Nursing 101 Fundamentals of Nursing Practice Exam 1, Part
1 UPDATED ACTUAL Questions and CORRECT Answers
During a physical assessment, the nurse closes and door D. Caregiver
and provides drape to promote privacy. The nurse is
performing her role as a/an: The role of a nurse as caregiver helps client promote, restore and maintain dignity,
A. Advocate health and wellness by viewing a person holistically. As an advocate the nurse
B. Communicator intercedes or works on behalf of the client. Identifying the need and problems of
C. Change agent the client and communicating it to other members of the health team is doing the
D. Caregiver role of a communicator. As a change agent, the nurse assists the client to MODIFY
their BEHAVIOR.
During the nursing rounds Nurse Cathy is instructing the C. Change agent
patient to avoid smoking to prevent the worsening of
respiratory problems. The patient asked about the things As a change agent, the nurse assists the client to MODIFY their BEHAVIOR. As an
that he can do when feelings of wanting to smoke arises. advocate the nurse intercedes or works on behalf of the client. As a clinician, the
The nurse enumerates ways of dealing the situation. This nurse would use technical expertise to administer nursing care. The role of a nurse
is an example of a nurse's role as a/an: as caregiver helps client promote, restore and maintain dignity, health and
A. Advocate wellness by viewing a person holistically.
B. Clinician
C. Change agent
D. Caregiver
Nurse Cathy on the other hand, knows the case B. Expert
immediately even before a diagnosis is done. Based on The ability to perceive something without further evidence is the development of
Benner's theory she is a/an: intuition and is seen in Expert nurses. A novice nurse is governed by rules and
A. Novice usually inflexible. Competent nurses are planning nursing care consciously.
B. Expert Advanced beginners demonstrate acceptable performance.
C. Competent
D. Advanced beginner
Newborn screening is done to every newborn in the B. Secondary prevention
Philippines. This is an example of:
A. Primary prevention Promotion of early detection and early treatment of the disease is under
B. Secondary prevention secondary prevention. Example, breast self exam, TB screening, genetic
C. Tertiary prevention counseling.
D. Rehabilitation
One of Nurse Cathy's co-workers is Annie who is flexible D. Advanced beginner
in any given situation. Annie is performing her duties well
without supervision but still needs more experience and A- Novice is governed by rules and usually inflexible. B- Expert nurses have
practice to develop a consciously planned nursing care. intuitive grasp on the situation dealt. C- Competent nurses are planning nursing
According to Patricia Benner's category in specialization care consciously. D- Advanced beginners demonstrate acceptable performance.
in nursing, Annie is a/an:
A. Novice
B. Expert
C. Competent
D. Advanced beginner
, The clinical instructor is discussing about the Nursing C. Syndrome nursing diagnosis
Process. She mentioned that when a cluster of actual or
high-risk diagnosis are present because of a certain Presence of both actual and high-risk diagnosis is called a syndrome nursing
situation it is called: diagnosis. Wellness nursing diagnosis focuses on the clinical judgment on an
A. Wellness nursing diagnosis individual from a specific to higher level of wellness. Actual diagnoses are clinical
B. Actual nursing diagnosis judgment of the nurse that is validated. A risk diagnosis is based on the clinical are
C. Syndrome nursing diagnosis based on clinical judgment that the client may develop vulnerability to the
D. Risk nursing diagnosis problem.
The nurse in charge measures a patient's temperature at B. 37.95
101 degrees F. What is the equivalent centigrade To convert °F to °C use this formula, ( °F - 32 ) (0.55). While when converting °C to
temperature? °F use this formula, ( °C x 1.8) + 32. Note that 0.55 is 5/9 and 1.8 is 9/5.
A. 36.3 degrees C
B. 37.95 degrees C
C. 40.03 degrees C
D. 38.01 degrees C
During a change-of-shift report, it would be important for C. Patient's NGT was removed 2 hours ago
the nurse relinquishing responsibility for care of the
patient to communicate. Which of the following facts to The change-of-shift report should indicate significant recent changes in the
the nurse assuming responsibility for care of the patient? patient's condition that the nurse assuming responsibility for care of the patient
A. That the patient verbalized, "My headache is gone." will need to monitor. The other options are not critical enough to include in the
B. That the patient's barium enema performed 3 days ago report
was negative
C. Patient's NGT was removed 2 hours ago
D. Patient's family came for a visit this morning.
A client is receiving 115 ml/hr of continuous IVF. The nurse A. Stop the infusion
notices that the venipuncture site is red and swollen.
Which of the following interventions would the nurse The sign and symptoms indicate extravasation so the IVF should be stopped
perform first? immediately and put warm not cold towel on the affected site.
A. Stop the infusion
B. Call the attending physician
C. Slow that infusion to 20 ml/hr
D. Place a cold towel on the site
Which data would be of greatest concern to the nurse C. Capillary refill greater than 3 seconds and buccal cyanosis
when completing the nursing assessment of a 68-year-
old woman hospitalized due to Pneumonia? Capillary refill greater than 3 seconds and buccal cyanosis indicate decreased
A. Oriented to date, time and place oxygen to the tissues which requires immediate attention/intervention. Oriented
B. Clear breath sounds to date, time and place, hemoglobin of 13 g/dl are normal data.
C. Capillary refill greater than 3 seconds and buccal
cyanosis
D. Hemoglobin of 13 g/dl
1 UPDATED ACTUAL Questions and CORRECT Answers
During a physical assessment, the nurse closes and door D. Caregiver
and provides drape to promote privacy. The nurse is
performing her role as a/an: The role of a nurse as caregiver helps client promote, restore and maintain dignity,
A. Advocate health and wellness by viewing a person holistically. As an advocate the nurse
B. Communicator intercedes or works on behalf of the client. Identifying the need and problems of
C. Change agent the client and communicating it to other members of the health team is doing the
D. Caregiver role of a communicator. As a change agent, the nurse assists the client to MODIFY
their BEHAVIOR.
