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CORE DOMAINS
• Nursing Fundamentals
• Patient Safety and Infection Control
• Health Assessment
• Communication and Documentation
• Legal and Ethical Nursing Practice
• Medication Administration Principles
• Nursing Process and Clinical Judgment
• Vital Signs and Physical Assessment
• Professional Standards and Delegation
• Basic Pharmacology and Patient Education
INTRODUCTION
This assessment is designed to evaluate foundational nursing knowledge and clinical
judgment expected in NUR 216 Module 1–3 coursework. The exam measures understanding
,of patient care principles, safety standards, communication techniques, ethical practice,
assessment skills, and evidence-based nursing interventions. Questions include both
knowledge-based and scenario-driven formats to strengthen critical thinking and decision-
making abilities in real clinical settings. Learners are expected to apply theoretical concepts
to patient-centered care situations while demonstrating professional accountability,
prioritization, and safe nursing practice. The examination emphasizes accuracy, patient
advocacy, interdisciplinary collaboration, and adherence to legal and ethical nursing
standards in healthcare environments.
SECTION ONE: QUESTIONS 1–50
1. A nurse is preparing to assess a newly admitted patient. Which action should the
nurse perform first?
A. Review the patient’s laboratory results
B. Introduce self and verify patient identity
C. Perform a head-to-toe assessment
D. Administer prescribed medications
🟢 Correct Answer: B. Introduce self and verify patient identity
🔴 Explanation: Proper patient identification and introduction establish safety, trust, and
therapeutic communication before any intervention begins.
2. Which vital sign finding requires immediate nursing intervention?
,A. Temperature of 98.6°F
B. Blood pressure of 118/72 mmHg
C. Respiratory rate of 8 breaths/minute
D. Pulse rate of 76 beats/minute
🟢 Correct Answer: C. Respiratory rate of 8 breaths/minute
🔴 Explanation: A respiratory rate below normal may indicate respiratory depression and
requires prompt assessment and intervention.
3. Which organization establishes standards for nursing practice in the United States?
A. American Medical Association
B. National League for Nursing
C. Centers for Disease Control and Prevention
D. American Nurses Association
🟢 Correct Answer: D. American Nurses Association
🔴 Explanation: The American Nurses Association develops professional nursing standards
and scope of practice guidelines.
4. A nurse is caring for a patient on contact precautions. Which personal protective
equipment is essential before entering the room?
, A. Sterile gloves only
B. Surgical mask
C. Gloves and gown
D. N95 respirator
🟢 Correct Answer: C. Gloves and gown
🔴 Explanation: Contact precautions require gloves and a gown to prevent transmission of
infectious organisms through direct contact.
5. Which action by the nurse demonstrates appropriate delegation?
A. Assigning assessment of chest pain to an assistive personnel
B. Delegating medication administration to a nursing assistant
C. Asking an LPN to collect routine vital signs
D. Delegating patient education about insulin injections to unlicensed staff
🟢 Correct Answer: C. Asking an LPN to collect routine vital signs
🔴 Explanation: Routine tasks such as obtaining vital signs may be delegated
appropriately within the scope of practice.
6. A nurse documents that a patient is “doing well.” Why is this documentation
inappropriate?