QUESTIONS AND ANSWERS | 2025 UPDATE | 100% CORRECT.
EXAM 1: NURSING FOUNDATIONS, ASSESSMENT, AND PATIENT CARE
**Q1. A client comes to the walk-in clinic with reports of abdominal pain and
diarrhea. While taking the client's vital signs, the nurse is implementing which
phase of the nursing process?**
A. Diagnosis
B. Planning
C. Assessment
D. Implementation
**Correct Answer: C. Assessment**
Rationale : The first step in the nursing process is assessment, the process of
collecting data. All subsequent phases rely on accurate and complete data.
Physical exams and data collection are the primary functions of this phase.
**Q2. The nurse is measuring the client's urine output and straining the urine to
assess for stones. Which of the following should the nurse record as objective
data?**
A. The client reports abdominal pain.
B. The client's urine output was 450 mL.
C. The client states, "I didn't see any stones in my urine."
D. The client states, "I feel like I have passed a stone."
**Correct Answer: B. The client's urine output was 450 mL.**
,Rationale : Objective data is measurable and can be seen, heard, or verified by
the nurse. A client's statements and reports of symptoms are documented as
subjective data, as found in options 1, 3, and 4.
**Q3. Which of the following behaviors by the nurse demonstrates that the
nurse is participating in critical thinking? (Select all that apply.)**
A. Admitting not knowing how to do a procedure and requesting help.
B. Using clever and persuasive remarks to support an opinion or position.
C. Accepting without question the values acquired in nursing school.
D. Finding a quick and logical answer, even to complex questions.
E. Gathering three assistants to transfer the client to a stretcher after noting the
client weighs 300 lbs.
**Correct Answers: A and E**
Rationale : Critical thinking requires recognizing one's limitations and seeking
help when needed (A) and using clinical judgment to ensure patient safety (E).
Options B, C, and D are not components of effective critical thinking.
**Q4. The Joint Commission is:**
A. A federal agency that licenses hospitals
B. An independent, not-for-profit organization that evaluates and accredits
healthcare organizations
C. An insurance company that rates healthcare quality
D. A government agency that sets nursing standards
**Correct Answer: B. An independent, not-for-profit organization that evaluates
and accredits healthcare organizations**
Rationale : The Joint Commission is an independent, not-for-profit organization
that evaluates and accredits healthcare organizations. Core measures were
, developed to improve healthcare quality by implementing a national,
standardized performance measurement system.
**Q5. What does the Greek term "gyne" mean, from which "gynecology" is
derived?**
A. Speculum
B. Gender
C. Woman
D. To reproduce
**Correct Answer: C. Woman**
Rationale : The term "gynecology" derives from the Greek word "gyne," meaning
woman. This foundation is central to women's health and the study of the
female reproductive system.
**Q6. Which of the following best defines the term "gender" as used in the
text?**
A. A person's sex
B. A person's sex as defined by society
C. A societal response to a person's self-representation as a man or woman
D. A person's biological presentation as defined by himself or herself
**Correct Answer: C. A societal response to a person's self-representation as a man
or woman**
Rationale : Gender is a societal and cultural construct, distinct from biological sex,
and is shaped by societal expectations and self-representation.
**Q7. Which factor bears most on women's health care today?**