NUR2115/NUR 2115 Exam 1 V3 |
Fundamentals of Professional
Nursing Q&A with Rationale |
Rasmussen University
1. Which action is considered the most effective way to prevent the spread of
microorganisms in a healthcare setting?
A. Wearing gloves at all times when in a patient’s room
B. Administering prophylactic antibiotics to all patients
C. Performing thorough hand hygiene regularly
D. Keeping all patient room doors closed
Correct Answer: C
Expert Explanation: Hand hygiene is the single most important practice to prevent
healthcare-associated infections. It effectively removes transient flora that are easily
acquired during patient contact. Consistent adherence to handwashing protocols protects
both the healthcare worker and the patient from cross-contamination.
2. A nurse is performing an admission assessment. Which of the following is considered
subjective data?
A. The patient’s blood pressure is 140/90 mmHg
,B. A 2 cm ulcer is noted on the patient’s right heel
C. The patient reports feeling nauseated and dizzy
D. The patient’s lungs have bilateral crackles on auscultation
Correct Answer: C
Expert Explanation: Subjective data consists of information provided by the patient that
cannot be measured or observed by the nurse. This includes feelings, perceptions, and self-
reported symptoms like nausea or pain. Objective data, on the other hand, involves
measurable and observable findings such as vital signs or physical lesions.
3. Which step of the nursing process involves the nurse determining if the patient’s goals and
expected outcomes have been met?
A. Assessment
B. Planning
C. Evaluation
D. Implementation
Correct Answer: C
Expert Explanation: Evaluation is the final step of the nursing process where the nurse
compares the patient’s current status with the desired outcomes. During this phase, the
nurse decides whether the plan of care should be continued, modified, or terminated. This
, step ensures that the nursing interventions are effective in helping the patient reach their
health goals.
4. A nurse is caring for a patient with Clostridium difficile (C. diff). Which type of precautions
should the nurse implement?
A. Standard Precautions only
B. Droplet Precautions
C. Contact Precautions
D. Airborne Precautions
Correct Answer: C
Expert Explanation: Contact precautions are required for patients with known or
suspected infections that are transmitted by direct or indirect contact. C. diff is a spore-
forming bacterium that can survive on environmental surfaces for long periods. Nurses
must wear gloves and a gown and perform hand hygiene with soap and water rather than
alcohol-based rubs because spores are resistant to alcohol.
5. What is the priority nursing action when a patient begins to fall while the nurse is assisting
with ambulation?
A. Quickly push the patient back into a standing position
B. Let go of the patient to avoid self-injury
C. Call for help immediately before taking any action
Fundamentals of Professional
Nursing Q&A with Rationale |
Rasmussen University
1. Which action is considered the most effective way to prevent the spread of
microorganisms in a healthcare setting?
A. Wearing gloves at all times when in a patient’s room
B. Administering prophylactic antibiotics to all patients
C. Performing thorough hand hygiene regularly
D. Keeping all patient room doors closed
Correct Answer: C
Expert Explanation: Hand hygiene is the single most important practice to prevent
healthcare-associated infections. It effectively removes transient flora that are easily
acquired during patient contact. Consistent adherence to handwashing protocols protects
both the healthcare worker and the patient from cross-contamination.
2. A nurse is performing an admission assessment. Which of the following is considered
subjective data?
A. The patient’s blood pressure is 140/90 mmHg
,B. A 2 cm ulcer is noted on the patient’s right heel
C. The patient reports feeling nauseated and dizzy
D. The patient’s lungs have bilateral crackles on auscultation
Correct Answer: C
Expert Explanation: Subjective data consists of information provided by the patient that
cannot be measured or observed by the nurse. This includes feelings, perceptions, and self-
reported symptoms like nausea or pain. Objective data, on the other hand, involves
measurable and observable findings such as vital signs or physical lesions.
3. Which step of the nursing process involves the nurse determining if the patient’s goals and
expected outcomes have been met?
A. Assessment
B. Planning
C. Evaluation
D. Implementation
Correct Answer: C
Expert Explanation: Evaluation is the final step of the nursing process where the nurse
compares the patient’s current status with the desired outcomes. During this phase, the
nurse decides whether the plan of care should be continued, modified, or terminated. This
, step ensures that the nursing interventions are effective in helping the patient reach their
health goals.
4. A nurse is caring for a patient with Clostridium difficile (C. diff). Which type of precautions
should the nurse implement?
A. Standard Precautions only
B. Droplet Precautions
C. Contact Precautions
D. Airborne Precautions
Correct Answer: C
Expert Explanation: Contact precautions are required for patients with known or
suspected infections that are transmitted by direct or indirect contact. C. diff is a spore-
forming bacterium that can survive on environmental surfaces for long periods. Nurses
must wear gloves and a gown and perform hand hygiene with soap and water rather than
alcohol-based rubs because spores are resistant to alcohol.
5. What is the priority nursing action when a patient begins to fall while the nurse is assisting
with ambulation?
A. Quickly push the patient back into a standing position
B. Let go of the patient to avoid self-injury
C. Call for help immediately before taking any action
