FUNDAMENTALS OF NURSING EXAM 1 NSG 250 REVIEW QUESTIONS |
COMPREHENSIVE NURSING STUDY GUIDE, PRACTICE QUESTIONS &
ANSWERS 2026/2027
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?
1. Improves self-health care
2. Protects the patient's confidentiality
3. Ensures identical care to all patients
4. Defines the principles of right and wrong to provide patient care - correct answer ✔✔4. Defines the
principles of right and wrong to provide patient care
An 18 year-old woman is in the emergency department with a fever and cough. The nurse obtains her
vital signs, listens to her lung sounds, determines her level of comfort, and collects blood and sputum
samples for analysis. Which standard of practice is performed?
1. Diagnosis
2. Evaluation
3. Assessment
4. Implementation - correct answer ✔✔3. Assessment
A patient in the emergency department has developed wheezing and shortness of breath. The nurse
gives the ordered medicated nebulizer treatment now and again in 4 hours. Which standard of practice is
being performed?
1. Planning
2. Evaluation
3. Assessment
4. Implementation - correct answer ✔✔4. Implementation
A nurse is caring for a patient with end-stage lung disease. The patient wants to be home on oxygen and
be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the
risks and benefits of the surgery to the family and discusses the patient's wishes with the family. The
nurse is acting as the patient's:
1. Educator
2. Advocate
3. Caregiver
4. Case manager - correct answer ✔✔2. Advocate
,The nurse spends time with the patient and family reviewing the dressing change procedure for the
patient's wound. The patient's spouse demonstrates how to change the dressing. The nurse is acting in
which professional role?
1. Educator
2. Advocate
3. Caregiver
4. Case manager - correct answer ✔✔1. Educator
The examination for registered nurse licensure is exactly the same in every state in the United States.
This examination:
1. Guarantees safe nursing care for all patients
2. Ensures standard nursing care for all patients
3. Ensures that honest and ethical care is provided
4. Provides a minimal standard of knowledge for an RN in practice - correct answer ✔✔4. Provides a
minimal standard of knowledge for an RN in practice
Contemporary nursing requires that the nurse has knowledge and skills for a variety of professional roles
and responsibilities. Which of the following are examples? (Select all that apply)
1. Caregiver
2. Autonomy and accountability
3. Patient advocate
4. Health promotion - correct answer ✔✔1. Caregiver
2. Autonomy and accountability
3. Patient advocate
4. Health promotion
Match the advanced practice nurse specialty with the statement about the role.
1. Clinical nurse specialist
2. Nurse anesthetist
3. Nurse practitioner
4. Nurse-midwife
a. Provides independent care, including pregnancy and gynecological services
b. Expert clinician in a specialized area of practice such as adult diabetes care
c. Provides comprehensive care, usually in a primary care setting, directly managing the medical care of
patients who are healthy or have chronic conditions
d. Provides care and services under the supervision of an anesthesiologist - correct answer ✔✔1-b
2-d
3-c
4-a
Health care reform will bring changes in the emphasis of care. Which of the following models is expected
from health care reform?
1. Moving from an acute illness to a health care promotion, illness prevention model
,2. Moving from an illness prevention to a health promotion model
3. Moving from an acute illness to a disease management model
4. Moving from a chronic care to an illness prevention model - correct answer ✔✔1. Moving from an
acute illness to a health care promotion, illness prevention model
A nurse meets with the registered dietitian and physical therapist to develop a plan of care that focuses
on improving nutrition and mobility for a patient. This is an example of which Quality and Safety in the
Education of Nurses (QSEN) competency?
1. Patient-centered care
2. Safety
3. Teamwork and collaboration
4. Informatics - correct answer ✔✔3. Teamwork and collaboration
A critical care nurse is using a computerized decision support system to correctly position her ventilated
patients to reduce pneumonia caused by accumulated respiratory secretions. This is an example of which
Quality and Safety in the Education of Nurses (QSEN) completely?
1. Patient-centered care
2. Safety
3. Teamwork and Collaboration
4. Informatics - correct answer ✔✔4. Informatics
The nurses on an acute medical floor notice an increase in pressure ulcer formation in their patients. A
nurse consultant decides to compare two types of treatment. The first is the procedure correctly used to
assess for pressure ulcer risk. The second uses a new assessment instrument to identify at-risk patients.
Given this information, the nurse consultant exemplifies which career?
1. Clinical nurse specialist
2. Nurse administrator
3. Nurse educator
4. Nurse researcher - correct answer ✔✔4. Nurse researcher
Nurses in an acute care hospital are attending a unit based education program to learn how to use a new
pressure-relieving device for patients at risk for pressure ulcers. This is which type of education?
