NUR1020c Final Exam Review 2026-2027:
Complete FSCJ Nursing Study Guide with
112 Practice Questions, Clinical Judgment
Models, and Answer Explanations –
Download the Ultimate Nursing
Fundamentals Exam Prep Resource
Description:
Pass your NUR1020c final with confidence! This comprehensive 2026-2027 FSCJ nursing
exam review covers patient safety, legal/ethical principles, clinical judgment, delegation,
perfusion, EKG interpretation, and 112 practice questions with detailed answer
explanations. Updated for current NCSBN standards.
Download the complete nursing fundamentals study guide today and master your final exam!
, NUR1020c Final Exam Review 2026-2027 | FSCJ Nursing Study
Guide
Instructions: Select the best answer for each of the following questions. Each question is
worth one point unless otherwise specified.
SECTION I: PATIENT SAFETY AND ERROR PREVENTION
1. A nurse administers a contraindicated medication to a patient, but the patient
experiences no adverse effects due to their unique physiology. This situation is best
described as which of the following?
A. Adverse event
B. Sentinel event
C. Near miss
D. Negligence
Answer: C
Explanation: A near miss occurs when an error of commission or omission could have
harmed the patient, but serious harm did not occur due to chance, prevention, or mitigation.
In this scenario, the error occurred (contraindicated drug administered), but harm was
avoided because of the patient's physiological response (chance), making this a near miss
rather than an adverse event.
2. The Quality and Safety Education for Nurses (QSEN) initiative was established to
address which primary objective?
A. Regulating nursing licensure requirements across states
B. Establishing safety standards that nurses follow when delivering patient care
C. Determining reimbursement rates for nursing services
D. Creating standardized nursing curricula for all educational programs
Answer: B
Explanation: QSEN (Quality and Safety Education for Nurses), funded by the Robert Wood
Johnson Foundation, provides a framework for nursing competencies focused on quality and
safety. Its primary purpose is to establish safety standards that guide nurses in delivering safe,
high-quality patient care.
,3. A patient experiences a severe transfusion reaction resulting in permanent kidney
damage. This unexpected occurrence requires immediate investigation and response.
How should this event be classified?
A. Near miss
B. Adverse event
C. Sentinel event
D. Malpractice incident
Answer: C
Explanation: A sentinel event is an unexpected occurrence involving death or serious
physical or psychological injury, including loss of limb or function. Such events signal the
need for immediate investigation and response from the healthcare organization.
4. A nurse fails to implement fall precautions for an elderly patient, and the patient
subsequently falls and fractures a hip. This situation represents which type of event?
A. Sentinel event
B. Near miss
C. Good catch
D. Adverse event
Answer: D
Explanation: An adverse event results in unintended harm to the patient by an act of
commission or omission, rather than by the underlying disease or condition. The nurse's
omission (failure to implement precautions) led to actual patient harm (fracture), classifying
this as an adverse event.
5. The Joint Commission's National Patient Safety Goals (NPSG) are best described as
which of the following?
A. Recommendations that facilities may choose to implement voluntarily
B. Performance standards addressing elements of patient safety operations
C. Federal regulations that mandate specific nursing interventions
D. Guidelines for healthcare facility construction and design
Answer: B
, Explanation: NPSG are performance standards developed by The Joint Commission that are
reevaluated annually. They address specific elements of operations related to patient safety
and are required for accreditation.
6. A nurse discovers a small fire in a patient's room. According to the R.A.C.E.
acronym, which action should the nurse take first?
A. Activate the fire alarm
B. Confine the fire by closing doors
C. Rescue all patients in immediate danger
D. Extinguish the fire using the appropriate extinguisher
Answer: C
Explanation: The R.A.C.E. acronym establishes priority actions during a fire: Rescue
patients in immediate danger first, then Activate the alarm, Contain the fire, and finally
Extinguish if possible after all patients are evacuated.
7. When using a fire extinguisher, a nurse should remember the P.A.S.S. acronym. What
does the first "S" represent?
A. Sweep at the base of the fire
B. Squeeze the handle
C. Spray the extinguishing agent
D. Secure the area
Answer: B
Explanation: P.A.S.S. stands for Pull the pin, Aim the nozzle, Squeeze the handle, and
Sweep at the base of the fire. The first "S" instructs the user to squeeze the handle to
discharge the extinguishing agent.
