Basic Concepts & Foundations Practice Test 2
Basic Concepts & Foundations NCLEX Practice Test
Basic Concepts & Foundations is a key topic within the NCLEX test plan, located under Nursing Science → Clinical Foundations → Basic Concepts & Foundations. This section consolidates fundamental biomedical concepts essential for safe, evidence-based nursing practice. Each test contains 50 questions designed to mirror the difficulty and variety of the real exam.
This is the 2nd part of the Basic Concepts & Foundations series. To explore all practice tests under this topic, use the “Back to Main Topic” button at the end of the page.
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In the Basic Concepts & Foundations Study Cards section, shared by real NCLEX candidates, you’ll find concise summaries and high-yield insights related to the most tested concepts. It’s a perfect space to reinforce challenging topics and sharpen your recall through quick, focused repetitions. Short, powerful, and repeatable!
Basic Concepts & Foundations Practice Test 2
The purpose of a literature of review is to?
- Define the problem
- Identify strengths and weaknesses of previous studies
- Help in operational definition
- All of the above
Explanation: Answer reason: A literature review helps refine and define the problem, critiques prior studies to identify strengths and weaknesses, and supports development of operational definitions; therefore all listed purposes are correct.
The variable which is influenced by the intervention of the researcher is called as?
- Independent
- Dependent
- Discrete
- Extraneous
Explanation: Answer reason: The outcome affected by the researcher’s intervention is the dependent variable; the independent variable is manipulated, extraneous variables are confounders, and discrete refers to a data type.
The variable in an experiment that is known from the start and does not change is called the?
- Dependent variable
- Extraneous variable
- Independent variable
- Confounding variable
Explanation: Answer reason: The independent variable is predetermined by the researcher at the outset and is controlled; the dependent variable changes in response, while extraneous and confounding variables are uncontrolled influences.
Statement of the expected relationship between two or more variable is known as the?
- Assumption
- Hypothesis
- Problem statement
- Research question
Explanation: Answer reason: A hypothesis is a declarative statement predicting the expected relationship between variables. An assumption is a belief taken as true, a problem statement defines the issue, and a research question poses an inquiry rather than stating a predicted relationship.
The research process can be compared to which of the following-?
- A train timetable
- The spine of a skeleton
- The problem-solving process
- Nursing theories
Explanation: Answer reason: Research proceeds through systematic steps—identifying a problem, planning, collecting and analyzing data, and drawing conclusions—analogous to the problem‑solving process.
The test that is intended to measure the learnt knowledge and skill is?
- Aptitude test
- Achievement test
- Ability test
- Observation
Explanation: Answer reason: Achievement tests assess what has been learned (knowledge and skills). Aptitude/ability tests gauge potential rather than learned content, and observation is a method, not a test type.
One of the following is not the characteristic of a nursing process?
- Nurse-centric
- Complete
- Adaptable
- Dynamic
Explanation: Answer reason: The nursing process is client-centered, dynamic and adaptable. It is not nurse-centric.
The study of ancient life forms preserved in rocks is?
- Archaeology
- Anthropology
- Paleontology
- Geology
Explanation: Answer reason: Paleontology is the scientific study of ancient life through fossils preserved in rocks.
What communication medium for research findings is most likely used to reach the largest percentage of nurses?
- Dissertation
- Journal article
- Conference oral presentation
- Poster
Explanation: Answer reason: Journal articles are widely published, indexed, and accessible to the broad nursing community, reaching more nurses than dissertations, conference talks, or posters.
Snowball sampling is also known as-?
- Chain sampling
- Cluster sampling
- Quota sampling
- Stratified sampling
Explanation: Answer reason: Snowball sampling relies on participants recruiting other participants from their networks; it is therefore also called chain (referral) sampling.
The basic structural and functional unit of life is?
- Tissue
- Organ
- Cell
- System
Explanation: Answer reason: The cell is the smallest unit capable of carrying out all life processes; tissues, organs, and systems are composed of cells.
What is the correct formula for calculating the crude death rate?
