NSG3130 Exam 1 Questions and Answers and
Rationales, Focusing on Fundamental Concepts &
Skills for Nursing Practice 2
1. Maslow’s Hierarchy of Needs
• Question: Using Maslow’s Hierarchy, which client’s needs should be addressed
first?
o a. Issues with elimination
o b. Oxygen, cardiac function
o c. Comfort, sleep, warmth
o d. Inadequate nutrition
• Answer: b. Oxygen, cardiac function
• Rationale: Physiological survival needs (oxygenation, circulation) always take
priority before elimination, comfort, or nutrition.
2. Levels of Prevention
• Question: A mother brings her infant for routine immunizations. What level of
prevention is this?
o a. Primary
o b. Tertiary
o c. Essential
o d. Secondary
• Answer: a. Primary
• Rationale: Immunizations prevent disease before it occurs, which is primary
prevention.
3. Delegation by RN
• Question: Before delegating a task to a nursing assistant, the RN must first:
o a. Assume the assistant has the necessary skills
o b. Ensure the assistant has the training and skill set
o c. Delegate and observe later
o d. Ask the charge nurse if delegation is allowed
• Answer: b. Ensure the assistant has the training and skill set
• Rationale: Safe delegation requires verifying competence; never assume skills.
4. Appropriate Task for UAP
• Question: Which task is appropriate to delegate to unlicensed assistive
personnel (UAP)?
o a. Administering oral medications
o b. Setting bed alarms and taking vital signs
o c. Assessing pain level
, o d. Performing sterile dressing change
• Answer: b. Setting bed alarms and taking vital signs
• Rationale: UAPs can perform routine, non-invasive tasks but cannot administer
meds or assess.
5. Self-Efficacy Concept
• Question: The nurse assesses that a patient has confidence in their ability to
take action. This concept is called:
o a. Perceived benefits
o b. Self-efficacy
o c. Perceived severity
o d. Cues to action
• Answer: b. Self-efficacy
• Rationale: Self-efficacy is the belief in one’s ability to execute behaviors
necessary for health.
6. Delegation to LPN/LVN
• Question: Which task is appropriate to delegate to an LPN/LVN?
o a. Initial patient assessment
o b. Administering IV push medications
o c. Applying oxygen and giving PO, IM, SQ meds
o d. Developing the nursing care plan
• Answer: c. Applying oxygen and giving PO, IM, SQ meds
• Rationale: LPNs can administer non-IV meds and perform basic procedures but
not initial assessments or care planning.
7. Holistic Approach
• Question: A nurse uses guided imagery, therapeutic touch, and relaxation
techniques for chronic pain. This is an example of:
• Answer: Holistic care
• Rationale: Holistic nursing addresses physical, emotional, and spiritual aspects
of health.
8. Nursing Process – First Step
• Question: What is the first step in the nursing process?
o a. Planning
o b. Assessment
o c. Implementation
o d. Evaluation
• Answer: b. Assessment
• Rationale: The nursing process begins with gathering data about the patient’s
condition before planning or interventions.
, 9. HIPAA Compliance
• Question: A nurse overhears another nurse discussing a patient’s diagnosis in
the cafeteria. This is a violation of:
o a. ANA Code of Ethics
o b. HIPAA regulations
o c. State Nurse Practice Act
o d. OSHA standards
• Answer: b. HIPAA regulations
• Rationale: HIPAA protects patient confidentiality; discussing patient information
in public violates privacy laws.
10. Evidence-Based Practice
• Question: A nurse uses current research to guide wound care interventions.
This is an example of:
o a. Critical thinking
o b. Evidence-based practice
o c. Intuition
o d. Delegation
• Answer: b. Evidence-based practice
• Rationale: EBP integrates research evidence, clinical expertise, and patient
preferences to improve outcomes.
11. Infection Control – Standard Precautions
• Question: Which of the following is part of standard precautions?
o a. Wearing gloves for all patient contact
o b. Hand hygiene before and after patient care
o c. Using N95 mask for all patients
o d. Double gloving for wound care
• Answer: b. Hand hygiene before and after patient care
• Rationale: Hand hygiene is the cornerstone of infection prevention; other
measures depend on patient condition.
12. Patient Autonomy
• Question: A patient refuses a prescribed treatment. The nurse respects this
decision. This demonstrates:
o a. Beneficence
o b. Autonomy
o c. Justice
o d. Nonmaleficence
• Answer: b. Autonomy
• Rationale: Autonomy is the patient’s right to make decisions about their own
care, even if it conflicts with medical advice.
