Basic Concepts & Foundations Practice Test 1
Basic Concepts & Foundations NCLEX Practice Test
Basic Concepts & Foundations, within the NCLEX test plan under Nursing Science → Clinical Foundations, reflects the core knowledge domains and conceptual competencies directly related to what the exam evaluates. The targeted number of questions is 50; designed with realistic clinical scenarios and conceptual variety to help you identify both your strengths and improvement areas.
This test is the 1st part of the Basic Concepts & Foundations section. 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 1
Which sense is primarily used during inspection in a physical assessment?
- Touch
- Hearing
- Vision
- Smell
Explanation: Answer reason: Inspection is the initial step of the physical examination and relies on visual observation to assess the patient’s overall appearance, skin integrity, symmetry, and any visible abnormalities. Touch is used during palpation, hearing during auscultation, and smell may provide additional clues but is not the primary sense used in inspection.
What is the term for statements formulated to predict the relationship between two or more variables?
- Interpretation
- Assumption
- Hypothesis
- Analytical method
Explanation: Answer reason: A hypothesis is a testable statement predicting how two or more variables are related. Interpretation explains the results; assumptions are taken for granted; an analytical method is a procedure, not a predictive statement.
What is the continuous, systematic collection, analysis, and interpretation of health-related data needed for the planning, implementation, and evaluation of public health practice called?
- Incidence
- Monitoring
- Surveillance
- Community assessment
Explanation: Answer reason: Public health surveillance is defined as the ongoing, systematic collection, analysis, and interpretation of health data for the planning, implementation, and evaluation of public health practice.
"Health is a state of complete physical, mental, and social well-being and not merely the absence of disease and infirmity." This was stated by?
- United States Health Agency
- National Institutes of Health
- National League for Nursing (NLN)
- World Health Organization
Explanation: Answer reason: The widely accepted definition of health is the World Health Organization's 1948 definition.
What does the epidemiological triad consist of?
- Agent, host, and microorganism
- Agent, host, and environment
- Host, environment, and society
- Agent, environment, and food
Explanation: Answer reason: The classical epidemiologic triad describes disease causation through the interaction among the agent, the host, and the environment.
Which type of scissors is identified as a Metzenbaum scissors?
- Tenotomy scissors
- Metzenbaum scissors
- Mayo scissors
- Umbilical cord scissors
Explanation: Answer reason: Metzenbaum scissors are surgical instruments used for cutting delicate tissue; among the given options, the correct identification is explicitly 'Metzenbaum scissors'.
Who is known as the father of modern gynecology?
- James Marion Sims
- Anandibai Gopalrao Joshi
- Hippocrates
- Sushruta
Explanation: Answer reason: J. Marion Sims has historically been referred to as the father of modern gynecology.
Which committee introduced the rural health scheme?
- Bhore Committee
- Mukherjee Committee
- Shrivastava Committee
- Mudaliar Committee
Explanation: Answer reason: The Rural Health Scheme (launched in 1977) was based on the 1975 Shrivastava Committee recommendations advocating community-based health workers and the reorientation of medical education.
What term describes the accuracy and consistency of a research tool?
- Validity
- Reliability
- Objectivity
- Sensitivity
Explanation: Answer reason: Reliability refers to the consistency and stability of a measurement instrument across time and conditions, often described as a reproducible accuracy. Validity is accuracy in measuring the intended construct, objectivity is the lack of bias, and sensitivity is the ability to detect change.
Nurse Angela knew that Stephen Lee Mu Chin had just undergone an operation with an incision near the diaphragm. She knew that this would contribute to some complications later on. What type of nursing diagnosis should she then develop?
- Actual
- Probable
- Possible
- Risk
Explanation: Answer reason: The nurse anticipates potential complications after surgery; this calls for a risk nursing diagnosis (e.g., risk for impaired gas exchange or infection), not an actual diagnosis.
The infant mortality rate is expressed in terms of which rate?
- Rate per 100 live births
- Rate per 1,000 live births
- Rate per 100 total births
- Rate per 1,000 total births
Explanation: Answer reason: The infant mortality rate is defined as the number of deaths of infants under 1 year of age per 1,000 live births in a given year.
