NUR 216 EXAM 1 Spring-Summer Arizona
College Of Nursing (Modules 1-3) Complete
Question And Answer
MODULE 1: INTRODUCTION TO HEALTH ASSESSMENT & THE NURSING PROCESS
1. A nurse is collecting data from a patient who reports abdominal pain. Which of the following
is an example of subjective data?
a) Blood pressure 120/80 mmHg
b) Patient states, "My stomach hurts"
c) Temperature 98.6°F
d) Patient grimacing during palpation
Answer: b) Patient states, "My stomach hurts"
Rationale: Subjective data is what the patient tells you. Objective data is what you observe or
measure (vitals, grimacing).
2. A nurse measures a patient's blood pressure and notes it is 140/90 mmHg. This is an example
of:
a) Subjective data
b) Objective data
c) Secondary data
d) Inferential data
Answer: b) Objective data
Rationale: Objective data is measurable and observable (vital signs, physical exam findings).
Subjective data comes from the patient's verbal report.
3. Which step of the nursing process involves setting SMART goals for the patient?
a) Assessment
1
, b) Diagnosis
c) Planning
d) Implementation
Answer: c) Planning
Rationale: Planning is the phase where the nurse develops measurable, achievable goals and
outcomes. Assessment collects data; Diagnosis identifies problems; Implementation performs
actions.
4. A nurse checks if a patient's pain level decreased from 8/10 to 3/10 after giving pain
medication. This is which step of the nursing process?
a) Assessment
b) Diagnosis
c) Implementation
d) Evaluation
Answer: d) Evaluation
Rationale: Evaluation measures whether interventions were effective in meeting patient goals.
Assessment collects initial data; Implementation is doing the action.
5. According to the ABCs of prioritization, which patient should the nurse see FIRST?
a) Patient with a fever of 101°F
b) Patient who is not breathing
c) Patient with a request for water
d) Patient with a rash on the arm
Answer: b) Patient who is not breathing
Rationale: Airway is always the highest priority. A non-breathing patient has an immediate life
threat. Fever, thirst, and rash are lower priority.
6. A patient refuses to take prescribed antibiotics. The nurse respects this decision. Which ethical
principle is being followed?
a) Beneficence
b) Nonmaleficence
2
, c) Autonomy
d) Justice
Answer: c) Autonomy
Rationale: Autonomy respects the patient's right to make their own healthcare decisions, even
if the nurse disagrees.
7. Which of the following is an example of the ethical principle of beneficence?
a) Respecting a patient's refusal of treatment
b) Staying with a dying patient to provide comfort
c) Treating all patients equally regardless of insurance
d) Protecting a patient's medical records
Answer: b) Staying with a dying patient to provide comfort
Rationale: Beneficence means actively doing good for the patient. Autonomy is respecting
refusal; Justice is equality; Confidentiality is privacy.
8. A nurse tells a patient, "Everything will be fine, don't worry." This is an example of which
ineffective communication technique?
a) False reassurance
b) Changing the subject
c) Asking "why"
d) Restating
Answer: a) False reassurance
Rationale: False reassurance dismisses the patient's concerns and may damage trust. Restating
is therapeutic; asking "why" can sound judgmental.
9. A nurse asks, "What brought you to the hospital today?" This is an example of:
a) Closed-ended question
b) Open-ended question
c) Leading question
d) Judgmental question
3
, Answer: b) Open-ended question
Rationale: Open-ended questions encourage the patient to share narrative information. Closed-
ended questions (e.g., "Do you have pain?") require only yes/no answers.
10. Which ethical principle requires the nurse to "do no harm"?
a) Autonomy
b) Beneficence
c) Nonmaleficence
d) Fidelity
Answer: c) Nonmaleficence
Rationale: Nonmaleficence is the duty to avoid causing harm. Beneficence is doing good;
Fidelity is keeping promises.
11. A nurse keeps a promise to return to a patient's room within 30 minutes. This demonstrates:
a) Autonomy
b) Justice
c) Fidelity
d) Confidentiality
Answer: c) Fidelity
Rationale: Fidelity means keeping commitments and being faithful to promises made to
patients.
