NURS 100 Fundamentals of Nursing Week 2 Quiz 2026 |WCU
1. A nurse is conducting a physical assessment of a patient. Which of the
following is considered objective data?
A. The nurse observes the patient’s skin is pale and diaphoretic.
B. The patient states they have a throbbing headache.
C. The patient reports feeling dizzy when standing up.
D. The patient expresses anxiety about an upcoming procedure.
Answer: A
Rationale: Objective data is observable and measurable information obtained through
physical examination and diagnostic tests. Skin color and moisture are observed directly by
the nurse.
2. When applying the nursing process, which action should the nurse perform
during the planning phase?
A. Revising the care plan based on patient outcomes.
B. Establishing short-term and long-term patient goals.
C. Collecting a comprehensive health history.
D. Administering prescribed medications to the patient.
Answer: B
Rationale: The planning phase involves setting priorities, identifying patient-centered
goals, and selecting nursing interventions to achieve those goals.
,3. A nurse is caring for a patient who refuses a scheduled blood transfusion for
religious reasons. Which ethical principle is the nurse upholding by respecting
this decision?
A. Beneficence
B. Justice
C. Non-maleficence
D. Autonomy
Answer: D
Rationale: Autonomy refers to the patient’s right to make their own healthcare decisions,
even if the healthcare provider disagrees with the choice.
4. Which communication technique is most effective when a nurse wants to
encourage a patient to share more information about their feelings?
A. Asking ‘Why’ questions to understand the patient’s logic.
B. Using open-ended questions like ‘Tell me more about how you feel.’
C. Providing immediate reassurance that everything will be fine.
D. Changing the subject when the patient becomes emotional.
Answer: B
Rationale: Open-ended questions allow the patient to express themselves in their own
words and provide more detailed information than closed-ended questions.
5. A nurse uses the SBAR tool to communicate with a physician. What does the
‘B’ in SBAR stand for?
A. Behavior
B. Biological data
C. Beliefs
D. Background
Answer: D
, Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation.
‘Background’ provides relevant clinical context leading up to the current situation.
6. While measuring a patient’s blood pressure, the nurse notices the cuff is too
small for the patient’s arm. What effect will this have on the reading?
A. The reading will be falsely high.
B. The reading will be falsely low.
C. The reading will be accurate if the nurse pumps higher.
D. The systolic reading will be low and diastolic will be high.
Answer: A
Rationale: A blood pressure cuff that is too narrow or too small will result in a falsely
elevated (high) blood pressure reading.
7. According to Maslow’s Hierarchy of Needs, which patient should the nurse
assess first?
A. A patient asking for information about their discharge medications.
B. A patient reporting loneliness because their family hasn’t visited.
C. A patient who is experiencing difficulty breathing.
D. A patient expressing fear about their surgical diagnosis.
Answer: C
Rationale: Maslow’s hierarchy prioritizes physiological needs (such as
oxygenation/breathing) over safety, love/belonging, and self-actualization.
8. A nurse is performing hand hygiene. When is it mandatory to use soap and
water instead of alcohol-based hand rub?
A. After touching a patient’s intact skin.
B. After removing clean gloves used for vital signs.
C. Before donning sterile gloves for a procedure.
D. When the hands are visibly soiled with blood or body fluids.
Answer: D
1. A nurse is conducting a physical assessment of a patient. Which of the
following is considered objective data?
A. The nurse observes the patient’s skin is pale and diaphoretic.
B. The patient states they have a throbbing headache.
C. The patient reports feeling dizzy when standing up.
D. The patient expresses anxiety about an upcoming procedure.
Answer: A
Rationale: Objective data is observable and measurable information obtained through
physical examination and diagnostic tests. Skin color and moisture are observed directly by
the nurse.
2. When applying the nursing process, which action should the nurse perform
during the planning phase?
A. Revising the care plan based on patient outcomes.
B. Establishing short-term and long-term patient goals.
C. Collecting a comprehensive health history.
D. Administering prescribed medications to the patient.
Answer: B
Rationale: The planning phase involves setting priorities, identifying patient-centered
goals, and selecting nursing interventions to achieve those goals.
,3. A nurse is caring for a patient who refuses a scheduled blood transfusion for
religious reasons. Which ethical principle is the nurse upholding by respecting
this decision?
A. Beneficence
B. Justice
C. Non-maleficence
D. Autonomy
Answer: D
Rationale: Autonomy refers to the patient’s right to make their own healthcare decisions,
even if the healthcare provider disagrees with the choice.
4. Which communication technique is most effective when a nurse wants to
encourage a patient to share more information about their feelings?
A. Asking ‘Why’ questions to understand the patient’s logic.
B. Using open-ended questions like ‘Tell me more about how you feel.’
C. Providing immediate reassurance that everything will be fine.
D. Changing the subject when the patient becomes emotional.
Answer: B
Rationale: Open-ended questions allow the patient to express themselves in their own
words and provide more detailed information than closed-ended questions.
5. A nurse uses the SBAR tool to communicate with a physician. What does the
‘B’ in SBAR stand for?
A. Behavior
B. Biological data
C. Beliefs
D. Background
Answer: D
, Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation.
‘Background’ provides relevant clinical context leading up to the current situation.
6. While measuring a patient’s blood pressure, the nurse notices the cuff is too
small for the patient’s arm. What effect will this have on the reading?
A. The reading will be falsely high.
B. The reading will be falsely low.
C. The reading will be accurate if the nurse pumps higher.
D. The systolic reading will be low and diastolic will be high.
Answer: A
Rationale: A blood pressure cuff that is too narrow or too small will result in a falsely
elevated (high) blood pressure reading.
7. According to Maslow’s Hierarchy of Needs, which patient should the nurse
assess first?
A. A patient asking for information about their discharge medications.
B. A patient reporting loneliness because their family hasn’t visited.
C. A patient who is experiencing difficulty breathing.
D. A patient expressing fear about their surgical diagnosis.
Answer: C
Rationale: Maslow’s hierarchy prioritizes physiological needs (such as
oxygenation/breathing) over safety, love/belonging, and self-actualization.
8. A nurse is performing hand hygiene. When is it mandatory to use soap and
water instead of alcohol-based hand rub?
A. After touching a patient’s intact skin.
B. After removing clean gloves used for vital signs.
C. Before donning sterile gloves for a procedure.
D. When the hands are visibly soiled with blood or body fluids.
Answer: D