NUR1022C Fundamentals of Nursing
Complete Final Exam (Qns & Ans)
2025
Question 1:
A 78‑year‑old patient with congestive heart failure, diabetes, and
chronic kidney disease is admitted to the medical unit. During the
initial assessment, which nursing action should be prioritized to
ensure patient safety according to fundamentals of nursing
practice?
A. Reassessing later in the shift for any changes
B. Initiating the assessment with the evaluation of airway,
breathing, and circulation (ABCs)
C. Administering maintenance medications immediately
D. Scheduling a comprehensive nutritional consultation
©2025
, Correct ANS: B
Rationale: The primary focus in any patient assessment must be
the evaluation of airway, breathing, and circulation (ABCs). For
patients with multiple comorbidities, stabilizing basic
physiological functions is critical before attending to secondary or
supportive interventions.
---
Question 2:
In using the nursing process to guide care planning, a nurse
conducts a thorough data collection, formulates a problem
statement, plans interventions, implements the plan, and finally
assesses the outcomes. This cyclical process is best described as:
A. A linear sequence
B. A dynamic and iterative process
C. A fixed protocol
D. A set of isolated tasks
Correct ANS: B
Rationale: The nursing process is dynamic and cyclical. It
requires ongoing reassessment and adjustments based on patient
responses, rather than being a rigid, linear process. This iterative
nature is fundamental to safe, patient‑centered care.
©2025
,---
Question 3:
A nurse manager delegates the task of monitoring a stable
patient’s vital signs to a certified nursing assistant (CNA). Which
of the following is essential to ensure safe delegation?
A. Instructing the CNA to “do as you normally do” without
further guidance
B. Clearly explaining the task, demonstrating the technique, and
confirming the CNA’s competence
C. Delegating only during moments of high patient acuity
D. Relying solely on the CNA’s previous experience rather than
reviewing guidelines
Correct ANS: B
Rationale: Safe delegation requires clear communication,
demonstration of skills when necessary, and confirmation that the
delegatee is competent. This practice ensures that tasks are
performed correctly while maintaining patient safety.
---
©2025
, Question 4:
A nurse providing holistic care to an oncology patient considers
the patient’s physical, emotional, social, and spiritual needs.
Which statement best reflects the concept of patient‑centered care
in this scenario?
A. Focusing solely on pain management through pharmacological
interventions
B. Developing a care plan that integrates symptom management,
emotional support, and spiritual resources
C. Prioritizing routine physical assessments without addressing
psychosocial factors
D. Encouraging the patient to adjust to the hospital routines
without individualized input
Correct ANS: B
Rationale: Patient‑centered care requires that the nurse
considers all dimensions of a patient’s well‑being. Integrating
symptom management with emotional and spiritual support
creates a holistic care plan that respects the patient’s individual
needs and values.
---
Question 5:
©2025
Complete Final Exam (Qns & Ans)
2025
Question 1:
A 78‑year‑old patient with congestive heart failure, diabetes, and
chronic kidney disease is admitted to the medical unit. During the
initial assessment, which nursing action should be prioritized to
ensure patient safety according to fundamentals of nursing
practice?
A. Reassessing later in the shift for any changes
B. Initiating the assessment with the evaluation of airway,
breathing, and circulation (ABCs)
C. Administering maintenance medications immediately
D. Scheduling a comprehensive nutritional consultation
©2025
, Correct ANS: B
Rationale: The primary focus in any patient assessment must be
the evaluation of airway, breathing, and circulation (ABCs). For
patients with multiple comorbidities, stabilizing basic
physiological functions is critical before attending to secondary or
supportive interventions.
---
Question 2:
In using the nursing process to guide care planning, a nurse
conducts a thorough data collection, formulates a problem
statement, plans interventions, implements the plan, and finally
assesses the outcomes. This cyclical process is best described as:
A. A linear sequence
B. A dynamic and iterative process
C. A fixed protocol
D. A set of isolated tasks
Correct ANS: B
Rationale: The nursing process is dynamic and cyclical. It
requires ongoing reassessment and adjustments based on patient
responses, rather than being a rigid, linear process. This iterative
nature is fundamental to safe, patient‑centered care.
©2025
,---
Question 3:
A nurse manager delegates the task of monitoring a stable
patient’s vital signs to a certified nursing assistant (CNA). Which
of the following is essential to ensure safe delegation?
A. Instructing the CNA to “do as you normally do” without
further guidance
B. Clearly explaining the task, demonstrating the technique, and
confirming the CNA’s competence
C. Delegating only during moments of high patient acuity
D. Relying solely on the CNA’s previous experience rather than
reviewing guidelines
Correct ANS: B
Rationale: Safe delegation requires clear communication,
demonstration of skills when necessary, and confirmation that the
delegatee is competent. This practice ensures that tasks are
performed correctly while maintaining patient safety.
---
©2025
, Question 4:
A nurse providing holistic care to an oncology patient considers
the patient’s physical, emotional, social, and spiritual needs.
Which statement best reflects the concept of patient‑centered care
in this scenario?
A. Focusing solely on pain management through pharmacological
interventions
B. Developing a care plan that integrates symptom management,
emotional support, and spiritual resources
C. Prioritizing routine physical assessments without addressing
psychosocial factors
D. Encouraging the patient to adjust to the hospital routines
without individualized input
Correct ANS: B
Rationale: Patient‑centered care requires that the nurse
considers all dimensions of a patient’s well‑being. Integrating
symptom management with emotional and spiritual support
creates a holistic care plan that respects the patient’s individual
needs and values.
---
Question 5:
©2025
