Fundamentals of Nursing Exam 1
NSG 252 Review Questions &
Answers
You are preparing a presentation for your classmates regarding the clinical
care coordination conference for a patient with terminal cancer. As part of
the preparation you have your classmates read the Nursing Code of Ethics
for Professional Registered Nurses. Your instructor asks the class why this
document is important. Which of the following statements best describes this
code?
1. Improves self-health care
2. Protects the patient's confidentiality
3. Ensures identical care to all patients
4. Defines the principles of right and wrong to provide patient care - -4.
Defines the principles of right and wrong to provide patient care
-An 18 year-old woman is in the emergency department with a fever and
cough. The nurse obtains her vital signs, listens to her lung sounds,
determines her level of comfort, and collects blood and sputum samples for
analysis. Which standard of practice is performed?
1. Diagnosis
2. Evaluation
3. Assessment
4. Implementation - -3. Assessment
-A patient in the emergency department has developed wheezing and
shortness of breath. The nurse gives the ordered medicated nebulizer
treatment now and again in 4 hours. Which standard of practice is being
performed?
1. Planning
2. Evaluation
3. Assessment
4. Implementation - -4. Implementation
-A nurse is caring for a patient with end-stage lung disease. The patient
wants to be home on oxygen and be comfortable. The family wants the
patient to have a new surgical procedure. The nurse explains the risks and
benefits of the surgery to the family and discusses the patient's wishes with
the family. The nurse is acting as the patient's:
,1. Educator
2. Advocate
3. Caregiver
4. Case manager - -2. Advocate
-The nurse spends time with the patient and family reviewing the dressing
change procedure for the patient's wound. The patient's spouse
demonstrates how to change the dressing. The nurse is acting in which
professional role?
1. Educator
2. Advocate
3. Caregiver
4. Case manager - -1. Educator
-The examination for registered nurse licensure is exactly the same in every
state in the United States. This examination:
1. Guarantees safe nursing care for all patients
2. Ensures standard nursing care for all patients
3. Ensures that honest and ethical care is provided
4. Provides a minimal standard of knowledge for an RN in practice - -4.
Provides a minimal standard of knowledge for a registered nurse in practice
-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) - -1. Caregiver
2. Autonomy and accountability
3. Patient advocate
4. Health promotion
-Match the advanced practice nurse specialty with the statement about the
role.
1. Clinical nurse specialist
2. Nurse anesthetist
3. Nurse practitioner
4. Nurse-midwife
a. Provides independent care, including pregnancy and gynecological
services
b. Expert clinician in a specialized area of practice such as adult diabetes
care
c. Provides comprehensive care, usually in a primary care setting, directly
managing the medical care of patients who are healthy or have chronic
conditions
,d. Provides care and services under the supervision of an anesthesiologist - -
1-b
2-d
3-c
4-a
-Health care reform will bring changes in the emphasis of care. Which of the
following models is expected from health care reform?
1. Moving from an acute illness to a health promotion, illness prevention
model
2. Moving from an illness prevention to a health promotion model
3. Moving from an acute illness to a disease management model
4. Moving from a chronic care to an illness prevention model - -1. Moving
from an acute illness to a health care promotion, illness prevention model
-A nurse meets with the registered dietitian and physical therapist to
develop a plan of care that focuses on improving nutrition and mobility for a
patient. This is an example of which Quality and Safety in the Education of
Nurses (QSEN) competency?
1. Patient-centered care
2. Safety
3. Teamwork and collaboration
4. Informatics - -3. Teamwork and collaboration
-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) completely?
1. Patient-centered care
2. Safety
3. Teamwork and Collaboration
4. Informatics - -4. Informatics
-The nurses on an acute medical floor notice an increase in pressure ulcer
formation in their patients. A nurse consultant decides to compare two types
of treatment. The first is the procedure correctly used to assess for pressure
ulcer risk. The second uses a new assessment instrument to identify at-risk
patients. Given this information, the nurse consultant exemplifies which
career?
1. Clinical nurse specialist
2. Nurse administrator
3. Nurse educator
, 4. Nurse researcher - -4. Nurse researcher
-Nurses in an acute care hospital are attending a unit based 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?
1. Continuing education
2. Graduate education
3. In-service education
4. Professional Registered Nurse Education - -3. In-service education
-Which of the following Internet resources can help consumers compare
quality care measures? (Select all that apply)
1. WebMD
2. Hospital Compare
3. Magnet Recognition Program
4. Hospital Consumer Assessment of Healthcare
5. The American Hospital Association's webpage - -2. Hospital Compare
4. Hospital Consumer Assessment of Healthcare
-A community center is presenting a nurse-led program on the Patient
Protection and Affordable Care Act. Which statement made by a participant
indicates a need for further teaching?
1. "My small company will now have to offer the 75 employees health
insurance or pay a penalty"
2. "As long as my son is a full-time student in college, I will be able to keep
him on my health insurance until he is 26 years old."
3. "I signed up for the state health insurance exchange before the
designated deadline to make sure I had health insurance."
4. "Since I have now been diagnosed with diabetes, my health insurance plan
cannot charge me higher premiums." - -2. "As long as my son is a full-time
student in college, I will be able to keep him on my health insurance until he
is 26 years old."
-Which activity performed by a nurse is related to maintaining competency
in nursing practice?
1. Asking another nurse about how to change the settings on a medication
pump.
