Nursing 101 Fundamentals of Nursing Practice Exam 1, Part
2 UPDATED ACTUAL Questions and CORRECT Answers
During the change-of-shift report the night nurse states D. Discipline
that a client mentioned having a bad experience with
surgery in the past. The nurse was called away and was Discipline includes completing the task at hand, including assessments (which
unable to continue the conversation with the client. The were not completed on the previous shift). Integrity includes recognizing when
nurse tells the day shift nurse about the comment and one's opinions conflict with those of others and finding a mutually satisfying
notes that the client appears anxious. When the day shift solution. Confidence is demonstrated in one's presentation and belief in one's
nurse visits the client to clarify the client's bad experience knowledge and abilities. Perseverance helps the critical thinker to find effective
with surgery, the nurse is exhibiting which aspect of solutions to client care problems, especially when they have been previously
critical thinking? unresolved.
A. Integrity
B. Discipline
C. Confidence
D. Perseverance
A client tells the nurse, "I'm not happy with the way the A. Fairness
patient care technician did my bath. He just seemed to be
in a hurry and did not wash my back like I asked." The Fairness involves analyzing all viewpoints to understand the situation completely
nurse decides to go talk with the technician to learn his before making a decision. Curiosity gives the critical thinker the motivation to
side of the story as well. This is an example of: continue to ask questions and learn more. Risk taking involves trying different
A. Fairness ways to solve problems.
B. Curiosity
C. Risk taking
D. Responsibility
The surgical unit has initiated the use of a pain rating D. Consistency
scale to assess the severity of clients' pain during their
postoperative recovery. The nurse assigned to a client Using the same pain scale for all clients and ratings promotes consistency—each
can look at the pain flow sheet to see the client's pain nurse has the same measurement scale to compare assessments. Relevance refers
scores over the last 24 hours. Use of the pain scale is an to how applicable the assessment is. An assessment has depth when it deals with
example of adherence to which intellectual standard? less obvious issues. Specificity refers to the ability of the assessment to provide
information about the particular problem of interest.
During the day the nurse spends time instructing a client C. Problem Solving
in how to self-administer insulin. After discussing the
technique and demonstrating an injection, the nurse asks This is an example of problem solving because the nurse is taking a problem to a
the client to try it. After the client makes two attempts it is supervisor for help in finding a different approach. Reflection is the process of
clear that the client does not understand how to prepare purposefully thinking back and recalling a situation to discover its purpose or
the correct dose. The nurse discusses the situation with meaning. Risk taking involves trying a different approach. Client assessment is the
the charge nurse and asks for suggestions. This is an first step in the process of instruction.
example of:
A. Reflection
B. Risk taking
C. Problem solving
D. Client assessment
,A nurse uses an institution's procedure manual to confirm C. Basic critical thinking
how to insert a Foley catheter. The level of critical thinking
the nurse is using is: At the basic level of critical thinking, a learner trusts the experts and follows a
A. Commitment procedure step by step. Complex critical thinkers separate themselves from
B. Scientific method authorities and analyze and examine choices more independently. Commitment is
C. Basic critical thinking the third level of critical thinking in which the person anticipates the need to make
D. Complex critical thinking choices without assistance from others. The scientific method is a process of
problem solving.
A nurse refers to a client's postsurgical written plan of C. Assessment
care, noting that the client has a drainage device
collecting wound drainage. The surgeon is to be notified Assessment is the process of observing and collecting data. Planning is the step
when drainage in the device exceeds 100 ml for the day. in which the diagnosis is analyzed for problem resolution. Intervention consists of
The nurse carefully notes the amount of drainage the steps actually taken after planning. Evaluation measures the effectiveness of
currently in the device. This is an example of: the plan.
