FUNDAMENTALS OF NURSING PRACTICE TEST BANK
NB: ALL THE QUESTIONS HAVE THEIR ANSWERS WITH RATIONALE AT END PART.
This is how the test bank have been arranged
Fundamentals of Nursing (50 Questions) Part 1
Fundamentals of Nursing (50 Questions) Part 2
Fundamentals of Nursing (50 Questions) Part 3
Fundamentals of Nursing Comprehensive Exam 1: History, Concepts &
Theories (100 Items)
Fundamentals of Nursing Comprehensive Exam 2: Illness, Infection, Asepsis
(100 Items)
Fundamentals of Nursing Comprehensive Exam 3: Stress, Documentation,
Crisis Interventions (100 Items)
Fundamentals of Nursing Comprehensive Exam 4: Nursing Process,
Procedures & Health Assessment (100 Items)
Fundamentals of Nursing Comprehensive Exam 5: Oxygenation and Nutrition
(100 Items)
Fundamentals of Nursing (50 Questions) Part 1 with answers &
rationales at the end
1. The most appropriate nursing order for a patient who develops
dyspnea and shortness of breath would be…
A. Maintain the patient on strict bed rest at all times
B. Maintain the patient in an orthopneic position as needed
C. Administer oxygen by Venturi mask at 24%, as needed
D. Allow a 1 hour rest period between activities
2. The nurse observes that Mr. Adams begins to have increased
difficulty breathing. She elevates the head of the bed to the high
Fowler position, which decreases his respiratory distress. The nurse
documents this breathing as:
A. Tachypnea
B. Eupnca
C. Orthopnea
D. Hyperventilation
,3. The physician orders a platelet count to be performed on Mrs. Smith
after breakfast. The nurse is responsible for:
A. Instructing the patient about this diagnostic test
B. Writing the order for this test
C. Giving the patient breakfast
D. All of the above
4. Mrs. Mitchell has been given a copy of her diet. The nurse discusses
the foods allowed on a 500-mg low sodium diet. These include:
A. A ham and Swiss cheese sandwich on whole wheat bread
B. Mashed potatoes and broiled chicken
C. A tossed salad with oil and vinegar and olives
D. Chicken bouillon
5. The physician orders a maintenance dose of 5,000 units of
subcutaneous heparin (an anticoagulant) daily. Nursing responsibilities
for Mrs. Mitchell now include:
A. Reviewing daily activated partial thromboplastin time (APTT) and prothrombin
time.
B. Reporting an APTT above 45 seconds to the physician
C. Assessing the patient for signs and symptoms of frank and occult bleeding
D. All of the above
6. The four main concepts common to nursing that appear in each of
the current conceptual models are:
A. Person, nursing, environment, medicine
B. Person, health, nursing, support systems
C. Person, health, psychology, nursing
D. Person, environment, health, nursing
7. In Maslow’s hierarchy of physiologic needs, the human need of
greatest priority is:
A. Love
B. Elimination
C. Nutrition
D. Oxygen
8. The family of an accident victim who has been declared brain-dead
seems amenable to organ donation. What should the nurse do?
A. Discourage them from making a decision until their grief has eased
B. Listen to their concerns and answer their questions honestly
C. Encourage them to sign the consent form right away
D. Tell them the body will not be available for a wake or funeral
,9. A new head nurse on a unit is distressed about the poor staffing on
the 11 p.m. to 7 a.m. shift. What should she do?
A. Complain to her fellow nurses
B. Wait until she knows more about the unit
C. Discuss the problem with her supervisor
D. Inform the staff that they must volunteer to rotate
10. Which of the following principles of primary nursing has proven the
most satisfying to the patient and nurse?
A. Continuity of patient care promotes efficient, cost-effective nursing care
B. Autonomy and authority for planning are best delegated to a nurse who
knows the patient well
C. Accountability is clearest when one nurse is responsible for the overall plan
and its implementation.
D. The holistic approach provides for a therapeutic relationship, continuity, and
efficient nursing care.
