1 MAXE · 222 RN
★ ★
C College of Nursing & Public Health
EST. 1889
E X C E L L E N C E · I N N O V AT I O N · I N T E G R I T Y · W O R L D C L A S S S E R V I C E
NR222 Exam 1 — Chamberlain University
FO U N DAT I O N S O F N U RS I N G P RACT I C E
INSTITUTION Chamberlain University COURSE CODE NR 222
PROGRAM Bachelor of Science in Nursing ACADEMIC YEAR
EXAM TITLE NR222 Exam 1 — Chamberlain TOTAL QUESTIONS 136 Questions
University
COURSE TITLE Foundations of Nursing Practice FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question unless otherwise instructed.
▸ All questions are based on nursing fundamentals, ethics, health promotion, and nursing theories.
▸ Correct answers and clinical rationales appear below each question.
▸ Select all that apply (SATA) questions require all correct options to be selected.
▸ Use the rationales to reinforce key nursing concepts and evidence-based practice.
, SECTION I — NURSING FUNDAMENTALS & PRACTICE Questions 1 – 136
1. You are preparing a presentation for your classmates regarding the clinical care
coordination conference for a patient with terminal cancer. As part of the preparation you
have your classmates read the Nursing Code of Ethics for Professional Registered Nurses.
Your instructor asks the class why this document is important. Which of the following
statements best describes this code?
A. Improves self-health care
B. Protects the patient's confidentiality
C. Ensures identical care to all patients
D. Defines the principles of right and wrong to provide patient care
CORRECT ANSWER D — Defines the principles of right and wrong to provide patient care
RATIONALE The Nursing Code of Ethics for Professional Registered Nurses defines the
principles of right and wrong to provide patient care. It serves as a guide for
carrying out nursing responsibilities to provide quality nursing care and the
ethical obligations of the profession.
2. An 18-year-old woman is in the emergency department with fever and cough. The nurse
obtains her vital signs, listens to her lung and heart sounds, determines her level of
comfort, and collects blood and sputum samples for analysis. Which standard of practice
is performed?
A. Diagnosis
B. Evaluation
C. Assessment
D. Implementation
CORRECT ANSWER C — Assessment
RATIONALE Assessment is the collection of comprehensive data pertinent to the patient's
health and/or the situation. The nurse is collecting data through vital signs,
auscultation, and specimen collection.
, 3. A patient in the emergency department has developed wheezing and shortness of breath.
The nurse gives the ordered medicated nebulizer treatment now and in 4 hours. Which
standard of practice is performed?
A. Planning
B. Evaluation
C. Assessment
D. Implementation
CORRECT ANSWER D — Implementation
RATIONALE Implementation is completing coordinating care and the prescribed plan of care.
The nurse is carrying out the ordered nebulizer treatment.
4. A nurse is caring for a patient with end-stage lung disease. The patient wants to go home
on oxygen and be comfortable. The family wants the patient to have a new surgical
procedure. The nurse explains the risk and benefits of the surgery to the family and
discusses the patient's wishes with them. The nurse is acting as the patient's:
A. Educator
B. Advocate
C. Caregiver
D. Case manager
CORRECT ANSWER B — Advocate
RATIONALE An advocate protects the patient's human and legal right to make choices about
his or her care. An advocate may also provide additional information to help a
patient decide whether or not to accept a treatment.