NR 342: Fundamentals Mastery Exam
A nurse is discussing restorative health care with a newly licensed nurse. Which of the following
examples should the nurse include in the teaching? - Home health care
Rehabilitation facilities
Skilled nursing facilities
A nurse is explaining the various types of health care coverage clients might have to a group of nursing
students. Which of the following health care financing mechanisms are federally funded? - Medicare
Medicaid
A nurse manager is developing strategies to care for the increasing number of clients who have obesity.
Which of the following actions should the nurse include as a primary health care strategy? -
Collaborating with providers to perform obesity screening during routine office visits
A nurse is discussing the purpose of regulatory agencies during a staff meeting. Which of the following
tasks should the nurse identify as the responsibility of state licensing boards? - Ensuring that health care
providers comply with regulations
A nurse is explain the various levels of health care services to a group of newly licensed nurses. Which of
the following examples of care or care settings should the nurse classify as tertiary care? - Intensive care
unit
Oncology treatment center
Burn center
A nurse is caring for a group of clients on a medical-surgical unit. For which of the following client care
needs should the nurse initiate a referral for a social worker? - A client who has terminal cancer requests
hospice care in her home
A client asks about community resources available for older adults
A client requests an electric wheelchair for use after discharge
,A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to use adaptive
devices. The nurse caring for the client should initiate a referral to which of the following members of
the inter professional care team? - Occupational therapist
A client who is postoperative following knee arthroplasty is concerned about the adverse effects of the
medication he is receiving for pain management. Which of the members of the interprofessional care
team can assist the client in understanding the medication's effects? - Provider
Pharmacist
Registered nurse
A client who has a cerebrovascular accident has persistent problems with dysphagia (difficulty
swallowing). The nurse caring for the client should initiate a referral with which of the following of the
interprofessional care team? - Speech-language pathologist
A nurse is acquainting a group of newly licensed nurses with the roles of the various members of the
health care team they will encounter on a medical-surgical unit. When she gives examples of the types
of tasks certified nursing assistants (CNAs) can perform, which of the following client activities should
she include? - Bathing/Grooming
Ambulating/Lifting
Toileting
Measuring vital signs
Feeding
Transferring
A nurse is caring for a client who's decides not to have surgery despite significant blockages in his
coronary arteries. The nurse understands that this client's choice is an example of which of the following
ethical principles? - Autonomy
A nurse offers pain medication to a client who is postoperative prior to ambulation. The nurse
understands that this aspect of care delivery is an example of which of the following ethical principles? -
Beneficence
A nurse is instruction a group of nursing students about the responsibilities organ donation and
procurement involve. When the nurse explain that all clients waiting for a kidney transplant have to get
,the same qualifications, the students should understand that this aspect of care delivery is an example
of which of the following ethical principles? - Justice
A nurse questions a medication prescription as too extreme in light of the client's advanced age and
unstable status. The nurse understands that this action is an example of which of the following ethical
principles? - Nonmaleficence
A nurse is instructing a group of nursing students about how to know and what to expect when ethical
dilemmas arise. Which of the following situations should the students identify as a dilemma? - A family
has conflicting feelings about the initiation of enteral tube feedings for their father, who is terminally ill.
A nurse observes an assistive personnel (AP) reprimanding a client for to using the urinal properly. The
AP tells him she will put a diaper on him if he does not use the urinal more carefully next time. Which of
the following torts is the AP committing? - Assault
A nurse is caring for a competent adult client who tells the nurse that he is thinking about leaving the
hospital against medical advice. The nurse believes that this is not in the client's best interest, so she
prepares to administer a PRN sedative medication the client has not requested along with his usual
medication. Which of the following types of torts is the nurse about to commit? - False imprisonment
A nurse in a surgeon's office is providing preoperative teaching for a client who is scheduled for surgery
the following week. The client tells the nurse that he will prepare his advance directive before he goes to
the hospital. Which of the following statements made by the client should indicate to the nurse an
understanding of advance directives? - "I plan to write that I don't want them to keep me on a breathing
machine."
A nurse is caring for a client who is about to undergo an elective surgical procedure. The nurse should
take which of the following actions regarding informed consent? - Make sure the surgeon obtained the
client's consent
Witness the client's signature on the consent form
A nurse has notices several occasions in the past week when another nurse of the unit seemed drowsy
and unable to focus on the issue at hand. Today, she found the nurse asleep in a chair in the break room
when she was not on a break. Which of the following actions should the nurse take? - Report the
observations to the nurse manager on the unit
, A nurse is preparing information for a change-of-shift- report. Which of the following information should
the nurse include in the report? - Bone scan scheduled for today
A nurse is discussing the HIPAA Privacy Rule with nurses during new employee orientation. Which of the
following information should the nurse include? - Family members should provide a code prior to
receiving client health information
Communication of client information can occur at the nurses' station
A client can request a copy of her medical record
A nurse may photocopy a client's medical record for transfer to another facility
A nurse is reviewing documentation with a group of newly licensed nurses. Which of the following legal
guidelines should be followed when documenting in a client's record? - Put the date and time of all
entries
Document objective data, leaving out opinions
A nurse is discussing occurrences that require completion of an incident report with a newly licensed
nurse. Which of the following should the nurse include in the teaching? - Medication error
Needlesticks
Omission of prescription
A nurse is receiving a provider's prescription by telephone for morphine for a client who is reporting
moderate to severe pain. Which of the following nursing actions are appropriate? - Repeat the details of
the prescription back to the provider
Have another nurse listen to the telephone prescription
Obtain the provider's signature on the prescription within 24 hours
A nurse is discussing restorative health care with a newly licensed nurse. Which of the following
examples should the nurse include in the teaching? - Home health care
Rehabilitation facilities
Skilled nursing facilities
A nurse is explaining the various types of health care coverage clients might have to a group of nursing
students. Which of the following health care financing mechanisms are federally funded? - Medicare
Medicaid
A nurse manager is developing strategies to care for the increasing number of clients who have obesity.