2. Regularly attending unit staff meetings.
3. Participating as a member of the professional nursing council.
4. Attending a review course in preparation for a certification examination. -
-4. Attending a review course in preparation for a certification examination
NSG 252 Review Questions &
Answers
You are preparing a presentation for your classmates regarding the clinical
care coordination conference for a patient with terminal cancer. As part of
the preparation you have your classmates read the Nursing Code of Ethics
for Professional Registered Nurses. Your instructor asks the class why this
document is important. Which of the following statements best describes this
code?
1. Improves self-health care
2. Protects the patient's confidentiality
3. Ensures identical care to all patients
4. Defines the principles of right and wrong to provide patient care - -4.
Defines the principles of right and wrong to provide patient care
-An 18 year-old woman is in the emergency department with a fever and
cough. The nurse obtains her vital signs, listens to her lung sounds,
determines her level of comfort, and collects blood and sputum samples for
analysis. Which standard of practice is performed?
1. Diagnosis
2. Evaluation
3. Assessment
4. Implementation - -3. Assessment
-A patient in the emergency department has developed wheezing and
shortness of breath. The nurse gives the ordered medicated nebulizer
treatment now and again in 4 hours. Which standard of practice is being
performed?
1. Planning
2. Evaluation
3. Assessment
4. Implementation - -4. Implementation
-A nurse is caring for a patient with end-stage lung disease. The patient
wants to be home on oxygen and be comfortable. The family wants the
patient to have a new surgical procedure. The nurse explains the risks and
benefits of the surgery to the family and discusses the patient's wishes with
the family. The nurse is acting as the patient's:
,1. Educator
2. Advocate
3. Caregiver
4. Case manager - -2. Advocate
-The nurse spends time with the patient and family reviewing the dressing
change procedure for the patient's wound. The patient's spouse
demonstrates how to change the dressing. The nurse is acting in which
professional role?
1. Educator
2. Advocate
3. Caregiver
4. Case manager - -1. Educator
-The examination for registered nurse licensure is exactly the same in every
state in the United States. This examination:
1. Guarantees safe nursing care for all patients
2. Ensures standard nursing care for all patients
3. Ensures that honest and ethical care is provided
4. Provides a minimal standard of knowledge for an RN in practice - -4.
Provides a minimal standard of knowledge for a registered nurse in practice
-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) - -1. Caregiver
2. Autonomy and accountability
3. Patient advocate
4. Health promotion
-Match the advanced practice nurse specialty with the statement about the
role.
1. Clinical nurse specialist
2. Nurse anesthetist
3. Nurse practitioner
4. Nurse-midwife
a. Provides independent care, including pregnancy and gynecological
services
b. Expert clinician in a specialized area of practice such as adult diabetes
care
c. Provides comprehensive care, usually in a primary care setting, directly
managing the medical care of patients who are healthy or have chronic
conditions
,d. Provides care and services under the supervision of an anesthesiologist - -
1-b
2-d
3-c
4-a
-Health care reform will bring changes in the emphasis of care. Which of the
following models is expected from health care reform?
1. Moving from an acute illness to a health promotion, illness prevention
model
2. Moving from an illness prevention to a health promotion model
3. Moving from an acute illness to a disease management model
4. Moving from a chronic care to an illness prevention model - -1. Moving
from an acute illness to a health care promotion, illness prevention model
-A nurse meets with the registered dietitian and physical therapist to
develop a plan of care that focuses on improving nutrition and mobility for a
patient. This is an example of which Quality and Safety in the Education of
Nurses (QSEN) competency?
1. Patient-centered care
2. Safety
3. Teamwork and collaboration
4. Informatics - -3. Teamwork and collaboration
-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) completely?
1. Patient-centered care
2. Safety
3. Teamwork and Collaboration
4. Informatics - -4. Informatics
-The nurses on an acute medical floor notice an increase in pressure ulcer
formation in their patients. A nurse consultant decides to compare two types
of treatment. The first is the procedure correctly used to assess for pressure
ulcer risk. The second uses a new assessment instrument to identify at-risk
patients. Given this information, the nurse consultant exemplifies which
career?
1. Clinical nurse specialist
2. Nurse administrator
3. Nurse educator
, 4. Nurse researcher - -4. Nurse researcher
-Nurses in an acute care hospital are attending a unit based 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?
1. Continuing education
2. Graduate education
3. In-service education
4. Professional Registered Nurse Education - -3. In-service education
-Which of the following Internet resources can help consumers compare
quality care measures? (Select all that apply)
1. WebMD
2. Hospital Compare
3. Magnet Recognition Program
4. Hospital Consumer Assessment of Healthcare
5. The American Hospital Association's webpage - -2. Hospital Compare
4. Hospital Consumer Assessment of Healthcare
-A community center is presenting a nurse-led program on the Patient
Protection and Affordable Care Act. Which statement made by a participant
indicates a need for further teaching?
1. "My small company will now have to offer the 75 employees health
insurance or pay a penalty"
2. "As long as my son is a full-time student in college, I will be able to keep
him on my health insurance until he is 26 years old."
3. "I signed up for the state health insurance exchange before the
designated deadline to make sure I had health insurance."
4. "Since I have now been diagnosed with diabetes, my health insurance plan
cannot charge me higher premiums." - -2. "As long as my son is a full-time
student in college, I will be able to keep him on my health insurance until he
is 26 years old."
-Which activity performed by a nurse is related to maintaining competency
in nursing practice?
1. Asking another nurse about how to change the settings on a medication
pump.
2. Regularly attending unit staff meetings.
3. Participating as a member of the professional nursing council.
4. Attending a review course in preparation for a certification examination. -
-4. Attending a review course in preparation for a certification examination