During the nursing rounds Nurse Cathy is instructing the C. Change agent
patient to avoid smoking to prevent the worsening of
respiratory problems. The patient asked about the things As a change agent, the nurse assists the client to MODIFY their BEHAVIOR. As an
that he can do when feelings of wanting to smoke arises. advocate the nurse intercedes or works on behalf of the client. As a clinician, the
The nurse enumerates ways of dealing the situation. This nurse would use technical expertise to administer nursing care. The role of a nurse
is an example of a nurse's role as a/an: as caregiver helps client promote, restore and maintain dignity, health and
A. Advocate wellness by viewing a person holistically.
B. Clinician
C. Change agent
D. Caregiver
Nurse Cathy on the other hand, knows the case B. Expert
immediately even before a diagnosis is done. Based on The ability to perceive something without further evidence is the development of
Benner's theory she is a/an: intuition and is seen in Expert nurses. A novice nurse is governed by rules and
A. Novice usually inflexible. Competent nurses are planning nursing care consciously.
B. Expert Advanced beginners demonstrate acceptable performance.
C. Competent
D. Advanced beginner
Newborn screening is done to every newborn in the B. Secondary prevention
Philippines. This is an example of:
A. Primary prevention Promotion of early detection and early treatment of the disease is under
B. Secondary prevention secondary prevention. Example, breast self exam, TB screening, genetic
C. Tertiary prevention counseling.
D. Rehabilitation
One of Nurse Cathy's co-workers is Annie who is flexible D. Advanced beginner
in any given situation. Annie is performing her duties well
without supervision but still needs more experience and A- Novice is governed by rules and usually inflexible. B- Expert nurses have
practice to develop a consciously planned nursing care. intuitive grasp on the situation dealt. C- Competent nurses are planning nursing
According to Patricia Benner's category in specialization care consciously. D- Advanced beginners demonstrate acceptable performance.
in nursing, Annie is a/an:
A. Novice
B. Expert
C. Competent
D. Advanced beginner
, The clinical instructor is discussing about the Nursing C. Syndrome nursing diagnosis
Process. She mentioned that when a cluster of actual or
high-risk diagnosis are present because of a certain Presence of both actual and high-risk diagnosis is called a syndrome nursing
situation it is called: diagnosis. Wellness nursing diagnosis focuses on the clinical judgment on an
A. Wellness nursing diagnosis individual from a specific to higher level of wellness. Actual diagnoses are clinical
B. Actual nursing diagnosis judgment of the nurse that is validated. A risk diagnosis is based on the clinical are
C. Syndrome nursing diagnosis based on clinical judgment that the client may develop vulnerability to the
D. Risk nursing diagnosis problem.
The nurse in charge measures a patient's temperature at B. 37.95
101 degrees F. What is the equivalent centigrade To convert °F to °C use this formula, ( °F - 32 ) (0.55). While when converting °C to
temperature? °F use this formula, ( °C x 1.8) + 32. Note that 0.55 is 5/9 and 1.8 is 9/5.
A. 36.3 degrees C
B. 37.95 degrees C
C. 40.03 degrees C
D. 38.01 degrees C
During a change-of-shift report, it would be important for C. Patient's NGT was removed 2 hours ago
the nurse relinquishing responsibility for care of the
patient to communicate. Which of the following facts to The change-of-shift report should indicate significant recent changes in the
the nurse assuming responsibility for care of the patient? patient's condition that the nurse assuming responsibility for care of the patient
A. That the patient verbalized, "My headache is gone." will need to monitor. The other options are not critical enough to include in the
B. That the patient's barium enema performed 3 days ago report
was negative
C. Patient's NGT was removed 2 hours ago
D. Patient's family came for a visit this morning.
A client is receiving 115 ml/hr of continuous IVF. The nurse A. Stop the infusion
notices that the venipuncture site is red and swollen.
Which of the following interventions would the nurse The sign and symptoms indicate extravasation so the IVF should be stopped
perform first? immediately and put warm not cold towel on the affected site.
A. Stop the infusion
B. Call the attending physician
C. Slow that infusion to 20 ml/hr
D. Place a cold towel on the site
Which data would be of greatest concern to the nurse C. Capillary refill greater than 3 seconds and buccal cyanosis
when completing the nursing assessment of a 68-year-
old woman hospitalized due to Pneumonia? Capillary refill greater than 3 seconds and buccal cyanosis indicate decreased
A. Oriented to date, time and place oxygen to the tissues which requires immediate attention/intervention. Oriented
B. Clear breath sounds to date, time and place, hemoglobin of 13 g/dl are normal data.
C. Capillary refill greater than 3 seconds and buccal
cyanosis
D. Hemoglobin of 13 g/dl
