NURSING FUNDAMENTALS EXAM 1 PRACTICE UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS VERIFIED 2027 EDITION
1. A nurse is caring for a patient who recently had coronary bypass surgery. Which are legal sources of
standards of care the nurse uses to deliver safe health-care? (Select all that apply). [23] 1. Information
provided by the head nurse 2. Policies and procedures of the employing hospital 3. State Nurse
Practice Act 4. Regulations identified in the Joint Commission's manual. 5. The American Nurses
Association standards of practice.
2, 3, 4, 5
2. A nurse is sued for failure to monitor a patient appropriately after a procedure,. Which of the
following statements are correct about this lawsuit? (Select all that apply) [23] 1. The nurse represents
the plaintiff. 2. The defendant must prove injury, damage, or loss. 3. The person filing the lawsuit has
the burden of proof. 4. The plaintiff must prove that a breach in the prevailing standard of care caused
an injury.
3, 4
3. A nurse stops to help in an emergency at at the scene of an accident. The injured party files a suit
and the nurse's employing institution insurance does not cover the nurse. What would probably cover
the nurse in this situation? [23] 1. The nurse's auto insurance 2. The nurse's homeowner's insurance 3.
The Good Samaritan laws, which grant immunity from suit if there is no gross negligence. 4. The
Patient Care Partnership, which may grant immunity from suit if the injured party contends.
3
4. A nurse is planning care for a patient going to surgery. Who is responsible for informing the patient
about the surgery along with the possible risks, complications, and benefits? [23] 1. Family member 2.
Surgeon 3. Nurse 4. Nurse Manager
2
5. A woman who is a Jehovah's Witness has severe, life-threatening injuries and is hemorrhaging
following a car accident. The healthcare provider ordered 2 units of packed red blood cells to treat the
woman's anemia. The woman's husband refuses to allow the nurse to give his wife the blood. What is
the nurse's responsibility? [23] 1. Obtain a court order to give the blood 2. Coerce the husband into
giving the blood 3. Call security and have the husband removed from the hospital 4. Abide by the
husband's wishes and inform the healthcare provider
4
6. The nurse notes that an advance directive is on a patient's medical record. Which statement
represents the best description of an advance directive guideline the nurse will follow? [23] 1. A living
will allows an appointed person to make health care decisions when the patient is in an incapacitated
state. 2. A living will is invoked only when the patient has a terminal condition or is in a persistent
vegetative state. 3. The patient can not make changes in the advance directive once admitted to the
hospital. 4. A durable power of attorney for health care is invoked only when the patient has a
terminal condition or is in a persistent vegetative state.
2
7. A nurse notes that the health care unit keeps a listing of the patient names at the front desk in
easy view for health care providers to more efficiently locate the patient. The nurse talks with the
nursing manager because this action is a violoation of which act? [23] 1. Mental Health Parity Act 2.
Patient Self-Determination Act (PSDA) 3. Health Insurance Portability and Accountability Act (HIPPA) 4.
Emergency Medical Treatment and Active Labor Act
3
1
,8. Which of the following actions, if performed by a registered nurse, would result in both criminal
and administrative law sanctions against the nurse? (Select all that apply.) [23] 1. Taking and selling
controlled substances 2. Refusing to provide health care information to a patient's child 3. Reporting
suspected abuse and neglect of children 4. Applying physical restraints without a written physician's
order.
1, 4
9. The nurse received a hand-off report at the change of shift in the conference room from the night
shift nurse. The nursing student assigned to the nurse asks to review the medical records of the
patients assigned to them. The nurse begins assessing the assigned patients and lists the nursing care
information for each patient on each individual patient's message board in the patient rooms. The
nurse also lists the patient's medical diagnoses on the message board. Later in the day, the nurse
discusses the plan of care for a patient who is dying with the patient's family. Which of these actions
describes a violation of the Health Insurance Portability and Accountability Act (HIPPA)? [23] 1.
Discussing the patient conditions in the nursing report room at the change of shift 2. Allowing nursing
students to review patient charts before caring for patients to whom they are assigned 3. Posting
medical information about the patient on a message board in the patient's room 4. Releasing patient
information regarding terminal illness to family when the patient has given permission for
information to be shared
3
10. The patient has a fractured femur that is placed in skeletal traction with a fresh plaster cast
applied. The patient experiences decreased sensation and a cold feeling in the toes of the affected leg.
