Fundamentals of Nursing: Test One
(Chapters 1-5, 13)
A 17-year-old patient injured during a football game is in the emergency department. Before
treatment, it is the responsibility of the nurse to
A) Have the step-parent sign the informed consent.
B) Have the patient sign the informed consent.
C) Obtain the custodial parent's signature on the informed consent.
D) Solicit the signature of the noncustodial parent on the informed consent. - ANS-C) Obtain the
custodial parent's signature on the informed consent.
\A care plan is often used as a basis for documentation. The type of plan that contains areas for
respiratory therapists, social services workers, physical therapists, and dietitians to document
their plans and the patient's response is called a
A) Multidisciplinary care plan.
B) Standardized care plan.
C) Computerized care plan.
D) Student care plan. - ANS-A) Multidisciplinary care plan.
\A case manager is giving an in-service about public health insurance to a group of nursing
students. The case manager recognizes that additional instruction is warranted when a nursing
student states:
A) "Aetna is an example of public health insurance."
B) "Medicaid is an example of public health insurance."
C) "Medicare is an example of public health insurance."
D) "Indian Health Service is an example of public health insurance." - ANS-A) "Aetna is an
example of public health insurance."
\A charge nurse is receiving four patients from surgery. The charge nurse recognizes that the
most appropriate patient to place in the room closest to the nurses' station is
A) A 9-year-old child who is tearful.
B) A 62-year-old patient who is anxious.
C) An 87-year-old patient who is confused.
D) A 16-year-old adolescent who is depressed. - ANS-C) An 87-year-old patient who is
confused.
\A charge nurse supervises an unlicensed assistive personnel (UAP) providing care to a patient
at risk for falls who repeatedly attempts to get out of bed without assistance. The charge nurse
intervenes when observing the UAP
A) Placing the patient's mattress on the floor.
B) Having the patient fold washcloths and towels.
C) Having the patient sit in a rocking chair near the nurses' station.
D) Offering infrequent opportunities for the patient to go to the bathroom. - ANS-D) Offering
infrequent opportunities for the patient to go to the bathroom.
,\A fire breaks out in a hospital. A nurse makes sure that the fire extinguisher is designated for
type C fires before using it because the fire started
A) In a trashcan full of paper.
B) On a stove in the kitchen.
C) In a piece of electrical equipment.
D) From a combustible liquid. - ANS-C) In a piece of electrical equipment.
\A home health-care nurse delegates to a home health-care aide the responsibility of
A) Administering the patient's intravenous (IV) medications.
B) Assisting the patient in the shower.
C) Communicating the patient's condition with the physician.
D) Assessing the patient for any changes from baseline. - ANS-B) Assisting the patient in the
shower.
\A hospitalized patient tells a nurse that he wishes to take the original chart copy of his medical
record home. The nurse's best response is
A) "You may not have it because it belongs to your physician."
B) "It is your medical record, and you are allowed to take it home."
C) "It is against hospital policy for you to look at your medical record."
D) "You are allowed to have a copy of your medical record to take home." - ANS-D) "You are
allowed to have a copy of your medical record to take home."
\A licensed practical nurse (LPN) has formulated four nursing diagnoses for her patient. The
priority nursing diagnosis would be
A) Altered nutrition.
B) Risk for infection.
C) Chronic low self-esteem.
D) Ineffective airway clearance. - ANS-D) Ineffective airway clearance.
\A member of the hospital maintenance staff is mopping when patients begin to complain about
watery eyes and irritated throats. Once the worker's mop bucket is identified as the source of
the irritation, a nurse should
A) Evacuate the affected area immediately.
B) Notify the Centers for Disease Control and Prevention (CDC).
C) Treat the patients with medication for chemical exposure.
D) Identify the chemicals and consult the material safety data sheets (MSDSs). - ANS-D)
Identify the chemicals and consult the material safety data sheets (MSDSs).
\A mentally competent patient with a terminal illness refuses to take his medications, stating, "I
don't want to live like this." The nurse will
A) Ask the physician to change the patient's medications so they can be given intravenously.
B) Speak to the patient's family about his refusal of medications so they can discuss it with him.
C) Report the patient's decision to the physician and continue to provide appropriate
compassionate care.
D) Explain to the patient the unwise nature of his decision and the effect that it will have on his
family. - ANS-C) Report the patient's decision to the physician and continue to provide
appropriate compassionate care.
, \A national standard for patient safety has been established by the organization that is
responsible for evaluating and accrediting health-care organizations and programs in the United
States. This organization is known as
A) The Joint Commission.