A. Planning
B. Evaluation
C. Assessment
D. Intervention
The nurse asks a client how she feels about impending C. Knowledge application
surgery for breast cancer. Before initiating the discussion
the nurse reviewed information about loss and grief in The nurse sought appropriate information to be able to communicate more
addition to therapeutic communication principles. The knowledgeably with the client. Experience is acquired through clinical learning
critical thinking component involved in the nurse's review situations. Problem solving is a series of steps to resolve a problem. Clinical
of the literature is: decision making is a process in which critical thinking steps are followed for
A) Experience problem resolution.
B) Problem solving
C) Knowledge application
D) Clinical decision making
Which of the following is the most accurate information B. Client reports sharp pain in elft anterior knee
to give a nurse during change-of-shift reporting?
A) Client refuses to take medications. The information in option 2 represents objective data that the nurse can use as
B) Client reports sharp pain in left anterior knee. part of baseline information. "Encouraged" and "more" are vague terms. "Concern"
C) Client encouraged to consume more fluids. is also vague; relating the exact concern would be more accurate. Option 1 may
D) Client expressed concern about pending surgery. be true, but accurate data would also report why the client refused medication.
On entering a client's room during change-of-shift D. Ask the client and spouse if they need smoe time alone right now.
rounds, the nurse notices that the client and spouse have
their backs turned to each other, and both have their The situation suggests that the nurse entered during a stressful time. Offering
arms folded across their chests. The best action for the privacy would be appropriate. Because the situation indicates tension between
nurse to take at this time is to: the couple, this is not the time to initiate teaching.
A) Introduce himself or herself and begin discharge
teaching.
B) Proceed with the tasks the nurse was intending to
perform.
C) Say nothing and leave quickly, closing the door
behind.
D) Ask the client and spouse if they need some time
alone right now.
, The nurse is assessing the urinary history of a middle- C. "Why do you get up at night?"
aged married woman. The nurse asks her if she gets up at
night. She replies, "Yes." What other question should the Perhaps it is the client's husband who is getting up in the middle of the night
nurse ask? because of a prostate problem, and this is why she is awakened. The nurse should
A) "How many times do you get up at night?" not assume nocturia without further assessment questions.
B) "How long have you been getting up at night?"
C) "Why do you get up at night?"
D) "How easily do you go back to sleep after you get
up?"
A client with diabetes mellitus who takes daily insulin D. Scientifially based clinical judgment
injections is scheduled for surgery the next day. The client
is to take nothing by mouth (NPO status) after midnight. The nurse is demonstrating awareness of the effect of insulin, which is to lower
The nurse questions whether insulin should be given the blood glucose level. Because the client will be NPO status for a long period of
morning of surgery. This is an example of: time, no calories will be consumed. Giving the usual injection of insulin could
A) Problem solving cause the client to experience hypoglycemia.
B) Previous experience
C) Clinical practice guideline
D) Scientifically based clinical judgment
The client is a 65-year-old overweight woman with C. Concept map
multiple medical diagnoses, including diabetes mellitus
type 2, hypertension, and residual right-sided weakness A concept map is a visual representation of client problems and interventions that
resulting from a previous cerebrovascular accident. What shows their relationships to each other and allows easy synthesis of data about the
tool should be used to plan her care? client.
A) Care plan
B) Care map
C) Concept map
D) Critical thinking
A client newly admitted to the hospital begins to have A, B, C, D, and E
chest pain. Before calling the physician, the nurse should
gather what additional data? (Select all that apply.) The nurse should gather the data the physician will need to determine whether
A) Pain intensity the chest pain represents a myocardial infarction. Family history is important in
B) Location of pain comprehensive pain assessment; however, taking time to obtain this information is
C) Character of pain inappropriate in this critical situation.
D) Radiation of pain
E) Meaning of pain to the client
F) Family history of myocardial infarctions
The purpose of assessment is to: D. Establish a database concerning the client
A) Make a diagnostic conclusion.
B) Delegate nursing responsibility. The purpose of assessment is to establish a database about the client's perceived
C) Teach the client about his or her health. needs, health problems, and responses to these problems. The data also reveal
D) Establish a database concerning the client. related experiences, health practices, goals, values, and expectations. The other
options are not purposes of assessment.
