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NUR 100 Exam 1 2026/2027 | Fortis College | Foundations of Nursing | 400 Verified Q&A with Detailed Rationales

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Pass the NUR 100 Exam 1 (Foundations of Nursing) at Fortis College with this comprehensive 400-question study set for 2026/2027. Covers all foundational nursing concepts based on standard nursing fundamentals, the nursing process, patient education principles, developmental theories (Erikson, Piaget, Shea), legal/ethical issues, scope of practice (RN vs LPN vs UAP), safety and infection control, basic pharmacology, and essential nutrition principles. Includes complete coverage of all 8 domains: Patient Teaching & Learning Styles (Q1-50): Three domains of learning (cognitive, affective, psychomotor), visual/auditory/kinesthetic learners, teach-back method, health literacy, SMART goals, and barriers to learning (pain, anxiety, environment). Developmental Theories & Human Growth (Q51-100): Erikson's 8 stages (Trust vs Mistrust, Autonomy vs Shame, Initiative vs Guilt, Industry vs Inferiority, Identity vs Role Confusion, Intimacy vs Isolation, Generativity vs Stagnation, Integrity vs Despair), Piaget's cognitive development (sensorimotor, preoperational, concrete operational, formal operational), Shea's developmental theory (Achievement, Responsibility, Executive substage), and play types (parallel play). Nursing Process (ADPIE) (Q101-150): Assessment (subjective vs objective data), nursing diagnosis (three-part statement: problem, etiology, defining characteristics), planning (SMART goals), implementation (independent vs dependent vs collaborative interventions), evaluation (met/partially met/not met), prioritization (Maslow's hierarchy, ABCs), delegation (five rights, RN vs LPN vs UAP scope), and critical thinking. Legal & Ethical Issues (Q151-200): HIPAA, negligence (duty, breach, causation, damages), assault vs battery, false imprisonment, informed consent, DNR orders, incident reports, mandatory reporting (abuse), Good Samaritan laws, respondeat superior, advance directives, living wills, and scope of practice (Nurse Practice Act). Scope of Practice (RN vs LPN vs UAP) (Q201-240): Independent nursing interventions, delegation (right task, circumstance, person, direction/communication, supervision/evaluation), LPN scope (medication administration to stable patients, data collection), UAP scope (basic care: I&O, ambulation, turning), RN responsibility for delegation and follow-up. Safety & Infection Control (Q241-290): Hand hygiene (soap and water vs ABHR), transmission-based precautions (contact, droplet, airborne), PPE donning/doffing order, sterile technique (surgical asepsis), medical asepsis (clean technique), standard precautions, C. diff (soap and water required), TB (N95, negative pressure), MRSA, C-diff, neutropenic precautions (reverse isolation), healthcare-associated infections (CAUTI, CLABSI, SSI, VAP), and fire safety (RACE, PASS). Basic Pharmacology (Q291-340): Rights of medication administration, generic vs brand names, high-alert medications (independent double-check), enteral vs parenteral routes, subcutaneous heparin (no aspiration, no massage), intradermal injections (TB test, 10-15° angle), IM injections (ventrogluteal, 90° angle), ophthalmic/otic/transdermal administration, controlled substances (witness waste), medication errors, common side effects (opioids: constipation; anticoagulants: bleeding; ACE inhibitors: dry cough; diuretics: hypokalemia; beta-blockers: bradycardia), digoxin toxicity (nausea, yellow-green halos), warfarin antidote (Vitamin K), statins (rhabdomyolysis), SSRIs (nausea, insomnia, sexual dysfunction), narrow therapeutic index drugs, and PCA pumps (patient only). Essential Nutrition Principles (Q341-400): Macronutrients (carbs, protein, fats), complete vs incomplete proteins, low-sodium diet (avoid processed foods), low-fat diet (lean proteins), high-fiber diet (whole grains), NPO, clear liquid vs full liquid vs mechanical soft vs dysphagia diets, signs of dehydration (poor skin turgor, dry mucous membranes), enteral nutrition (tube feeding, head of bed elevation, aspiration risk), TPN (hyperglycemia risk), renal diet (low potassium, low phosphorus), low-purine diet (gout), vitamins (D: sunlight, K: clotting, C: wound healing), minerals (iron: hemoglobin, calcium: bones), food-drug interactions (grapefruit with statins, milk with antibiotics, leafy greens with warfarin), and refeeding syndrome (hypophosphatemia). Why this guide works: Verified Answers: Each question includes a CORRECT answer bolded with a detailed clinical rationale. Realistic Practice: 400 original questions mirroring the actual NUR 100 Exam 1. Quick Review: Covers all key concepts from the nursing process to delegation. Ideal for: Fortis College nursing students, NUR 100 candidates, foundations of nursing students, and anyone preparing for their first nursing fundamentals exam.

