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NMNC 1210 Final Exam Study Guide: 200 Questions & Answers
Section 1: Nursing Fundamentals & Professional Practice (Questions 1-40)
1. What is the primary goal of the nursing process?
A. To delegate tasks effectively
B. To provide a framework for patient-centered care
C. To reduce healthcare costs
D. To document patient encounters
2. The five steps of the nursing process, in order, are:
A. Diagnosis, Assessment, Planning, Implementation, Evaluation
B. Assessment, Diagnosis, Planning, Implementation, Evaluation
C. Planning, Assessment, Diagnosis, Evaluation, Implementation
D. Assessment, Planning, Diagnosis, Implementation, Evaluation
3. A patient expresses fear about an upcoming surgery. Which nursing action
demonstrates therapeutic communication?
A. "Don't worry, the surgeon is the best."
B. "Let's talk about what specifically is frightening you."
C. "You'll be fine, it's a routine procedure."
D. "I have other patients to attend to right now."
4. Which of the following is an example of a subjective data?
A. Blood pressure 120/80 mmHg
B. Heart rate of 72 bpm
C. Patient stating, "I have a sharp pain in my side."
D. Wound measuring 2cm in diameter
,5. The concept of "primary prevention" is best described as:
A. Screening for early disease detection
B. Rehabilitation after an illness
C. Preventing the initial occurrence of a disease
D. Managing chronic conditions
6. Which nursing theorist is known for the "Environmental Theory"?
A. Hildegard Peplau
B. Florence Nightingale
C. Virginia Henderson
D. Jean Watson
7. Informed consent must include all of the following EXCEPT:
A. Explanation of the procedure
B. Risks and benefits
C. Alternatives to the procedure
D. A guarantee of a successful outcome
8. The legal document that appoints another person to make healthcare
decisions if one is unable is called a:
A. Living Will
B. Durable Power of Attorney for Healthcare
C. Advance Directive
D. Do-Not-Resuscitate (DNR) Order
9. A nurse is caring for a patient who is a member of the Jehovah's Witness
faith. The patient refuses a blood transfusion that is medically recommended.
The nurse's best action is to:
A. Administer the transfusion as it is a life-saving measure.
B. Respect the patient's autonomy and document the refusal.
C. Convince the family to persuade the patient.
D. Withhold the information from the provider.
10. Delegation to a Nursing Assistant (CNA) is appropriate for which task?
A. Administering oral medications
B. Creating a nursing care plan
,C. Assessing a new wound
D. Assisting a patient with ambulation
11. The "R" in the I-SBAR-R communication tool stands for:
A. Response
B. Review
C. Readback
D. Reason
12. A nurse is preparing to catheterize a patient. This is an example of which
level of nursing intervention?
A. Independent
B. Dependent
C. Interdependent
D. Collaborative
13. Which vital sign is often called the "fifth vital sign"?
A. Oxygen Saturation
B. Pain
C. Level of Consciousness
D. Capillary Refill
14. The proper sequence for donning Personal Protective Equipment (PPE) is:
A. Gown, Mask, Gloves, Goggles
B. Gown, Goggles, Mask, Gloves
C. Goggles, Mask, Gown, Gloves
D. Gown, Mask, Goggles, Gloves
15. The proper sequence for removing PPE is:
A. Gloves, Goggles, Gown, Mask
B. Gloves, Gown, Goggles, Mask
C. Mask, Goggles, Gloves, Gown
D. Goggles, Gloves, Gown, Mask
16. Which principle of ethics is upheld when a nurse respects a patient's right
to refuse medication?
A. Beneficence
, B. Nonmaleficence
C. Autonomy
D. Justice
17. A nurse witnesses a car accident and stops to help. This is protected under
which law?
A. HIPAA
B. Good Samaritan Law
C. Patient Bill of Rights
D. Nurse Practice Act
18. Documentation in a patient's chart should always be:
A. Subjective and opinionated
B. Written in pencil for corrections
C. Factual, objective, and timely
D. Completed at the end of the shift
19. A patient's chart is considered:
A. The property of the patient
B. A legal document
C. Confidential only to physicians
D. An informal record of care
20. The purpose of a "time-out" before a procedure is to:
A. Give the staff a break
B. Verify the correct patient, procedure, and site
C. Allow the patient to ask questions
D. Prepare the surgical equipment
21. Which of the following is a physical restraint?
A. A medication used to calm a patient
B. A bed alarm
C. A vest device that limits the patient's ability to get out of bed
D. Placing the patient closer to the nurse's station
22. The first nursing action when discovering a fire is to:
A. Extinguish the fire