The nurse observes that the patient's toes have become pale and cold but forgets to document this
because one of the nurse's other patient's experienced cardiac arrest at the same time. Two days later
the patient in skeletal traction has an elevated temperature, and he is prepared for surgery to
amputate the leg below the knee. Which of the following statements regarding a breach of duty apply
to this situation? (Select all that apply). [23] 1. Failure to document a change in assessment data 2.
Failure to provide discharge instructions 3. Failure to follow the six rights of medication
administration 4. Failure to use proper medical equipment ordered for patient monitoring 5. Failure to
notify a health care provider about a change in the patient's condition
1, 5
11. A homeless man enters the emergency department seeking health care. The health care provider
indicates that the patient needs to be transferred to the City Hospital for care. This action is most
likely a violation of which of the following laws? [23] 1. Health Insurance Portability and Accountability
Act (HIPPA) 2. Americans with Disabilities Act (ADA) 3. Patient Self-Determination Act (PSDA) 4.
Emergency Medical Treatment and Active Labor Act (EMTALA)
4
12. You are the night shift nurse and are caring for a newly admitted patient who appears confused.
The family asks to see the patient's medical record. What is the first nursing action to take? [23] 1. Give
the family the record 2. Give the patient the record 3. Discuss the issues that concern the family with
them 4. Call the nursing supervisor
3
13. A home health nurse notices significant bruising on the 2-year-old patient's head, arms, abdomen,
and legs. The patient's mother describes the patient's frequent falls. What is the best nursing action
for the home health nurse to take? [23] 1. Document her findings and treat the patient 2. Instruct the
mother on safe handling of a 2-year-old child 3. Contact a child abuse hotline 4. Discuss this story with
a colleague
3
2
, 14. A new graduate nurse is being mentored by a more experienced nurse. They are discussing the
ways nurses need to remain active professionally. Which of the statements below indicates the new
graduate understands ways to remain involved professionally? (Select all that apply) [23] 1. "I am
thinking about joining the health committee at my church." 2. "I need to read newspapers, watch
news broadcasts, and search the Internet for information related to health." 3. "I will join nursing
committees at the hospital after I have several years of experience and better understand the issues
affecting nursing." 4. "Nurses do not have very much voice in legislation in Washington, D.C. because
of the shortage of nurses."
1, 2
15. You are floated to work on a nursing unit where you are given an assignment that is beyond your
capability. What is the best nursing action to take first? [23] 1. Call the nursing supervisor to discuss
the situation 2. Discuss the problem with a colleague 3. Leave the nursing unit and go home 4. Say
nothing and begin your work
1
16. The nurse is having difficulty reading a physician's order for a medication. He or she knows that
the physician is very busy and does not like to be called. What is the most appropriate next step for
the nurse to take? [31] 1. Call the pharmacist to interpret the order 2. Call the physician to have the
order clarified 3. Consult the unit manager to help interpret the order 4. Ask the unit secretary to
interpret the physician's handwriting
2
17. The patient has an order for 2 tablespoons of Milk of Magnesia. How much medication does the
nurse give him or her? [31] 1. 2 mL 2. 5 mL 3. 16 mL 4. 30 mL
4
18. A nurse is administering eardrops to an 8-year-old patient with an ear infection. How does the
nurse pull the patient's ear when administering the medication? [31] 1. Outward 2. Back 3. Upward
and back 4. Upward and outward
4
19. A patient is to receive cephalexin (Keflex) 500 mg PO. The pharmacy has sent 250-mg tablets. How
many tablets does the nurse administer? [31] 1. 1/2 tablet 2. 1 tablet 3. 1 1/2 tablets 4. 2 tablets
4
20. A nurse is administering medications to a 4-year-old patient. After he or she explains which
medications are being given, the mother states, "I don't remember my child having that medication
before." What is the nurse's next action? [31] 1. Give the medication 2. Identify the patient using two
identifiers 3. Withhold the medications and verify the medication orders 4. Provide medication
education to the mother to help her better understand her child's medications
3
21. A patient is transitioning from the hospital to the home environment. A home care referral is
obtained. What is a priority in relation to safe medication administration for the discharge nurse? [31]
1. Set up the follow-up appointments with the physician for the patient 2. Ensure that someone will
provide housekeeping for the patient at home 3. Ensure that the home care agency is aware of
medication and health teaching needs. 4. Make sure that the patient's family knows how to safely
bathe him or her and provide mouth care.
