Fundamentals of Nursing Exam 1 NSG 250 Review
Questions With Complete Solutions
6. A nurse is conducting a home visit with an older-adult couple.
While in the home the nurse weighs each individual and reviews
the 3-day food diary with them. She also checks their blood
pressure and encourages them to increase their fluids and
activity levels to help with their voiced concern about
constipation. The nurse is addressing which level of need
according to Maslow?
1. Physiological
2. Safety and Security
3. Love and Belonging
4. Self-Actualization Correct Answers 1. Physiological
A 72-year-old patient asks the nurse about using an over-the-
counter antihistamine as a sleeping pill to help her get to sleep.
What is the nurse's best response?
1. "Antihistamines are better than prescription medications
because these can cause a lot of problems."
2. "Antihistamines should not be used because they can cause
confusion and increase your risk of falls."
3. "Antihistamines are effective sleep aids because they do not
have many side effects."
4. "Over-the-counter medications when combined with sleep-
hygiene measures are a good plan for sleep." Correct Answers
2. "Antihistamines should not be used because they can cause
confusion and increase your risk of falls."
,A child is taking albuterol through a pressurized metered-dose
inhaler (pMDI) that contains a total of 64 puffs. The dose is 2
puffs every 6 hours. How many days will the pMDI last?
___________ days. Correct Answers 8
A community center is presenting a nurse-led program on the
Patient Protection and Affordable Care Act. Which statement
made by a participant indicates a need for further teaching?
1. "My small company will now have to offer the 75 employees
health insurance or pay a penalty"
2. "As long as my son is a full-time student in college, I will be
able to keep him on my health insurance until he is 26 years
old."
3. "I signed up for the state health insurance exchange before the
designated deadline to make sure I had health insurance."
4. "Since I have now been diagnosed with diabetes, my health
insurance plan cannot charge me higher premiums." Correct
Answers 2. "As long as my son is a full-time student in college,
I will be able to keep him on my health insurance until he is 26
years old."
A couple who is caring for their aging parents are concerned
about factors that put them at risk for falls. Which factors are
most likely to contribute to an increase in falls in the elderly?
(Select all that apply.)
1. Inadequate lighting
2. Throw rugs
3. Multiple medications
4. Doorway thresholds
,5. Cords covered by carpets
6. Staircases with handrails Correct Answers 1, 2, 3, 4, 5
A critical care nurse is using a computerized decision support
system 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) completely?
1. Patient-centered care
2. Safety
3. Teamwork and Collaboration
4. Informatics Correct Answers 4. Informatics
A group of staff nurses notice an increased incidence of
medication errors on their unit. After further investigation it is
determined that the nurses are not consistently identifying the
patient correctly. A change is needed quickly. What type of
quality improvement method would be most appropriate?
1. PDSA
2. Six Sigma
3. Rapid-improvement event (RIE)
4. A randomized controlled trial Correct Answers 3. Rapid-
improvement event (RIE)
A health care provider ordered enalapril (Vasotec) 2 mg IV push
for a patient with hypertension. The pharmacy sent vials marked
1.25 mg enalapril/mL. How many mL does the nurse
administer? Correct Answers 1.6 mL
, A male patient has been laid off from his construction job and
has many unpaid bills. He is going through a divorce from his
marriage of 15 years and has been seeing his pastor to help him
through this difficult time. He does not have a primary health
care provider because he has never really been sick and his
parents never took him to a physician when he was a child.
Which external variables influence the patient's health practices?
(Select all that apply)
1. Difficulty paying his bills
2. Seeing his pastor as a means of support
3. Age of patient (46 years)
4. Stress from the divorce and the loss of a job
5. Family practice of not routinely seeing a health care provider
Correct Answers 1: difficulty paying his bills
5: family practice of not routinely seeing a health care provider
A nurse accidentally gives a patient the medications that were
ordered for the patient's roommate. What is the nurse's first
priority?
1. Complete an occurrence report.
2. Notify the health care provider.
3. Inform the charge nurse of the error.
4. Assess the patient for adverse effects. Correct Answers 4.
Assess the patient for adverse effects
A nurse admits a 72-year-old patient with a medical history of
hypertension, heart failure, renal failure, and depression to a
general medical patient care unit. The nurse reviews the patient's
medication orders and notes that the patient has three health care
Questions With Complete Solutions
6. A nurse is conducting a home visit with an older-adult couple.
While in the home the nurse weighs each individual and reviews
the 3-day food diary with them. She also checks their blood
pressure and encourages them to increase their fluids and
activity levels to help with their voiced concern about
constipation. The nurse is addressing which level of need
according to Maslow?