- Number of deaths from specific disease in a year / total deaths from all causes in that year x 100
- Total number of deaths due to a particular disease / total number of cases of the same disease x 100
- Number of deaths during the year / mid-year population x 1000
- Deaths in January 12 / mid-year population x 100
Explanation: Answer reason: Crude death rate is the total deaths in a population during a year divided by the mid-year population, multiplied by 1000 to express per 1,000 population.
What are the correct steps involved in the nursing process?
- Assessment, differentiation, planning, evaluation
- Intervention, planning, referring, evaluation
- Assessment, planning, intervention, evaluation
- Assessment, diagnosis, planning, and evaluation
- Intervention, evaluation
Explanation: Answer reason: The correct nursing process is Assessment → Diagnosis → Planning → Implementation → Evaluation (ADPIE). Although the option omits “implementation,” it follows the correct logical order compared to the distractors.
What is the Maternal Mortality Rate?
- Women's death occurred before 9th month of pregnancy
- Annual number of female deaths per 100,000 live births due to pregnancy
- The death of women occurred within 2 years of childbirth
- None of the above
Explanation: Answer reason: Maternal mortality rate is defined as the number of maternal deaths per 100,000 live births from pregnancy-related causes, so option B matches the standard definition.
Which of the following is not true about the characteristics of good research?
- Orderly and systematic process
- Conducted using large amount of funds
- Finding solution of problem
- Begin with clearly defined purposes
Explanation: Answer reason: Good research is systematic, purpose-driven, and problem-solving; it does not inherently require large amounts of funding to be considered good.
There are many different nursing education programs throughout the world that prepares nurses which of these program is type of basic Nursing Programs?
- Diploma/Certificate Programs
- Baccalaureate Degree Programs in Nursing
- Master's Degree Programs in Nursing
- Doctoral Programs in Nursing
Explanation: Answer reason: Diploma/Certificate programs are entry-level basic nursing programs; master's and doctoral programs are advanced, and baccalaureate may be considered basic in some systems but the clearest basic option listed is the diploma/certificate.
The chemical name of CO2 is _____?
- Water
- Nitrogen dioxide
- Carbon dioxide
Explanation: Answer reason: CO2 consists of one carbon atom bonded to two oxygen atoms; its standard chemical name is carbon dioxide.
Which gas do plants absorb from the Atmosphere?
- Carbon dioxide
- Oxygen
- Nitrogen
Explanation: Answer reason: Plants take in carbon dioxide from the air for photosynthesis and release oxygen; they do not absorb atmospheric nitrogen directly.
The American Nurses Association formulated an innovation of the Nursing process. Today, how many distinct steps are there in the nursing process?
- APIE – 4
- ADPIE – 5
- ADOPIE – 6
- ADOPIER – 7
Explanation: Answer reason: The modern nursing process, as standardized by the American Nurses Association (ANA), includes five essential steps: Assessment, Diagnosis, Planning, Implementation, and Evaluation (ADPIE). This structured method ensures a systematic and evidence-based approach to nursing care, promoting critical thinking and individualized patient outcomes.
What is the term for the process of double-checking and verifying information gathered during an assessment to confirm its accuracy and completeness?
- Validation of data
- Documentation of data
- Organization of data
- None of them
Explanation: Answer reason: In the nursing process, verifying collected assessment information for accuracy and completeness is called data validation.
Which approach does nursing research commonly use?
- Casual and random observation
- Systematic and disciplined methods
- Anecdotal evidence from nurses’ experiences
- Guesswork and assumptions
Explanation: Answer reason: Nursing research is evidence-based and relies on systematic, disciplined methods to generate reliable, generalizable knowledge.
What is the term for research in which the investigator plays an active, interactive role?
- Active research
- Interventional research
- Inferential research
- Interactive research
Explanation: Answer reason: The term directly describing research where the investigator actively engages and interacts with participants is 'interactive research'; 'interventional' refers to experimental manipulation, and 'inferential' is a statistical term.
What are the most common disorders seen by healthcare professionals?
- Cardiovascular disorders
- Cancers
- Skin disorders
- Sexually transmitted infections
Explanation: Answer reason: Skin diseases are among the most frequent reasons for outpatient and primary care visits, occurring more commonly than cardiovascular disease, cancers, or STIs.
What is the function of the cell membrane?
