NUR 400 Exam 2 | Practice Q&A | 2026/2027 | Nursing Concept
Integration Across the Lifespan | ASU | Graded A+
1. A nurse is assessing an older adult patient's functional ability. Which
assessment finding indicates the patient is independent in Basic Activities of
Daily Living (BADLs)?
A) The patient manages their own medications
B) The patient requires assistance with bathing
C) The patient can feed themselves independently
D) The patient needs help managing their finances
Correct Answer: The patient can feed themselves independently
Rationale: Feeding is a Basic Activity of Daily Living (BADL). Independence in
feeding indicates preserved basic functional ability. Managing medications
and finances are Instrumental Activities of Daily Living (IADLs), and requiring
assistance with bathing indicates a BADL deficit.
2. A nurse is differentiating between Basic Activities of Daily Living (BADLs)
and Instrumental Activities of Daily Living (IADLs). Which activity is classified
as an IADL?
A) Toileting
B) Bathing
C) Managing finances
D) Transferring from bed to chair
Correct Answer: Managing finances
Rationale: IADLs include more complex activities needed for independent
living, such as managing finances, shopping, and transportation. Toileting,
bathing, and transferring are BADLs.
,3. A nurse is using the Roper-Logan-Tierney Model of Nursing to guide patient
care. Which component is central to this model?
A) The patient's medical diagnoses
B) The 12 activities of living
C) The patient's genetic predisposition
D) The healthcare system's structure
Correct Answer: The 12 activities of living
Rationale: The Roper-Logan-Tierney Model is based on 12 activities of living
that all individuals perform, including breathing, eating, sleeping, and
working. The model considers how these activities are influenced by
biological, psychological, sociocultural, environmental, and politico-economic
factors.
4. A nurse is assessing a patient's functional ability using the Timed Up and
Go (TUG) test. A TUG test time of greater than 12 seconds indicates:
A) Normal mobility
B) Increased fall risk
C) Excellent functional ability
D) No concern for mobility
Correct Answer: Increased fall risk
Rationale: The TUG test measures the time it takes for a patient to stand
from a chair, walk 10 feet, turn, and return to sitting. A time greater than 12
seconds indicates increased fall risk and warrants further assessment and
intervention.
,5. A nurse is educating a patient about factors that can impair functional
ability. Which factor is a modifiable risk factor for functional decline?
A) Age
B) Chronic disease
C) Physical inactivity
D) Genetics
Correct Answer: Physical inactivity
Rationale: Physical inactivity is a modifiable risk factor that can be addressed
through exercise and rehabilitation programs. Age, chronic disease, and
genetics are non-modifiable or only partially modifiable factors.
6. A nurse is assessing a patient's cognitive function using the Mini-Mental
State Examination (MMSE). Which component is assessed by the MMSE?
A) Mood and affect
B) Orientation, registration, attention, recall, and language
C) Activities of daily living
D) Fall risk
Correct Answer: Orientation, registration, attention, recall, and language
Rationale: The MMSE assesses multiple cognitive domains including
orientation, registration (immediate memory), attention and calculation,
recall (delayed memory), and language. It does not assess mood, ADLs, or
fall risk.
7. A nurse is implementing a fall prevention program on a geriatric unit.
Which intervention is most effective for reducing fall risk?
, A) Keeping bed rails up at all times
B) Using physical restraints to prevent wandering
C) Conducting regular patient rounds and ensuring call lights are within reach
D) Encouraging patients to remain in bed
Correct Answer: Conducting regular patient rounds and ensuring call lights
are within reach
Rationale: Regular rounds, ensuring call lights are accessible, and assisting
with toileting are effective fall prevention strategies. Bed rails can increase
injury risk, restraints are discouraged, and immobility leads to
deconditioning.
8. A nurse is assessing a patient's functional ability using the Functional
Activities Questionnaire (FAQ). The FAQ is designed to evaluate:
A) Cognitive function
B) Instrumental activities of daily living
C) Fall risk
D) Depression
Correct Answer: Instrumental activities of daily living
Rationale: The FAQ assesses a patient's ability to perform IADLs such as
managing finances, shopping, and using transportation. It is often used to
detect functional decline in older adults.
9. A nurse is applying the NCSBN Clinical Judgment Measurement Model
(NCJMM). Which step comes first in this model?
