Page 1 of 90
NUR1055 Introduction to Nursing Final ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS LATEST
UPDATE THIS YEAR
Exam Coverage – NUR1055 Introduction to Nursing Final Exam
This final exam covers foundational concepts for entry-level nursing practice. Key topics include:
history of nursing (Florence Nightingale, Clara Barton, Dorothea Dix); nursing theories and
frameworks (Maslow's hierarchy of needs, Erikson's psychosocial stages, Piaget's cognitive
development); the nursing process (assessment, diagnosis, planning, implementation,
evaluation); legal and ethical principles in nursing (informed consent, HIPAA, advance directives,
negligence, malpractice, scope of practice); therapeutic communication techniques; infection
control and standard precautions; vital signs measurement and interpretation; basic patient
care skills (hygiene, mobility, nutrition, elimination); pain assessment and management; safety
and fall prevention; delegation and prioritization; documentation and reporting (SBAR, SOAP
notes); cultural competence and health disparities; interdisciplinary collaboration; roles of the
professional nurse; and principles of patient education.
200 Randomized, Scenario-Based MCQs for NUR1055 Introduction to Nursing Final Exam
, Page 2 of 90
1. A nursing student is studying Florence Nightingale's contributions to the nursing profession.
What was Nightingale's most significant achievement?
A) Establishing the first nursing school in the United States
B) Identifying the importance of a clean environment on patient outcomes
C) Creating the first hospital-based nursing internship program
D) Developing the first standardized medication administration record
Answer: B
RATIONALE: Florence Nightingale's Environmental Theory emphasized sanitation, fresh air,
clean water, and nutrition as critical factors in patient healing during the Crimean War and
beyond.
2. A nurse is caring for a patient who is in denial after receiving a terminal diagnosis. According
to Maslow's hierarchy of needs, which level takes priority immediately after the patient
expresses willingness to learn about the condition?
A) Self-actualization needs
B) Safety and security needs
C) Love and belonging needs
D) Physiological needs
Answer: B
RATIONALE: Maslow's framework prioritizes safety and security needs after physiological needs;
the patient must feel safe to process a terminal diagnosis and engage in learning.
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3. A nurse enters a patient's room and finds the patient crying after receiving bad news from the
physician. Which therapeutic communication response is most appropriate?
A) "You should not cry because everything will be fine."
B) "I will come back later when you are feeling better."
C) "I can see you are upset. Would you like to talk about it?"
D) "Why are you crying when the treatment is effective?"
Answer: C
RATIONALE: Acknowledging the patient's emotion and offering presence reflects therapeutic
communication; it validates feelings without judgment and allows the patient to choose to
share.
4. A patient refuses to take a prescribed medication because it causes nausea. The nurse
explains the benefits of the medication but the patient still refuses. What is the nurse's best
action?
A) Administer the medication by crushing it in the patient's food
B) Document the refusal and notify the healthcare provider
C) Ask the family to convince the patient to take the medication
D) Withhold the medication and document nothing
Answer: B
RATIONALE: Patients have the right to refuse treatment; the nurse must document the refusal,
notify the provider, and explore reasons while respecting autonomy.
, Page 4 of 90
5. A nurse notices a small fire in a patient's trash can. After removing the patient from the room,
what is the next immediate action according to the RACE protocol?
A) Pull the fire alarm
B) Use the nearest fire extinguisher
C) Call the fire department
D) Close all doors and windows
Answer: B
RATIONALE: RACE stands for Rescue (remove patient), Alarm (pull alarm), Confine (close
doors/windows), Extinguish (use extinguisher). After rescuing the patient, the nurse should
contain the fire before extinguishing.
6. Which action by a nursing student would violate patient confidentiality under HIPAA
regulations?
A) Discussing a patient's lab results with the clinical instructor during a post-conference
B) Posting a photo of a patient's wound on social media with no identifying information
C) Reporting a suspected abuse case to the charge nurse
D) Leaving a patient's chart at the nurses' station face down
Answer: B
RATIONALE: Posting any patient-related image on social media violates HIPAA, even without
visible identifiers, because the patient could be recognized by context or location.
7. A nurse delegates vital sign measurement to an unlicensed assistive personnel (UAP). What is
the nurse's responsibility after delegation?