B) The State Board of Nursing.
C) The National League for Nursing.
D) The American Nurses Association. - ANS-A) The Joint Commission.
\A nurse admits a patient and selects the priority nursing diagnosis of acute pain. The nurse
plans to administer pain medication as needed. When the patient complains of pain, the nurse
medicates the patient. Next, the nurse should
A) Assess the patient's laboratory values.
B) Create a new nursing diagnosis.
C) Administer an additional dose of medication.
D) Evaluate the effects of the medication. - ANS-D) Evaluate the effects of the medication.
\A nurse assesses a patient's urine and notices that it is dark yellow, concentrated, and lower in
volume than normal. The nurse decides to put the patient on intake and output measurement
because the patient has a risk for imbalanced fluid volume. This is an example of a(n)
A) Dependent intervention.
B) Indirect intervention.
C) Independent intervention.
D) Collaborative intervention. - ANS-C) Independent intervention.
\A nurse discovers a patient lying on the floor. When completing an incident report, the nurse
should write:
A) "Patient fell out of bed onto the floor."
B) "Heard patient fall from the bed to the floor."
C) "Patient accidentally fell out of bed onto the floor."
D) "Found patient lying facedown on the floor beside the bed." - ANS-D) "Found patient lying
facedown on the floor beside the bed."
\A nurse educates a nursing student about effective patient care. The nurse recognizes that
additional instruction is needed when the nursing student states:
A) "For patient care to be effective, it must be delivered periodically."
B) "For patient care to be effective, it must be delivered continuously."
C) "For patient care to be effective, it must be evaluated continuously."
D) "For patient care to be effective, it must be delivered systematically." - ANS-A) "For patient
care to be effective, it must be delivered periodically."
\A nurse educates a nursing student about the Nurse Practice Act. The nursing student
demonstrates understanding when he or she states:
A) "The Nurse Practice Act is the same in every state."
B) "The Nurse Practice Act does not specify who can supervise a nurse."
C) "The Nurse Practice Act is determined by the American Nurses Association."
D) "The Nurse Practice Act establishes the scope of practice for each level of nurse." - ANS-D)
"The Nurse Practice Act establishes the scope of practice for each level of nurse."
(Chapters 1-5, 13)
A 17-year-old patient injured during a football game is in the emergency department. Before
treatment, it is the responsibility of the nurse to
A) Have the step-parent sign the informed consent.
B) Have the patient sign the informed consent.
C) Obtain the custodial parent's signature on the informed consent.
D) Solicit the signature of the noncustodial parent on the informed consent. - ANS-C) Obtain the
custodial parent's signature on the informed consent.
\A care plan is often used as a basis for documentation. The type of plan that contains areas for
respiratory therapists, social services workers, physical therapists, and dietitians to document
their plans and the patient's response is called a
A) Multidisciplinary care plan.
B) Standardized care plan.
C) Computerized care plan.
D) Student care plan. - ANS-A) Multidisciplinary care plan.
\A case manager is giving an in-service about public health insurance to a group of nursing
students. The case manager recognizes that additional instruction is warranted when a nursing
student states:
A) "Aetna is an example of public health insurance."
B) "Medicaid is an example of public health insurance."
C) "Medicare is an example of public health insurance."
D) "Indian Health Service is an example of public health insurance." - ANS-A) "Aetna is an
example of public health insurance."
\A charge nurse is receiving four patients from surgery. The charge nurse recognizes that the
most appropriate patient to place in the room closest to the nurses' station is
A) A 9-year-old child who is tearful.
B) A 62-year-old patient who is anxious.
C) An 87-year-old patient who is confused.
D) A 16-year-old adolescent who is depressed. - ANS-C) An 87-year-old patient who is
confused.
\A charge nurse supervises an unlicensed assistive personnel (UAP) providing care to a patient
at risk for falls who repeatedly attempts to get out of bed without assistance. The charge nurse
intervenes when observing the UAP
A) Placing the patient's mattress on the floor.
B) Having the patient fold washcloths and towels.
C) Having the patient sit in a rocking chair near the nurses' station.
D) Offering infrequent opportunities for the patient to go to the bathroom. - ANS-D) Offering
infrequent opportunities for the patient to go to the bathroom.
,\A fire breaks out in a hospital. A nurse makes sure that the fire extinguisher is designated for
type C fires before using it because the fire started
A) In a trashcan full of paper.
B) On a stove in the kitchen.