A) Analyze cues
Integration Across the Lifespan | ASU | Graded A+
1. A nurse is assessing an older adult patient's functional ability. Which
assessment finding indicates the patient is independent in Basic Activities of
Daily Living (BADLs)?
A) The patient manages their own medications
B) The patient requires assistance with bathing
C) The patient can feed themselves independently
D) The patient needs help managing their finances
Correct Answer: The patient can feed themselves independently
Rationale: Feeding is a Basic Activity of Daily Living (BADL). Independence in
feeding indicates preserved basic functional ability. Managing medications
and finances are Instrumental Activities of Daily Living (IADLs), and requiring
assistance with bathing indicates a BADL deficit.
2. A nurse is differentiating between Basic Activities of Daily Living (BADLs)
and Instrumental Activities of Daily Living (IADLs). Which activity is classified
as an IADL?
A) Toileting
B) Bathing
C) Managing finances
D) Transferring from bed to chair
Correct Answer: Managing finances
Rationale: IADLs include more complex activities needed for independent
living, such as managing finances, shopping, and transportation. Toileting,
bathing, and transferring are BADLs.
,3. A nurse is using the Roper-Logan-Tierney Model of Nursing to guide patient
care. Which component is central to this model?
A) The patient's medical diagnoses
B) The 12 activities of living
C) The patient's genetic predisposition
D) The healthcare system's structure
Correct Answer: The 12 activities of living
Rationale: The Roper-Logan-Tierney Model is based on 12 activities of living
that all individuals perform, including breathing, eating, sleeping, and
working. The model considers how these activities are influenced by
biological, psychological, sociocultural, environmental, and politico-economic
factors.
4. A nurse is assessing a patient's functional ability using the Timed Up and
Go (TUG) test. A TUG test time of greater than 12 seconds indicates:
A) Normal mobility
B) Increased fall risk
C) Excellent functional ability
D) No concern for mobility
Correct Answer: Increased fall risk
Rationale: The TUG test measures the time it takes for a patient to stand
from a chair, walk 10 feet, turn, and return to sitting. A time greater than 12
seconds indicates increased fall risk and warrants further assessment and
intervention.
,5. A nurse is educating a patient about factors that can impair functional
ability. Which factor is a modifiable risk factor for functional decline?
A) Age
B) Chronic disease
C) Physical inactivity
D) Genetics
Correct Answer: Physical inactivity
Rationale: Physical inactivity is a modifiable risk factor that can be addressed
through exercise and rehabilitation programs. Age, chronic disease, and
genetics are non-modifiable or only partially modifiable factors.
6. A nurse is assessing a patient's cognitive function using the Mini-Mental
State Examination (MMSE). Which component is assessed by the MMSE?
A) Mood and affect
B) Orientation, registration, attention, recall, and language
C) Activities of daily living
D) Fall risk
Correct Answer: Orientation, registration, attention, recall, and language
Rationale: The MMSE assesses multiple cognitive domains including
orientation, registration (immediate memory), attention and calculation,
recall (delayed memory), and language. It does not assess mood, ADLs, or
fall risk.
7. A nurse is implementing a fall prevention program on a geriatric unit.
Which intervention is most effective for reducing fall risk?
, A) Keeping bed rails up at all times
B) Using physical restraints to prevent wandering
C) Conducting regular patient rounds and ensuring call lights are within reach
D) Encouraging patients to remain in bed
Correct Answer: Conducting regular patient rounds and ensuring call lights
are within reach
Rationale: Regular rounds, ensuring call lights are accessible, and assisting
with toileting are effective fall prevention strategies. Bed rails can increase
injury risk, restraints are discouraged, and immobility leads to
deconditioning.
8. A nurse is assessing a patient's functional ability using the Functional
Activities Questionnaire (FAQ). The FAQ is designed to evaluate:
A) Cognitive function
B) Instrumental activities of daily living
C) Fall risk
D) Depression
Correct Answer: Instrumental activities of daily living
Rationale: The FAQ assesses a patient's ability to perform IADLs such as
managing finances, shopping, and using transportation. It is often used to
detect functional decline in older adults.
9. A nurse is applying the NCSBN Clinical Judgment Measurement Model
(NCJMM). Which step comes first in this model?
A) Analyze cues