1. Continuing education
2. Graduate education
3. In-service education
4. Professional Registered Nurse Education - correct answer ✔✔3. In-service education
Which of the following Internet resources can help consumers compare quality care measures? (Select
all that apply)
1. WebMD
2. Hospital Compare
3. Magnet Recognition Program
4. Hospital Consumer Assessment of Healthcare
, 5. The American Hospital Association's webpage - correct answer ✔✔2. Hospital Compare
4. Hospital Consumer Assessment of Healthcare
A community center is presenting a nurse-led program on the Patient Protection and Affordable Care
Act. Which statement made by a participant indicates a need for further teaching?
1. "My small company will now have to offer the 75 employees health insurance or pay a penalty"
2. "As long as my son is a full-time student in college, I will be able to keep him on my health insurance
until he is 26 years old."
3. "I signed up for the state health insurance exchange before the designated deadline to make sure I
had health insurance."
4. "Since I have now been diagnosed with diabetes, my health insurance plan cannot charge me higher
premiums." - correct answer ✔✔2. "As long as my son is a full-time student in college, I will be able to
keep him on my health insurance until he is 26 years old."
Which activity performed by a nurse is related to maintaining competency in nursing practice?
1. Asking another nurse about how to change the settings on a medication pump.
2. Regularly attending unit staff meetings.
3. Participating as a member of the professional nursing council.
4. Attending a review course in preparation for a certification examination. - correct answer ✔✔4.
Attending a review course in preparation for a certification examination
A patient tells a nurse that she is enrolled in a preferred provider organization (PPO) but does not
understand what this is. What is the nurse's best explanation of a PPO?
1. This health plan is for people who cannot afford their own health insurance.
2. This health plan is operated by the government to provide care to older adults.
3. This health plan gives you a list of physicians and hospitals from which you can choose.
4. This is a fee-for-service plan in which you can choose any physician or hospital. - correct answer ✔✔3.
This health plan gives you a list of physicians and hospitals from which you can choose
Which of the following are examples of a nurse participating in primary care activities?
(Select all that apply)
1. Providing prenatal teaching on nutrition to a pregnant women during her first trimester
2. Assessing the nutritional status of older adults who come to the community center for lunch.
3. Working with patients in a cardiac rehabilitation program.
4. Providing home wound care to a patient
5. Teaching a class to parents at the local grade school about the importance of immunizations. - correct
answer ✔✔1. Providing prenatal teaching on nutrition to a pregnant women during her first trimester
2. Assessing the nutritional status of older adults who come to the community center for lunch.
5. Teaching a class to parents at the local grade school about the importance of immunizations.
COMPREHENSIVE NURSING STUDY GUIDE, PRACTICE QUESTIONS &
ANSWERS 2026/2027
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?
1. Improves self-health care
2. Protects the patient's confidentiality
3. Ensures identical care to all patients
4. Defines the principles of right and wrong to provide patient care - correct answer ✔✔4. Defines the
principles of right and wrong to provide patient care
An 18 year-old woman is in the emergency department with a fever and cough. The nurse obtains her
vital signs, listens to her lung sounds, determines her level of comfort, and collects blood and sputum
samples for analysis. Which standard of practice is performed?
1. Diagnosis
2. Evaluation
3. Assessment
4. Implementation - correct answer ✔✔3. Assessment
A patient in the emergency department has developed wheezing and shortness of breath. The nurse
gives the ordered medicated nebulizer treatment now and again in 4 hours. Which standard of practice is
being performed?
1. Planning
2. Evaluation
3. Assessment
4. Implementation - correct answer ✔✔4. Implementation
A nurse is caring for a patient with end-stage lung disease. The patient wants to be home on oxygen and
be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the
risks and benefits of the surgery to the family and discusses the patient's wishes with the family. The
nurse is acting as the patient's:
1. Educator
2. Advocate
3. Caregiver
4. Case manager - correct answer ✔✔2. Advocate
,The nurse spends time with the patient and family reviewing the dressing change procedure for the
patient's wound. The patient's spouse demonstrates how to change the dressing. The nurse is acting in
which professional role?
1. Educator
2. Advocate
3. Caregiver
4. Case manager - correct answer ✔✔1. Educator
The examination for registered nurse licensure is exactly the same in every state in the United States.
This examination:
1. Guarantees safe nursing care for all patients
2. Ensures standard nursing care for all patients
3. Ensures that honest and ethical care is provided
4. Provides a minimal standard of knowledge for an RN in practice - correct answer ✔✔4. Provides a
minimal standard of knowledge for an RN in practice
Contemporary nursing requires that the nurse has knowledge and skills for a variety of professional roles
and responsibilities. Which of the following are examples? (Select all that apply)
1. Caregiver
2. Autonomy and accountability
3. Patient advocate
4. Health promotion - correct answer ✔✔1. Caregiver
2. Autonomy and accountability
3. Patient advocate
4. Health promotion
Match the advanced practice nurse specialty with the statement about the role.