What is the statistical study of human populations—their size, structure, and distribution—called?
- Survey
- Ecology
- Demography
- Epidemiology
Explanation: Answer reason: Demography is the statistical study of human populations, including their size, structure, distribution, and changes over time.
Gas has __________ energy compared to a solid?
- Less
- More
- Equal
- None
Explanation: Answer reason: Gas particles have greater kinetic energy than particles in a solid, so gases possess more energy than solids.
They were the first to suggest a four-step nursing process, which is APIE, or assessment, planning, implementation, and evaluation. 1. Yura 2. Walsh 3. Roy 4. Knowles?
- 1, 2
- 1, 3
- 3, 4
- 2, 3
Explanation: Answer reason: Yura and Walsh (1967) first articulated the four-step nursing process: Assessment, Planning, Implementation, and Evaluation (APIE).
Which federal agency is responsible for conducting national public health surveillance in the United States?
- National Institutes of Health (NIH)
- Centers for Disease Control and Prevention (CDC)
- Food and Drug Administration (FDA)
- Centers for Medicare & Medicaid Services (CMS)
Explanation: Answer reason: The CDC is the primary federal agency responsible for collecting, analyzing, and reporting national public health data. It monitors disease trends, identifies emerging health threats, and guides evidence-based public health interventions.
The statistical study of human population, its size, structure, and distribution is called...?
- Epidemiology
- Demography
- Ecology
- Survey
Explanation: Answer reason: Demography is defined as the statistical study of human populations, including their size, structure, and distribution.
A nursing diagnosis represents?
- Proposed plan of care
- Patient's health problems
- Assessment of patient's data
- Actual nursing intervention
Explanation: Answer reason: Nursing diagnoses identify human responses to health conditions that nurses can manage independently.
The nursing process is utilized to?
- Provide a systemic, organized, and comprehensive approach to meeting the needs of clients.
- Encourage the family to make decisions regarding the patient's care.
- Increase the involvement of allied healthcare professionals in decision-making.
- None of the above
Explanation: Answer reason: The nursing process (assessment, diagnosis, planning, implementation, evaluation) provides a systematic, organized, comprehensive framework to meet client needs.
The number of pulses, heartbeats, or respirations per minute is?
- Quality
- Rate
- Volume
- Vital signs
Explanation: Answer reason: Rate is the count of events per minute, such as heartbeats, pulses, or respirations. Quality describes character or strength, volume is amplitude, and vital signs are the overall measurements.
What type of data source is a patient's chart?
- Primary
- Secondary
- Tertiary
- Can be A and B
Explanation: Answer reason: In nursing assessment, the patient is the primary data source; the medical record or chart is a secondary source because it contains data recorded by others.
Which of the following nursing theorists is credited with developing a conceptual model specific to nursing that has man as the central focus?
- Martha Rogers
- Dorothea Orem
- Florence Nightingale
- Sister Callista Roy
Explanation: Answer reason: Martha Rogers proposed the Science of Unitary Human Beings, a conceptual model specific to nursing that places the human being (man) at the center. Orem focuses on self-care, Nightingale on the environment, and Roy on adaptation.
Which examination used a stethoscope?
- Auscultation
- Percussion
- Vibration
- Palpation
Explanation: Answer reason: Auscultation is listening to body sounds with a stethoscope; percussion and palpation use tapping and touch, not a stethoscope.
Which element is used in a hospital thermometer?
- Copper
- Silver
- Mercury
- Oxygen
Explanation: Answer reason: Traditional clinical thermometers use mercury because its uniform thermal expansion and visible meniscus allow accurate temperature readings.
98.6°F is equal to?
- 37.5°C
- 36.5°C
- 37°C
- 38.5°C
Explanation: Answer reason: Convert using C = (F − 32) × 5/9; (98.6 − 32) × 5/9 = 37°C.
What was the first transplanted organ?
- Heart
- Liver
- Brain
- Pancreas
Explanation: Answer reason: Among the listed options, liver transplantation was performed first (1963). Heart and pancreas transplants occurred later; brain has not been transplanted.
What does "women of reproductive age" refer to?
