FUNDAMENTALS OF NURSING FINAL EXAM
WITH QUESTIONS AND WELL VERIFIED
ANSWERS [ALREADY GRADED A+]
Chapter 1
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 statement 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 - ANS✔✔---Answer:
4. When giving care, it is essential to provide a
,specified service according to standards of practice and to follow a code of ethics. The code of
ethics is the philosophical ideals of right and wrong that define the principles you will use to
provide care to your patients. It serves as a guide for carrying out nursing responsibilities to
provide quality nursing care and as a guide to the ethical obligations of the profession.
2. 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:
1. Educator. 2. Advocate. 3. Caregiver. 4. Communicator - ANS✔✔---Answer: 2. 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 to accept a treatment
or may find an interpreter to help family members communicate their concerns
3. The nurse spends time with a patient and family reviewing a 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. Communicator - ANS✔✔---Answer: 1. The nurse is
demonstrating the role of educator. An educator explains concepts and facts about health,
describes the reason for routine care activities, demonstrates procedures such as home-care
activities, reinforces learning or patient behavior, and evaluates the patient's progress in
learning through return demonstration.
4. The examination for registered nurse (RN) licensure is 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. Provides a minimal standard of knowledge for an RN in practice.
4. Guarantees standardized education across all prelicensure programs. - ANS✔✔---Answer:
3. RN candidates must pass the NCLEX-RN® to attain licensure. Regardless of educational
preparation, the examination for RN licensure is exactly the same in every state in the United
States
,5. Contemporary nursing requires that the nurse has knowledge and skills for a variety of
professional roles and responsibilities. Which of the following are examples of these roles and
responsibilities? (Select all that apply.)
1. Caregiver
2. Autonomy
3. Patient advocate
4. Health promotion
5. Genetic counselor - ANS✔✔---Answer: 1, 2, 3, 4. Each of these roles or skills includes
activities for the professional nurse. Each of these is used in direct care or is part of the
professionalism that guides nursing practice.
6. 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 - ANS✔✔---Answer: 1b, 2d, 3c, 4a. The role statements
describe the activities performed and the role of the advanced practice nurse specialty. Nurse
midwives care for women who are pregnant or have women's health needs. Clinical nurse
specialists typically see hospitalized patients with a specific type of illness or health problem.
Nurse practitioners usually practice in a primary care setting and care for patients who are
, healthy or have minor acute or stable chronic conditions. Certified nurse anesthetists care for
patients during the surgical experience and administer anesthesia during surgery.
7. Health care reform will bring changes in the emphasis of care. Which of these models is
expected from health care reform?
1. Moving from an acute illness to a health promotion, illness prevention model
2. Moving from an illness prevention to a health promotion model
3. Moving from hospital-based to community-based care
4. Moving from an acute illness to a disease management model - ANS✔✔---Answer: 1.
Health care reform also affects how health care is delivered. There is greater emphasis on
health promotion, disease prevention, and management of illness
8. 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. Quality improvement - ANS✔✔---Answer: 3. This is an example of the competency of
teamwork and collaboration. This competency focuses on the nurse functioning effectively
within nursing and interprofessional teams, fostering open communication, mutual respect, and
shared decision-making to achieve quality patient care.
9. A critical care nurse is using a new research-based intervention 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) competency?
1. Patient-centered care
2. Evidence-based practice
3. Teamwork and collaboration
4. Quality improvement - ANS✔✔---Answer: 2. The use of a research intervention to improve
patient care brings the evidence-based practice gained from the research to the bedside
WITH QUESTIONS AND WELL VERIFIED
ANSWERS [ALREADY GRADED A+]
Chapter 1
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 statement 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 - ANS✔✔---Answer:
4. When giving care, it is essential to provide a
,specified service according to standards of practice and to follow a code of ethics. The code of
ethics is the philosophical ideals of right and wrong that define the principles you will use to
provide care to your patients. It serves as a guide for carrying out nursing responsibilities to
provide quality nursing care and as a guide to the ethical obligations of the profession.
2. 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:
1. Educator. 2. Advocate. 3. Caregiver. 4. Communicator - ANS✔✔---Answer: 2. 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 to accept a treatment
or may find an interpreter to help family members communicate their concerns
3. The nurse spends time with a patient and family reviewing a 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. Communicator - ANS✔✔---Answer: 1. The nurse is
demonstrating the role of educator. An educator explains concepts and facts about health,
describes the reason for routine care activities, demonstrates procedures such as home-care
activities, reinforces learning or patient behavior, and evaluates the patient's progress in
learning through return demonstration.
4. The examination for registered nurse (RN) licensure is 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. Provides a minimal standard of knowledge for an RN in practice.
4. Guarantees standardized education across all prelicensure programs. - ANS✔✔---Answer:
3. RN candidates must pass the NCLEX-RN® to attain licensure. Regardless of educational
preparation, the examination for RN licensure is exactly the same in every state in the United
States
,5. Contemporary nursing requires that the nurse has knowledge and skills for a variety of
professional roles and responsibilities. Which of the following are examples of these roles and
responsibilities? (Select all that apply.)
1. Caregiver
2. Autonomy
3. Patient advocate
4. Health promotion
5. Genetic counselor - ANS✔✔---Answer: 1, 2, 3, 4. Each of these roles or skills includes
activities for the professional nurse. Each of these is used in direct care or is part of the
professionalism that guides nursing practice.
6. 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 - ANS✔✔---Answer: 1b, 2d, 3c, 4a. The role statements
describe the activities performed and the role of the advanced practice nurse specialty. Nurse
midwives care for women who are pregnant or have women's health needs. Clinical nurse
specialists typically see hospitalized patients with a specific type of illness or health problem.
Nurse practitioners usually practice in a primary care setting and care for patients who are
, healthy or have minor acute or stable chronic conditions. Certified nurse anesthetists care for
patients during the surgical experience and administer anesthesia during surgery.
7. Health care reform will bring changes in the emphasis of care. Which of these models is
expected from health care reform?
1. Moving from an acute illness to a health promotion, illness prevention model
2. Moving from an illness prevention to a health promotion model
3. Moving from hospital-based to community-based care
4. Moving from an acute illness to a disease management model - ANS✔✔---Answer: 1.
Health care reform also affects how health care is delivered. There is greater emphasis on
health promotion, disease prevention, and management of illness
8. 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. Quality improvement - ANS✔✔---Answer: 3. This is an example of the competency of
teamwork and collaboration. This competency focuses on the nurse functioning effectively
within nursing and interprofessional teams, fostering open communication, mutual respect, and
shared decision-making to achieve quality patient care.
9. A critical care nurse is using a new research-based intervention 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) competency?
1. Patient-centered care
2. Evidence-based practice
3. Teamwork and collaboration
4. Quality improvement - ANS✔✔---Answer: 2. The use of a research intervention to improve
patient care brings the evidence-based practice gained from the research to the bedside
