Fundamentals of Nursing 2026/2027 Test Exam4 100
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Exam coverage for the Fundamentals of Nursing Exam 4 includes
essential nursing concepts, clinical skills, patient safety, and
evidence-based practices required to provide safe and effective
patient-centered care. It focuses on applying the nursing process,
clinical judgment, prioritization, therapeutic communication, and
professional nursing standards to common patient-care situations.
What is a major disadvantage of source-orientated medical record?
a. It involves a cooperative spirit among various disciplines
b. The system requires diligence in maintaining a current problem list
c. Data may be fragmented and scattered throughout the chart
d. It allows the nurse to provide information in a unorganized manner - correct answer-c. Data may
be fragmented and scattered throughout the chart
A patient refuses a dose of medication. How should the nurse document the event?
a. Patient is uncooperative and refuses the prescribed dose of digoxin
b. Patient refuses the 0900 dose of digoxin
c. Patient is belligerent, argumentative, and refuses the 0900 dose of digoxin
d. 0900 dose of digoxin not given - correct answer-b. Patient refuses the 0900 dose of digoxin
What is the deadline after admission for using the Minimum Data Set to evaluate a newly
admitted resident is of a long-term care facility?
a. 14 days
b. 3 days
c. 2 days
d. 24 hours - correct answer-a. 14 days
,07 August 2026
The nursing instructor is teaching the student about occurrence reports. What is your
understanding of the purpose of occurrence reports?
a. "Occurrence reports track problems and identify areas for quality improvement."
b. "Occurrence reports are required by the Food and Drug Administration (FDA) to report drug
errors."
c. "The Joint Commission requires occurrence reports for all client falls."
d. "Occurrence reports provide legal information should the patient seek legal action after an
unusual occurrence." - correct answer-a. "Occurrence reports track problems and identify areas
for quality improvement."
What of the following is the most beneficial aspect of electronic documentation systems?
a. Assist collaboration
b. Provide cautionary reminders
c. Improve legibility
d. Serve as a resource - correct answer-c. Improve legibility
The nursing assistive personnel informs the nurse that a patient has fallen out of the bed
and is in pain. The nurse assesses the patient and provides care. What is the correct
documentation of the fall?
a. Patient found on floor after falling out of bed and verbalizes (L) hip pain
b. Patient found on floor by NAP Smith and verbalizing (L) hip pain
c. Patient fell out of bed but is currently in bed
d. Patient reminded not to climb OOB after falling - correct answer-b. Patient found on floor by NAP
Smith and verbalizing (L) hip pain
A client is admitted to the birthing unit to rule out preterm labor. The nurse charts only
abnormal findings. This type of charting is a form of:
a. Narrative charting
b. Charting by inclusion
c. Charting by exception
d. Source oriented charting - correct answer-c. Charting by exception
, 07 August 2026
A medical provider has prescribed milk of magnesia (magnesium hydroxide) 30 mL, PO
bid. Here bid means:
a. Once every day
b. Two times every day
c. Three times every day
d. Four times a day - correct answer-b. Two times every day
Why might a healthcare provider choose narrative charting instead of using forms or
checklists?
a. Narrative charting tracks the client's changing health status as it occurs
b. Free form documentation is inconsistent among healthcare providers
c. Less charting time by healthcare provider is needed for narrative charting
d. Less interdisciplinary discussion occurs with the narrative style of charting - correct answer-a.
Narrative charting tracks the client's changing health status as it occurs
What is one advantage of problem-intervention-evaluation charting?
a. Focuses on a complete list of client problems
b. Assesses the client in a comprehensive manner
c. Documents the planning portion of the client's care
d. Establishes an ongoing plan of care for the client - correct answer-d. Establishes an ongoing plan
of care for the client
The surgeon enters a computerized order for a patient in the postoperative period after a
unilateral thoracotomy for lung cancer. The order states: OOB in AM. Which action must
the nurse take to ensure the accuracy of the order?
a. Performs oral care
b. Assists the patient out of bed
c. Assists the patient with bathing
d. Changes the patient's operative dressings - correct answer-b. Assists the patient out of bed
The nurse takes a telephone order from a primary care provider for 40 mEq potassium
chloride in 100 mL of sterile water for injection to be infused over 4 hours. Which action
must the nurse take to ensure the accuracy of the order?