NU 090 Foundations for Nursing
Final Assessment Review
Questions & Solutions
2025
©2025
, Question 1 (MC)
Case Scenario: An advanced practice nurse reviews a patient’s record
extracted from a modern electronic health record (EHR) system. The
report uses real-time data analytics to highlight trends in the patient’s
vital signs and laboratory values.
Question: What is the primary benefit of integrating advanced nursing
informatics into clinical decision-making?
A. Enhanced patient privacy
B. Improved patient outcomes via real-time data insights
C. Reduced hospital length of stay
D. Increased administrative burden
Correct ANS: B. Improved patient outcomes via real-time data
insights
Rationale: The use of real-time data analytics equips nurses with
prompt information that supports better clinical decisions and ultimately
improves patient outcomes.
---
Question 2 (MC)
Case Scenario: While managing a patient with multiple chronic
conditions, a nurse identifies a high risk for medication errors due to
polypharmacy.
Question: Which intervention is most effective in preventing
medication errors in this scenario?
A. Conducting a detailed medication reconciliation
B. Allowing the patient to self-administer all medications
C. Delegating medication management to the pharmacy technician
exclusively
D. Relying solely on computerized alerts
©2025
, Correct ANS: A. Conducting a detailed medication reconciliation
Rationale: Medication reconciliation is a systematic process that
reviews all medications to minimize errors, especially in complex cases
involving polypharmacy.
---
Question 3 (MC)
Case Scenario: Facing an ethical dilemma in the intensive care unit, a
nurse is tasked with helping the team decide on the withdrawal of
aggressive treatments for a terminally ill patient.
Question: Which ethical principle most directly guides the decision to
honor the patient’s previously expressed wishes?
A. Beneficence
B. Autonomy
C. Justice
D. Nonmaleficence
Correct ANS: B. Autonomy
Rationale: Autonomy centers on respecting the patient’s rights and
wishes, especially when directives or advance directives specify care
preferences—even amidst family debate.
---
Question 4 (MC)
Case Scenario: A nurse manager is tasked with implementing an
evidence-based practice initiative but encounters resistance from
members of the nursing staff.
Question: Which strategy is most likely to foster effective change
management?
A. Enforcing top-down mandates immediately
B. Actively involving staff in the development and planning process
C. Reducing communications to minimize conflicting opinions
D. Limiting staff input until after implementation
©2025
Final Assessment Review
Questions & Solutions
2025
©2025
, Question 1 (MC)
Case Scenario: An advanced practice nurse reviews a patient’s record
extracted from a modern electronic health record (EHR) system. The
report uses real-time data analytics to highlight trends in the patient’s
vital signs and laboratory values.
Question: What is the primary benefit of integrating advanced nursing
informatics into clinical decision-making?
A. Enhanced patient privacy
B. Improved patient outcomes via real-time data insights
C. Reduced hospital length of stay
D. Increased administrative burden
Correct ANS: B. Improved patient outcomes via real-time data
insights
Rationale: The use of real-time data analytics equips nurses with
prompt information that supports better clinical decisions and ultimately
improves patient outcomes.
---
Question 2 (MC)
Case Scenario: While managing a patient with multiple chronic
conditions, a nurse identifies a high risk for medication errors due to
polypharmacy.
Question: Which intervention is most effective in preventing
medication errors in this scenario?
A. Conducting a detailed medication reconciliation
B. Allowing the patient to self-administer all medications
C. Delegating medication management to the pharmacy technician
exclusively
D. Relying solely on computerized alerts
©2025
, Correct ANS: A. Conducting a detailed medication reconciliation
Rationale: Medication reconciliation is a systematic process that
reviews all medications to minimize errors, especially in complex cases
involving polypharmacy.
---
Question 3 (MC)
Case Scenario: Facing an ethical dilemma in the intensive care unit, a
nurse is tasked with helping the team decide on the withdrawal of
aggressive treatments for a terminally ill patient.
Question: Which ethical principle most directly guides the decision to
honor the patient’s previously expressed wishes?
A. Beneficence
B. Autonomy
C. Justice
D. Nonmaleficence
Correct ANS: B. Autonomy
Rationale: Autonomy centers on respecting the patient’s rights and
wishes, especially when directives or advance directives specify care
preferences—even amidst family debate.
---
Question 4 (MC)
Case Scenario: A nurse manager is tasked with implementing an
evidence-based practice initiative but encounters resistance from
members of the nursing staff.
Question: Which strategy is most likely to foster effective change
management?
A. Enforcing top-down mandates immediately
B. Actively involving staff in the development and planning process
C. Reducing communications to minimize conflicting opinions
D. Limiting staff input until after implementation
©2025
