutes
Answer: A
*Rationale: The patient is experiencing hypoglycemia (blood glucose <70
mg/dL with symptoms). The priority is to administer 15g of fast-acting
,carbohydrate (glucose tablets, juice, regular soda) and recheck in 15
minutes.*
5. The nurse is caring for a patient who is NPO (nothing by mouth) before
surgery. Which action demonstrates effective advocacy?
A) Allowing the patient to have ice chips to relieve thirst
B) Explaining why the patient cannot eat or drink before surgery
C) Ignoring the patient's request for water
D) Asking the family to bring food for the patient
Answer: B
Rationale: Patient advocacy includes providing information so patients can
make informed decisions. The nurse should explain the Rationale for NPO
status (preventing aspiration during anesthesia) while maintaining
compliance.
6. A patient states, "I'm not going to take that medication because it makes
me nauseous." Which ethical principle is the nurse demonstrating by
respecting the patient's decision?
A) Beneficence
B) Nonmaleficence
C) Autonomy
D) Justice
Answer: C
Rationale: Autonomy respects the patient's right to make their own
healthcare decisions, including the right to refuse treatment. The nurse
should educate the patient but ultimately respect the autonomous decision.
7. A nurse fails to report a significant change in a patient's condition, and the
patient suffers a cardiac arrest. This is an example of:
, A) Assault
B) Battery
C) Negligence
D) Malpractice
Answer: D
Rationale: Malpractice is professional negligence—a breach of duty (failing
to report a change) that causes harm to the patient. The nurse had a duty to
report and failed to do so, resulting in injury.
8. Which nursing action is a violation of patient confidentiality under
HIPAA?
A) Discussing patient care with the healthcare team in a private area
B) Sharing patient information with another nurse who is not involved in the
patient's care
C) Providing report to the oncoming nurse at the bedside
D) Documenting patient care in the electronic health record
Answer: B
Rationale: HIPAA requires that patient information be shared only with
those directly involved in the patient's care. Sharing information with a
nurse not caring for the patient is a violation of confidentiality.
9. A patient is to receive 500 mL of normal saline over 4 hours. The drop
factor is 15 gtt/mL. What is the flow rate in gtt/min?
A) 21 gtt/min
B) 31 gtt/min
C) 41 gtt/min
D) 51 gtt/min
Answer: B
*Rationale: Flow rate (gtt/min) = (Volume × Drop factor) / Time (min). (500
mL × 15 gtt/mL) / (4 hours × 60 min/hour) = 7, = 31.25 ≈ 31 gtt/min.*
Pack Keiser University – 2026 Guaranteed
Pass
Total Questions: 150
Format: Multiple Choice
Time Limit: 3 hours
Passing Score: 80%
Section 1: Foundations of Nursing Practice (Questions 1–20)
1. According to Maslow's hierarchy of needs, which patient need should the
nurse address first?
A) Self-esteem
B) Belonging
C) Physiological needs (air, water, food, shelter)
D) Self-actualization
Answer: C
Rationale: Maslow's hierarchy prioritizes basic physiological needs (oxygen,
water, food, elimination, temperature, rest) before higher-level needs. Safety
and security come next, followed by love/belonging, esteem, and self-
actualization.
2. A patient is admitted with a diagnosis of pneumonia. The nurse collects
data including vital signs, lung sounds, and oxygen saturation. This is an
example of which phase of the nursing process?
,A) Assessment
B) Diagnosis
C) Planning
D) Evaluation
Answer: A
Rationale: Assessment is the first phase of the nursing process, involving
systematic data collection about the patient's health status. Data may be
subjective (patient-reported) or objective (observed/measured).
3. Which nursing diagnosis is written correctly?
A) Risk for infection related to surgical incision
B) Impaired skin integrity related to immobility as evidenced by stage 2
pressure injury
C) Pain related to surgery
D) Anxiety
Answer: B
Rationale: A correctly written nursing diagnosis includes the problem
(NANDA label), related factors (etiology), and defining characteristics
(evidence). The format is "Problem related to etiology as evidenced by
signs/symptoms."
4. A patient with diabetes mellitus has a blood glucose level of 45 mg/dL and
is confused and diaphoretic. What is the nurse's priority action?
A) Administer 15g of fast-acting carbohydrate
B) Administer insulin as ordered
C) Call the healthcare provider
D) Recheck blood glucose in 30 minutes
Answer: A
*Rationale: The patient is experiencing hypoglycemia (blood glucose <70
mg/dL with symptoms). The priority is to administer 15g of fast-acting
,carbohydrate (glucose tablets, juice, regular soda) and recheck in 15
minutes.*
5. The nurse is caring for a patient who is NPO (nothing by mouth) before
surgery. Which action demonstrates effective advocacy?
A) Allowing the patient to have ice chips to relieve thirst
B) Explaining why the patient cannot eat or drink before surgery
C) Ignoring the patient's request for water
D) Asking the family to bring food for the patient
Answer: B
Rationale: Patient advocacy includes providing information so patients can
make informed decisions. The nurse should explain the Rationale for NPO
status (preventing aspiration during anesthesia) while maintaining
compliance.
6. A patient states, "I'm not going to take that medication because it makes
me nauseous." Which ethical principle is the nurse demonstrating by
respecting the patient's decision?
A) Beneficence
B) Nonmaleficence
C) Autonomy
D) Justice
Answer: C
Rationale: Autonomy respects the patient's right to make their own
healthcare decisions, including the right to refuse treatment. The nurse
should educate the patient but ultimately respect the autonomous decision.
7. A nurse fails to report a significant change in a patient's condition, and the
patient suffers a cardiac arrest. This is an example of:
, A) Assault
B) Battery
C) Negligence
D) Malpractice
Answer: D
Rationale: Malpractice is professional negligence—a breach of duty (failing
to report a change) that causes harm to the patient. The nurse had a duty to
report and failed to do so, resulting in injury.
8. Which nursing action is a violation of patient confidentiality under
HIPAA?
A) Discussing patient care with the healthcare team in a private area
B) Sharing patient information with another nurse who is not involved in the
patient's care
C) Providing report to the oncoming nurse at the bedside
D) Documenting patient care in the electronic health record
Answer: B
Rationale: HIPAA requires that patient information be shared only with
those directly involved in the patient's care. Sharing information with a
nurse not caring for the patient is a violation of confidentiality.
9. A patient is to receive 500 mL of normal saline over 4 hours. The drop
factor is 15 gtt/mL. What is the flow rate in gtt/min?
A) 21 gtt/min
B) 31 gtt/min
C) 41 gtt/min
D) 51 gtt/min
Answer: B
*Rationale: Flow rate (gtt/min) = (Volume × Drop factor) / Time (min). (500
mL × 15 gtt/mL) / (4 hours × 60 min/hour) = 7, = 31.25 ≈ 31 gtt/min.*