Which of the following actions should the nurse include as a primary health care strategy? -
Collaborating with providers to perform obesity screening during routine office visits
A nurse is discussing the purpose of regulatory agencies during a staff meeting. Which of the following
tasks should the nurse identify as the responsibility of state licensing boards? - Ensuring that health care
providers comply with regulations
A nurse is explain the various levels of health care services to a group of newly licensed nurses. Which of
the following examples of care or care settings should the nurse classify as tertiary care? - Intensive care
unit
Oncology treatment center
Burn center
A nurse is caring for a group of clients on a medical-surgical unit. For which of the following client care
needs should the nurse initiate a referral for a social worker? - A client who has terminal cancer requests
hospice care in her home
A client asks about community resources available for older adults
A client requests an electric wheelchair for use after discharge
,A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to use adaptive
devices. The nurse caring for the client should initiate a referral to which of the following members of
the inter professional care team? - Occupational therapist
A client who is postoperative following knee arthroplasty is concerned about the adverse effects of the
medication he is receiving for pain management. Which of the members of the interprofessional care
team can assist the client in understanding the medication's effects? - Provider
Pharmacist
Registered nurse
A client who has a cerebrovascular accident has persistent problems with dysphagia (difficulty
swallowing). The nurse caring for the client should initiate a referral with which of the following of the
interprofessional care team? - Speech-language pathologist
A nurse is acquainting a group of newly licensed nurses with the roles of the various members of the
health care team they will encounter on a medical-surgical unit. When she gives examples of the types
of tasks certified nursing assistants (CNAs) can perform, which of the following client activities should
she include? - Bathing/Grooming
Ambulating/Lifting
Toileting
Measuring vital signs
Feeding
Transferring
A nurse is caring for a client who's decides not to have surgery despite significant blockages in his
coronary arteries. The nurse understands that this client's choice is an example of which of the following
ethical principles? - Autonomy
A nurse offers pain medication to a client who is postoperative prior to ambulation. The nurse
understands that this aspect of care delivery is an example of which of the following ethical principles? -
Beneficence
A nurse is instruction a group of nursing students about the responsibilities organ donation and
procurement involve. When the nurse explain that all clients waiting for a kidney transplant have to get
,the same qualifications, the students should understand that this aspect of care delivery is an example
of which of the following ethical principles? - Justice
A nurse questions a medication prescription as too extreme in light of the client's advanced age and
unstable status. The nurse understands that this action is an example of which of the following ethical
principles? - Nonmaleficence
A nurse is instructing a group of nursing students about how to know and what to expect when ethical
dilemmas arise. Which of the following situations should the students identify as a dilemma? - A family
has conflicting feelings about the initiation of enteral tube feedings for their father, who is terminally ill.
A nurse observes an assistive personnel (AP) reprimanding a client for to using the urinal properly. The
AP tells him she will put a diaper on him if he does not use the urinal more carefully next time. Which of
the following torts is the AP committing? - Assault
A nurse is caring for a competent adult client who tells the nurse that he is thinking about leaving the
hospital against medical advice. The nurse believes that this is not in the client's best interest, so she
prepares to administer a PRN sedative medication the client has not requested along with his usual
medication. Which of the following types of torts is the nurse about to commit? - False imprisonment
A nurse in a surgeon's office is providing preoperative teaching for a client who is scheduled for surgery
the following week. The client tells the nurse that he will prepare his advance directive before he goes to
the hospital. Which of the following statements made by the client should indicate to the nurse an
understanding of advance directives? - "I plan to write that I don't want them to keep me on a breathing
machine."
A nurse is caring for a client who is about to undergo an elective surgical procedure. The nurse should
take which of the following actions regarding informed consent? - Make sure the surgeon obtained the
client's consent
Witness the client's signature on the consent form
A nurse has notices several occasions in the past week when another nurse of the unit seemed drowsy
and unable to focus on the issue at hand. Today, she found the nurse asleep in a chair in the break room
when she was not on a break. Which of the following actions should the nurse take? - Report the
observations to the nurse manager on the unit
, A nurse is preparing information for a change-of-shift- report. Which of the following information should
the nurse include in the report? - Bone scan scheduled for today
A nurse is discussing the HIPAA Privacy Rule with nurses during new employee orientation. Which of the
following information should the nurse include? - Family members should provide a code prior to
receiving client health information
Communication of client information can occur at the nurses' station
A client can request a copy of her medical record
A nurse may photocopy a client's medical record for transfer to another facility
A nurse is reviewing documentation with a group of newly licensed nurses. Which of the following legal
guidelines should be followed when documenting in a client's record? - Put the date and time of all
entries
Document objective data, leaving out opinions
A nurse is discussing occurrences that require completion of an incident report with a newly licensed
nurse. Which of the following should the nurse include in the teaching? - Medication error
Needlesticks
Omission of prescription
A nurse is receiving a provider's prescription by telephone for morphine for a client who is reporting
moderate to severe pain. Which of the following nursing actions are appropriate? - Repeat the details of
the prescription back to the provider
Have another nurse listen to the telephone prescription
Obtain the provider's signature on the prescription within 24 hours
