NUR 215 exam 1 practice Arizona college with 100% accurate solutions + rationales 2026-2027

What is clinical judgement?

A)Collecting & analyzing information

B) Involves observing, comparing, & evaluating the client's condition

C)Attempting to find a solution

D)Establishing priorities

B) Involves observing, comparing, & evaluating the client's condition

What is nursing assessment?

a-Nurse administers medications

b-Nurse creates a plan of care

c-Nurses evaluate effect of medication

d-Nurse collects pertinent data

d-Nurse collects pertinent data

Beneficence is

a)an action that promotes good

b)doing no harm

c)being truthful

d)being just

an action that promotes good

Which organization is directly responsible for regulating the practice of nursing in each state?

a)The American Nurses Association

b)The state board of nursing

c)The American Medical Association

b)The state board of nursing

The nurse is assigned to care for four clients. In planning client rounds, which client should the nurse assess first?

a)A client with a new medication

b)A client scheduled for a chest x-ray

c)A client with asthma who requested a breathing treatment

d)A client requiring daily dressing change

c)A client with asthma who requested a breathing treatment

What is it called when the nurse develops a plan?

a)Assessment

b)Diagnosis

c)Planning

d)Implementation

c)Planning

All are aspects of prioritization EXCEPT

a)Which client should I see first ?

b)What am I going to do?

c)What interventions should be performed first?

b)Which tasks appropriate to delegate ?

b)What am I going to do?

Which comes first when prioritizing care?

a)Breathing

b)Circulation

c)Airway

d)Temperature

c)Airway

(Airway, Breathing, Circulation)

Which is a physiologic need based on Maslow's Hierarchy of Needs?

a)Freedom

b)Health

c)Family

d)Clothing

d) Clothing

What is self-actualization?

a)Desire to become the most you can be!

b)Desire to become the strongest you can be!

c)Desire to become the best you can be!

d)Desire to become the smartest you can be!

a)Desire to become the most you can be!

In a nursing process priority setting, the nurse should always remember to do which of the following?

a)Develop a plan of care

b)Assess the client

c)Identify the main nursing priority problem

d)Implement nursing interventions

b)Assess the client

For a client who is confused, disoriented & has been getting out of bed, what is the less restrictive intervention to use?

a)A Wrist restraint only

b)Bed alarm

c)mattress pad bedside bed

d)Mild sedative

b)Bed alarm

What is health?

a)The absence of disease or infirmity

b)Optimal physical and mental functioning.

c)A state of complete physical, mental, and social well-being

d)Being up to date on all vaccinations

c)A state of complete physical, mental, and social well-being

Which level of prevention focuses on the early detection of disease?

a)Primary

b)Secondary

c)Tertiary

d)Quadernary

b)Secondary

Is Health promotion the process of enabling people to increase control over and to improve their health.

True

False

True

Which level of prevention prevents the initial occurrence of disease?

a)Primary

b)Secondary

c)Tertiary

d)Quaternary

a)Primary

Which level of prevention focuses on recovery after disease?

a)Primary

b)Secondary

c)Tertiary

d)Quaternary

c)Tertiary

Which example demonstrates the primary level of prevention?

a)Cardiac Rehab

b)Physical Therapy

c)Mammogram screening

d)Flu shot

d)Flu shot

Which example demonstrates the secondary level of prevention?

a)MMR vaccine

b)cardiac rehab

c)occupational therapy

d)bone density testing

d)bone density testing

Which example demonstrates the tertiary level of prevention?

a)MMR vaccine

b)mammogram

c)physical therapy

d)Flu shot

classify each level of prevention

a) prevention

b)recovery

c)screening

a) prevention (primary level)

b)recovery (tertiary Level)

c)screening (secondary level)

The nurse is providing nutrition teaching to a senior citizen group. This is an example of:

a)Primary level of prevention

b)Secondary level of prevention

c)Tertiary level of prevention

a)Primary level of prevention

this is an informative education with a group that as of yet has not shown signs of illness

The nurse is providing nutrition teaching to a senior citizen group that has a history of stroke. This is an example of:

a)Primary level of prevention

b)Secondary level of prevention

c)Tertiary level of prevention

c)Tertiary level of prevention

this is after the stroke and trying to recover

The nurse is providing nutrition teaching to a senior citizen group with hypertension. This is an example of:

a)Primary level of prevention

b)Secondary level of prevention

c)Tertiary level of prevention

b)Secondary level of prevention

this goes along with educating ad screening of a condition

Risk factors for infection include all EXCEPT:

a)Breaks in the skin

b)Hand hygiene

c)Poor living conditions

d)Chronic diseases

b)Hand hygiene

An infection is when bacteria capable of producing disease invades the body.

True

False

True

One way transmission of infection cannot occur is:

a)Touching

b)Kissing

c)Eating

b)Sleeping

b)Sleeping

A local infection-

A)invades the blood.

b)invades the lymph

c) causes harm in a limited body area.

d)is acquired at home

c) causes harm in a limited body area.

There are six components for the chain of infection.

True

False

True

An exogenous healthcare-related infection

a)is acquired from the healthcare environment

b)is acquired from normal flora

c)is an infection that is a result of treatment

d)is always contracted from an infectious person

a)is acquired from the healthcare environment

An endogenous healthcare-related infection

a)acquired from a healthcare environment

b)is always a primary infection

c)always results in death

d)occurs when normal flora multiply

d)occurs when normal flora multiply

An acute infection

a)has a rapid onset & is long-lasting

b)has a rapid onset & is short lasting

c)develops slowly & is short lasting

d)develops slowly and is long-lasting

b)has a rapid onset & is short lasting

A pandemic outbreak affects a large group of people in a geographic region.

