Fundamentals Mid-Term Exam Test
Questions with Guaranteed Pass
Solutions (2025) Updated.
1. You are participating in a clinical care coordination conference for a patient with terminal
cancer. You talk with your colleagues about using the nursing code of ethics for professional
registered nurses to guide care decisions. A non-nursing colleague asks about this code. Which
of the following statements best describes this code?
a. Improves self-health care
b. Protects the patient's confidentiality
c. Ensures identical care to all patients
d. Defines the principles of right and wrong to provide patient care - Answer d. Defines the
principles of right and wrong to provide patient care
2. An 18-year-old woman is in the emergency department with fever and cough. The nurse
obtains her vital signs, auscultates her lung sounds, listens to her 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
3. 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?
a. Planning
b. Evaluation
c. Assessment
d. Implementation - Answer d. Implementation
4. 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
,d. Case manager - Answer b. Advocate
5. Evidence-based practice is defined as:
a. Nursing care based on tradition
b. Scholarly inquiry of nursing and biomedical research literature
c. A problem-solving approach that integrates best current evidence with clinical practice
d. Quality nursing care provided in an efficient and economically sound manner - Answer c. A
problem-solving approach that integrates best current evidence with clinical practice
6. The examination for registered nurse licensure is exactly the same in every state in the United
States. This examination:
a. Guarantees safe nursing care for all patients
b. Ensures standard nursing care for all patients
c. Ensures that honest and ethical care is provided
d. Provides a minimal standard of knowledge for a registered nurse in practice - Answer d.
Provides a minimal standard of knowledge for a registered nurse in practice
7. 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.)
a. Caregiver
b. Autonomy and accountability
c. Patient advocate
d. Health promotion
e. Lobbyist - Answer a. Caregiver
b. Autonomy and accountability
c. Patient advocate
d. Health promotion
8. Advanced practice registered nurses generally:
a. Function independently
b. Function as unit directors
,9. Health care reform will bring changes in the emphasis of care. Which of the following models
is expected from health care reform?
a. Moving from an acute illness to a health promotion, illness prevention model
b. Moving from illness prevention to a health promotion model
c. Moving from an acute illness to a disease management model
d. Moving from a chronic care to an illness prevention model - Answer a. Moving from an
acute illness to a health promotion, illness prevention model
10. Which of the following nursing roles may have prescriptive authority in their practice?
(Select all that apply.)
a. Critical care nurse
b. Nurse practitioner
c. Certified clinical nurse specialist
d. Charge nurse - Answer b. Nurse practitioner
c. Certified clinical nurse specialist
11. 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?
a. Patient-centered care
b. Safety
c. Teamwork and collaboration
d. Informatics - Answer d. Informatics
12. A nurse is caring for an older-adult couple in a community-based assisted living facility.
During the family assessment he notes that the couple has many expired medications and
multiple medications for their respective chronic illnesses. They note that they go to two
different health care providers. The nurse begins to work with the couple to determine what
they know about their medications and helps them decide on one care provider rather than
two. This is an example of which Quality and Safety in the Education of Nurses (QSEN)
competency?
a. Patient-centered care
b. Safety
c. Teamwork and collaboration
, instrument to identify at-risk patients. Given this information, the nurse consultant exemplifies
which career?
a. Clinical nurse specialist
b. Nurse administrator
c. Nurse educator
d. Nurse researcher - Answer d. Nurse researcher
14. Nurses at a community hospital are in an 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?
a. Continuing education
b. Graduate education
c. In-service education
d. Professional Registered Nurse Education - Answer c. In-service education
1. Which of the following is an example of the principle of patient-centered care focused on
continuity and transition?
a. The nurse asks the patient who in the family should have access to patient information
b. The nurse is teaching the patient how to change the wound dressing at home
c. The nurse responds promptly to the patient's request for pain medication
d. The nurse schedules the patient's diagnostic scan following the physical therapy session -
Answer b. The nurse is teaching the patient how to change the wound dressing at home
2. Which activity performed by the nurse is related to maintaining competency in nursing
practice?
a. Asking another nurse about how to change the settings on a medication pump
b. Regularly attending unit staff meetings
c. Participating as a member of the professional nursing council
d. Attending a review course in preparation for the certification examination - Answer d.
Attending a review course in preparation for the certification examination
3. The patient tells the nurse that she is enrolled in a preferred provider organization (PPO) but
does not understand what this is. What is the nurse's best explanation of a PPO?
a. This health plan is for people who cannot afford their own health insurance
Questions with Guaranteed Pass
Solutions (2025) Updated.
