NUR 160 Exam 1 – Fundamental
Concepts of Practical Nursing II –
Hondros College of Nursing EXAM
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES
2026 Q&A
1. Nursing Process
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
✅ Answer: B. Assess respiratory status
Rationale: The first step in the Nursing Process is assessment. You must collect data before
taking action.
2. Infection Control
Which action best prevents the spread of infection?
A. Wearing gloves at all times
B. Hand hygiene before and after patient contact
C. Using antibiotics prophylactically
D. Isolating all patients
✅ Answer: B. Hand hygiene before and after patient contact
Rationale: Proper hand hygiene is the most effective way to prevent transmission of pathogens.
,3. Vital Signs
A patient has a temperature of 38.5°C (101.3°F). How should the nurse interpret this?
A. Normal
B. Hypothermia
C. Fever
D. Hyperventilation
✅ Answer: C. Fever
Rationale: A temperature above 38°C (100.4°F) indicates fever, often due to infection or
inflammation.
4. Safety & Falls
Which patient is at highest risk for falls?
A. 25-year-old post-appendectomy
B. 40-year-old with hypertension
C. 82-year-old with confusion
D. 30-year-old athlete
✅ Answer: C. 82-year-old with confusion
Rationale: Advanced age and cognitive impairment significantly increase fall risk.
5. Documentation
Which entry is appropriate for medical documentation?
A. “Patient seems lazy”
B. “Patient refused medication”
C. “Patient is difficult”
D. “Patient probably has infection”
✅ Answer: B. “Patient refused medication”
Rationale: Documentation must be objective, factual, and free of judgment.
6. Legal/Ethical
, A patient refuses treatment. What is the nurse’s best response?
A. Force treatment
B. Ignore refusal
C. Respect the decision and document
D. Call security
✅ Answer: C. Respect the decision and document
Rationale: Respect for autonomy is a core ethical principle in nursing.
7. Oxygen Therapy
Which device delivers the highest oxygen concentration?
A. Nasal cannula
B. Simple mask
C. Non-rebreather mask
D. Venturi mask
✅ Answer: C. Non-rebreather mask
Rationale: A non-rebreather mask can deliver up to ~90–100% oxygen.
8. Pharmacology Basics
What is the most important step before administering medication?
A. Check patient room number
B. Perform the 6 rights
C. Give medication quickly
D. Ask family permission
✅ Answer: B. Perform the 6 rights
Rationale: The Six Rights of Medication Administration ensures safety (right patient, drug,
dose, route, time, documentation).
9. Communication
Which is an example of therapeutic communication?
Concepts of Practical Nursing II –
Hondros College of Nursing EXAM
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES
2026 Q&A
1. Nursing Process
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
✅ Answer: B. Assess respiratory status
Rationale: The first step in the Nursing Process is assessment. You must collect data before
taking action.
2. Infection Control
Which action best prevents the spread of infection?
A. Wearing gloves at all times
B. Hand hygiene before and after patient contact
C. Using antibiotics prophylactically
D. Isolating all patients
✅ Answer: B. Hand hygiene before and after patient contact
Rationale: Proper hand hygiene is the most effective way to prevent transmission of pathogens.
,3. Vital Signs
A patient has a temperature of 38.5°C (101.3°F). How should the nurse interpret this?
A. Normal
B. Hypothermia
C. Fever
D. Hyperventilation
✅ Answer: C. Fever
Rationale: A temperature above 38°C (100.4°F) indicates fever, often due to infection or
inflammation.
4. Safety & Falls
Which patient is at highest risk for falls?
A. 25-year-old post-appendectomy
B. 40-year-old with hypertension
C. 82-year-old with confusion
D. 30-year-old athlete
✅ Answer: C. 82-year-old with confusion
Rationale: Advanced age and cognitive impairment significantly increase fall risk.
5. Documentation
Which entry is appropriate for medical documentation?
A. “Patient seems lazy”
B. “Patient refused medication”
C. “Patient is difficult”
D. “Patient probably has infection”
✅ Answer: B. “Patient refused medication”
Rationale: Documentation must be objective, factual, and free of judgment.
6. Legal/Ethical
, A patient refuses treatment. What is the nurse’s best response?
A. Force treatment
B. Ignore refusal
C. Respect the decision and document
D. Call security
✅ Answer: C. Respect the decision and document
Rationale: Respect for autonomy is a core ethical principle in nursing.
7. Oxygen Therapy
Which device delivers the highest oxygen concentration?
A. Nasal cannula
B. Simple mask
C. Non-rebreather mask
D. Venturi mask
✅ Answer: C. Non-rebreather mask
Rationale: A non-rebreather mask can deliver up to ~90–100% oxygen.
8. Pharmacology Basics
What is the most important step before administering medication?
A. Check patient room number
B. Perform the 6 rights
C. Give medication quickly
D. Ask family permission
✅ Answer: B. Perform the 6 rights
Rationale: The Six Rights of Medication Administration ensures safety (right patient, drug,
dose, route, time, documentation).
9. Communication
Which is an example of therapeutic communication?
