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Fundamentals Pre-Assessment 2 | Nursing Fundamentals Exam | Multiple Choice, True/False and Calculation Questions and Answers with Verified Rationales | Get HighScore | Instant Download

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GET HIGHSCORE on your Nursing Fundamentals Pre-Assessment 2 with this comprehensive test bank covering essential nursing fundamentals concepts—featuring multiple choice, true/false, and calculation questions with verified answers and detailed rationales. Designed for nursing students in ADN, BSN, and LPN/LVN programs, this resource consolidates the critical concepts required to ace the second pre-assessment examination. The guide covers all major nursing fundamentals topics including legal and ethical issues, safety and infection control, medication administration and calculations, nutrition and elimination, oxygenation and mobility, and foundational nursing interventions. Master Nursing Fundamentals Core Concepts: Legal & Ethical Issues in Nursing: Patient Self-Determination Act (PSDA): Requires healthcare facilities to provide patients with written information about their rights to make healthcare decisions, including advance directives Good Samaritan Law: Protects healthcare professionals from liability when providing emergency care outside of their workplace setting Assault vs Battery: Assault is threatening to touch someone without consent; battery is actually touching without consent False Imprisonment: Unjustified restraint of a person against their will without legal authority Negligence: Failure to act as a reasonably prudent person would under similar circumstances Malpractice: Professional negligence that results in injury to a patient Slander: Spoken defamation of character Libel: Written defamation of character HIPAA Violation: Discussing patient information in a public area where others can overhear Informed Consent Elements: Diagnosis, procedure description, risks/benefits, alternatives, consequences of refusal, opportunity to ask questions Nurse's Role in Informed Consent: Witness client signature; ensure consent was obtained voluntarily; verify client understands information; notify provider if client has questions Living Will: Written document stating a person's wishes regarding medical treatment at end of life Durable Power of Attorney for Healthcare: Legal document appointing someone to make healthcare decisions on a person's behalf DNR (Do Not Resuscitate): Order indicating patient does not want CPR or advanced cardiac life support Safety & Infection Control: Three Types of Hazards: Physical (falls, equipment), Chemical (cleaning agents, medications), Biological (bacteria, viruses, bodily fluids) Physical Restraint Application: Allow 2 fingers between restraint and skin; remove every 2 hours; attach to bed frame NOT side rails Seclusion: Involuntary confinement of a patient alone in a room Chemical Restraint: Medication used to control behavior that is not part of standard treatment RACE Fire Safety: Rescue, Alarm, Contain, Extinguish PASS Fire Extinguisher Use: Pull pin, Aim at base, Squeeze handle, Sweep side to side Class A Fire Extinguisher: Ordinary combustibles (wood, paper, cloth) Class B Fire Extinguisher: Flammable liquids (grease, oil, gasoline) Class C Fire Extinguisher: Electrical equipment Class D Fire Extinguisher: Combustible metals Class K Fire Extinguisher: Cooking oils and fats (commercial kitchens) Standard Precautions: Used for all patients; includes hand hygiene, PPE (gloves, gown, mask, eye protection), safe injection practices Contact Precautions: Private room or cohort; gown and gloves; dedicated equipment; for MRSA, VRE, C. diff, RSV, wound infections Droplet Precautions: Private room; mask within 3 feet of patient; for influenza, pertussis, meningitis, rubella Airborne Precautions: Negative pressure room; N95 respirator; for tuberculosis, measles, chickenpox, disseminated shingles Neutropenic Precautions (Reverse Isolation) : Private room; mask for staff/visitors; no fresh flowers/fruit/plants; for immunocompromised patients Hand Hygiene Indications: Before patient contact, before clean/aseptic procedure, after body fluid exposure, after patient contact, after contact with patient surroundings 5 Moments of Hand Hygiene: 1-Before touching patient, 2-Before clean/aseptic procedure, 3-After body fluid exposure, 4-After touching patient, 5-After touching patient surroundings Proper Hand Washing Technique: Warm water, soap, rub vigorously for 15-20 seconds, rinse, dry with paper towel, turn off faucet with paper towel Medication Administration: 6 Rights of Medication Administration: Right patient, right medication, right dose, right route, right time, right documentation Right Patient Verification: Two patient identifiers (name, date of birth, medical record number) - NOT room number Right Dose Calculation: Use desired over have method: (Desired ÷ Have) × Quantity = Amount to administer Right Route: PO (oral), IM (intramuscular), SubQ (subcutaneous), IV (intravenous), ID (intradermal), Topical, Ophthalmic, Otic, Nasal, Rectal, Vaginal, Inhalation Right Time: Facility-specific schedule; STAT (immediately), NOW (within 90 minutes), PRN (as needed), Single order, Standing order, Routine order Right Documentation: Document immediately after administration; never document before giving medication Medication Error Reporting: Complete incident report; notify provider; monitor patient; document incident in patient record (NOT incident report); do NOT place incident report in patient chart Oral Medication Administration: Position patient upright (unless contraindicated); offer water after oral meds (unless NPO or fluid restriction); stay with patient until medications swallowed Subcutaneous Injection Sites: Abdomen (preferred for insulin), outer arm, anterior thigh, upper back IM Injection Sites: Ventrogluteal (adults), Vastus lateralis (infants/children), Deltoid (small volumes up to 2mL), Dorsogluteal (avoid due to sciatic nerve risk) IM Injection Needle Angle: 90 degrees Subcutaneous Injection Needle Angle: 45-90 degrees depending on needle length and patient size Z-Track Method: Used for IM injections to prevent medication leakage into subcutaneous tissue; displace skin laterally before injection, release after needle withdrawal Insulin Administration: Rotate injection sites within same anatomical area to prevent lipohypertrophy; roll NPH insulin (do NOT shake); draw regular (clear) before NPH (cloudy) IV Site Assessment: Check for redness, swelling, warmth, pain, drainage, infiltration, phlebitis Infiltration: IV fluid leaking into surrounding tissue; stop infusion, remove IV, elevate extremity, apply warm/cold compress Phlebitis: Vein inflammation at IV site; stop infusion, remove IV, notify provider, apply warm compress Medical Calculations (Dosage & Flow Rates): Basic Formula: (Desired dose ÷ Dose on hand) × Quantity = Amount to administer mL/hr Calculation: Total volume (mL) ÷ Total time (hours) = mL/hr gtt/min Calculation (IV Drip Rate) : [Volume (mL) × Drop factor (gtt/mL)] ÷ Time

