(2026 Update) |WCU
1. Which phase of the nursing process is being utilized when a nurse documents
a patient’s response to a newly administered analgesic?
A. Assessment
B. Planning
C. Implementation
D. Evaluation
Answer: D
Rationale: Evaluation involves determining the effectiveness of nursing interventions and
the patient’s progress toward achieving goals.
2. According to Florence Nightingale’s Environmental Theory, what is the
primary focus of nursing care?
A. Pharmacological management of symptoms
B. Psychosocial counseling for families
C. Assisting the physician with surgical procedures
D. Manipulation of the patient’s surroundings to facilitate healing
Answer: D
Rationale: Nightingale emphasized that the nurse’s role is to put the patient in the best
condition for nature to act by managing environment factors like light, air, and cleanliness.
,3. A nurse respects a patient’s decision to refuse a life-saving blood transfusion
based on religious beliefs. Which ethical principle is being demonstrated?
A. Beneficence
B. Autonomy
C. Nonmaleficence
D. Justice
Answer: B
Rationale: Autonomy refers to the patient’s right to make their own healthcare decisions
without outside control.
4. Which of the following best describes the ‘Assessment’ phase of the nursing
process?
A. Collection, verification, and analysis of data
B. Carrying out nursing orders
C. Setting measurable patient goals
D. Comparing actual outcomes with expected outcomes
Answer: A
Rationale: Assessment is the first step where the nurse gathers subjective and objective
data to identify health needs.
5. In Maslow’s Hierarchy of Needs, which level must be addressed first in a
patient presenting with acute respiratory distress?
A. Physiological Needs
B. Love and Belonging
C. Safety and Security
D. Self-Esteem
Answer: A
Rationale: Physiological needs, such as oxygenation and circulation, are the most basic and
must be met before higher-level needs.
, 6. A nurse is explaining the difference between a medical diagnosis and a
nursing diagnosis. Which statement is correct?
A. Nursing diagnoses treat the underlying disease process.
B. Medical diagnoses focus on human responses to health conditions.
C. Medical diagnoses are formulated by nurses under physician supervision.
D. Nursing diagnoses focus on human responses to health conditions or life processes.
Answer: D
Rationale: Nursing diagnoses deal with the patient’s response to their illness, whereas
medical diagnoses identify the disease itself.
7. Which nursing theorist developed the ‘Self-Care Deficit’ theory?
A. Virginia Henderson
B. Jean Watson
C. Dorothea Orem
D. Patricia Benner
Answer: C
Rationale: Orem’s theory focuses on the patient’s ability to perform self-care and the
nurse’s role in intervening when a deficit exists.
8. What is the primary purpose of the ‘SBAR’ communication tool?
A. To document patient care in the electronic health record
B. To delegate tasks to unlicensed assistive personnel (UAP)
C. To assess the patient’s level of consciousness
D. To provide a standardized framework for communicating critical information between healthcare
providers
Answer: D
Rationale: SBAR (Situation, Background, Assessment, Recommendation) ensures clear,
concise, and standardized communication during hand-offs or provider notifications.