Nursing 112 Fundamental Concepts of Nursing
Final Exam Questions and Verified Answers with
Rationale 2024-2025
1. A nurse is developing nursing diagnoses for a group of patients. Which nursing diagnoses will the
nurse use? Select all that apply.
a. Anxiety related to barium enema
b. Impaired gas exchange related to asthma
c. Impaired physical mobility related to incisional pain
d. Nausea related to adverse effect of cancer medication
e. Risk for falls related to nursing assistive personnel leaving bedrail down
c. Impaired physical mobility related to incisional pain
d. Nausea related to adverse effect of cancer medication
1. A nurse is completing an assessment. Which findings will the nurse report as subjective data? Select
all that apply.
a. Patient's temperature
b. Patient's wound appearance
,c. Patient describing excitement about discharge
d. Patient pacing the floor while awaiting test results
e. Patient's expression of fear regarding upcoming surgery
c. Patient describing excitement about discharge
e. Patient's expression of fear regarding upcoming surgery
Rationale: Subjective data include the patient's feelings, perceptions, and reported symptoms.
1. A nurse is providing nursing care to a group of patients. Which actions are direct care interventions?
Select all that apply.
a. Ambulating a patient
b. Inserting a feeding tube
c. Performing resuscitation
d. Documenting wound care
e. Teaching about medications
a. Ambulating a patient
b. Inserting a feeding tube
c. Performing resuscitation
e. Teaching about medications
1. Which nursing actions will the nurse perform in the evaluation phase of the nursing process? Select all
that apply.
a. Set priorities for patient care
b. Determine whether outcomes or standards are met
c. Ambulate patient 25 feet in the hallway
d. Document results of goal achievement
e. Use self-reflection and correct errors
,b. Determine whether outcomes or standards are met
d. Document results of goal achievement
e. Use self-reflection and correct errors
1. A nurse uses the accepted rights of delegation when providing care. Which "rights" did the nurse use?
a. Task
b. Person
c. Direction
d. Supervision
e. Circumstances
f. Cost-effectiveness
a. Task
b. Person
c. Direction
d. Supervision
e. Circumstances
1. A patient is being admitted to your unit now with the diagnosis of heart failure. The patient weighs
160 lbs and is 5'7. What is the patient's BMI? Round to the nearest whole number.
25 BMI
1. The health care provider orders medication for a client. The order reads: give 3 teaspoonful (tsp) of
liquid vitamin C. How many mL will you give this client?
15 mL
, 1. The prescriber orders a patient to have 1,000,000 micrograms (mcg) of an antibiotic to be given
intramuscular. Pharmacy sends over 1 gram/2 mL of the antibiotic. How many mL will you give?
2 mL
1. A patient is experiencing dehydration. While planning care, the nurse considers that the majority of
the patient's total water volume exists in with compartment?
a. Intracellular
b. Extracellular
c. Intravascular
d. Transcellular
a. Intracellular
Rationale: Intracellular (inside the cells) fluid accounts for approximately 2/3 of total body water.
1. The nurse receives the patient's most recent blood work results. Which laboratory value is of greatest
concern?
a. Sodium of 145 mEq/L
b. Calcium of 15.5 mEq/L
c. Potassium of 3.5 mEq/L
d. Chloride of 100 mEq/L
b. Calcium of 15.5 mEq/L
Rationale: Normal calcium range is 9 to 10.5 mg/dL; therefore 15.5 is abnormally high and of concern.
Final Exam Questions and Verified Answers with
Rationale 2024-2025
1. A nurse is developing nursing diagnoses for a group of patients. Which nursing diagnoses will the
nurse use? Select all that apply.
a. Anxiety related to barium enema
b. Impaired gas exchange related to asthma
c. Impaired physical mobility related to incisional pain
d. Nausea related to adverse effect of cancer medication
e. Risk for falls related to nursing assistive personnel leaving bedrail down
c. Impaired physical mobility related to incisional pain
d. Nausea related to adverse effect of cancer medication
1. A nurse is completing an assessment. Which findings will the nurse report as subjective data? Select
all that apply.
a. Patient's temperature
b. Patient's wound appearance
,c. Patient describing excitement about discharge
d. Patient pacing the floor while awaiting test results
e. Patient's expression of fear regarding upcoming surgery
c. Patient describing excitement about discharge
e. Patient's expression of fear regarding upcoming surgery
Rationale: Subjective data include the patient's feelings, perceptions, and reported symptoms.
1. A nurse is providing nursing care to a group of patients. Which actions are direct care interventions?
Select all that apply.
a. Ambulating a patient
b. Inserting a feeding tube
c. Performing resuscitation
d. Documenting wound care
e. Teaching about medications
a. Ambulating a patient
b. Inserting a feeding tube
c. Performing resuscitation
e. Teaching about medications
1. Which nursing actions will the nurse perform in the evaluation phase of the nursing process? Select all
that apply.
a. Set priorities for patient care
b. Determine whether outcomes or standards are met
c. Ambulate patient 25 feet in the hallway
d. Document results of goal achievement
e. Use self-reflection and correct errors
,b. Determine whether outcomes or standards are met
d. Document results of goal achievement
e. Use self-reflection and correct errors
1. A nurse uses the accepted rights of delegation when providing care. Which "rights" did the nurse use?
a. Task
b. Person
c. Direction
d. Supervision
e. Circumstances
f. Cost-effectiveness
a. Task
b. Person
c. Direction
d. Supervision
e. Circumstances
1. A patient is being admitted to your unit now with the diagnosis of heart failure. The patient weighs
160 lbs and is 5'7. What is the patient's BMI? Round to the nearest whole number.
25 BMI
1. The health care provider orders medication for a client. The order reads: give 3 teaspoonful (tsp) of
liquid vitamin C. How many mL will you give this client?
15 mL
, 1. The prescriber orders a patient to have 1,000,000 micrograms (mcg) of an antibiotic to be given
intramuscular. Pharmacy sends over 1 gram/2 mL of the antibiotic. How many mL will you give?
2 mL
1. A patient is experiencing dehydration. While planning care, the nurse considers that the majority of
the patient's total water volume exists in with compartment?
a. Intracellular
b. Extracellular
c. Intravascular
d. Transcellular
a. Intracellular
Rationale: Intracellular (inside the cells) fluid accounts for approximately 2/3 of total body water.
1. The nurse receives the patient's most recent blood work results. Which laboratory value is of greatest
concern?
a. Sodium of 145 mEq/L
b. Calcium of 15.5 mEq/L
c. Potassium of 3.5 mEq/L
d. Chloride of 100 mEq/L
b. Calcium of 15.5 mEq/L
Rationale: Normal calcium range is 9 to 10.5 mg/dL; therefore 15.5 is abnormally high and of concern.
