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Fundamentals of nursing Exam 1 Questions With Verified Answers

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Fundamentals of Nursing Test 1 Practice Questions With Verified Answers You are preparing a presentation for your classmates regarding the clinical care coordination conference for a patient with terminal cancer. As part of the preparation you have your classmates read the Nursing Code of Ethics for Professional Registered Nurses. Your instructor asks the class why this document is important. Which of the following statements best describes this code? 1. Improves self-health care 2. Protects the patient's confidentiality 3. Ensures identical care to all patients 4. Defines the principles of right and wrong to provide patient care - answer4 An 18-year-old woman is in the emergency department with fever and cough. The nurse obtains her vital signs, listens to her lung and heart sounds, determines her level of comfort, and collects blood and sputum samples for analysis. Which standard of practice is performed? 1. Diagnosis 2. Evaluation 3. Assessment 4. Implementation - answer3 A patient in the emergency department has developed wheezing and shortness of breath. The nurse gives the ordered medicated nebulizer treatment now and in 4 hours. Which standard of practice is performed? 1. Planning 2. Evaluation 3. Assessment 4. Implementation - answer4 ©BRAINBARTER 2024/2025 A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risk and benefits of the surgery to the family and discusses the patient's wishes with them. The nurse is acting as the patient's: 1. Educator. 2. Advocate. 3. Caregiver. 4. Case manager. - answer2 The nurse spends time with the patient and family reviewing the dressing change procedure for the patient's wound. The patient's spouse demonstrates how to change the dressing. The nurse is acting in which professional role? 1. Educator 2. Advocate 3. Caregiver 4. Case manager - answer1 The examination for registered nurse (RN) licensure is exactly the same in every state in the United States. This examination: 1. Guarantees safe nursing care for all patients. 2. Ensures standard nursing care for all patients. 3. Ensures that honest and ethical care is provided. 4. Provides a minimal standard of knowledge for an RN in practice. - answer4 Contemporary nursing requires that the nurse has knowledge and skills for a variety of professional roles and responsibilities. Which of the following are examples? (Select all that apply.) 1. Caregiver 2. Autonomy and accountability 3. Patient advocate 4. Health promotion 5. Lobbyist - answer1, 2, 3, 4 ©BRAINBARTER 2024/2025 Match the advanced practice nurse specialty with the statement about the role. 1. Clinical nurse specialist 2. Nurse anesthetist 3. Nurse practitioner 4. Nurse-midwife a. Provides independent care, including pregnancy and gynecological services b. Expert clinician in a specialized area of practice such as adult diabetes care c. Provides comprehensive care, usually in a primary care setting, directly managing the medical care of patients who are healthy or have chronic conditions d. Provides care and services under the supervision of an anesthesiologist - answer1b, 2d, 3c, 4a Health care reform will bring changes in the emphasis of care. Which of the following models is expected from health care reform? 12 1. Moving from an acute illness to a health promotion, illness prevention model 2. Moving from an illness prevention to a health promotion model 3. Moving from an acute illness to a disease management model 4. Moving from a chronic care to an illness prevention model - answer1 A nurse meets with the registered dietitian and physical therapist to develop a plan of care that focuses on improving nutrition and mobility for a patient. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency? 1. Patient-centered care 2. Safety 3. Teamwork and collaboration 4. Informatics - answer3 A critical care nurse is using a computerized decision support system to correctly position her ventilated patients to reduce pneumonia caused by accumulated respiratory secretions. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency? 1. Patient-centered care

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©BRAINBARTER 2024/2025




Fundamentals of nursing Exam 1 Questions
With Verified Answers


The nurse is preparing a client to be turned in bed. In what position would the nurse place the
client to begin this procedure?


lying flat
sitting up
lying flat with feet raised slightly

lying prone - answer✔lying flat
The nurse and an assistant are preparing to move a client up in bed. Arrange the following steps
in the correct order.