2 UPDATED ACTUAL Questions and CORRECT Answers
During the change-of-shift report the night nurse states D. Discipline
that a client mentioned having a bad experience with
surgery in the past. The nurse was called away and was Discipline includes completing the task at hand, including assessments (which
unable to continue the conversation with the client. The were not completed on the previous shift). Integrity includes recognizing when
nurse tells the day shift nurse about the comment and one's opinions conflict with those of others and finding a mutually satisfying
notes that the client appears anxious. When the day shift solution. Confidence is demonstrated in one's presentation and belief in one's
nurse visits the client to clarify the client's bad experience knowledge and abilities. Perseverance helps the critical thinker to find effective
with surgery, the nurse is exhibiting which aspect of solutions to client care problems, especially when they have been previously
critical thinking? unresolved.
A. Integrity
B. Discipline
C. Confidence
D. Perseverance
A client tells the nurse, "I'm not happy with the way the A. Fairness
patient care technician did my bath. He just seemed to be
in a hurry and did not wash my back like I asked." The Fairness involves analyzing all viewpoints to understand the situation completely
nurse decides to go talk with the technician to learn his before making a decision. Curiosity gives the critical thinker the motivation to
side of the story as well. This is an example of: continue to ask questions and learn more. Risk taking involves trying different
A. Fairness ways to solve problems.
B. Curiosity
C. Risk taking
D. Responsibility
The surgical unit has initiated the use of a pain rating D. Consistency
scale to assess the severity of clients' pain during their
postoperative recovery. The nurse assigned to a client Using the same pain scale for all clients and ratings promotes consistency—each
can look at the pain flow sheet to see the client's pain nurse has the same measurement scale to compare assessments. Relevance refers
scores over the last 24 hours. Use of the pain scale is an to how applicable the assessment is. An assessment has depth when it deals with
example of adherence to which intellectual standard? less obvious issues. Specificity refers to the ability of the assessment to provide
information about the particular problem of interest.
During the day the nurse spends time instructing a client C. Problem Solving
in how to self-administer insulin. After discussing the
technique and demonstrating an injection, the nurse asks This is an example of problem solving because the nurse is taking a problem to a
the client to try it. After the client makes two attempts it is supervisor for help in finding a different approach. Reflection is the process of
clear that the client does not understand how to prepare purposefully thinking back and recalling a situation to discover its purpose or
the correct dose. The nurse discusses the situation with meaning. Risk taking involves trying a different approach. Client assessment is the
the charge nurse and asks for suggestions. This is an first step in the process of instruction.
example of:
A. Reflection
B. Risk taking
C. Problem solving
D. Client assessment
,A nurse uses an institution's procedure manual to confirm C. Basic critical thinking
how to insert a Foley catheter. The level of critical thinking
the nurse is using is: At the basic level of critical thinking, a learner trusts the experts and follows a
A. Commitment procedure step by step. Complex critical thinkers separate themselves from
B. Scientific method authorities and analyze and examine choices more independently. Commitment is
C. Basic critical thinking the third level of critical thinking in which the person anticipates the need to make
D. Complex critical thinking choices without assistance from others. The scientific method is a process of
problem solving.
A nurse refers to a client's postsurgical written plan of C. Assessment
care, noting that the client has a drainage device
collecting wound drainage. The surgeon is to be notified Assessment is the process of observing and collecting data. Planning is the step
when drainage in the device exceeds 100 ml for the day. in which the diagnosis is analyzed for problem resolution. Intervention consists of
The nurse carefully notes the amount of drainage the steps actually taken after planning. Evaluation measures the effectiveness of
currently in the device. This is an example of: the plan.
A. Planning
B. Evaluation
C. Assessment
D. Intervention
The nurse asks a client how she feels about impending C. Knowledge application
surgery for breast cancer. Before initiating the discussion
the nurse reviewed information about loss and grief in The nurse sought appropriate information to be able to communicate more
addition to therapeutic communication principles. The knowledgeably with the client. Experience is acquired through clinical learning
critical thinking component involved in the nurse's review situations. Problem solving is a series of steps to resolve a problem. Clinical
of the literature is: decision making is a process in which critical thinking steps are followed for
A) Experience problem resolution.