3
3
QUESTIONS AND CORRECT ANSWERS VERIFIED 2027 EDITION
1. A nurse is caring for a patient who recently had coronary bypass surgery. Which are legal sources of
standards of care the nurse uses to deliver safe health-care? (Select all that apply). [23] 1. Information
provided by the head nurse 2. Policies and procedures of the employing hospital 3. State Nurse
Practice Act 4. Regulations identified in the Joint Commission's manual. 5. The American Nurses
Association standards of practice.
2, 3, 4, 5
2. A nurse is sued for failure to monitor a patient appropriately after a procedure,. Which of the
following statements are correct about this lawsuit? (Select all that apply) [23] 1. The nurse represents
the plaintiff. 2. The defendant must prove injury, damage, or loss. 3. The person filing the lawsuit has
the burden of proof. 4. The plaintiff must prove that a breach in the prevailing standard of care caused
an injury.
3, 4
3. A nurse stops to help in an emergency at at the scene of an accident. The injured party files a suit
and the nurse's employing institution insurance does not cover the nurse. What would probably cover
the nurse in this situation? [23] 1. The nurse's auto insurance 2. The nurse's homeowner's insurance 3.
The Good Samaritan laws, which grant immunity from suit if there is no gross negligence. 4. The
Patient Care Partnership, which may grant immunity from suit if the injured party contends.
3
4. A nurse is planning care for a patient going to surgery. Who is responsible for informing the patient
about the surgery along with the possible risks, complications, and benefits? [23] 1. Family member 2.
Surgeon 3. Nurse 4. Nurse Manager
2
5. A woman who is a Jehovah's Witness has severe, life-threatening injuries and is hemorrhaging
following a car accident. The healthcare provider ordered 2 units of packed red blood cells to treat the
woman's anemia. The woman's husband refuses to allow the nurse to give his wife the blood. What is
the nurse's responsibility? [23] 1. Obtain a court order to give the blood 2. Coerce the husband into
giving the blood 3. Call security and have the husband removed from the hospital 4. Abide by the
husband's wishes and inform the healthcare provider
4
6. The nurse notes that an advance directive is on a patient's medical record. Which statement
represents the best description of an advance directive guideline the nurse will follow? [23] 1. A living
will allows an appointed person to make health care decisions when the patient is in an incapacitated
state. 2. A living will is invoked only when the patient has a terminal condition or is in a persistent
vegetative state. 3. The patient can not make changes in the advance directive once admitted to the
hospital. 4. A durable power of attorney for health care is invoked only when the patient has a
terminal condition or is in a persistent vegetative state.
2
7. A nurse notes that the health care unit keeps a listing of the patient names at the front desk in
easy view for health care providers to more efficiently locate the patient. The nurse talks with the
nursing manager because this action is a violoation of which act? [23] 1. Mental Health Parity Act 2.
Patient Self-Determination Act (PSDA) 3. Health Insurance Portability and Accountability Act (HIPPA) 4.
Emergency Medical Treatment and Active Labor Act
3
1
,8. Which of the following actions, if performed by a registered nurse, would result in both criminal
and administrative law sanctions against the nurse? (Select all that apply.) [23] 1. Taking and selling
controlled substances 2. Refusing to provide health care information to a patient's child 3. Reporting
suspected abuse and neglect of children 4. Applying physical restraints without a written physician's
order.
1, 4
9. The nurse received a hand-off report at the change of shift in the conference room from the night
shift nurse. The nursing student assigned to the nurse asks to review the medical records of the
patients assigned to them. The nurse begins assessing the assigned patients and lists the nursing care
information for each patient on each individual patient's message board in the patient rooms. The
nurse also lists the patient's medical diagnoses on the message board. Later in the day, the nurse
discusses the plan of care for a patient who is dying with the patient's family. Which of these actions
describes a violation of the Health Insurance Portability and Accountability Act (HIPPA)? [23] 1.
Discussing the patient conditions in the nursing report room at the change of shift 2. Allowing nursing
students to review patient charts before caring for patients to whom they are assigned 3. Posting
medical information about the patient on a message board in the patient's room 4. Releasing patient
information regarding terminal illness to family when the patient has given permission for
information to be shared
3
10. The patient has a fractured femur that is placed in skeletal traction with a fresh plaster cast
applied. The patient experiences decreased sensation and a cold feeling in the toes of the affected leg.