1. Clinical nurse specialist
2. Nurse anesthetist
3. Nurse practitioner
4. Nurse-midwife
a. Provides independent care, including pregnancy and gynecological services
b. Expert clinician in a specialized area of practice such as adult diabetes care
c. Provides comprehensive care, usually in a primary care setting, directly managing the medical care of
patients who are healthy or have chronic conditions
d. Provides care and services under the supervision of an anesthesiologist - correct answer ✔✔1-b
2-d
3-c
4-a
Health care reform will bring changes in the emphasis of care. Which of the following models is expected
from health care reform?
1. Moving from an acute illness to a health care promotion, illness prevention model
,2. Moving from an illness prevention to a health promotion model
3. Moving from an acute illness to a disease management model
4. Moving from a chronic care to an illness prevention model - correct answer ✔✔1. Moving from an
acute illness to a health care promotion, illness prevention model
A nurse meets with the registered dietitian and physical therapist to develop a plan of care that focuses
on improving nutrition and mobility for a patient. This is an example of which Quality and Safety in the
Education of Nurses (QSEN) competency?
1. Patient-centered care
2. Safety
3. Teamwork and collaboration
4. Informatics - correct answer ✔✔3. Teamwork and collaboration
A critical care nurse is using a computerized decision support system to correctly position her ventilated
patients to reduce pneumonia caused by accumulated respiratory secretions. This is an example of which
Quality and Safety in the Education of Nurses (QSEN) completely?
1. Patient-centered care
2. Safety
3. Teamwork and Collaboration
4. Informatics - correct answer ✔✔4. Informatics
The nurses on an acute medical floor notice an increase in pressure ulcer formation in their patients. A
nurse consultant decides to compare two types of treatment. The first is the procedure correctly used to
assess for pressure ulcer risk. The second uses a new assessment instrument to identify at-risk patients.
Given this information, the nurse consultant exemplifies which career?
1. Clinical nurse specialist
2. Nurse administrator
3. Nurse educator
4. Nurse researcher - correct answer ✔✔4. Nurse researcher
Nurses in an acute care hospital are attending a unit based education program to learn how to use a new
pressure-relieving device for patients at risk for pressure ulcers. This is which type of education?
1. Continuing education
2. Graduate education
3. In-service education
4. Professional Registered Nurse Education - correct answer ✔✔3. In-service education
Which of the following Internet resources can help consumers compare quality care measures? (Select
all that apply)
1. WebMD
2. Hospital Compare
3. Magnet Recognition Program
4. Hospital Consumer Assessment of Healthcare
, 5. The American Hospital Association's webpage - correct answer ✔✔2. Hospital Compare
4. Hospital Consumer Assessment of Healthcare
A community center is presenting a nurse-led program on the Patient Protection and Affordable Care
Act. Which statement made by a participant indicates a need for further teaching?
1. "My small company will now have to offer the 75 employees health insurance or pay a penalty"
2. "As long as my son is a full-time student in college, I will be able to keep him on my health insurance
until he is 26 years old."
3. "I signed up for the state health insurance exchange before the designated deadline to make sure I
had health insurance."
4. "Since I have now been diagnosed with diabetes, my health insurance plan cannot charge me higher
premiums." - correct answer ✔✔2. "As long as my son is a full-time student in college, I will be able to
keep him on my health insurance until he is 26 years old."
Which activity performed by a nurse is related to maintaining competency in nursing practice?
1. Asking another nurse about how to change the settings on a medication pump.
2. Regularly attending unit staff meetings.
3. Participating as a member of the professional nursing council.
4. Attending a review course in preparation for a certification examination. - correct answer ✔✔4.
Attending a review course in preparation for a certification examination
A patient tells a nurse that she is enrolled in a preferred provider organization (PPO) but does not
understand what this is. What is the nurse's best explanation of a PPO?
1. This health plan is for people who cannot afford their own health insurance.
2. This health plan is operated by the government to provide care to older adults.
3. This health plan gives you a list of physicians and hospitals from which you can choose.
4. This is a fee-for-service plan in which you can choose any physician or hospital. - correct answer ✔✔3.
This health plan gives you a list of physicians and hospitals from which you can choose
Which of the following are examples of a nurse participating in primary care activities?
(Select all that apply)
1. Providing prenatal teaching on nutrition to a pregnant women during her first trimester
2. Assessing the nutritional status of older adults who come to the community center for lunch.
3. Working with patients in a cardiac rehabilitation program.
4. Providing home wound care to a patient
5. Teaching a class to parents at the local grade school about the importance of immunizations. - correct
answer ✔✔1. Providing prenatal teaching on nutrition to a pregnant women during her first trimester
2. Assessing the nutritional status of older adults who come to the community center for lunch.
5. Teaching a class to parents at the local grade school about the importance of immunizations.
