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NURS 231 — Fundamentals of Nursing
P
TO TRANSFORM LIVES AND COMMUNITIES BY PROVIDING LEARNING
EST. 1972
OPPORTUNITIES FOR ALL WHO ASPIRE TO THRIVE.
Portage Learning NURS 231 Final Exam
CO M P L E T E Q U E ST I O N S & CO R R E CT D E TA I L E D A N S W E RS
INSTITUTION Portage Learning PROGRAM Bachelor of Science in Nursing
COURSE CODE NURS 231 COURSE TITLE Fundamentals of Nursing
ACADEMIC YEAR EXAM TITLE Portage Learning NURS 231 Final
Exam
TOTAL QUESTIONS 85 Questions FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question.
▸ Nursing fundamentals including QSEN competencies, communication, professionalism, medical
terminology, change theory, and cultural competence are all testable content.
▸ Patient safety, evidence-based practice, and the nursing process are emphasized.
▸ Correct answers and clinical rationales appear below each question.
▸ All content reflects current nursing practice standards.
, SECTION I — NURSING FUNDAMENTALS:
Questions 1 – 85
COMPREHENSIVE REVIEW
1. What is the impact of chronic stress on the immune system?
A. Chronic stress enhances immune function
B. Chronic stress can impair immune response, leading to increased susceptibility to
illnesses
C. Chronic stress has no effect on the immune system
D. Chronic stress only affects mental health
CORRECT ANSWER B — Chronic stress can impair immune response, leading to increased
susceptibility to illnesses
RATIONALE Chronic stress has a significant negative impact on the immune system.
Prolonged stress leads to elevated cortisol levels, which suppresses immune
function and increases susceptibility to infections and illness. This is a key
concept in understanding the mind-body connection in health and illness.
2. What is the significance of promoting civility in healthcare?
A. It increases paperwork and documentation
B. Promoting civility helps create a healthier work environment and improves patient care
C. It reduces the need for teamwork
D. It focuses only on patient satisfaction
CORRECT ANSWER B — Promoting civility helps create a healthier work environment and
improves patient care
RATIONALE Promoting civility in healthcare is essential for creating a healthy work
environment where nurses can thrive. Civility improves communication,
teamwork, and patient outcomes by fostering mutual respect and reducing
workplace conflict.
,3. What does QSEN stand for?
A. Quality and Safety Education in Nursing
B. Quality Standards for Educational Nursing
C. Quantitative Safety and Education for Nurses
D. Quality Systems for Effective Nursing
CORRECT ANSWER A — Quality and Safety Education in Nursing
RATIONALE QSEN stands for Quality and Safety Education in Nursing. It is a project that aims
to prepare future nurses with the knowledge, skills, and attitudes necessary to
continuously improve the quality and safety of the healthcare systems in which
they work.
4. What year was the QSEN program funded?
A. 1995
B. 2000
C. 2005
D. 2010
CORRECT ANSWER C — 2005
RATIONALE The QSEN program was funded in 2005 by the Robert Wood Johnson Foundation.
This funding supported the initiative to transform nursing education to
emphasize quality and safety competencies in nursing practice.
, 5. Who funded the QSEN program?
A. American Nurses Association
B. Robert Wood Johnson Foundation
C. National League for Nursing
D. Centers for Disease Control
CORRECT ANSWER B — Robert Wood Johnson Foundation
RATIONALE The Robert Wood Johnson Foundation funded the QSEN program in 2005. This
foundation has been a major supporter of initiatives to improve healthcare
quality and safety in the United States.
6. What is the primary focus of QSEN?
A. Increasing nursing salaries
B. Transforming basic education for nurses and healthcare professionals to emphasize
quality and safety
C. Reducing nursing school requirements
D. Promoting hospital profitability
CORRECT ANSWER B — Transforming basic education for nurses and healthcare professionals
to emphasize quality and safety
RATIONALE The primary focus of QSEN is transforming basic education for nurses and
healthcare professionals to emphasize quality and safety. It aims to prepare
nurses with the competencies needed to improve the quality and safety of patient
care.