UNIT 1 EXAM
NCLEX EXAM-STYLE QS
(Fundamentals of Nursing)
University of South Alabama
(Straight to the point. No fluff. Everything you need for exams.)
NU 301 Exam 1 Fundamentals of Nursing
including 50 high-yield NCLEX questions
written to mirror actual course exam.
Covers core Nursing Concepts with clear,
accurate, and student-friendly explanations.
Perfect for mastering high-priority topics and boosting exam
confidence.
,1.
A nurse administers an incorrect medication to a client. Following an assessment
of the client, the nurse determines that the client has experienced no untoward
effects as a result of the medication. The nurse does not complete an incident
report because no harm came to the client. Which of the following ethical
principles did the nurse violate?
MCQ Options
A. Fidelity
B. Veracity
C. Nonmaleficence
D. Justice
Correct Answer: B. Veracity
Expert Rationale:
• Veracity is the ethical principle of truth-telling and honesty. Failing to
complete an incident report conceals the truth about the error from the
health-care team and system, which violates veracity and undermines a
culture of safety and quality.
• Fidelity (A) is about keeping promises and being faithful to commitments;
while important, the primary issue here is truth and transparency.
• Nonmaleficence (C) is “do no harm.” The nurse assessed that no harm
occurred; the main problem is lack of truthful reporting, not inflicting harm.
• Justice (D) involves fairness and equitable treatment; it’s less directly
related than the duty to be honest about errors.
2.
,A nurse is teaching a client about the physical effects of chemotherapy.
Following the teaching, the nurse asks the client to describe one physical effect.
The nurse is focusing on which of the following elements of the communication
process?
MCQ Options
A. Sender
B. Message
C. Feedback
D. Channel
Correct Answer: C. Feedback
Expert Rationale:
• Feedback is the receiver’s response that lets the sender know how the
message was understood. Asking the client to describe a physical effect
assesses understanding and closes the communication loop—this is critical
to safe client education.
• Sender (A) is the person delivering the message (the nurse).
• Message (B) is the content being delivered (information about
chemotherapy).
• Channel (D) is the medium used (e.g., spoken word, written, video).
3.
A nurse is preparing to administer gabapentin 900 mg PO once daily for a client
who has neuropathic pain. The amount available is gabapentin 300 mg/capsule.
How many capsules should the nurse administer per dose? (Round the answer to
the nearest whole number. Use a leading zero if it applies. Do not use a trailing
zero.)
MCQ Options
A. 1 capsule
, B. 2 capsules
C. 3 capsules
D. 4 capsules
Correct Answer: C. 3 capsules
Expert Rationale:
• Calculation:
o Ordered: 900 mg
o Available: 300 mg/capsule
o 900 ÷ 300 = 3 capsules
• 1 capsule (A) = 300 mg, which underdoses the client.
• 2 capsules (B) = 600 mg, still too low.
• 4 capsules (D) = 1,200 mg, an overdose and a safety risk.
Accurate dose calculation is essential to prevent medication errors and
uphold NCLEX/clinical safety standards.
4.
A nurse is discussing culturally competent care at a nursing staff inservice. Which
of the following information should the nurse include when discussing clients’
cultures?
MCQ Options
A. Nurses should base care primarily on clients’ ethnicity rather than culture.
B. Nurses should focus on clients’ cultures, rather than their ethnicity, when
providing care.
C. Nurses should avoid asking clients about their cultural practices to prevent
offending them.
D. Nurses should assume clients share the same beliefs if they are from the same
country.