Chapter 1
1. 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 t...
you are preparing a presentation for your classmates regarding the clinical care coordination conference for a patient with terminal cancer as part of the pre
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Fundamentals of Nursing Final Exam
Chapter 1
1. 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 statement
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 - answerAnswer:
4. When giving care, it is essential to provide a
specified service according to standards of practice and to follow a code of ethics. The
code of ethics is the philosophical ideals of right and wrong that define the principles
you will use to provide care to your patients. It serves as a guide for carrying out nursing
responsibilities to provide quality nursing care and as a guide to the ethical obligations
of the profession.
2. A nurse is caring for a patient with end-stage lung disease. The patient wants to go
home on oxygen and be comfortable. The family wants the patient to have a new
surgical procedure. The nurse explains the risk and benefits of the surgery to the family
and discusses the patient's wishes with them. The nurse is acting as the patient's:
1. Educator. 2. Advocate. 3. Caregiver. 4. Communicator - answerAnswer: 2. An
advocate protects the patient's human and legal right to make choices about his or her
care. An advocate may also provide additional information to help a patient decide
whether to accept a treatment or may find an interpreter to help family members
communicate their concerns
3. The nurse spends time with a patient and family reviewing a 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. Communicator - answerAnswer: 1. The nurse is
demonstrating the role of educator. An educator explains concepts and facts about
health, describes the reason for routine care activities, demonstrates procedures such
as home-care activities, reinforces learning or patient behavior, and evaluates the
patient's progress in learning through return demonstration.
4. The examination for registered nurse (RN) licensure is 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. Provides a minimal standard of knowledge for an RN in practice.
,Fundamentals of Nursing Final Exam
4. Guarantees standardized education across all prelicensure programs. -
answerAnswer: 3. RN candidates must pass the NCLEX-RN® to attain licensure.
Regardless of educational preparation, the examination for RN licensure is exactly the
same in every state in the United States
5. Contemporary nursing requires that the nurse has knowledge and skills for a variety
of professional roles and responsibilities. Which of the following are examples of these
roles and responsibilities? (Select all that apply.)
1. Caregiver
2. Autonomy
3. Patient advocate
4. Health promotion
5. Genetic counselor - answerAnswer: 1, 2, 3, 4. Each of these roles or skills includes
activities for the professional nurse. Each of these is used in direct care or is part of the
professionalism that guides nursing practice.
6. Match the advanced practice nurse specialty with the statement about the role.
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 - answerAnswer: 1b, 2d, 3c, 4a. The role statements
describe the activities performed and the role of the advanced practice nurse specialty.
Nurse midwives care for women who are pregnant or have women's health needs.
Clinical nurse specialists typically see hospitalized patients with a specific type of illness
or health problem. Nurse practitioners usually practice in a primary care setting and
care for patients who are healthy or have minor acute or stable chronic conditions.
Certified nurse anesthetists care for patients during the surgical experience and
administer anesthesia during surgery.
7. Health care reform will bring changes in the emphasis of care. Which of these models
is expected from health care reform?
1. Moving from an acute illness to a health promotion, illness prevention model
,Fundamentals of Nursing Final Exam
2. Moving from an illness prevention to a health promotion model
3. Moving from hospital-based to community-based care
4. Moving from an acute illness to a disease management model - answerAnswer: 1.
Health care reform also affects how health care is delivered. There is greater emphasis
on health promotion, disease prevention, and management of illness
8. 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. Quality improvement - answerAnswer: 3. This is an example of the competency of
teamwork and collaboration. This competency focuses on the nurse functioning
effectively within nursing and interprofessional teams, fostering open communication,
mutual respect, and shared decision-making to achieve quality patient care.
9. A critical care nurse is using a new research-based intervention 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) competency?
1. Patient-centered care
2. Evidence-based practice
3. Teamwork and collaboration
4. Quality improvement - answerAnswer: 2. The use of a research intervention to
improve patient care brings the evidence-based practice gained from the research to
the bedside
10. The nurses on an acute care medical floor notice an increase in pressure injury
formation in their patients. A nurse consultant decides to compare two types of
treatment. The first is the procedure currently used to assess for pressure injury 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 - answerAnswer: 4. The nurse researcher investigates problems to
improve nursing care and to further define and expand the scope of nursing practice. He
or she often works in an academic setting, hospital, or independent professional or
community service agency.
Chapter 2
, Fundamentals of Nursing Final Exam
1. 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 -
answerAnswer: 4. Maintaining ongoing competency is a nurse's responsibility. Earning
certification in a specialty area is one mechanism that demonstrates competency.
Specialty certification has been shown to be positively related to patient safety.
Which of the following are examples of a nurse participating in primary care activities?
(Select all that apply.)
1. Providing prenatal teaching on nutrition to a pregnant woman during the first
trimester
2. Assessing the nutritional status of older adults who come to the community center for
lunch
3. Working with patients in a cardiac rehabilitation program
4. Providing home wound care to a patient
5. Teaching a class to parents at the local grade school about the importance of
immunizations - answerAnswer: 1, 2, 5. Primary care activities are focused on health
promotion. Health promotion programs contribute to quality health care by helping
patients acquire healthier lifestyles. Health promotion activities help keep people healthy
through exercise, good nutrition, rest, and adopting positive health attitudes and
practices.
Which of the following statements is true regarding Magnet® status recognition for a
hospital?
1. Nursing is run by a Magnet manager who makes decisions for the nursing units.
2. Nurses in Magnet hospitals make all of the decisions on the clinical units.
3. Magnet is a term that is used to describe hospitals that are able to hire the nurses
they need.
4. Magnet is a special designation for hospitals that achieve excellence in nursing
practice. - answerAnswer: 4. Magnet® status is a process and review that hospitals go
through that shows achievement of excellence in nursing practice. The designation is
given by the American Nurses Credentialing Center and focuses on demonstration of
quality patient care, nursing excellence, and innovations in professional practice.
4. Which of the following nursing activities is provided in a secondary health care
environment?
1. Conducting blood pressure screenings for older adults at the Senior Center
2. Teaching a patient with chronic obstructive pulmonary disease purse-lipped breathing
techniques at an outpatient clinic
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