Foundations of Nursing Exam #1 Practice Questions
The nurse manager meets with the registered nursing staff about an increase in urinary
tract infections in patients with a Foley catheter. The staff work together to review the
literature on catheter-associated urinary tract infections (CAUTIs), identifies at-risk
patients, and establishes new catheter care practices. This is an example of which QSEN
competency?: Quality improvement
A critical care nurse is using a new research-based intervention to correctly position
patients who are on ventilators to reduce pneumonia caused by accumulated respiratory
secretions. This is an example of which QSEN competency?: Evidence-based practice
The nurses on an acute care medical floor notice an increase in pressure injury 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 injury risk. The second uses a new
assessment instrument to identify at-risk patients. Given this information, the nurse
consultant exemplifies which career?: Nurse researcher
A patient discharged a week ago following a stroke is currently participating in
rehabilitation sessions provided by nurses, physical therapists, and registered dietitians in
an outpatient setting. In what level of prevention is the patient participating?: Tertiary
prevention
Based on the Transtheoretical Model of Change, what is the most appropriate response
to a patient who states: "Me, stop smoking? I've been smoking
since I was 16!": "What do you think is the greatest reason why stopping smoking would
be challenging for you?"
A nurse working on a medical patient care unit states, "I am having trouble sleeping, and
I eat nonstop when I get home. All I can think of when I get to work is how I can't wait for
my shift to be over. I wish I felt happy again." What are the best responses from the
nurse manager? (Select all that apply.)
,A. "I'm sure this is just a phase you are going through. Hang in there. You'll feel better
soon."
B. "I know several nurses who feel this way every now and then. Tell me about the
patients you have cared for recently. Did you find it difficult to care for them?"
C. "You can take diphenhydramine over the counter to help you sleep at night."
D. "Describe for me what you do with your time when you are not working."E. "The
hospital just started a group where nurses get together to talk about their feelings.
Would you like for me to e-mail the schedule to you?": B. "I know
several nurses who feel this way every now and then. Tell me about the patients you have
cared for recently. Did you find it difficult to care for them?"
D. "Describe for me what you do with your time when you are not working."
E."The hospital just started a group where nurses get together to talk about their
feelings. Would you like for me to e-mail the schedule to you?"
A patient has been laid off from his construction job and has many unpaid bills. He is
going through a divorce from his marriage of 15 years and has been praying daily to help
him through this difficult time. He does not have a primary health care provider because
he has never really been sick, and his parents never took him to a physician when he was
a child. Which external variables influence the patient's health practices? (Select all that
apply.)
A. Difficulty paying his bills
B. Praying daily
C. Age of the patient (46 years)
D. Stress from the divorce and the loss of a job
E. Family practice of not routinely seeing a health care provider: A. Difficulty paying his
bills
E. Family practice of not routinely seeing a health care provider
A nurse is conducting a home visit with a new mom and her three children.
While in the home the nurse weighs each family member and reviews their 3-day food
diary. She checks the mom's blood pressure and encourages the mom to take the
, children for a 30-minute walk every day. The nurse is addressing which level of need,
according to Maslow's Hierarchy of Needs?: Physiological
When taking care of patients, a nurse routinely asks whether they take any vitamins or
herbal medications, encourages family members to bring in music that the patients like
to help the patients relax, and frequently prays with her patients if that is important to
them. The nurse is practicing which model?: Holistic
16. Using the Transtheoretical Model of Change, order the steps that a patient goes
through to make a lifestyle change related to physical activity.
A. The individual recognizes that he is out of shape when his daughter asks him to walk
with her after school.
B. Eight months after beginning walking, the individual participates with his wife in a
local 5K race.
C. The individual becomes angry when the physician tells him that he needs to increase
his activity to lose 30 pounds.
D. The individual walks 2 to 3 miles, 5 nights a week, with his wife.
E. The individual visits the local running store to purchase walking shoes and obtain
advice on a walking plan.: C, A, E, D, B
Which of the following are symptoms of secondary traumatic stress and
burnout that commonly affect nurses? (Select all that apply.)
