Final Exam)Fundamentals of Nursing Final Exam Review:
Questions & Answers
Which organization can require nurses to take continuing education courses as a condition of licensure
renewal?
Select one:
a. American Nurses Association
b. National League for Nursing
c. Sigma Theta Tau
d. State Board of Nursing - ANSWER:State Board of Nursing
Which of the following best explains the importance of standards of practice?
Select one:
a. Nurses and other healthcare providers have the same standards of practice
b. Standard of practice only apply to nurses who work in hospital settings.
c. Standards of practice identify the knowledge, skills, and attitudes nurses need to provide safe care
d. Standards of practice differ among registered nurses because the roles are different based on the
population they serve. - ANSWER:Standards of practice identify the knowledge, skills, and attitudes
nurses need to provide safe care.
Which of the following best describes the legal definition of a nurse? Assume all education programs are
accredited.
Select one:
a. Graduate of a nursing education program and has passed the National Council Licensure Exam
b. Person with advanced training and certified to administer medications in most healthcare settings
c. Graduate licensed to practice in an acute care setting or a home care environment
d. Graduate with advanced education licensed to practice under the direct supervision of a physician -
ANSWER:Graduate of a nursing education program and has passed the National Council Licensure Exam
(NCLEX)
A patient who is being discharged asks the nurse, "Can I take you out for dinner to show my appreciation
for all that you have done for me? I really like you." The nurse's best response is which of the following?
Select one:
a. "Yes, that would be nice. It is really great to be appreciated."
,b. "No, and please do not ask again. You should have been told that already."
c. "Thank you; however, I have to refuse, even though the thought is appreciated."
d. "We will have to wait 3 days after you have been discharged to have a relationship." - ANSWER:Thank
you; however, I have to refuse, even though the thought is appreciated.
Which of the following concepts refers to conflicts that arise between two or more ethical principles in
patient care scenarios?
Select one:
a. Nursing ethics
b. Bioethics
c. Ethical dilemma
d. Moral distress - ANSWER:Moral distress
A mentally competent patient has an extremely low blood count and will likely die without a blood
transfusion. The patient knows the risk, but continues to refuse the blood. Which action by the nurse is
the most appropriate?
Select one:
a. Assume the patient is confused and give the blood anyway.
b. Request a psychological evaluation to ensure that the patient understands the risk.
c. Request a psychological evaluation to ensure that the patient understands the risk.
d. Follow the patient's wishes and do not administer a blood transfusion. - ANSWER:Follow the patient's
wishes and do not administer a blood transfusion
Confidentiality will be maintained by a nurse who believes in and values the ethical principle of:
Select one:
a. Fidelity
b. Veracity
c. Beneficence
d. Autonomy - ANSWER:Fidelity
A 60-year-old patient with a treatable form of breast cancer has decided not to pursue radiation or
chemotherapy. The nurse believes that the patient should be treated. She coerces her into receiving
treatment by continuing to remind the patient about her responsibilities for raising her children. What
type of behavior has the nurse displayed?
Select one:
a. Autonomy
,b. Paternalism
c. Non-maleficense
d. Beneficence - ANSWER:Paternalism
The nurse believes that abortion is murder, of the unborn child. While at work, the nurse is assigned a
woman with septicemia following an abortion. Which concept most specifically requires the nurse to
provide high-quality care for this patient?
Select one:
a. Ethics
b. Morals
c. Bioethics
d. Nursing Ethics - ANSWER:Nursing ethics
A pregnant 15-year-old girl presents to the emergency department (ED) of the local private hospital. She
has been transported by her mother and appears to be in active labor. The girl is crying uncontrollably
and says she is scared and experiencing painful contractions. Her mother states, "We don't have any
money or insurance, but this hospital is closer than the public hospital, and she needs help now." What
is the first step that the ED staff should take?
Select one:
a. Inform her mother that she will need to transport her daughter to the nearest public hospital.
b. Examine her to determine whether her condition is stable or whether she requires immediate medical
attention.
c. Explain to the girl and her mother that the hospital only accepts patients who can pay the hospital bill.
d. Arrange for an ambulance to transport her to the nearest public hospital. - ANSWER:Examine her to
determine whether her condition is stable or whether she requires immediate medical attention.
