Week 1 Quiz: NURS120 / NURS 120
ACTUAL EXAM 2026/2027 | Introduction to
Medical Surgical Nursing | Verified Q&A |
Pass Guaranteed - A+ Graded
Section 1: Nursing Process & Clinical Judgment
Q1: A nurse is caring for a patient who reports shortness of breath. The nurse checks oxygen saturation,
listens to lung sounds, and notes a respiratory rate of 28 breaths per minute. Which phase of the
nursing process is the nurse currently performing?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
Correct Answer: A
Rationale: The assessment phase involves collecting subjective data (patient report) and objective data
(vital signs, physical examination) to establish a comprehensive database.
Q2: The nurse develops a care plan for a patient with a nursing diagnosis of "Impaired Skin Integrity."
The nurse sets a goal for the wound to decrease in size by 50% in 5 days. Which phase of the nursing
process does this represent?
A. Evaluation
B. Planning
C. Implementation
D. Assessment
Correct Answer: B
, Rationale: The planning phase involves setting patient-centered goals and expected outcomes based on
the nursing diagnosis.
Q3: [MEDICATION ERROR SCENARIO] A nurse realizes immediately after administration that a patient
received a dose of Lisinopril 20 mg instead of the prescribed 10 mg. Which action should the nurse take
first?
A. Document the error in the patient's chart.
B. Notify the healthcare provider immediately.
C. Assess the patient's vital signs and clinical status.
D. Complete an incident report.
Correct Answer: C
Rationale: Patient safety is the priority; the nurse must first assess the patient for any adverse effects or
changes in condition before taking other actions like notifying the provider or documenting.
Q4: A nurse is using clinical judgment to care for a patient with pneumonia. After recognizing cues
(fever, low oxygen saturation), what is the next step in the clinical judgment action model?
A. Take action.
B. Evaluate outcomes.
C. Analyze cues.
D. Generate solutions.
Correct Answer: C
Rationale: After recognizing cues, the nurse must analyze them (interpret the relevance of fever and
hypoxia to the patient's condition) before generating solutions or taking action.
Q5: Which QSEN competency is demonstrated when a nurse uses the latest evidence-based research to
change a wound care protocol?
A. Patient-Centered Care
B. Safety
ACTUAL EXAM 2026/2027 | Introduction to
Medical Surgical Nursing | Verified Q&A |
Pass Guaranteed - A+ Graded
Section 1: Nursing Process & Clinical Judgment
Q1: A nurse is caring for a patient who reports shortness of breath. The nurse checks oxygen saturation,
listens to lung sounds, and notes a respiratory rate of 28 breaths per minute. Which phase of the
nursing process is the nurse currently performing?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
Correct Answer: A
Rationale: The assessment phase involves collecting subjective data (patient report) and objective data
(vital signs, physical examination) to establish a comprehensive database.
Q2: The nurse develops a care plan for a patient with a nursing diagnosis of "Impaired Skin Integrity."
The nurse sets a goal for the wound to decrease in size by 50% in 5 days. Which phase of the nursing
process does this represent?
A. Evaluation
B. Planning
C. Implementation
D. Assessment
Correct Answer: B
, Rationale: The planning phase involves setting patient-centered goals and expected outcomes based on
the nursing diagnosis.
Q3: [MEDICATION ERROR SCENARIO] A nurse realizes immediately after administration that a patient
received a dose of Lisinopril 20 mg instead of the prescribed 10 mg. Which action should the nurse take
first?
A. Document the error in the patient's chart.
B. Notify the healthcare provider immediately.
C. Assess the patient's vital signs and clinical status.
D. Complete an incident report.
Correct Answer: C
Rationale: Patient safety is the priority; the nurse must first assess the patient for any adverse effects or
changes in condition before taking other actions like notifying the provider or documenting.
Q4: A nurse is using clinical judgment to care for a patient with pneumonia. After recognizing cues
(fever, low oxygen saturation), what is the next step in the clinical judgment action model?
A. Take action.
B. Evaluate outcomes.
C. Analyze cues.
D. Generate solutions.
Correct Answer: C
Rationale: After recognizing cues, the nurse must analyze them (interpret the relevance of fever and
hypoxia to the patient's condition) before generating solutions or taking action.
Q5: Which QSEN competency is demonstrated when a nurse uses the latest evidence-based research to
change a wound care protocol?
A. Patient-Centered Care
B. Safety