NUR1055 Introduction to Nursing Final ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS LATEST
UPDATE THIS YEAR
Exam Coverage – NUR1055 Introduction to Nursing Final Exam
This final exam covers foundational concepts for entry-level nursing practice. Key topics include:
history of nursing (Florence Nightingale, Clara Barton, Dorothea Dix); nursing theories and
frameworks (Maslow's hierarchy of needs, Erikson's psychosocial stages, Piaget's cognitive
development); the nursing process (assessment, diagnosis, planning, implementation,
evaluation); legal and ethical principles in nursing (informed consent, HIPAA, advance directives,
negligence, malpractice, scope of practice); therapeutic communication techniques; infection
control and standard precautions; vital signs measurement and interpretation; basic patient
care skills (hygiene, mobility, nutrition, elimination); pain assessment and management; safety
and fall prevention; delegation and prioritization; documentation and reporting (SBAR, SOAP
notes); cultural competence and health disparities; interdisciplinary collaboration; roles of the
professional nurse; and principles of patient education.
200 Randomized, Scenario-Based MCQs for NUR1055 Introduction to Nursing Final Exam
, Page 2 of 90
1. A nursing student is studying Florence Nightingale's contributions to the nursing profession.
What was Nightingale's most significant achievement?
A) Establishing the first nursing school in the United States
B) Identifying the importance of a clean environment on patient outcomes
C) Creating the first hospital-based nursing internship program
D) Developing the first standardized medication administration record
Answer: B
RATIONALE: Florence Nightingale's Environmental Theory emphasized sanitation, fresh air,
clean water, and nutrition as critical factors in patient healing during the Crimean War and
beyond.
2. A nurse is caring for a patient who is in denial after receiving a terminal diagnosis. According
to Maslow's hierarchy of needs, which level takes priority immediately after the patient
expresses willingness to learn about the condition?
A) Self-actualization needs
B) Safety and security needs
C) Love and belonging needs
D) Physiological needs
Answer: B
RATIONALE: Maslow's framework prioritizes safety and security needs after physiological needs;
the patient must feel safe to process a terminal diagnosis and engage in learning.
, Page 3 of 90
3. A nurse enters a patient's room and finds the patient crying after receiving bad news from the
physician. Which therapeutic communication response is most appropriate?
A) "You should not cry because everything will be fine."
B) "I will come back later when you are feeling better."
C) "I can see you are upset. Would you like to talk about it?"
D) "Why are you crying when the treatment is effective?"
Answer: C
RATIONALE: Acknowledging the patient's emotion and offering presence reflects therapeutic
communication; it validates feelings without judgment and allows the patient to choose to
share.
4. A patient refuses to take a prescribed medication because it causes nausea. The nurse
explains the benefits of the medication but the patient still refuses. What is the nurse's best
action?
A) Administer the medication by crushing it in the patient's food
B) Document the refusal and notify the healthcare provider
C) Ask the family to convince the patient to take the medication
D) Withhold the medication and document nothing
Answer: B
RATIONALE: Patients have the right to refuse treatment; the nurse must document the refusal,
notify the provider, and explore reasons while respecting autonomy.
, Page 4 of 90
5. A nurse notices a small fire in a patient's trash can. After removing the patient from the room,
what is the next immediate action according to the RACE protocol?
A) Pull the fire alarm
B) Use the nearest fire extinguisher
C) Call the fire department
D) Close all doors and windows
Answer: B
RATIONALE: RACE stands for Rescue (remove patient), Alarm (pull alarm), Confine (close
doors/windows), Extinguish (use extinguisher). After rescuing the patient, the nurse should
contain the fire before extinguishing.
6. Which action by a nursing student would violate patient confidentiality under HIPAA
regulations?
A) Discussing a patient's lab results with the clinical instructor during a post-conference
B) Posting a photo of a patient's wound on social media with no identifying information
C) Reporting a suspected abuse case to the charge nurse
D) Leaving a patient's chart at the nurses' station face down
Answer: B
RATIONALE: Posting any patient-related image on social media violates HIPAA, even without
visible identifiers, because the patient could be recognized by context or location.
7. A nurse delegates vital sign measurement to an unlicensed assistive personnel (UAP). What is
the nurse's responsibility after delegation?
