NSG 300/NSG300 Final Exam V3 |
Foundations of Nursing Q&A with
Rationale | Grand Canyon University
1. Which phase of the nursing process involves the systematic collection and verification of
data?
A. Assessment
B. Implementation
C. Diagnosis
D. Planning
Correct Answer: A
Expert Explanation: Assessment is the first step of the nursing process where the nurse
collects comprehensive data about a patient’s health status. This phase requires the nurse
to gather both subjective and objective data through interviews and physical examinations.
It provides the necessary foundation for all subsequent clinical decisions and nursing
diagnoses.
2. When using the SBAR communication tool, which component includes the patient’s
admitting diagnosis and relevant medical history?
A. Situation
B. Background
,C. Assessment
D. Recommendation
Correct Answer: B
Expert Explanation: The Background portion of SBAR provides critical context regarding
the patient’s medical history and the clinical circumstances leading to the current situation.
This helps the healthcare provider understand the broader picture of the patient’s
condition. By including the admitting diagnosis and past treatments, the nurse ensures that
the communication is clear and informative.
3. What is the primary purpose of the ANA Code of Ethics for Nurses?
A. To provide a framework for legal prosecution of nurses
B. To establish salary guidelines for various nursing roles
C. To serve as a guide for carrying out nursing responsibilities consistent with quality in
nursing care and ethical obligations
D. To mandate specific clinical procedures for all hospitals
Correct Answer: C
Expert Explanation: The ANA Code of Ethics serves as the non-negotiable ethical standard
for the nursing profession. It outlines the values, duties, and commitments that nurses
must uphold when providing care to patients and communities. This document provides a
framework for professional accountability and guides nurses in resolving ethical dilemmas
encountered in practice.
, 4. Which level of Maslow’s Hierarchy of Needs must be addressed first by the nurse?
A. Physiological needs
B. Self-actualization
C. Safety and security
D. Love and belonging
Correct Answer: A
Expert Explanation: Physiological needs, such as oxygen, water, food, and elimination, are
the most basic requirements for human survival and must be prioritized first. According to
Maslow’s hierarchy, higher-level needs cannot be addressed until these fundamental
biological requirements are met. Nurses use this prioritization to ensure the most life-
threatening issues are handled immediately in clinical settings.
5. A nurse is caring for a patient who is at high risk for falls. Which intervention is most
appropriate?
A. Keep all four side rails up at all times
B. Ensure the call light is within reach and provide hourly rounding
C. Apply physical restraints immediately upon admission
D. Place the bed in the highest position to facilitate easy exit
Correct Answer: B
Foundations of Nursing Q&A with
Rationale | Grand Canyon University
1. Which phase of the nursing process involves the systematic collection and verification of
data?
A. Assessment
B. Implementation
C. Diagnosis
D. Planning
Correct Answer: A
Expert Explanation: Assessment is the first step of the nursing process where the nurse
collects comprehensive data about a patient’s health status. This phase requires the nurse
to gather both subjective and objective data through interviews and physical examinations.
It provides the necessary foundation for all subsequent clinical decisions and nursing
diagnoses.
2. When using the SBAR communication tool, which component includes the patient’s
admitting diagnosis and relevant medical history?
A. Situation
B. Background
,C. Assessment
D. Recommendation
Correct Answer: B
Expert Explanation: The Background portion of SBAR provides critical context regarding
the patient’s medical history and the clinical circumstances leading to the current situation.
This helps the healthcare provider understand the broader picture of the patient’s
condition. By including the admitting diagnosis and past treatments, the nurse ensures that
the communication is clear and informative.
3. What is the primary purpose of the ANA Code of Ethics for Nurses?
A. To provide a framework for legal prosecution of nurses
B. To establish salary guidelines for various nursing roles
C. To serve as a guide for carrying out nursing responsibilities consistent with quality in
nursing care and ethical obligations
D. To mandate specific clinical procedures for all hospitals
Correct Answer: C
Expert Explanation: The ANA Code of Ethics serves as the non-negotiable ethical standard
for the nursing profession. It outlines the values, duties, and commitments that nurses
must uphold when providing care to patients and communities. This document provides a
framework for professional accountability and guides nurses in resolving ethical dilemmas
encountered in practice.
, 4. Which level of Maslow’s Hierarchy of Needs must be addressed first by the nurse?
A. Physiological needs
B. Self-actualization
C. Safety and security
D. Love and belonging
Correct Answer: A
Expert Explanation: Physiological needs, such as oxygen, water, food, and elimination, are
the most basic requirements for human survival and must be prioritized first. According to
Maslow’s hierarchy, higher-level needs cannot be addressed until these fundamental
biological requirements are met. Nurses use this prioritization to ensure the most life-
threatening issues are handled immediately in clinical settings.
5. A nurse is caring for a patient who is at high risk for falls. Which intervention is most
appropriate?
A. Keep all four side rails up at all times
B. Ensure the call light is within reach and provide hourly rounding
C. Apply physical restraints immediately upon admission
D. Place the bed in the highest position to facilitate easy exit
Correct Answer: B