- 18–45 years
- 15–49 years
- 21–45 years
- 18–40 years
Explanation: Answer reason: WHO and public health standards define women of reproductive age as 15–49 years.
Lifestyle modification is an example of?
- Primary prevention
- Secondary prevention
- Tertiary prevention
- Primordial prevention
Explanation: Answer reason: Lifestyle modification aims to prevent the emergence of risk factors (e.g., unhealthy diet, inactivity, smoking) at a population/individual level, which defines primordial prevention.
Who is the first nurse researcher?
- Martha Rogers
- Dorothea Orem
- Florence Nightingale
- Sr. Callista Roy
Explanation: Answer reason: Florence Nightingale pioneered systematic data collection and statistical analysis during the Crimean War, making her widely recognized as the first nurse researcher.
The Alma-Ata Conference was held in?
- 1977
- 1978
- 1946
- 1948
Explanation: Answer reason: The International Conference on Primary Health Care at Alma-Ata adopted the Alma-Ata Declaration in 1978.
Philosophies of Primary Health Care are as follows except?
- Intersectoral approach
- Interrelationship of health and development
- Equity and justice
- Primary prevention
Explanation: Answer reason: PHC philosophy includes equity and social justice, intersectoral coordination, and the link between health and development. Primary prevention is a level of prevention, not a PHC philosophy.
Which federal agency is responsible for setting national objectives for improving population health in the United States?
- Centers for Medicare & Medicaid Services (CMS)
- Centers for Disease Control and Prevention (CDC)
- Department of Health and Human Services (HHS)
- National Institutes of Health (NIH)
Explanation: Answer reason: The U.S. Department of Health and Human Services oversees the “Healthy People” initiative, which establishes national health objectives every decade. These goals promote evidence-based strategies to improve population health, reduce disparities, and strengthen public health infrastructure.
Infant mortality rate is the number of infant deaths per?
- 1,000 total births
- 1,000 live births
- Per 1,000 pregnancies
- Per 100 live births
Explanation: Answer reason: Infant mortality rate is defined as the number of deaths of infants under 1 year of age per 1000 live births in a given year.
Principles of primary health care are all except?
- Uniform permeation of primary healthcare services to all
- Use of appropriate technology
- Achieve universal primary education
- Community participation
Explanation: Answer reason: Core principles of primary health care are equitable distribution, community participation, intersectoral coordination, and use of appropriate technology. Universal primary education is an education-sector goal, not itself a PHC principle.
The period from disease initiation to disease detection is called?
- Latent period
- Median incubation period
- Incubation period
- Communicable period
Explanation: Answer reason: In epidemiology, the latent period is the interval between disease onset (initiation) and its detectability, often before symptoms. Incubation is from exposure to symptom onset, and communicable period is when transmission can occur.
The temperature of 98.7 degrees Fahrenheit is approximately equal to ..... degrees Celsius?
- 38.16
- 37.56
- 36.52
- 37.06
Explanation: Answer reason: Convert using C = (F − 32) × 5/9. (98.7 − 32) × 5/9 = 37.06°C.
All of the following are principles of primary health care except?
- Advanced technology
- Equitable distribution
- Community participation
- Intersectoral coordination
Explanation: Answer reason: Primary Health Care principles (Alma-Ata) include equitable distribution, community participation, intersectoral coordination, and appropriate technology. 'Advance technology' is not a principle.
All of the following are pillars of primary health care except?
- Equitable distribution
- Community participation
- Health education
- Intersectoral coordination
Explanation: Answer reason: The pillars (principles) of primary health care are equitable distribution, community participation, intersectoral coordination, and appropriate technology. Health education is an essential element of PHC, not a pillar.
The target "Health for All by 2000 AD" was declared by?
- WHO
- UNICEF
- Red Cross Society
- TNAI
Explanation: Answer reason: The World Health Organization set the goal "Health for All by the year 2000" at the 30th World Health Assembly and promoted it through the Alma-Ata primary health care movement.
IMNCI stands for?
- Integrated Management of Neonatal and Childhood Illness
- Integrated Management of Neonatal and Childhood Infections
- Integrated Management of Newborn and Childhood Illness
- Integrated Management of Newborn and Childhood Infections
Explanation: Answer reason: IMNCI is the WHO/UNICEF program titled Integrated Management of Neonatal and Childhood Illness.