An 87-year-old patient has just been diagnosed with cancer. Her durable power of attorney names her
son as her surrogate decision maker. He arrives at the patient's bedside to discuss treatment options
with her. The patient is alert and oriented. Her son tells you that he does not want her to receive any
treatment (chemotherapy) because of the side effects and her age. The patient tells you that she wants
to try the treatment. Which decision should be followed by the nurse?
Select one:
a. The patient
b. The patient's son
c. Both
d. Neither - ANSWER:The patient
, Upon initial assessment of a 75-year-old patient, you identify bruises and scratches on the patient's
arms, legs, and trunk in various stages of healing. You notify your supervisor when you suspect the
patient may be a victim of physical abuse. You are complying with which of the following state laws?
Select one:
a. Good Samaritan Law
b. Mandatory Reporting Law
c. Nurse Practice Act
d. Nursing Standards of Practice - ANSWER:Mandatory Reporting Law
Nursing codes of ethics support which of the following?
Select one:
a. Patients can receive emergency treatment regardless of their ability to pay.
b. Nurses will educate patients about advance directives.
c. Nurses with HIV must disclose their condition to their employer.
d. Patients have the right to dignity, privacy, and safety. - ANSWER:Patients have the right to dignity,
privacy, and safety.
The nurse is admitting to the medical-surgical unit an older adult woman with a diagnosis of pulmonary
hypertension and right-sided heart failure. The patient is complaining of shortness of breath, and the
nurse observes conversational dyspnea. What is the first action the nurse should take?
Select one:
a. Review and implement the primary care provider's prescriptions for treatments.
b. Perform a quick physical examination of breathing, circulation, and oxygenation.
c. Gather a thorough medical history, including current symptoms, from the family.
d. Administer oxygen to the patient through a nasal cannula. - ANSWER:Perform a quick physical
examination of breathing, circulation, and oxygenation.
You are caring for a young adult patient with an intracranial hemorrhage secondary to a closed head
injury. During your assessment, you notice that the patient's respirations follow a cycle progressively
increasing in depth, then progressively decreasing in depth, followed by a period of apnea. Which of the
following appropriately describes this respiratory pattern?
Select one:
a. Biot's breathing
b. Kussmaul's respirations
c. Sleep apnea
Questions & Answers
Which organization can require nurses to take continuing education courses as a condition of licensure
renewal?
Select one:
a. American Nurses Association
b. National League for Nursing
c. Sigma Theta Tau
d. State Board of Nursing - ANSWER:State Board of Nursing
Which of the following best explains the importance of standards of practice?
Select one:
a. Nurses and other healthcare providers have the same standards of practice
b. Standard of practice only apply to nurses who work in hospital settings.
c. Standards of practice identify the knowledge, skills, and attitudes nurses need to provide safe care
d. Standards of practice differ among registered nurses because the roles are different based on the
population they serve. - ANSWER:Standards of practice identify the knowledge, skills, and attitudes
nurses need to provide safe care.
Which of the following best describes the legal definition of a nurse? Assume all education programs are
accredited.
Select one:
a. Graduate of a nursing education program and has passed the National Council Licensure Exam
b. Person with advanced training and certified to administer medications in most healthcare settings
c. Graduate licensed to practice in an acute care setting or a home care environment
d. Graduate with advanced education licensed to practice under the direct supervision of a physician -
ANSWER:Graduate of a nursing education program and has passed the National Council Licensure Exam
(NCLEX)
A patient who is being discharged asks the nurse, "Can I take you out for dinner to show my appreciation
for all that you have done for me? I really like you." The nurse's best response is which of the following?
Select one:
a. "Yes, that would be nice. It is really great to be appreciated."
,b. "No, and please do not ask again. You should have been told that already."
c. "Thank you; however, I have to refuse, even though the thought is appreciated."
d. "We will have to wait 3 days after you have been discharged to have a relationship." - ANSWER:Thank
you; however, I have to refuse, even though the thought is appreciated.
Which of the following concepts refers to conflicts that arise between two or more ethical principles in
patient care scenarios?
Select one:
a. Nursing ethics
b. Bioethics
c. Ethical dilemma
d. Moral distress - ANSWER:Moral distress
A mentally competent patient has an extremely low blood count and will likely die without a blood
transfusion. The patient knows the risk, but continues to refuse the blood. Which action by the nurse is
the most appropriate?
