NUR155/NUR 155 Exam 1 V2 | Critical
Thinking for the Practical Nurse Q&A with
Rationale | Hondros College of Nursing
1. Which step of the nursing process involves the systematic collection of both subjective and
objective data?
A. Diagnosis
B. Assessment
C. Planning
D. Implementation
Correct Answer: B
Rationale: Assessment is the first step of the nursing process where the nurse gathers
information about the patient. This includes physical examination findings, medical history,
and reports from the patient or family. Accurate assessment is crucial because it provides
the foundation for the entire care plan.
2. When prioritizing patient care, which patient should the nurse see first according to the
ABC priority framework?
A. A patient requesting pain medication for a chronic condition
B. A patient with a respiratory rate of 28 and audible wheezing
C. A patient who needs discharge instructions for a broken arm
,D. A patient who has not had a bowel movement in three days
Correct Answer: B
Rationale: The ABC framework stands for Airway, Breathing, and Circulation, which
identifies life-threatening issues first. Audible wheezing and an elevated respiratory rate
indicate a potential breathing compromise that requires immediate intervention. Chronic
pain and discharge instructions are lower priorities compared to acute respiratory distress.
3. A nurse identifies that a patient’s blood pressure is 150/90 mmHg. Which type of data does
this represent?
A. Subjective data
B. Secondary data
C. Historical data
D. Objective data
Correct Answer: D
Rationale: Objective data is measurable and observable information obtained through
physical assessment or diagnostic tests. Blood pressure readings are specific numerical
values that can be verified by another person. Subjective data, by contrast, refers to what
the patient says or feels, such as symptoms.
4. What is the primary role of the Licensed Practical Nurse (LPN) in the planning phase of the
nursing process?
A. Independently developing the initial nursing diagnosis
, B. Changing the medical diagnosis based on patient progress
C. Assisting the RN in identifying patient goals and interventions
D. Performing complex surgery to resolve patient issues
Correct Answer: C
Rationale: The LPN functions in a collaborative role with the Registered Nurse (RN) during
the planning phase. While the RN is responsible for the overall care plan, the LPN provides
valuable input based on their observations of the patient. This teamwork ensures that the
care plan is realistic and patient-centered.
5. According to Maslow’s Hierarchy of Needs, which need must be met before a patient can
focus on self-esteem?
A. Self-actualization
B. Physiological needs
C. Belongingness
D. Safety and security
Correct Answer: B
Rationale: Maslow’s Hierarchy is structured so that basic needs must be satisfied before
higher-level needs can be addressed. Physiological needs like food, water, and oxygen are
the most fundamental requirements for survival. Once these are met, the individual can
progress to safety, love, and eventually esteem and self-actualization.
Thinking for the Practical Nurse Q&A with
Rationale | Hondros College of Nursing
1. Which step of the nursing process involves the systematic collection of both subjective and
objective data?
A. Diagnosis
B. Assessment
C. Planning
D. Implementation
Correct Answer: B
Rationale: Assessment is the first step of the nursing process where the nurse gathers
information about the patient. This includes physical examination findings, medical history,
and reports from the patient or family. Accurate assessment is crucial because it provides
the foundation for the entire care plan.
2. When prioritizing patient care, which patient should the nurse see first according to the
ABC priority framework?
A. A patient requesting pain medication for a chronic condition
B. A patient with a respiratory rate of 28 and audible wheezing
C. A patient who needs discharge instructions for a broken arm
,D. A patient who has not had a bowel movement in three days
Correct Answer: B
Rationale: The ABC framework stands for Airway, Breathing, and Circulation, which
identifies life-threatening issues first. Audible wheezing and an elevated respiratory rate
indicate a potential breathing compromise that requires immediate intervention. Chronic
pain and discharge instructions are lower priorities compared to acute respiratory distress.
3. A nurse identifies that a patient’s blood pressure is 150/90 mmHg. Which type of data does
this represent?
A. Subjective data
B. Secondary data
C. Historical data
D. Objective data
Correct Answer: D
Rationale: Objective data is measurable and observable information obtained through
physical assessment or diagnostic tests. Blood pressure readings are specific numerical
values that can be verified by another person. Subjective data, by contrast, refers to what
the patient says or feels, such as symptoms.
4. What is the primary role of the Licensed Practical Nurse (LPN) in the planning phase of the
nursing process?
A. Independently developing the initial nursing diagnosis
, B. Changing the medical diagnosis based on patient progress
C. Assisting the RN in identifying patient goals and interventions
D. Performing complex surgery to resolve patient issues
Correct Answer: C
Rationale: The LPN functions in a collaborative role with the Registered Nurse (RN) during
the planning phase. While the RN is responsible for the overall care plan, the LPN provides
valuable input based on their observations of the patient. This teamwork ensures that the
care plan is realistic and patient-centered.
5. According to Maslow’s Hierarchy of Needs, which need must be met before a patient can
focus on self-esteem?
A. Self-actualization
B. Physiological needs
C. Belongingness
D. Safety and security
Correct Answer: B
Rationale: Maslow’s Hierarchy is structured so that basic needs must be satisfied before
higher-level needs can be addressed. Physiological needs like food, water, and oxygen are
the most fundamental requirements for survival. Once these are met, the individual can
progress to safety, love, and eventually esteem and self-actualization.