SECTION II: DEVELOPMENTAL RISKS ACROSS THE LIFESPAN
8. Which safety risk is most prevalent in the toddler population?
A. Motor vehicle accidents
B. Suffocation
C. Choking and poisoning
D. Falls and medication errors
Complete FSCJ Nursing Study Guide with
112 Practice Questions, Clinical Judgment
Models, and Answer Explanations –
Download the Ultimate Nursing
Fundamentals Exam Prep Resource
Description:
Pass your NUR1020c final with confidence! This comprehensive 2026-2027 FSCJ nursing
exam review covers patient safety, legal/ethical principles, clinical judgment, delegation,
perfusion, EKG interpretation, and 112 practice questions with detailed answer
explanations. Updated for current NCSBN standards.
Download the complete nursing fundamentals study guide today and master your final exam!
, NUR1020c Final Exam Review 2026-2027 | FSCJ Nursing Study
Guide
Instructions: Select the best answer for each of the following questions. Each question is
worth one point unless otherwise specified.
SECTION I: PATIENT SAFETY AND ERROR PREVENTION
1. A nurse administers a contraindicated medication to a patient, but the patient
experiences no adverse effects due to their unique physiology. This situation is best
described as which of the following?
A. Adverse event
B. Sentinel event
C. Near miss
D. Negligence
Answer: C
Explanation: A near miss occurs when an error of commission or omission could have
harmed the patient, but serious harm did not occur due to chance, prevention, or mitigation.
In this scenario, the error occurred (contraindicated drug administered), but harm was
avoided because of the patient's physiological response (chance), making this a near miss
rather than an adverse event.
2. The Quality and Safety Education for Nurses (QSEN) initiative was established to
address which primary objective?
A. Regulating nursing licensure requirements across states
B. Establishing safety standards that nurses follow when delivering patient care
C. Determining reimbursement rates for nursing services
D. Creating standardized nursing curricula for all educational programs
Answer: B
Explanation: QSEN (Quality and Safety Education for Nurses), funded by the Robert Wood
Johnson Foundation, provides a framework for nursing competencies focused on quality and
safety. Its primary purpose is to establish safety standards that guide nurses in delivering safe,
high-quality patient care.
,3. A patient experiences a severe transfusion reaction resulting in permanent kidney
damage. This unexpected occurrence requires immediate investigation and response.
How should this event be classified?
A. Near miss
B. Adverse event
C. Sentinel event
D. Malpractice incident
Answer: C
Explanation: A sentinel event is an unexpected occurrence involving death or serious
physical or psychological injury, including loss of limb or function. Such events signal the
need for immediate investigation and response from the healthcare organization.
4. A nurse fails to implement fall precautions for an elderly patient, and the patient
subsequently falls and fractures a hip. This situation represents which type of event?
A. Sentinel event
B. Near miss
C. Good catch
D. Adverse event
Answer: D
Explanation: An adverse event results in unintended harm to the patient by an act of
commission or omission, rather than by the underlying disease or condition. The nurse's
omission (failure to implement precautions) led to actual patient harm (fracture), classifying
this as an adverse event.
5. The Joint Commission's National Patient Safety Goals (NPSG) are best described as
which of the following?
A. Recommendations that facilities may choose to implement voluntarily
B. Performance standards addressing elements of patient safety operations
C. Federal regulations that mandate specific nursing interventions
D. Guidelines for healthcare facility construction and design
Answer: B
, Explanation: NPSG are performance standards developed by The Joint Commission that are
reevaluated annually. They address specific elements of operations related to patient safety
and are required for accreditation.
6. A nurse discovers a small fire in a patient's room. According to the R.A.C.E.
acronym, which action should the nurse take first?
A. Activate the fire alarm
B. Confine the fire by closing doors
C. Rescue all patients in immediate danger
D. Extinguish the fire using the appropriate extinguisher
Answer: C
Explanation: The R.A.C.E. acronym establishes priority actions during a fire: Rescue
patients in immediate danger first, then Activate the alarm, Contain the fire, and finally
Extinguish if possible after all patients are evacuated.
7. When using a fire extinguisher, a nurse should remember the P.A.S.S. acronym. What
does the first "S" represent?
A. Sweep at the base of the fire
B. Squeeze the handle
C. Spray the extinguishing agent
D. Secure the area
Answer: B
Explanation: P.A.S.S. stands for Pull the pin, Aim the nozzle, Squeeze the handle, and
Sweep at the base of the fire. The first "S" instructs the user to squeeze the handle to
discharge the extinguishing agent.
SECTION II: DEVELOPMENTAL RISKS ACROSS THE LIFESPAN
8. Which safety risk is most prevalent in the toddler population?
A. Motor vehicle accidents
B. Suffocation
C. Choking and poisoning
D. Falls and medication errors