A. Regular participation in a book club
B. Lack of interest in exercise
C. Difficulty falling asleep
D. Lack of desire to go to work
E. Anxiety while working: B. Lack of interest in exercise
C. Difficulty falling asleep
D. Lack of desire to go to workE. Anxiety while
working
The nurse manager meets with the registered nursing staff about an increase in urinary
tract infections in patients with a Foley catheter. The staff work together to review the
literature on catheter-associated urinary tract infections (CAUTIs), identifies at-risk
patients, and establishes new catheter care practices. This is an example of which QSEN
competency?: Quality improvement
A critical care nurse is using a new research-based intervention to correctly position
patients who are on ventilators to reduce pneumonia caused by accumulated respiratory
secretions. This is an example of which QSEN competency?: Evidence-based practice
The nurses on an acute care medical floor notice an increase in pressure injury 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 injury risk. The second uses a new
assessment instrument to identify at-risk patients. Given this information, the nurse
consultant exemplifies which career?: Nurse researcher
A patient discharged a week ago following a stroke is currently participating in
rehabilitation sessions provided by nurses, physical therapists, and registered dietitians in
an outpatient setting. In what level of prevention is the patient participating?: Tertiary
prevention
Based on the Transtheoretical Model of Change, what is the most appropriate response
to a patient who states: "Me, stop smoking? I've been smoking
since I was 16!": "What do you think is the greatest reason why stopping smoking would
be challenging for you?"
A nurse working on a medical patient care unit states, "I am having trouble sleeping, and
I eat nonstop when I get home. All I can think of when I get to work is how I can't wait for
my shift to be over. I wish I felt happy again." What are the best responses from the
nurse manager? (Select all that apply.)
,A. "I'm sure this is just a phase you are going through. Hang in there. You'll feel better
soon."
B. "I know several nurses who feel this way every now and then. Tell me about the
patients you have cared for recently. Did you find it difficult to care for them?"
C. "You can take diphenhydramine over the counter to help you sleep at night."
D. "Describe for me what you do with your time when you are not working."E. "The
hospital just started a group where nurses get together to talk about their feelings.
Would you like for me to e-mail the schedule to you?": B. "I know
several nurses who feel this way every now and then. Tell me about the patients you have
cared for recently. Did you find it difficult to care for them?"
D. "Describe for me what you do with your time when you are not working."
E."The hospital just started a group where nurses get together to talk about their
feelings. Would you like for me to e-mail the schedule to you?"
A patient has been laid off from his construction job and has many unpaid bills. He is
going through a divorce from his marriage of 15 years and has been praying daily to help
him through this difficult time. He does not have a primary health care provider because
he has never really been sick, and his parents never took him to a physician when he was
a child. Which external variables influence the patient's health practices? (Select all that
apply.)
A. Difficulty paying his bills
B. Praying daily
C. Age of the patient (46 years)
D. Stress from the divorce and the loss of a job
E. Family practice of not routinely seeing a health care provider: A. Difficulty paying his
bills
E. Family practice of not routinely seeing a health care provider
A nurse is conducting a home visit with a new mom and her three children.
While in the home the nurse weighs each family member and reviews their 3-day food
diary. She checks the mom's blood pressure and encourages the mom to take the
, children for a 30-minute walk every day. The nurse is addressing which level of need,
according to Maslow's Hierarchy of Needs?: Physiological
When taking care of patients, a nurse routinely asks whether they take any vitamins or
herbal medications, encourages family members to bring in music that the patients like
to help the patients relax, and frequently prays with her patients if that is important to
them. The nurse is practicing which model?: Holistic
16. Using the Transtheoretical Model of Change, order the steps that a patient goes
through to make a lifestyle change related to physical activity.
A. The individual recognizes that he is out of shape when his daughter asks him to walk
with her after school.
B. Eight months after beginning walking, the individual participates with his wife in a
local 5K race.
C. The individual becomes angry when the physician tells him that he needs to increase
his activity to lose 30 pounds.
D. The individual walks 2 to 3 miles, 5 nights a week, with his wife.
E. The individual visits the local running store to purchase walking shoes and obtain
advice on a walking plan.: C, A, E, D, B
Which of the following are symptoms of secondary traumatic stress and
burnout that commonly affect nurses? (Select all that apply.)
A. Regular participation in a book club
B. Lack of interest in exercise
C. Difficulty falling asleep
D. Lack of desire to go to work
E. Anxiety while working: B. Lack of interest in exercise
C. Difficulty falling asleep
D. Lack of desire to go to workE. Anxiety while
working
