LATEST NURS 3365 EXAM 1 -
FOUNDATIONS | COMPLETE EXAM WITH
CORRECT ANSWERS AND RATIONALES.
A+ GUARANTEED SUCCESS
1. A nurse is using the nursing process to care for a
client. Which action occurs during the assessment
phase?
A) Developing nursing diagnoses
B) Collecting subjective and objective data
C) Implementing nursing interventions
D) Evaluating client outcomes
Correct answer: B
Rationale: Assessment involves collecting subjective
data (what the client says) and objective data
(observable, measurable data). Diagnosis involves
identifying nursing diagnoses. Implementation
involves carrying out interventions. Evaluation
involves determining if outcomes were met.
2. A nurse is prioritizing client care using Maslow
hierarchy of needs. Which client should the nurse
address first?
,A) A client who reports feeling anxious about an
upcoming surgery
B) A client with a new colostomy who needs teaching
about appliance changes
C) A client with a respiratory rate of 32 and oxygen
saturation of 88%
D) A client who requests pain medication for a
headache
Correct answer: C
Rationale: Maslow hierarchy prioritizes physiological
needs (airway, breathing, circulation, oxygen) before
safety, love/belonging, esteem, and self-
actualization. The client with respiratory distress has
an immediate physiological need.
3. A nurse is preparing to insert an indwelling urinary
catheter. Which action demonstrates proper aseptic
technique?
A) Opening the sterile kit and placing it on the client's
overbed table
B) Using sterile gloves to handle the catheter and
sterile supplies
C) Cleaning the meatus with a circular motion from
the outer to inner area
,D) Allowing the catheter to touch the client's leg
during insertion
Correct answer: B
Rationale: Sterile gloves are required for indwelling
catheter insertion to maintain sterility. The sterile kit
should be placed on a clean, dry surface. Cleaning
should be from inner to outer. The catheter should
not touch any contaminated surface.
4. A nurse is providing discharge teaching to a client
about fall prevention at home. Which statement by
the client indicates understanding?
A) I will wear socks without shoes to prevent slipping
B) I will remove all scatter rugs from my floors
C) I will keep my home dimly lit to reduce glare
D) I will store frequently used items on high shelves
Correct answer: B
Rationale: Scatter rugs are a common fall hazard and
should be removed. Wearing non-slip footwear is
recommended. Adequate lighting is essential. Items
should be stored within easy reach.
5. A nurse is caring for a client who is on contact
precautions. Which personal protective equipment
, (PPE) should the nurse wear when entering the
room?
A) Surgical mask only
B) N95 respirator
C) Gown and gloves
D) Face shield only
Correct answer: C
Rationale: Contact precautions require gown and
gloves. Surgical mask and N95 are for droplet and
airborne precautions respectively. Face shield alone
is not sufficient.
6. A nurse is preparing to administer a medication.
Which of the six rights of medication administration is
the most critical to prevent errors?
A) Right time
B) Right route
C) Right client (using two identifiers)
D) Right documentation
Correct answer: C
Rationale: Right client is the most critical because
giving medication to the wrong client could be fatal.
FOUNDATIONS | COMPLETE EXAM WITH
CORRECT ANSWERS AND RATIONALES.
A+ GUARANTEED SUCCESS
1. A nurse is using the nursing process to care for a
client. Which action occurs during the assessment
phase?
A) Developing nursing diagnoses
B) Collecting subjective and objective data
C) Implementing nursing interventions
D) Evaluating client outcomes
Correct answer: B
Rationale: Assessment involves collecting subjective
data (what the client says) and objective data
(observable, measurable data). Diagnosis involves
identifying nursing diagnoses. Implementation
involves carrying out interventions. Evaluation
involves determining if outcomes were met.
2. A nurse is prioritizing client care using Maslow
hierarchy of needs. Which client should the nurse
address first?
,A) A client who reports feeling anxious about an
upcoming surgery
B) A client with a new colostomy who needs teaching
about appliance changes
C) A client with a respiratory rate of 32 and oxygen
saturation of 88%
D) A client who requests pain medication for a
headache
Correct answer: C
Rationale: Maslow hierarchy prioritizes physiological
needs (airway, breathing, circulation, oxygen) before
safety, love/belonging, esteem, and self-
actualization. The client with respiratory distress has
an immediate physiological need.
3. A nurse is preparing to insert an indwelling urinary
catheter. Which action demonstrates proper aseptic
technique?
A) Opening the sterile kit and placing it on the client's
overbed table
B) Using sterile gloves to handle the catheter and
sterile supplies
C) Cleaning the meatus with a circular motion from
the outer to inner area
,D) Allowing the catheter to touch the client's leg
during insertion
Correct answer: B
Rationale: Sterile gloves are required for indwelling
catheter insertion to maintain sterility. The sterile kit
should be placed on a clean, dry surface. Cleaning
should be from inner to outer. The catheter should
not touch any contaminated surface.
4. A nurse is providing discharge teaching to a client
about fall prevention at home. Which statement by
the client indicates understanding?
A) I will wear socks without shoes to prevent slipping
B) I will remove all scatter rugs from my floors
C) I will keep my home dimly lit to reduce glare
D) I will store frequently used items on high shelves
Correct answer: B
Rationale: Scatter rugs are a common fall hazard and
should be removed. Wearing non-slip footwear is
recommended. Adequate lighting is essential. Items
should be stored within easy reach.
5. A nurse is caring for a client who is on contact
precautions. Which personal protective equipment
, (PPE) should the nurse wear when entering the
room?
A) Surgical mask only
B) N95 respirator
C) Gown and gloves
D) Face shield only
Correct answer: C
Rationale: Contact precautions require gown and
gloves. Surgical mask and N95 are for droplet and
airborne precautions respectively. Face shield alone
is not sufficient.
6. A nurse is preparing to administer a medication.
Which of the six rights of medication administration is
the most critical to prevent errors?
A) Right time
B) Right route
C) Right client (using two identifiers)
D) Right documentation
Correct answer: C
Rationale: Right client is the most critical because
giving medication to the wrong client could be fatal.