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Institution
ATI Capstone Fundamentals Post-Study
Course
ATI Capstone Fundamentals Post-Study

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Fundamentals Pre-Assessment 2
Nursing Fundamentals | Multiple
Choice, True/False & Calculation
Q&A | Verified Answers
Exam Structure:

Subject: Nursing Fundamentals (Pre-Assessment)

Source: Fundamentals Pre-Assessment 2

Format: Multiple Choice, True/False, & Calculation Q&A




1. A client is prescribed penicillin 50 mg IV. The mixed IV solution
contains 100 mL. The nurse is to administer the medication over ½
hour. The drip factor of the available IV tubing is 15 gtt/mL. What is
the drip rate in drops per minute?
Correct Answer: 50 gtt/min
Rationale:
1. Formula: (Volume in mL × Drip factor) ÷ Time in minutes = gtt/min.
2. Volume = 100 mL; Drip factor = 15 gtt/mL; Time = 30 minutes (½ hour).
3. (100 × 15) ÷ 30 = 1500 ÷ 30 = 50 gtt/min.
4. The penicillin dose (50 mg) is already in the solution and does not affect the
drip rate calculation.

2. A nurse is providing education to a client with a fractured femur
who will need to use crutches for the next 6 weeks. Identify if the
following directions provided by the nurse for walking up stairs using
crutches are true or false.
1. Hold to rail with one hand and crutches with the other hand.

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2. Push down on the stair rail and the crutches and step up with the
‘unaffected’ leg.
3. If not allowed to place weight on the ‘affected’ leg, hop up with the
‘unaffected’ leg.
4. Bring the ‘affected’ leg and the crutches up beside the ‘unaffected’ leg.
5. Remember, the ‘unaffected’ leg goes up first and the crutches move
with the ‘affected’ leg.
Correct Answer: All statements are true.
Rationale:
1. “Up with the good, down with the bad” – unaffected leg goes up first on
stairs.
2. Holding rail with one hand and crutches with the other provides stability.
3. Pushing down on rail and crutches transfers weight off the affected leg.
4. Hopping with unaffected leg is correct for non-weight-bearing status.
5. Crutches move with the affected leg to maintain three-point support.

3. Which age group has the following development task: Develop sense
of industry through advances in learning. Strive to develop healthy
self-respect by finding out in what areas they excel. Peer groups play
important role in social development.
A. Preschoolers 3-6 years
B. School-age children 6-12 years
C. Adolescents 12-20 years
D. Young adults 20-35 years
Correct Answer: B. School-age children 6-12 years
Rationale:
1. Erikson’s stage for school-age children is Industry vs. Inferiority.
2. Children learn to be productive and gain competence through school and
activities.
3. Peer comparison becomes important; success builds self-respect.
4. Failure to achieve industry leads to feelings of inferiority.

4. Which age group has the following development task: Personalize
values and beliefs and base reasoning on ethical fairness principles.
Establish close relationships. Have influences that help with formation
of healthy self-concept, such as family and friends.
A. Preschoolers 3-6 years

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B. School-age children 6-12 years
C. Adolescents 12-20 years
D. Young adults 20-35 years
Correct Answer: D. Young adults 20-35 years
Rationale:
1. Erikson’s stage for young adults is Intimacy vs. Isolation.
2. Young adults develop close, committed relationships.
3. Personal values and ethical reasoning mature (post-conventional
morality).
4. Family and friends remain important support systems.

5. Which age group has the following development task: Develop sense
of personal identity that family expectations influence. Peer
relationships develop as support system. Concerned with body images
that media portray.
A. Preschoolers 3-6 years
B. School-age children 6-12 years
C. Adolescents 12-20 years
D. Young adults 20-35 years
Correct Answer: C. Adolescents 12-20 years
Rationale:
1. Erikson’s stage for adolescents is Identity vs. Role Confusion.
2. Adolescents explore roles, values, and beliefs to form a personal identity.
3. Peer relationships become primary support system.
4. Body image concerns are heightened due to media and physical changes.

6. Which age group has the following development task: Take on new
experiences and when unable to accomplish task may feel guilty or
misbehave. Generally do not exhibit stranger anxiety. Understand
behavior in terms of what is socially acceptable.
A. Preschoolers 3-6 years
B. School-age children 6-12 years
C. Adolescents 12-20 years
D. Young adults 20-35 years
Correct Answer: A. Preschoolers 3-6 years
Rationale:
1. Erikson’s stage for preschoolers is Initiative vs. Guilt.

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ATI Capstone Fundamentals Post-Study

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