Select one:
a. Assume the patient is confused and give the blood anyway.
b. Request a psychological evaluation to ensure that the patient understands the risk.
c. Request a psychological evaluation to ensure that the patient understands the risk.
d. Follow the patient's wishes and do not administer a blood transfusion. - ANSWER:Follow the patient's
wishes and do not administer a blood transfusion
Confidentiality will be maintained by a nurse who believes in and values the ethical principle of:
Select one:
a. Fidelity
b. Veracity
c. Beneficence
d. Autonomy - ANSWER:Fidelity
A 60-year-old patient with a treatable form of breast cancer has decided not to pursue radiation or
chemotherapy. The nurse believes that the patient should be treated. She coerces her into receiving
treatment by continuing to remind the patient about her responsibilities for raising her children. What
type of behavior has the nurse displayed?
Select one:
a. Autonomy
,b. Paternalism
c. Non-maleficense
d. Beneficence - ANSWER:Paternalism
The nurse believes that abortion is murder, of the unborn child. While at work, the nurse is assigned a
woman with septicemia following an abortion. Which concept most specifically requires the nurse to
provide high-quality care for this patient?
Select one:
a. Ethics
b. Morals
c. Bioethics
d. Nursing Ethics - ANSWER:Nursing ethics
A pregnant 15-year-old girl presents to the emergency department (ED) of the local private hospital. She
has been transported by her mother and appears to be in active labor. The girl is crying uncontrollably
and says she is scared and experiencing painful contractions. Her mother states, "We don't have any
money or insurance, but this hospital is closer than the public hospital, and she needs help now." What
is the first step that the ED staff should take?
Select one:
a. Inform her mother that she will need to transport her daughter to the nearest public hospital.
b. Examine her to determine whether her condition is stable or whether she requires immediate medical
attention.
c. Explain to the girl and her mother that the hospital only accepts patients who can pay the hospital bill.
d. Arrange for an ambulance to transport her to the nearest public hospital. - ANSWER:Examine her to
determine whether her condition is stable or whether she requires immediate medical attention.
An 87-year-old patient has just been diagnosed with cancer. Her durable power of attorney names her
son as her surrogate decision maker. He arrives at the patient's bedside to discuss treatment options
with her. The patient is alert and oriented. Her son tells you that he does not want her to receive any
treatment (chemotherapy) because of the side effects and her age. The patient tells you that she wants
to try the treatment. Which decision should be followed by the nurse?
Select one:
a. The patient
b. The patient's son
c. Both
d. Neither - ANSWER:The patient
, Upon initial assessment of a 75-year-old patient, you identify bruises and scratches on the patient's
arms, legs, and trunk in various stages of healing. You notify your supervisor when you suspect the
patient may be a victim of physical abuse. You are complying with which of the following state laws?
Select one:
a. Good Samaritan Law
b. Mandatory Reporting Law
c. Nurse Practice Act
d. Nursing Standards of Practice - ANSWER:Mandatory Reporting Law
Nursing codes of ethics support which of the following?
Select one:
a. Patients can receive emergency treatment regardless of their ability to pay.
b. Nurses will educate patients about advance directives.
c. Nurses with HIV must disclose their condition to their employer.
d. Patients have the right to dignity, privacy, and safety. - ANSWER:Patients have the right to dignity,
privacy, and safety.
The nurse is admitting to the medical-surgical unit an older adult woman with a diagnosis of pulmonary
hypertension and right-sided heart failure. The patient is complaining of shortness of breath, and the
nurse observes conversational dyspnea. What is the first action the nurse should take?
Select one:
a. Review and implement the primary care provider's prescriptions for treatments.
b. Perform a quick physical examination of breathing, circulation, and oxygenation.
c. Gather a thorough medical history, including current symptoms, from the family.
d. Administer oxygen to the patient through a nasal cannula. - ANSWER:Perform a quick physical
examination of breathing, circulation, and oxygenation.
You are caring for a young adult patient with an intracranial hemorrhage secondary to a closed head
injury. During your assessment, you notice that the patient's respirations follow a cycle progressively
increasing in depth, then progressively decreasing in depth, followed by a period of apnea. Which of the
following appropriately describes this respiratory pattern?
Select one:
a. Biot's breathing
b. Kussmaul's respirations
c. Sleep apnea