11. If nurse administers an injection to a patient who refuses that
injection, she has committed:
A. Assault and battery
B. Negligence
C. Malpractice
D. None of the above
12. If patient asks the nurse her opinion about a particular physicians
and the nurse replies that the physician is incompetent, the nurse
could be held liable for:
A. Slander
B. Libel
C. Assault
D. Respondent superior
13. A registered nurse reaches to answer the telephone on a busy
pediatric unit, momentarily turning away from a 3 month-old infant she
has been weighing. The infant falls off the scale, suffering a skull
fracture. The nurse could be charged with:
A. Defamation
B. Assault
C. Battery
D. Malpractice
14. Which of the following is an example of nursing malpractice?
A. The nurse administers penicillin to a patient with a documented history of
allergy to the drug. The patient experiences an allergic reaction and has
, cerebral damage resulting from anoxia.
B. The nurse applies a hot water bottle or a heating pad to the abdomen of a
patient with abdominal cramping.
C. The nurse assists a patient out of bed with the bed locked in position; the
patient slips and fractures his right humerus.
D. The nurse administers the wrong medication to a patient and the patient
vomits. This information is documented and reported to the physician and the
nursing supervisor.
15. Which of the following signs and symptoms would the nurse expect
to find when assessing an Asian patient for postoperative pain
following abdominal surgery?
A. Decreased blood pressure and heart rate and shallow respirations
B. Quiet crying
C. Immobility, diaphoresis, and avoidance of deep breathing or coughing
D. Changing position every 2 hours
16. A patient is admitted to the hospital with complaints of nausea,
vomiting, diarrhea, and severe abdominal pain. Which of the following
would immediately alert the nurse that the patient has bleeding from
the GI tract?
A. Complete blood count
B. Guaiac test
C. Vital signs
C. Abdominal girth
17. The correct sequence for assessing the abdomen is:
A. Tympanic percussion, measurement of abdominal girth, and inspection
B. Assessment for distention, tenderness, and discoloration around the
umbilicus.
C. Percussions, palpation, and auscultation
D. Auscultation, percussion, and palpation
18. High-pitched gurgles head over the right lower quadrant are:
A. A sign of increased bowel motility
B. A sign of decreased bowel motility
C. Normal bowel sounds
D. A sign of abdominal cramping
19. A patient about to undergo abdominal inspection is best placed in
which of the following positions?
A. Prone
B. Trendelenburg
NB: ALL THE QUESTIONS HAVE THEIR ANSWERS WITH RATIONALE AT END PART.
This is how the test bank have been arranged
Fundamentals of Nursing (50 Questions) Part 1
Fundamentals of Nursing (50 Questions) Part 2
Fundamentals of Nursing (50 Questions) Part 3
Fundamentals of Nursing Comprehensive Exam 1: History, Concepts &
Theories (100 Items)
Fundamentals of Nursing Comprehensive Exam 2: Illness, Infection, Asepsis
(100 Items)
Fundamentals of Nursing Comprehensive Exam 3: Stress, Documentation,
Crisis Interventions (100 Items)
Fundamentals of Nursing Comprehensive Exam 4: Nursing Process,
Procedures & Health Assessment (100 Items)
Fundamentals of Nursing Comprehensive Exam 5: Oxygenation and Nutrition
(100 Items)
Fundamentals of Nursing (50 Questions) Part 1 with answers &
rationales at the end
1. The most appropriate nursing order for a patient who develops
dyspnea and shortness of breath would be…
A. Maintain the patient on strict bed rest at all times
B. Maintain the patient in an orthopneic position as needed
C. Administer oxygen by Venturi mask at 24%, as needed
D. Allow a 1 hour rest period between activities
2. The nurse observes that Mr. Adams begins to have increased
difficulty breathing. She elevates the head of the bed to the high
Fowler position, which decreases his respiratory distress. The nurse
documents this breathing as:
A. Tachypnea
B. Eupnca
C. Orthopnea
D. Hyperventilation
,3. The physician orders a platelet count to be performed on Mrs. Smith
after breakfast. The nurse is responsible for:
A. Instructing the patient about this diagnostic test
B. Writing the order for this test
C. Giving the patient breakfast
D. All of the above
4. Mrs. Mitchell has been given a copy of her diet. The nurse discusses
the foods allowed on a 500-mg low sodium diet. These include:
A. A ham and Swiss cheese sandwich on whole wheat bread
B. Mashed potatoes and broiled chicken
C. A tossed salad with oil and vinegar and olives
D. Chicken bouillon
5. The physician orders a maintenance dose of 5,000 units of
subcutaneous heparin (an anticoagulant) daily. Nursing responsibilities
for Mrs. Mitchell now include:
A. Reviewing daily activated partial thromboplastin time (APTT) and prothrombin
time.