1. Physiological
2. Safety and Security
3. Love and Belonging
4. Self-Actualization Correct Answers 1. Physiological
A 72-year-old patient asks the nurse about using an over-the-
counter antihistamine as a sleeping pill to help her get to sleep.
What is the nurse's best response?
1. "Antihistamines are better than prescription medications
because these can cause a lot of problems."
2. "Antihistamines should not be used because they can cause
confusion and increase your risk of falls."
3. "Antihistamines are effective sleep aids because they do not
have many side effects."
4. "Over-the-counter medications when combined with sleep-
hygiene measures are a good plan for sleep." Correct Answers
2. "Antihistamines should not be used because they can cause
confusion and increase your risk of falls."
,A child is taking albuterol through a pressurized metered-dose
inhaler (pMDI) that contains a total of 64 puffs. The dose is 2
puffs every 6 hours. How many days will the pMDI last?
___________ days. Correct Answers 8
A community center is presenting a nurse-led program on the
Patient Protection and Affordable Care Act. Which statement
made by a participant indicates a need for further teaching?
1. "My small company will now have to offer the 75 employees
health insurance or pay a penalty"
2. "As long as my son is a full-time student in college, I will be
able to keep him on my health insurance until he is 26 years
old."
3. "I signed up for the state health insurance exchange before the
designated deadline to make sure I had health insurance."
4. "Since I have now been diagnosed with diabetes, my health
insurance plan cannot charge me higher premiums." Correct
Answers 2. "As long as my son is a full-time student in college,
I will be able to keep him on my health insurance until he is 26
years old."
A couple who is caring for their aging parents are concerned
about factors that put them at risk for falls. Which factors are
most likely to contribute to an increase in falls in the elderly?
(Select all that apply.)
1. Inadequate lighting
2. Throw rugs
3. Multiple medications
4. Doorway thresholds
,5. Cords covered by carpets
6. Staircases with handrails Correct Answers 1, 2, 3, 4, 5
A critical care nurse is using a computerized decision support
system 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) completely?
1. Patient-centered care
2. Safety
3. Teamwork and Collaboration
4. Informatics Correct Answers 4. Informatics
A group of staff nurses notice an increased incidence of
medication errors on their unit. After further investigation it is
determined that the nurses are not consistently identifying the
patient correctly. A change is needed quickly. What type of
quality improvement method would be most appropriate?
1. PDSA
2. Six Sigma
3. Rapid-improvement event (RIE)
4. A randomized controlled trial Correct Answers 3. Rapid-
improvement event (RIE)
A health care provider ordered enalapril (Vasotec) 2 mg IV push
for a patient with hypertension. The pharmacy sent vials marked
1.25 mg enalapril/mL. How many mL does the nurse
administer? Correct Answers 1.6 mL
, A male patient has been laid off from his construction job and
has many unpaid bills. He is going through a divorce from his
marriage of 15 years and has been seeing his pastor to help him
through this difficult time. He does not have a primary health
care provider because he has never really been sick and his
parents never took him to a physician when he was a child.
Which external variables influence the patient's health practices?
(Select all that apply)
1. Difficulty paying his bills
2. Seeing his pastor as a means of support
3. Age of patient (46 years)
4. Stress from the divorce and the loss of a job
5. Family practice of not routinely seeing a health care provider
Correct Answers 1: difficulty paying his bills
5: family practice of not routinely seeing a health care provider
A nurse accidentally gives a patient the medications that were
ordered for the patient's roommate. What is the nurse's first
priority?
1. Complete an occurrence report.
2. Notify the health care provider.
3. Inform the charge nurse of the error.
4. Assess the patient for adverse effects. Correct Answers 4.
Assess the patient for adverse effects
A nurse admits a 72-year-old patient with a medical history of
hypertension, heart failure, renal failure, and depression to a
general medical patient care unit. The nurse reviews the patient's
medication orders and notes that the patient has three health care
