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Exam (elaborations)

FUNDAMENTALS OF NURSING EXAM QUESTIONS WITH VERIFIED CORRECT ANSWERS

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FUNDAMENTALS OF NURSING EXAM QUESTIONS WITH VERIFIED CORRECT ANSWERS

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NURSING COMPETENCY
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Institution
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February 14, 2025
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Written in
2024/2025
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FUNDAMENTALS OF NURSING EXAM
QUESTIONS WITH VERIFIED CORRECT
ANSWERS
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?
A Diagnosis
B Evaluation
C Assessment
D Implementation - Answer-C Assessment

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?
Planning
Evaluation
Assessment
Implementation - Answer-Implementation

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:
Educator
Advocate
Caregiver
Case manager - Answer-Advocate

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?
Educator
Advocate
Caregiver
Case manager - Answer-Educator

The examination for registered nurse (RN) licensure is exactly the same in every state
in the United States. This examination:
Guarantees safe nursing care for all patients
Ensures standard nursing care for all patients
Ensures that honest and ethical care is provided

,Provides a minimal standard of knowledge for an RN in practice - Answer-Provides a
minimal standard of knowledge for an RN in practice

Health care reform will bring changes in the emphasis of care. Which of the following
models is expected from health care reform?
Moving from an acute illness to a health promotion, illness prevention model
Moving from illness prevention to a health promotion model
Moving from an acute illness to a disease management model
Moving from a chronic care to an illness prevention model - Answer-Moving from an
acute illness to a health promotion, illness prevention model

A nurse meets with the registered dietician 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?
Patient-centered care
Safety
Teamwork and collaboration
Informatics - Answer-Teamwork and collaboration

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?
Patient-centered care
Safety
Teamwork and collaboration
Informatics - Answer-Informatics

The nurses on an acute care medical floor notice an increase in pressure ulcer
formation in their patients. A nurse consultant decides to compare two types of
treatment. The first is the procedure currently used to assess for pressure ulcer risk.
The second uses a new assessment instrument to identify at-risk patients. Given this
information, the nurse consultant exemplifies which career?
Clinical nurse specialist
Nurse administrator
Nurse educator
Nurse researcher - Answer-Nurse researcher

Nurses in an acute care hospital are attending a unit based education program to learn
how to use a new pressure-relieving device for patients at risk for pressure ulcers. This
is which type of education?
Continuing education
Graduate education
In-service education
Professional Registered Nurse Education - Answer-In-service education

, Match the advance practice nurse specialty with the statement about the role.

1 Provides independent care including pregnancy and gynecological services.
2 Expert clinician in a specialized area of practice such as adult diabetes care.
3 Provides comprehensive care, usually in a primary care setting, directly managing the
medical care of patients who are healthy or who have chronic conditions
4 Provides care and services under the supervision of an anesthesiologist. - Answer-
4,1,3,2

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.)
Caregiver
Autonomy and accountability
Patient advocate
Health promotion
Lobbyist - Answer-Caregiver, Autonomy and accountability, Patient advocate, Health
promotion

Which of the following Internet resources available can assist consumers when
comparing quality care measures? (Select all that apply.)
WebMD
Hospital Compare
Magnet Recognition Program
Hospital Consumer Assessment of Healthcare
The American Hospital Association's webpage. - Answer-Hospital Compare, and
Hospital Consumer Assessment of Healthcare

A community center is presenting a nurse-led program on the Patient Protection and
Affordable Care Act. Which statement made by a participant indicates a need for further
teaching?
"My small company will now have to offer the 75 employees health insurance or pay a
penalty."
"As long as my son is a full-time student in College, I will be able to keep him on my
health insurance until he is 26 years old."
"I signed up for the state health insurance exchange before the designated deadline to
make sure I had health insurance."
"Since I have now been diagnosed with diabetes, my health insurance plan cannot
charge me higher premiums." - Answer-"As long as my son is a full-time student in
College, I will be able to keep him on my health insurance until he is 26 years old."

This is an incorrect statement because, with the Patient Protection and Affordable Care
Act, dependents can remain on health plans until the age of 26, regardless of their
status in school. They are not required to be full-time students to be eligible for the
benefit. All other options are correct.

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