12. During the assessment phase of the nursing process, the nurse collects data from which
primary source?
a) The patient's family
b) The patient's medical record
c) The patient
d) Another nurse
Answer: c) The patient
4
College Of Nursing (Modules 1-3) Complete
Question And Answer
MODULE 1: INTRODUCTION TO HEALTH ASSESSMENT & THE NURSING PROCESS
1. A nurse is collecting data from a patient who reports abdominal pain. Which of the following
is an example of subjective data?
a) Blood pressure 120/80 mmHg
b) Patient states, "My stomach hurts"
c) Temperature 98.6°F
d) Patient grimacing during palpation
Answer: b) Patient states, "My stomach hurts"
Rationale: Subjective data is what the patient tells you. Objective data is what you observe or
measure (vitals, grimacing).
2. A nurse measures a patient's blood pressure and notes it is 140/90 mmHg. This is an example
of:
a) Subjective data
b) Objective data
c) Secondary data
d) Inferential data
Answer: b) Objective data
Rationale: Objective data is measurable and observable (vital signs, physical exam findings).
Subjective data comes from the patient's verbal report.
3. Which step of the nursing process involves setting SMART goals for the patient?
a) Assessment
1
, b) Diagnosis
c) Planning
d) Implementation
Answer: c) Planning
Rationale: Planning is the phase where the nurse develops measurable, achievable goals and
outcomes. Assessment collects data; Diagnosis identifies problems; Implementation performs
actions.
4. A nurse checks if a patient's pain level decreased from 8/10 to 3/10 after giving pain
medication. This is which step of the nursing process?
a) Assessment
b) Diagnosis
c) Implementation
d) Evaluation
Answer: d) Evaluation
Rationale: Evaluation measures whether interventions were effective in meeting patient goals.
Assessment collects initial data; Implementation is doing the action.
5. According to the ABCs of prioritization, which patient should the nurse see FIRST?
a) Patient with a fever of 101°F
b) Patient who is not breathing
c) Patient with a request for water
d) Patient with a rash on the arm
Answer: b) Patient who is not breathing
Rationale: Airway is always the highest priority. A non-breathing patient has an immediate life
threat. Fever, thirst, and rash are lower priority.
6. A patient refuses to take prescribed antibiotics. The nurse respects this decision. Which ethical
principle is being followed?
a) Beneficence
b) Nonmaleficence
2
, c) Autonomy
d) Justice
Answer: c) Autonomy
Rationale: Autonomy respects the patient's right to make their own healthcare decisions, even
if the nurse disagrees.
7. Which of the following is an example of the ethical principle of beneficence?
a) Respecting a patient's refusal of treatment
b) Staying with a dying patient to provide comfort
c) Treating all patients equally regardless of insurance
d) Protecting a patient's medical records
Answer: b) Staying with a dying patient to provide comfort
Rationale: Beneficence means actively doing good for the patient. Autonomy is respecting
refusal; Justice is equality; Confidentiality is privacy.
8. A nurse tells a patient, "Everything will be fine, don't worry." This is an example of which
ineffective communication technique?
a) False reassurance
b) Changing the subject
c) Asking "why"
d) Restating
Answer: a) False reassurance
Rationale: False reassurance dismisses the patient's concerns and may damage trust. Restating
is therapeutic; asking "why" can sound judgmental.
9. A nurse asks, "What brought you to the hospital today?" This is an example of:
a) Closed-ended question
b) Open-ended question
c) Leading question
d) Judgmental question
3
, Answer: b) Open-ended question
Rationale: Open-ended questions encourage the patient to share narrative information. Closed-
ended questions (e.g., "Do you have pain?") require only yes/no answers.
10. Which ethical principle requires the nurse to "do no harm"?
a) Autonomy
b) Beneficence
c) Nonmaleficence
d) Fidelity
Answer: c) Nonmaleficence
Rationale: Nonmaleficence is the duty to avoid causing harm. Beneficence is doing good;
Fidelity is keeping promises.
11. A nurse keeps a promise to return to a patient's room within 30 minutes. This demonstrates:
a) Autonomy
b) Justice
c) Fidelity
d) Confidentiality
Answer: c) Fidelity
Rationale: Fidelity means keeping commitments and being faithful to promises made to
patients.
12. During the assessment phase of the nursing process, the nurse collects data from which
primary source?
a) The patient's family
b) The patient's medical record
c) The patient
d) Another nurse
Answer: c) The patient
4