C) In a piece of electrical equipment.
D) From a combustible liquid. - ANS-C) In a piece of electrical equipment.
\A home health-care nurse delegates to a home health-care aide the responsibility of
A) Administering the patient's intravenous (IV) medications.
B) Assisting the patient in the shower.
C) Communicating the patient's condition with the physician.
D) Assessing the patient for any changes from baseline. - ANS-B) Assisting the patient in the
shower.
\A hospitalized patient tells a nurse that he wishes to take the original chart copy of his medical
record home. The nurse's best response is
A) "You may not have it because it belongs to your physician."
B) "It is your medical record, and you are allowed to take it home."
C) "It is against hospital policy for you to look at your medical record."
D) "You are allowed to have a copy of your medical record to take home." - ANS-D) "You are
allowed to have a copy of your medical record to take home."
\A licensed practical nurse (LPN) has formulated four nursing diagnoses for her patient. The
priority nursing diagnosis would be
A) Altered nutrition.
B) Risk for infection.
C) Chronic low self-esteem.
D) Ineffective airway clearance. - ANS-D) Ineffective airway clearance.
\A member of the hospital maintenance staff is mopping when patients begin to complain about
watery eyes and irritated throats. Once the worker's mop bucket is identified as the source of
the irritation, a nurse should
A) Evacuate the affected area immediately.
B) Notify the Centers for Disease Control and Prevention (CDC).
C) Treat the patients with medication for chemical exposure.
D) Identify the chemicals and consult the material safety data sheets (MSDSs). - ANS-D)
Identify the chemicals and consult the material safety data sheets (MSDSs).
\A mentally competent patient with a terminal illness refuses to take his medications, stating, "I
don't want to live like this." The nurse will
A) Ask the physician to change the patient's medications so they can be given intravenously.
B) Speak to the patient's family about his refusal of medications so they can discuss it with him.
C) Report the patient's decision to the physician and continue to provide appropriate
compassionate care.
D) Explain to the patient the unwise nature of his decision and the effect that it will have on his
family. - ANS-C) Report the patient's decision to the physician and continue to provide
appropriate compassionate care.
, \A national standard for patient safety has been established by the organization that is
responsible for evaluating and accrediting health-care organizations and programs in the United
States. This organization is known as
A) The Joint Commission.
B) The State Board of Nursing.
C) The National League for Nursing.
D) The American Nurses Association. - ANS-A) The Joint Commission.
\A nurse admits a patient and selects the priority nursing diagnosis of acute pain. The nurse
plans to administer pain medication as needed. When the patient complains of pain, the nurse
medicates the patient. Next, the nurse should
A) Assess the patient's laboratory values.
B) Create a new nursing diagnosis.
C) Administer an additional dose of medication.
D) Evaluate the effects of the medication. - ANS-D) Evaluate the effects of the medication.
\A nurse assesses a patient's urine and notices that it is dark yellow, concentrated, and lower in
volume than normal. The nurse decides to put the patient on intake and output measurement
because the patient has a risk for imbalanced fluid volume. This is an example of a(n)
A) Dependent intervention.
B) Indirect intervention.
C) Independent intervention.
D) Collaborative intervention. - ANS-C) Independent intervention.
\A nurse discovers a patient lying on the floor. When completing an incident report, the nurse
should write:
A) "Patient fell out of bed onto the floor."
B) "Heard patient fall from the bed to the floor."
C) "Patient accidentally fell out of bed onto the floor."
D) "Found patient lying facedown on the floor beside the bed." - ANS-D) "Found patient lying
facedown on the floor beside the bed."
\A nurse educates a nursing student about effective patient care. The nurse recognizes that
additional instruction is needed when the nursing student states:
A) "For patient care to be effective, it must be delivered periodically."
B) "For patient care to be effective, it must be delivered continuously."
C) "For patient care to be effective, it must be evaluated continuously."
D) "For patient care to be effective, it must be delivered systematically." - ANS-A) "For patient
care to be effective, it must be delivered periodically."
\A nurse educates a nursing student about the Nurse Practice Act. The nursing student
demonstrates understanding when he or she states:
A) "The Nurse Practice Act is the same in every state."
B) "The Nurse Practice Act does not specify who can supervise a nurse."
C) "The Nurse Practice Act is determined by the American Nurses Association."
D) "The Nurse Practice Act establishes the scope of practice for each level of nurse." - ANS-D)
"The Nurse Practice Act establishes the scope of practice for each level of nurse."