Rationales, Focusing on Fundamental Concepts &
Skills for Nursing Practice 2
1. Maslow’s Hierarchy of Needs
• Question: Using Maslow’s Hierarchy, which client’s needs should be addressed
first?
o a. Issues with elimination
o b. Oxygen, cardiac function
o c. Comfort, sleep, warmth
o d. Inadequate nutrition
• Answer: b. Oxygen, cardiac function
• Rationale: Physiological survival needs (oxygenation, circulation) always take
priority before elimination, comfort, or nutrition.
2. Levels of Prevention
• Question: A mother brings her infant for routine immunizations. What level of
prevention is this?
o a. Primary
o b. Tertiary
o c. Essential
o d. Secondary
• Answer: a. Primary
• Rationale: Immunizations prevent disease before it occurs, which is primary
prevention.
3. Delegation by RN
• Question: Before delegating a task to a nursing assistant, the RN must first:
o a. Assume the assistant has the necessary skills
o b. Ensure the assistant has the training and skill set
o c. Delegate and observe later
o d. Ask the charge nurse if delegation is allowed
• Answer: b. Ensure the assistant has the training and skill set
• Rationale: Safe delegation requires verifying competence; never assume skills.
4. Appropriate Task for UAP
• Question: Which task is appropriate to delegate to unlicensed assistive
personnel (UAP)?
o a. Administering oral medications
o b. Setting bed alarms and taking vital signs
o c. Assessing pain level
, o d. Performing sterile dressing change
• Answer: b. Setting bed alarms and taking vital signs
• Rationale: UAPs can perform routine, non-invasive tasks but cannot administer
meds or assess.
5. Self-Efficacy Concept
• Question: The nurse assesses that a patient has confidence in their ability to
take action. This concept is called:
o a. Perceived benefits
o b. Self-efficacy
o c. Perceived severity
o d. Cues to action
• Answer: b. Self-efficacy
• Rationale: Self-efficacy is the belief in one’s ability to execute behaviors
necessary for health.
6. Delegation to LPN/LVN
• Question: Which task is appropriate to delegate to an LPN/LVN?
o a. Initial patient assessment
o b. Administering IV push medications
o c. Applying oxygen and giving PO, IM, SQ meds
o d. Developing the nursing care plan
• Answer: c. Applying oxygen and giving PO, IM, SQ meds
• Rationale: LPNs can administer non-IV meds and perform basic procedures but
not initial assessments or care planning.
7. Holistic Approach
• Question: A nurse uses guided imagery, therapeutic touch, and relaxation
techniques for chronic pain. This is an example of:
• Answer: Holistic care
• Rationale: Holistic nursing addresses physical, emotional, and spiritual aspects
of health.
8. Nursing Process – First Step
• Question: What is the first step in the nursing process?
o a. Planning
o b. Assessment
o c. Implementation
o d. Evaluation
• Answer: b. Assessment
• Rationale: The nursing process begins with gathering data about the patient’s
condition before planning or interventions.
, 9. HIPAA Compliance
• Question: A nurse overhears another nurse discussing a patient’s diagnosis in
the cafeteria. This is a violation of:
o a. ANA Code of Ethics
o b. HIPAA regulations
o c. State Nurse Practice Act
o d. OSHA standards
• Answer: b. HIPAA regulations
• Rationale: HIPAA protects patient confidentiality; discussing patient information
in public violates privacy laws.
10. Evidence-Based Practice
• Question: A nurse uses current research to guide wound care interventions.
This is an example of:
o a. Critical thinking
o b. Evidence-based practice
o c. Intuition
o d. Delegation
• Answer: b. Evidence-based practice
• Rationale: EBP integrates research evidence, clinical expertise, and patient
preferences to improve outcomes.
11. Infection Control – Standard Precautions
• Question: Which of the following is part of standard precautions?
o a. Wearing gloves for all patient contact
o b. Hand hygiene before and after patient care
o c. Using N95 mask for all patients
o d. Double gloving for wound care
• Answer: b. Hand hygiene before and after patient care
• Rationale: Hand hygiene is the cornerstone of infection prevention; other
measures depend on patient condition.
12. Patient Autonomy
• Question: A patient refuses a prescribed treatment. The nurse respects this
decision. This demonstrates:
o a. Beneficence
o b. Autonomy
o c. Justice
o d. Nonmaleficence
• Answer: b. Autonomy
• Rationale: Autonomy is the patient’s right to make decisions about their own
care, even if it conflicts with medical advice.