B) Problem solving
C) Knowledge application
D) Clinical decision making
Which of the following is the most accurate information B. Client reports sharp pain in elft anterior knee
to give a nurse during change-of-shift reporting?
A) Client refuses to take medications. The information in option 2 represents objective data that the nurse can use as
B) Client reports sharp pain in left anterior knee. part of baseline information. "Encouraged" and "more" are vague terms. "Concern"
C) Client encouraged to consume more fluids. is also vague; relating the exact concern would be more accurate. Option 1 may
D) Client expressed concern about pending surgery. be true, but accurate data would also report why the client refused medication.
On entering a client's room during change-of-shift D. Ask the client and spouse if they need smoe time alone right now.
rounds, the nurse notices that the client and spouse have
their backs turned to each other, and both have their The situation suggests that the nurse entered during a stressful time. Offering
arms folded across their chests. The best action for the privacy would be appropriate. Because the situation indicates tension between
nurse to take at this time is to: the couple, this is not the time to initiate teaching.
A) Introduce himself or herself and begin discharge
teaching.
B) Proceed with the tasks the nurse was intending to
perform.
C) Say nothing and leave quickly, closing the door
behind.
D) Ask the client and spouse if they need some time
alone right now.
, The nurse is assessing the urinary history of a middle- C. "Why do you get up at night?"
aged married woman. The nurse asks her if she gets up at
night. She replies, "Yes." What other question should the Perhaps it is the client's husband who is getting up in the middle of the night
nurse ask? because of a prostate problem, and this is why she is awakened. The nurse should
A) "How many times do you get up at night?" not assume nocturia without further assessment questions.
B) "How long have you been getting up at night?"
C) "Why do you get up at night?"
D) "How easily do you go back to sleep after you get
up?"
A client with diabetes mellitus who takes daily insulin D. Scientifially based clinical judgment
injections is scheduled for surgery the next day. The client
is to take nothing by mouth (NPO status) after midnight. The nurse is demonstrating awareness of the effect of insulin, which is to lower
The nurse questions whether insulin should be given the blood glucose level. Because the client will be NPO status for a long period of
morning of surgery. This is an example of: time, no calories will be consumed. Giving the usual injection of insulin could
A) Problem solving cause the client to experience hypoglycemia.
B) Previous experience
C) Clinical practice guideline
D) Scientifically based clinical judgment
The client is a 65-year-old overweight woman with C. Concept map
multiple medical diagnoses, including diabetes mellitus
type 2, hypertension, and residual right-sided weakness A concept map is a visual representation of client problems and interventions that
resulting from a previous cerebrovascular accident. What shows their relationships to each other and allows easy synthesis of data about the
tool should be used to plan her care? client.
A) Care plan
B) Care map
C) Concept map
D) Critical thinking
A client newly admitted to the hospital begins to have A, B, C, D, and E
chest pain. Before calling the physician, the nurse should
gather what additional data? (Select all that apply.) The nurse should gather the data the physician will need to determine whether
A) Pain intensity the chest pain represents a myocardial infarction. Family history is important in
B) Location of pain comprehensive pain assessment; however, taking time to obtain this information is
C) Character of pain inappropriate in this critical situation.
D) Radiation of pain
E) Meaning of pain to the client
F) Family history of myocardial infarctions
The purpose of assessment is to: D. Establish a database concerning the client
A) Make a diagnostic conclusion.
B) Delegate nursing responsibility. The purpose of assessment is to establish a database about the client's perceived
C) Teach the client about his or her health. needs, health problems, and responses to these problems. The data also reveal
D) Establish a database concerning the client. related experiences, health practices, goals, values, and expectations. The other
options are not purposes of assessment.