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Instelling
NUR 100
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NUR 100

Voorbeeld van de inhoud

NUR 100 EXAM 1 EXAM PREP DOCUMENT
2026/2027 | FORTIS COLLEGE Foundations of
Nursing | Verified Questions with Detailed
Rationales
This comprehensive 400-question study set is designed for Fortis College nursing
students preparing for the NUR 100 Exam 1: Foundations of Nursing. Each question
includes the correct answer (bolded) and a detailed clinical Rationale based on standard
nursing fundamentals, the nursing process, patient education principles, developmental
theories, legal/ethical issues, and scope of practice guidelines.

Important Note: This exam covers foundational concepts including patient teaching
and learning styles, developmental theories (Erikson, Piaget, Shea), the nursing process
(ADPIE), legal and ethical issues in nursing, scope of practice (RN vs. LPN roles), safety
and infection control, pharmacology basics, and essential nutrition principles. The exam
typically contains 50 questions worth 2 points each, with a time limit of 1 hour and 15
minutes .




DOMAIN 1: PATIENT TEACHING & LEARNING STYLES (50 Questions – 1 to 50)

1. What are the three domains of learning?
A) Physical, Emotional, Spiritual
B) Assessment, Planning, Evaluation
C) Cognitive, affective, psychomotor
D) Visual, Auditory, Kinesthetic
Rationale: The three learning domains are cognitive (knowledge through listening or
reading), affective (beliefs, feelings, and values), and psychomotor (performing actions or
tasks). These domains were established by Bloom and remain foundational to patient
education .

2. A patient who learns best by seeing diagrams, watching videos, and taking notes is
best described as a(n):
A) Auditory learner
B) Visual learner
C) Kinesthetic learner

,D) Reading/writing learner
Rationale: Visual learners absorb information best through visual aids, written materials,
demonstrations, and watching videos. They process information by seeing and tend to
"think in pictures" .

3. A patient who needs to physically perform a task to understand it is best described as
a(n):
A) Auditory learner
B) Visual learner
C) Kinesthetic learner
D) Reading/writing learner
Rationale: Kinesthetic or tactile learners learn best through hands-on activities, return
demonstrations, and physical manipulation of equipment. The best teaching method is to
have them "actually perform a task" rather than just reading or hearing about it .

4. Which of the following factors can negatively affect a patient's ability to learn? (Select
all that apply)
A) Poor vision
B) Hearing impairment
C) Motor function limitations
D) Stress and anxiety
E) Acute illness
F) All of the above
Rationale: Multiple factors can negatively impact a patient's ability to learn, including
sensory deficits (poor vision, hearing impairment), physical limitations (motor function),
psychological factors (stress, anxiety, illness), and environmental factors. The nurse must
assess and address these barriers before beginning teaching .

5. What is the ultimate goal of patient education?
A) To complete the nurse's documentation requirements
B) To help the patient achieve optimal health and independence through
knowledge and skill acquisition
C) To reduce hospital readmission rates
D) To satisfy regulatory requirements
Rationale: The ultimate goal of patient education is to empower patients to take an active
role in their health care, promoting independence, self-management, and optimal health
outcomes. Teaching should be patient-centered and focused on achievable behavioral
changes .

