BSN 206 Foundations of Nursing Fundamentals
Complete Final Exam (Qns & Ans)
2025
Question 1
A nurse is assigned to care for an elderly patient with multiple
comorbidities (diabetes, hypertension, and chronic obstructive
pulmonary disease). During the initial assessment, which nursing
action should be prioritized to ensure patient safety?
A. Administering routine medications immediately
B. Evaluating the patient’s airway, breathing, and circulation
(ABCs)
C. Initiating patient education on dietary changes
D. Scheduling a follow‑up assessment in 24 hours
Correct ANS: B
©2025
, Rationale: In any patient assessment, particularly for a
high‑risk individual with multiple comorbidities, the immediate
evaluation of airway, breathing, and circulation (ABCs) is
paramount. Ensuring physiological stability is the foundation of
safe patient care before addressing other aspects.
---
Question 2
During a clinical simulation, a nurse applies a step‑by‑step
process to assess a patient’s condition and plan intervention. This
systematic approach is best described as which component of the
nursing process?
A. Diagnosis
B. Implementation
C. Evaluation
D. Assessment
Correct ANS: D
Rationale: The assessment phase involves systematically
collecting data about the patient's physiological, psychological,
and social status. This step is critical for informing all subsequent
phases of the nursing process, including diagnosis, planning,
implementation, and evaluation.
©2025
,---
Question 3
A patient admitted for surgery is anxious about the procedure.
Which of the following interventions, based on evidence‑based
practice, is most likely to reduce preoperative anxiety?
A. Providing detailed procedural information and ANSing
questions
B. Delaying the procedure until the patient is completely calm
C. Administering sedatives without explanation
D. Telling the patient that anxiety is normal and will resolve on its
own
Correct ANS: A
Rationale: Providing clear, evidence‑based education and
ANSing patient questions helps reduce uncertainty and anxiety.
Patient‑centered communication is essential for building trust and
promoting a sense of control.
---
Question 4
©2025
, In a home care scenario, a nurse needs to delegate routine vital
sign measurements to a certified nursing assistant (CNA). Which
of the following is most critical to include in the delegation
process?
A. Demonstrating the task and confirming understanding
B. Simply asking the CNA to “do what they normally do”
C. Documenting the CNA’s schedule without reviewing
competency
D. Delegating tasks without providing written instructions
Correct ANS: A
Rationale: Effective delegation requires clear communication,
demonstration of the task, and confirmation that the delegatee
understands and is competent to perform it. This minimizes errors
and enhances patient safety.
---
Question 5
A culturally diverse patient expresses concerns about traditional
healing practices conflicting with hospital protocols. Which
nursing approach is most consistent with culturally competent
care?
A. Dismissing the patient’s beliefs to focus on biomedical care
©2025
Complete Final Exam (Qns & Ans)
2025
Question 1
A nurse is assigned to care for an elderly patient with multiple
comorbidities (diabetes, hypertension, and chronic obstructive
pulmonary disease). During the initial assessment, which nursing
action should be prioritized to ensure patient safety?
A. Administering routine medications immediately
B. Evaluating the patient’s airway, breathing, and circulation
(ABCs)
C. Initiating patient education on dietary changes
D. Scheduling a follow‑up assessment in 24 hours
Correct ANS: B
©2025
, Rationale: In any patient assessment, particularly for a
high‑risk individual with multiple comorbidities, the immediate
evaluation of airway, breathing, and circulation (ABCs) is
paramount. Ensuring physiological stability is the foundation of
safe patient care before addressing other aspects.
---
Question 2
During a clinical simulation, a nurse applies a step‑by‑step
process to assess a patient’s condition and plan intervention. This
systematic approach is best described as which component of the
nursing process?
A. Diagnosis
B. Implementation
C. Evaluation
D. Assessment
Correct ANS: D
Rationale: The assessment phase involves systematically
collecting data about the patient's physiological, psychological,
and social status. This step is critical for informing all subsequent
phases of the nursing process, including diagnosis, planning,
implementation, and evaluation.
©2025
,---
Question 3
A patient admitted for surgery is anxious about the procedure.
Which of the following interventions, based on evidence‑based
practice, is most likely to reduce preoperative anxiety?
A. Providing detailed procedural information and ANSing
questions
B. Delaying the procedure until the patient is completely calm
C. Administering sedatives without explanation
D. Telling the patient that anxiety is normal and will resolve on its
own
Correct ANS: A
Rationale: Providing clear, evidence‑based education and
ANSing patient questions helps reduce uncertainty and anxiety.
Patient‑centered communication is essential for building trust and
promoting a sense of control.
---
Question 4
©2025
, In a home care scenario, a nurse needs to delegate routine vital
sign measurements to a certified nursing assistant (CNA). Which
of the following is most critical to include in the delegation
process?
A. Demonstrating the task and confirming understanding
B. Simply asking the CNA to “do what they normally do”
C. Documenting the CNA’s schedule without reviewing
competency
D. Delegating tasks without providing written instructions
Correct ANS: A
Rationale: Effective delegation requires clear communication,
demonstration of the task, and confirmation that the delegatee
understands and is competent to perform it. This minimizes errors
and enhances patient safety.
---
Question 5
A culturally diverse patient expresses concerns about traditional
healing practices conflicting with hospital protocols. Which
nursing approach is most consistent with culturally competent
care?
A. Dismissing the patient’s beliefs to focus on biomedical care
©2025