True

False

False

A chronic infection

a)has a rapid onset & is short lasting

b)has a rapid onset & is long lasting

c)develops slowly & is short lasting once ill

d)develops slowly and may last months

d)develops slowly and may last months

Your first line of defense against infection is

a)Good handwashing

b)Intact skin

c)Eating healthy

d)Bathing daily

b)Intact skin

The most important action a nurse can take to prevent infection is

a)Eating healthy

b)Good handwashing

c)Bathing daily

d)Never wearing nailpolish

b)Good handwashing

A primary defense against infection is:

a)Normal body flora

b)Phagocytosis

c)Inflammation

d)Fever

a)Normal body flora

The body's initial response to local injury includes all EXCEPT

a)Redness

b)Warmth

c)Swelling

d)Exudate

d)Exudate

The laboratory value to evaluate as a sign of infection is the

a)Hematocrit

b)White blood cells

c)Platelets

d)Hemoglobin

b) White blood cells

A systemic infection is when pathogens invade the blood or lymph and spread throughout body.

True

False

True

The importance of obtaining a culture & sensitivity is to know

a)what time to start the antibiotic

b)what antibiotic will work

c)to know why the patient has a fever

d)to know what bacteria is causing the infection

b) what antibiotic will work

A white blood cell count of 20,000 means no infection is present.

True

False

False

Nurses must wash their hands with soap & water

a)at all times

b)only after gloves are removed

c)if the patient has c. difficile

d)before gloves are used

c) if the patient has c. difficile

When washing hands with soap & water, hands must be washed

a)for 1 - 2 minutes

b)for 15 - 30 seconds

c)until hands feel clean

d)until skin is red

b) for 15 - 30 seconds

Standard precautions are used

a)all the time

b)when the patient has an infection

c)when the patient has a fever

d)if ordered by the doctor

a) all the time

Standard precautions include all of the following EXCEPT

a)Clean gloves are worn when touching anything that can contaminate the nurse

b)Applies to all bodily fluids, non-intact skin, and mucous membranes

c)Face masks at all times

d)Wear masks, face shields, and gowns if splashing of bodily fluids is possible

c) Face masks at all times

___________ is not warn for contact precautions.

a) Surgical mask

b) Gloves

c) Gown

a) surgical mask

___________ is not warn for droplet precautions.

a) Surgical mask

b) N-95

c) Gloves

d) Gown

b) N-95

___________ is not warn for airborne precautions.

a) Surgical Mask

b) N-95

c) Gloves

d) Gown

a) Surgical Mask

When is a face shield worn?

a) In contact precautions

b) In droplet precautions

c) In airborne precautions

d) whenever there is a risk of bodily fluid splash

d) whenever there is a risk of bodily fluid splash

Protective Isolation is for clients with

a) a local infection

b) with a systemic infection

c) with TB

d) if the client is immuno-compromised

d) if the client is immuno-compromised

During a clinic visit, the nurse is seeing a sexually active 20-year-old college student. The first intervention is

a) Measure vital signs

b) Encourage HIV screening

c) Determine risk factors

d) Instruct the client to use condoms

c) Determine risk factors

The nurse is reviewing the immunization record, this is which level of prevention?

a) Primary

b) Secondary

c) Tertiary

d) Quaternary

a) Primary

According to Maslow's hierarchy of needs, which of these needs would the patient seek to meet first?

A) Self-actualization

b) Self-esteem

c) Shelter

d) Love & belonging

The nurse is discussing routine screening tests for different types of cancer. What is the level of prevention?

a) Primary

b) Secondary

c) Tertiary

d) Quaternary

b) Secondary

You will use the concept of primary prevention when instructing a patient to:

a) get a flu shot every year.

b) take a blood pressure reading every day.

c) explore hiring a patient with a known disability.

d) undergo physical therapy following a cerebrovascular accident.

a) get a flu shot every year.

The client presents with linear clusters of fluid-containing vesicles with some crusting. This is

a) Allergic reaction

b) Ringworm

c) Systemic Lupus Erythematosus

d) Herpes Zoster

d) Herpes Zoster

The client has a draining abdominal wound that has become infected. In caring for the client, the nurse will implement

a) No precautions

b) Contact precautions

c) Droplet precautions

d) Airborned precautions

b) Contact precautions

Which of the following changes in the older adult places them at higher risk of infection?

a) Increased vascularity

b) Thickening of skin

c) Decreased cough

d) Increased doctor visits

c) Decreased cough

Which of the following actions violates a principle that is key to proper handwashing at the bedside?

a) Washing your hands for 1 min

b) Shaking your hands dry over the sink

c) Using warm, not very hot water

d) Using the soap provided by the agency

b) Shaking your hands dry over the sink

A client with AIDS develops oral hairy leukoplakia, an infection caused by the Epstein-Barr virus. The leukoplakia is

a) Nosocomial infection

b) Primary infection

c) Systemic infection

d) Secondary infection

d) Secondary infection

Justice means:

a) Being fair

b) Avoidance of harm

c) Taking positive actions to help

d) keeping promises

a) Being fair

Veracity is:

a) telling the truth.

b) making a promise.

c) doing no harm.

d) doing good to others.

a) telling the truth

Define: Contact Precautions:

a) How the pathogen travels from one person to another

b) when there is risk for transmitting a disease by contact

c) A biological agent that causes disease

d) Touching an infected person

The nurse who understands the principles of sterile technique opens a sterile package by:

a) opening the outermost layer away from them

b) opening the outermost layer toward them

c) opening the outermost layers from left to right

d) opening the outermost layers from right to left

a) opening the outermost layer away from them

What does sterile mean?

a) Dirty

b) Free from all organisms

c) Free from all contamination

d) Very clean

b) Free from all organisms