B. Reporting an APTT above 45 seconds to the physician
C. Assessing the patient for signs and symptoms of frank and occult bleeding
D. All of the above
6. The four main concepts common to nursing that appear in each of
the current conceptual models are:
A. Person, nursing, environment, medicine
B. Person, health, nursing, support systems
C. Person, health, psychology, nursing
D. Person, environment, health, nursing
7. In Maslow’s hierarchy of physiologic needs, the human need of
greatest priority is:
A. Love
B. Elimination
C. Nutrition
D. Oxygen
8. The family of an accident victim who has been declared brain-dead
seems amenable to organ donation. What should the nurse do?
A. Discourage them from making a decision until their grief has eased
B. Listen to their concerns and answer their questions honestly
C. Encourage them to sign the consent form right away
D. Tell them the body will not be available for a wake or funeral
,9. A new head nurse on a unit is distressed about the poor staffing on
the 11 p.m. to 7 a.m. shift. What should she do?
A. Complain to her fellow nurses
B. Wait until she knows more about the unit
C. Discuss the problem with her supervisor
D. Inform the staff that they must volunteer to rotate
10. Which of the following principles of primary nursing has proven the
most satisfying to the patient and nurse?
A. Continuity of patient care promotes efficient, cost-effective nursing care
B. Autonomy and authority for planning are best delegated to a nurse who
knows the patient well
C. Accountability is clearest when one nurse is responsible for the overall plan
and its implementation.
D. The holistic approach provides for a therapeutic relationship, continuity, and
efficient nursing care.
11. If nurse administers an injection to a patient who refuses that
injection, she has committed:
A. Assault and battery
B. Negligence
C. Malpractice
D. None of the above
12. If patient asks the nurse her opinion about a particular physicians
and the nurse replies that the physician is incompetent, the nurse
could be held liable for:
A. Slander
B. Libel
C. Assault
D. Respondent superior
13. A registered nurse reaches to answer the telephone on a busy
pediatric unit, momentarily turning away from a 3 month-old infant she
has been weighing. The infant falls off the scale, suffering a skull
fracture. The nurse could be charged with:
A. Defamation
B. Assault
C. Battery
D. Malpractice
14. Which of the following is an example of nursing malpractice?
A. The nurse administers penicillin to a patient with a documented history of
allergy to the drug. The patient experiences an allergic reaction and has
, cerebral damage resulting from anoxia.
B. The nurse applies a hot water bottle or a heating pad to the abdomen of a
patient with abdominal cramping.
C. The nurse assists a patient out of bed with the bed locked in position; the
patient slips and fractures his right humerus.
D. The nurse administers the wrong medication to a patient and the patient
vomits. This information is documented and reported to the physician and the
nursing supervisor.
15. Which of the following signs and symptoms would the nurse expect
to find when assessing an Asian patient for postoperative pain
following abdominal surgery?
A. Decreased blood pressure and heart rate and shallow respirations
B. Quiet crying
C. Immobility, diaphoresis, and avoidance of deep breathing or coughing
D. Changing position every 2 hours
16. A patient is admitted to the hospital with complaints of nausea,
vomiting, diarrhea, and severe abdominal pain. Which of the following
would immediately alert the nurse that the patient has bleeding from
the GI tract?
A. Complete blood count
B. Guaiac test
C. Vital signs
C. Abdominal girth
17. The correct sequence for assessing the abdomen is:
A. Tympanic percussion, measurement of abdominal girth, and inspection
B. Assessment for distention, tenderness, and discoloration around the
umbilicus.
C. Percussions, palpation, and auscultation
D. Auscultation, percussion, and palpation
18. High-pitched gurgles head over the right lower quadrant are:
A. A sign of increased bowel motility
B. A sign of decreased bowel motility
C. Normal bowel sounds
D. A sign of abdominal cramping
19. A patient about to undergo abdominal inspection is best placed in
which of the following positions?
A. Prone
B. Trendelenburg