The nurse observes that the patient's toes have become pale and cold but forgets to document this
because one of the nurse's other patient's experienced cardiac arrest at the same time. Two days later
the patient in skeletal traction has an elevated temperature, and he is prepared for surgery to
amputate the leg below the knee. Which of the following statements regarding a breach of duty apply
to this situation? (Select all that apply). [23] 1. Failure to document a change in assessment data 2.
Failure to provide discharge instructions 3. Failure to follow the six rights of medication
administration 4. Failure to use proper medical equipment ordered for patient monitoring 5. Failure to
notify a health care provider about a change in the patient's condition
1, 5
11. A homeless man enters the emergency department seeking health care. The health care provider
indicates that the patient needs to be transferred to the City Hospital for care. This action is most
likely a violation of which of the following laws? [23] 1. Health Insurance Portability and Accountability
Act (HIPPA) 2. Americans with Disabilities Act (ADA) 3. Patient Self-Determination Act (PSDA) 4.
Emergency Medical Treatment and Active Labor Act (EMTALA)
4
12. You are the night shift nurse and are caring for a newly admitted patient who appears confused.
The family asks to see the patient's medical record. What is the first nursing action to take? [23] 1. Give
the family the record 2. Give the patient the record 3. Discuss the issues that concern the family with
them 4. Call the nursing supervisor
3
13. A home health nurse notices significant bruising on the 2-year-old patient's head, arms, abdomen,
and legs. The patient's mother describes the patient's frequent falls. What is the best nursing action
for the home health nurse to take? [23] 1. Document her findings and treat the patient 2. Instruct the
mother on safe handling of a 2-year-old child 3. Contact a child abuse hotline 4. Discuss this story with
a colleague
3
2
, 14. A new graduate nurse is being mentored by a more experienced nurse. They are discussing the
ways nurses need to remain active professionally. Which of the statements below indicates the new
graduate understands ways to remain involved professionally? (Select all that apply) [23] 1. "I am
thinking about joining the health committee at my church." 2. "I need to read newspapers, watch
news broadcasts, and search the Internet for information related to health." 3. "I will join nursing
committees at the hospital after I have several years of experience and better understand the issues
affecting nursing." 4. "Nurses do not have very much voice in legislation in Washington, D.C. because
of the shortage of nurses."
1, 2
15. You are floated to work on a nursing unit where you are given an assignment that is beyond your
capability. What is the best nursing action to take first? [23] 1. Call the nursing supervisor to discuss
the situation 2. Discuss the problem with a colleague 3. Leave the nursing unit and go home 4. Say
nothing and begin your work
1
16. The nurse is having difficulty reading a physician's order for a medication. He or she knows that
the physician is very busy and does not like to be called. What is the most appropriate next step for
the nurse to take? [31] 1. Call the pharmacist to interpret the order 2. Call the physician to have the
order clarified 3. Consult the unit manager to help interpret the order 4. Ask the unit secretary to
interpret the physician's handwriting
2
17. The patient has an order for 2 tablespoons of Milk of Magnesia. How much medication does the
nurse give him or her? [31] 1. 2 mL 2. 5 mL 3. 16 mL 4. 30 mL
4
18. A nurse is administering eardrops to an 8-year-old patient with an ear infection. How does the
nurse pull the patient's ear when administering the medication? [31] 1. Outward 2. Back 3. Upward
and back 4. Upward and outward
4
19. A patient is to receive cephalexin (Keflex) 500 mg PO. The pharmacy has sent 250-mg tablets. How
many tablets does the nurse administer? [31] 1. 1/2 tablet 2. 1 tablet 3. 1 1/2 tablets 4. 2 tablets
4
20. A nurse is administering medications to a 4-year-old patient. After he or she explains which
medications are being given, the mother states, "I don't remember my child having that medication
before." What is the nurse's next action? [31] 1. Give the medication 2. Identify the patient using two
identifiers 3. Withhold the medications and verify the medication orders 4. Provide medication
education to the mother to help her better understand her child's medications
3
21. A patient is transitioning from the hospital to the home environment. A home care referral is
obtained. What is a priority in relation to safe medication administration for the discharge nurse? [31]
1. Set up the follow-up appointments with the physician for the patient 2. Ensure that someone will
provide housekeeping for the patient at home 3. Ensure that the home care agency is aware of
medication and health teaching needs. 4. Make sure that the patient's family knows how to safely
bathe him or her and provide mouth care.
3
3