The '3-million Plan' was proposed by?
- Kartar Singh Committee
- Mudaliar Committee
- Srivastava Committee
- Bhore Committee
Explanation: Answer reason: The long-term reorganization of health services termed the "Three Million Plan" was recommended by the Bhore Committee (Health Survey & Development Committee, 1946).
Definition of low birth weight?
- Weight < 2.5 kg
- Weight < 2 kg
- Weight < 1.5 kg
- Weight < 1 kg
Explanation: Answer reason: Low birth weight is defined as a birth weight less than 2,500 grams (2.5 kg), regardless of gestational age.
Which level of care in the U.S. healthcare system focuses on providing specialized services typically delivered by specialists after referral from a primary care provider?
- Primary care
- Tertiary care
- Secondary care
- Preventive care
Explanation: Answer reason: Secondary care involves specialized clinical services provided after referral from a primary care provider, such as cardiology, dermatology, or general surgery. It represents the intermediate level of the healthcare system between primary and tertiary care.
Concept of MPHW was given by?
- Kartar singh committee
- Mudaliar committee
- Srivastava committee
- Mukherjee committee
Explanation: Answer reason: The 1973 Kartar Singh Committee proposed the Multipurpose Health Worker scheme, recommending one male and one female MPHW at each subcentre to integrate vertical programs.
The concept of 'Multipurpose Health Worker' was given by?
- Kartar singh committee
- Shrivastav committee
- Chadha committee
- National Helath Policy
Explanation: Answer reason: The Kartar Singh Committee (1973–74) proposed the Multipurpose Worker Scheme, reorganizing field staff into multipurpose health workers; thus the concept is attributed to this committee.
The Bhore committee aim that having a health centre to serve a population of about?
- 30000 to 40000
- 5000 to 10000
- 10000 to 20000
- 20000 to 30000
Explanation: Answer reason: Bhore Committee (1946) recommended a primary health centre to cover roughly 40,000 people, fitting the 30,000–40,000 range.
A group on medical education and support manpower was popularly known as?
- Kartar singh committee
- Mudaliar committee
- Srivastava committee
- Bhore committee
Explanation: Answer reason: The 1975 Srivastava Committee was formally the Group on Medical Education and Support Manpower, focusing on health manpower planning and community-based health workers.
Condition or characteristic that can take on different values or categories is called a?
- Constant
- Variable
- Cause-and-effect relationship
- Descriptive relationship
Explanation: Answer reason: A variable is a characteristic that can assume different values or categories; a constant does not vary, and the other options describe types of relationships.
A good research proposal will always?
- Focus on addressing the research objectives
- Focus on specific style of writing references
- Consider all possible research that had previously been done on the topic
- Provide researcher 4s names and address
Explanation: Answer reason: The core of a good proposal is a clear plan to address the research objectives. The other options are secondary or unrealistic (e.g., considering all prior research) and do not define a good proposal.
Which action by the nurse best demonstrates application of the nursing process?
- Administering a prescribed medication at the scheduled time
- Reassessing pain after giving an analgesic
- Documenting vital signs at the end of the shift
- Reviewing the provider’s orders before starting care
Explanation: Answer reason: The nursing process is cyclical and includes assessment, diagnosis, planning, implementation, and evaluation. Reassessing pain after administering an analgesic represents evaluation, which determines whether the intervention achieved the intended outcome. The other options reflect tasks or preparatory actions but do not demonstrate evaluation of patient response.
Arrange the steps of the nursing process in the sequence in which they generally occur: A- Assessment B- Evaluation C- Planning outcomes D- Planning interventions E- Diagnosis Which option shows the correct order?
- A → C → D → E → B
- A → E → C → D → B
- E → A → C → D → B
- A → E → D → C → B
Explanation: Answer reason: The nursing process begins with assessment, followed by nursing diagnosis based on the collected data. The nurse then establishes expected outcomes and plans appropriate interventions. Finally, evaluation determines whether the outcomes were achieved and if the plan of care was effective.
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