1. You are participating in a clinical care coordination conference for a patient with terminal
cancer. You talk with your colleagues about using the nursing code of ethics for professional
registered nurses to guide care decisions. A non-nursing colleague asks about this code. Which
of the following statements best describes this code?
a. Improves self-health care
b. Protects the patient's confidentiality
c. Ensures identical care to all patients
d. Defines the principles of right and wrong to provide patient care - Answer d. Defines the
principles of right and wrong to provide patient care
2. An 18-year-old woman is in the emergency department with fever and cough. The nurse
obtains her vital signs, auscultates her lung sounds, listens to her 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
3. 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?
a. Planning
b. Evaluation
c. Assessment
d. Implementation - Answer d. Implementation
4. 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
,d. Case manager - Answer b. Advocate
5. Evidence-based practice is defined as:
a. Nursing care based on tradition
b. Scholarly inquiry of nursing and biomedical research literature
c. A problem-solving approach that integrates best current evidence with clinical practice
d. Quality nursing care provided in an efficient and economically sound manner - Answer c. A
problem-solving approach that integrates best current evidence with clinical practice
6. The examination for registered nurse licensure is exactly the same in every state in the United
States. This examination:
a. Guarantees safe nursing care for all patients
b. Ensures standard nursing care for all patients
c. Ensures that honest and ethical care is provided
d. Provides a minimal standard of knowledge for a registered nurse in practice - Answer d.
Provides a minimal standard of knowledge for a registered nurse in practice
7. 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.)
a. Caregiver
b. Autonomy and accountability
c. Patient advocate
d. Health promotion
e. Lobbyist - Answer a. Caregiver
b. Autonomy and accountability
c. Patient advocate
d. Health promotion
8. Advanced practice registered nurses generally:
a. Function independently
b. Function as unit directors
,9. Health care reform will bring changes in the emphasis of care. Which of the following models
is expected from health care reform?
a. Moving from an acute illness to a health promotion, illness prevention model
b. Moving from illness prevention to a health promotion model
c. Moving from an acute illness to a disease management model
d. Moving from a chronic care to an illness prevention model - Answer a. Moving from an
acute illness to a health promotion, illness prevention model
10. Which of the following nursing roles may have prescriptive authority in their practice?
(Select all that apply.)
a. Critical care nurse
b. Nurse practitioner
c. Certified clinical nurse specialist
d. Charge nurse - Answer b. Nurse practitioner
c. Certified clinical nurse specialist
11. 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?
a. Patient-centered care
b. Safety
c. Teamwork and collaboration
d. Informatics - Answer d. Informatics
12. A nurse is caring for an older-adult couple in a community-based assisted living facility.
During the family assessment he notes that the couple has many expired medications and
multiple medications for their respective chronic illnesses. They note that they go to two
different health care providers. The nurse begins to work with the couple to determine what
they know about their medications and helps them decide on one care provider rather than
two. This is an example of which Quality and Safety in the Education of Nurses (QSEN)
competency?
a. Patient-centered care
b. Safety
c. Teamwork and collaboration
, instrument to identify at-risk patients. Given this information, the nurse consultant exemplifies
which career?
a. Clinical nurse specialist
b. Nurse administrator
c. Nurse educator
d. Nurse researcher - Answer d. Nurse researcher
14. Nurses at a community hospital are in an 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?
a. Continuing education
b. Graduate education
c. In-service education
d. Professional Registered Nurse Education - Answer c. In-service education
1. Which of the following is an example of the principle of patient-centered care focused on
continuity and transition?
a. The nurse asks the patient who in the family should have access to patient information
b. The nurse is teaching the patient how to change the wound dressing at home
c. The nurse responds promptly to the patient's request for pain medication
d. The nurse schedules the patient's diagnostic scan following the physical therapy session -
Answer b. The nurse is teaching the patient how to change the wound dressing at home
2. Which activity performed by the nurse is related to maintaining competency in nursing
practice?
a. Asking another nurse about how to change the settings on a medication pump
b. Regularly attending unit staff meetings
c. Participating as a member of the professional nursing council
d. Attending a review course in preparation for the certification examination - Answer d.
Attending a review course in preparation for the certification examination
3. The patient tells the nurse that she is enrolled in a preferred provider organization (PPO) but
does not understand what this is. What is the nurse's best explanation of a PPO?
a. This health plan is for people who cannot afford their own health insurance