1. Adjust the head of the bed to a flat position.


2. Place a friction-reducing sheet under the client.


3. Ask the client to bend legs and place the chin on the chest.


4. Position the assistant on the side opposite you.


5. Remove all pillows from under the client.


6. Grasp the sheet and move the client on the count of 3.

, ©BRAINBARTER 2024/2025


A)


3, 1, 2, 4, 5, 6


B)


1, 2, 4, 3, 5, 6


C)


1, 5, 4, 2, 3, 6


D)


3, 2, 1, 4, 6, 5


E)


1, 3, 2, 4, 5, 6 - answer✔Ans:


C
What nursing organization first legitimized the use of the nursing process?


A)


National League for Nursing

, ©BRAINBARTER 2024/2025


B)


American Nurses Association


C)


International Council of Nursing


D)


State Board of Nursing - answer✔B)


American Nurses Association
A female patient who is receiving chemotherapy for breast cancer tells the nurse, "The treatment
for this cancer is worse than the disease itself. I'm not going to come for my therapy anymore."
The nurse responds by using critical thinking skills to address this patient problem. Which action
is the first step the nurse would take in this process?
a. The nurse judges whether the patient database is adequate to address the problem.
b. The nurse considers whether or not to suggest a counseling session for the patient.
c. The nurse reassesses the patient and decides how best to intervene in her care.
d. The nurse identifies several options for intervening in the patient's care and critiques the merit
of each option. - answer✔c. The first step when thinking critically about a situation is to identify
the purpose or goal of your thinking. Reassessing the patient helps to discipline thinking by
directing all thoughts toward the goal. Once the problem is addressed, it is important for the
nurse to judge the adequacy of the knowledge, identify potential problems, use helpful resources,
and critique the decision.
The nursing process ensures that nurses are person centered rather than task centered. Rather
than simply approaching a patient to take vital signs, the nurse thinks, "How is Mrs. Barclay
today? Are our nursing actions helping her to achieve her goals? How can we better help her?"
This demonstrates which characteristic of the nursing process?
a. Systematic

, ©BRAINBARTER 2024/2025


b. Interpersonal
c. Dynamic

d. Universally applicable in nursing situations - answer✔b. Interpersonal. All of the other options
are characteristics of the nursing process, but the conversation and thinking quoted best
illustrates the interpersonal dimension of the nursing process
An experienced nurse tells a beginning nurse not to bother studying too hard, since most clinical
reasoning becomes "second nature" and "intuitive" once you start practicing. What thinking
below should underlie the beginning nurse's response?
a. Intuitive problem solving comes with years of practice and observation, and novice nurses
should base their care on scientific problem solving.
b. For nursing to remain a science, nurses must continue to be vigilant about stamping out
intuitive reasoning.
c. The emphasis on logical, scientific, evidence-based reasoning has held nursing back for years;
it is time to champion intuitive, creative thinking!
d. It is simply a matter of preference; some nurses are logical, scientific thinkers, and some are
intuitive, creative thinkers. - answer✔a. Beginning nurses must use nursing knowledge and
scientific problem solving as the basis of care they give; intuitive problem solving comes with
years of practice and observation
The nurse uses blended competencies when caring for patients in a rehabilitation facility. Which
examples of interventions involve cognitive skills? Select all that apply.
a. The nurse uses critical thinking skills to plan care for a patient.
b. The nurse correctly administers IV saline to a patient who is dehydrated.
c. The nurse assists a patient to fill out an informed consent form.
d. The nurse learns the correct dosages for patient pain medications.
e. The nurse comforts a mother whose baby was born with Down syndrome.

f. The nurse uses the proper procedure to catheterize a female patient. - answer✔a, d. Using
critical thinking and learning medication dosages are cognitive competencies. Performing
procedures correctly is a technical skill, helping a patient with an informed consent form is a
legal/ethical issue, and comforting a patient is an interpersonal skill.
A nurse uses critical thinking skills to focus on the care plan of an older adult who has dementia
and needs placement in a long-term care facility. Which statements describe characteristics of
this type of critical thinking applied to clinical reasoning? Select all that apply.

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