- Regulate the passage of substances in and out of the cell
- Store genetic information
- Produce energy
- Synthesize proteins
Explanation: Answer reason: The cell membrane controls transport of substances into and out of the cell via selective permeability; DNA storage, energy production, and protein synthesis are functions of the nucleus, mitochondria, and ribosomes respectively.
Which committee recommended 1G month's training in preventive and social medicine during internship?
- Bhore committee
- Chadha committee
- Mudaliar committee
- Mukerji committee
Explanation: Answer reason: The Mukerji Committee recommended dedicated training in preventive and social medicine during internship.
Which type of nursing research involves the systematic review and integration of existing research studies?
- Experimental research
- Qualitative research
- Quantitative research
- Systematic review
Explanation: Answer reason: A systematic review explicitly searches for, appraises, and synthesizes results from existing studies; the other options are primary research designs.
What is a disadvantage of multifilament sutures?
- They are difficult to handle
- They have poor knot security
- They provoke a greater tissue reaction
- They have higher infection risk
Explanation: Answer reason: Braided (multifilament) sutures have capillarity/wicking that can harbor bacteria, increasing infection risk; they generally handle well and have good knot security.
A framework for health assessment that evaluates the effects of stressors to the mind, body and environment in relation with the ability of the client to perform ADL?
- Functional health framework
- Head to toe framework
- Body system framework
- Cephalocaudal framework
Explanation: Answer reason: The functional health framework (e.g., Gordon’s patterns) evaluates how stressors affect a person’s mind, body, and environment with emphasis on functional ability and ADLs. The other frameworks organize assessments by body region or systems rather than functional status.
Which committee is committed to providing basic health services at the block level?
- Bhore committee
- Mudaliar committee
- Mukherji committee
- Chadah committee
Explanation: Answer reason: The Chadah Committee (1963) proposed organizing basic health services at the community development block level, integrating malaria surveillance with general health services through basic health workers and PHCs.
Which of the following is NOT a strategy of the leprosy eradication programme?
- Early detection of cases
- Disability limitation
- Long term multi drug therapy
- Health education
Explanation: Answer reason: The leprosy programme uses fixed-duration multidrug therapy (FDT), along with early case detection, disability prevention/limitation, and health education. "Long term" therapy is not a programme strategy.
Which committee formulated the National Policy on Education in Health?
- Bajaj committee
- Janglwala committee
- Mukherji committee
- Chadah committee
Explanation: Answer reason: The Mukherji Committee is credited with formulating the National Policy on Education in Health.
Which of the following is NOT a component of epidemiology?
- Disease frequency
- Distribution of disease
- Determinants of disease
- Curing speed of disease
Explanation: Answer reason: Epidemiology concerns the frequency, distribution, and determinants of health-related states; it does not address the speed at which a disease is cured.
Which concept of health emphasizes that health is a sound mind in a sound body in a sound family in a sound environment?
- Ecological concept
- Physical concept
- Psychological concept
- Holistic concept
Explanation: Answer reason: The holistic concept views health as the integrated well-being of body, mind, family/social context, and environment—matching the description of a sound mind and body within a sound family and environment.
Which organization is responsible for evaluating and improving nursing workforce standards and practice conditions in the United States?
- American Medical Association (AMA)
- National Council of State Boards of Nursing (NCSBN)
- American Nurses Association (ANA)
- Joint Commission
Explanation: Answer reason: The American Nurses Association (ANA) advocates for nurses’ working conditions, professional standards, and workforce well-being across the United States. ANA develops position statements, workforce research, and policy recommendations that guide nursing practice environments nationally.
A state of complete physical, mental & social wellbeing, and not merely the absence of disease (WHO) is called?
- Health
- Wellness
- Disease
- Illness
Explanation: Answer reason: The WHO definition describes health as complete physical, mental, and social well-being, not merely the absence of disease.
Which of the following statements is FALSE regarding evidence-based practice?
- Uses outcomes of scientific studies to guide clinical decision making and clinical care
- Does not rely on clinical expertise and takes into account other resources
- Is a growing trend in health care in Canada
- Does not rely on the intuitive way of being for practice
Explanation: Answer reason: Evidence-based practice (EBP) is built on three pillars: best research evidence, clinical expertise, and patient values. Therefore, saying it “does not rely on clinical expertise” is false, because clinical expertise is essential for integrating evidence into individualized patient care.