6. A patient is prescribed a new medication for hypertension. Which statement
demonstrates that the patient understands the medication teaching?

,A) "I will take this medication when I remember to."
B) "I will stop taking it if I feel better."
C) "I will take this medication every morning with breakfast as prescribed."
D) "I will only take it when my blood pressure feels high."
Rationale: Understanding is demonstrated when the patient can accurately restate or
demonstrate the information in their own words. The correct response shows specific,
accurate recall of the medication regimen. The teach-back method confirms
understanding before the patient leaves the healthcare setting .

7. The nurse is teaching an older adult patient about diabetes management. Which
strategy would be most effective?
A) Provide written materials in very small font to include more information
B) Ensure adequate lighting, use large type (12-14 point) on non-glare paper, and
speak slowly using short sentences
C) Speak quickly to cover all material before the patient loses focus
D) Use complex medical terminology to be precise
Rationale: When teaching older adults, the nurse should ensure adequate lighting, use
large type with black font on non-glare paper, speak slowly using short sentences,
minimize medical jargon, allow time for responses, and repeat important points. Small
font and rushing through material are ineffective .

8. Before beginning a teaching session about wound care, the nurse should first assess
that the patient is:
A) In the hospital for at least 48 hours
B) Comfortable, free from pain, well-nourished, and has adequate time to focus on
learning
C) Able to read at a college level
D) Accompanied by a family member
Rationale: A patient is most ready to learn when they are free from pain, comfortable,
well-nourished, not distracted, and have adequate time to focus. Teaching should be
avoided during times of pain, nausea, or shortly after medication administration when the
patient's attention will be elsewhere .

9. The nurse teaches a patient how to change a wound dressing and then asks the
patient to demonstrate the procedure. This demonstrates use of which domain of
learning?
A) Cognitive domain
B) Affective domain
C) Psychomotor domain
D) Behavioral domain
Rationale: The psychomotor domain involves performing actions or tasks that require

, physical skill. Asking the patient to demonstrate a wound dressing change assesses
psychomotor learning. The cognitive domain involves knowledge, and the affective
domain involves attitudes and values .

10. The "teach-back" method involves:
A) The nurse repeating instructions three times
B) The patient restating or demonstrating the information in their own words to
confirm understanding
C) The family member writing down the instructions
D) The patient signing a form indicating they understood
Rationale: The teach-back method assesses the patient's understanding by having them
explain or demonstrate the information back to the nurse using their own words, allowing
the nurse to identify gaps and reinforce as needed. It is a key strategy for confirming
comprehension and preventing errors .

11. A patient tells the nurse, "I don't need to learn about my diabetes because my wife
takes care of everything." This patient is exhibiting:
A) Readiness to learn
B) Lack of motivation to learn
C) Adequate health literacy
D) Appropriate delegation
Rationale: Motivation is a key factor affecting patient learning. When a patient lacks
personal motivation or believes someone else will manage their condition, they are less
likely to engage in learning. The nurse should assess the patient's perceived need for
information and address barriers to motivation .

12. Which nursing action best assesses a patient's readiness to learn?
A) Reviewing the patient's medical record
B) Asking the patient, "Tell me what you understand about your condition and
what you would like to know."
C) Assuming all patients want the same information
D) Teaching all information regardless of patient interest
Rationale: Assessing readiness to learn involves asking the patient directly about their
understanding and interest. This patient-centered approach respects the patient's
autonomy and tailors teaching to individual needs. The nurse should evaluate the patient's
motivation, physical comfort, and emotional state before beginning teaching .

13. When teaching a patient with low health literacy, the nurse should:
A) Use complex medical terminology to ensure accuracy
B) Use plain language, avoid jargon, and supplement verbal teaching with pictures
or models

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