FUNDAMENTALS EXAM 2025
QUESTIONS AND ANSWERS
Advance directives- teaching - ANS Communicates the client wishes regarding end of life
care; are written before a client becomes ill
Nurses role is to provide info about advance directives
Document client's advance directive status
Ensure advance directives reflects clients current decision
Inform all members of the healthcare team of the client's advanced directives
Culture (client who speaks a different language) - ANS Use an interpreter always; try to get
someone around same age and gender as client
Delegation to UAP - ANS Stable/chronic clients; post-mortem care; they cannot teach,
assessed, or evaluate
Ethical (client need for information about treatment) - ANS Provide client with truthful
information so they can make an informed decision about their own health and well-being
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, Discharge planning - ANS Determine ability to afford insulin and supplies
Make sure he has transportation to follow up appointments
Informed consent - ANS Nurses role is to witness the client signature and ensure that the
provider has obtained the informed consent responsibly
Greater than 18 years of age or if the mother or father is a teenage parent they have the right
to sign the consent form
Client inquiry about surgery - ANS Consult health care provider/surgeon for
procedures/informed consent questions
Telephone prescriptions are - ANS Must write the order down before reading it back to the
provider
Identify Improper documentation - ANS Documenting should be factual
Subjective data documentation - ANS Quotes with quotation marks- what the client states to
the nurse
Objective data documentation - ANS What the nurses, smells, osculates do not use
derogatory words, judgment, or opinions
Intentional tort - ANS Doing harm (The act must be intentional, not merely reckless or
careless)
Assault, battery, false imprisonment, invasion of privacy, slander
Interprofessional team member consult - ANS PT- consulted for mobility issues
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OT- assist clients to regain ADL skills
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, ST- Deals with speech and language disorders
Coordinated client care among healthcare team - ANS Social worker- Coordinates care and
community resources
Demonstrating client advocacy - ANS Nurses role is to provide support of the clients health,
wellness, safety, and personal rights, including privacy
Nursing role- client observation - ANS Share appropriate information among team members
Prioritizing client care - ANS Follow ABC's (airway, breathing, circulation)
Unstable are seen before stable clients
Acute clients are seen before chronic clients
Ethical dilemma - ANS Follow autonomy, beneficence, Fidelity, justice, nonmaleficence, and
veracity principles
Disposition of valuables
(Admit/transfer/DC) - ANS Personal items include clothing, jewelry, money, credit cards,
hearing aides, eyeglasses, dentures, etc
Discourage the client from keeping valuables at bedside
Document communication with the client related to items left within the room
Valuables should be locked in the facilities safe
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Identify negligence - ANS Failure to provide care as defined by a standard
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