The biomedical concept of health is based on which of the following?
- Germs
- Soul
- Environment
- Cultural
Explanation: Answer reason: The biomedical model views health as absence of disease and attributes illness to biological causes, primarily the germ theory of disease.
Which philosophy of community health nursing is correct?
- Naturalism
- Socialism
- Pragmatism
- Realism
Explanation: Answer reason: Community health nursing emphasizes practical, problem-solving actions that work in real settings; this aligns with the philosophy of pragmatism. The other options are not foundational philosophies guiding CHN practice.
Which of the following is NOT a principle of primary health care?
- Equitable distribution
- Community involvement
- Appropriate technology
- Curative
Explanation: Answer reason: Principles of primary health care include equitable distribution, community participation, appropriate technology, and intersectoral coordination. "Curative" is a service element, not a principle.
Which of the following nursing theorists developed a conceptual model based on the belief that all persons strive to achieve self-care?
- Martha Rogers
- Dorothea Orem
- Florence Nightingale
- Sister Callista Roy
Explanation: Answer reason: Dorothea Orem proposed the Self-Care Deficit Nursing Theory, which is based on the premise that individuals strive to meet self-care needs.
A characteristic of the nursing process that is essential to promote client satisfaction and progress. The care should also be relevant with the client’s needs?
- Organized and Systematic
- Humanistic
- Efficient
- Effective
Explanation: Answer reason: Effective care achieves desired outcomes and promotes client satisfaction and progress while being relevant to the client’s needs.
She is the first one to coin the term "NURSING PROCESS." She introduced 3 steps of nursing process which are Observation, Ministration and Validation?
- Nightingale
- Johnson
- Rogers
- Hall
Explanation: Answer reason: Lydia Hall first used the term nursing process (1955) and described three steps: observation, ministration, and validation.
In which step of the nursing process does the nurse analyze data and identify client problems?
- Assessment
- Diagnosis
- Planning outcomes
- Evaluation
Explanation: Answer reason: During the diagnosis step, the nurse interprets assessment data, identifies actual or potential problems, and formulates nursing diagnoses. Assessment is data collection; diagnosis is analysis and problem identification.
Which organ cannot be donated?
- Heart
- Brain
- Liver
Explanation: Answer reason: Hearts and livers are transplantable organs; the human brain is not transplanted or donated for transplant, so it cannot be donated as an organ for recipients.
How do plants release water vapor through their leaves?
- Transpiration
- Reproduction
- Respiration
- Photosynthesis
Explanation: Answer reason: Water vapor is released from leaves mainly through stomata in a process called transpiration; the other options describe different plant processes.
What is the term for listening to the internal sounds of the body?
- Palpation
- Inspection
- Auscultation
- Percussion
Explanation: Answer reason: Listening to internal body sounds (e.g., heart, lungs, bowel) is called auscultation. Palpation is using touch, inspection is visual observation, and percussion is tapping to elicit sounds.
Which attribute is found in plants but not in animals?
- Metabolism
- Sexual reproduction
- Autotrophy
- Asexual reproduction
Explanation: Answer reason: Plants are autotrophic, producing their own food via photosynthesis, whereas animals are heterotrophic. Metabolism and sexual reproduction occur in both, and some animals can reproduce asexually.
What is the basic unit of life?
- Atom
- Water
- Cell
- Chemical level of organization
Explanation: Answer reason: The cell is the smallest living structure capable of performing all life processes; atoms and water are chemical entities, and the chemical level is below the cellular level.
What is the most sophisticated method of acquiring knowledge?
- Logical reasoning
- Intuition
- Scientific research
- Trial & Error
Explanation: Answer reason: Scientific research is a systematic, empirical, and controlled approach to generating knowledge, making it more rigorous and sophisticated than intuition, trial and error, or reasoning alone.
What is the primary aim of basic research?
- To make a decision
- To develop knowledge for immediate use
- To develop or refine theories and principles
- To provide solutions for new problems
Explanation: Answer reason: Basic research seeks to expand theoretical understanding and refine principles without immediate practical application; applied research addresses decisions or immediate problems.
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