FUNDAMENTALS OF NURSING (NUR1025) EXAM 1
QUESTIONS WITH ACCURATE ANSWERS
3. A nursing student is providing a hand-off report to the RN assuming the
patient's care. The nursing student explains, "I ambulated him twice during the
shift; he tolerated walking to end of hall and back each time with no shortness of
breath. Heart rate was 88 and regular after exercise. The patient said he slept
better last night after I closed his door and gave him a chance to have some
uninterrupted sleep. I changed the dressing over his intravenous (IV) site and
started a new bag of D51⁄2NS." Which intervention is a dependent intervention?
1. Providing hand-off report at change of shift
2. Enhancing the patient's sleep hygiene
3. Administering IV fluids
4. Taking vital signs correct answer 3
5. A nursing student is providing a hand-off report to a registered nurse (RN) who
is assuming the patient's care at the end of the clinical day. The student states,
"The patient had a good day. His intravenous (IV) fluid is infusing at 124 mL/hr
with D51⁄2NS infusing in left forearm. The IV site is intact, and no complaints of
tenderness. I ambulated him twice during the shift; he walked to the visitors
lounge and back with no shortness of breath, respirations 14, heart rate 88 after
returning to chair. He uses his walker without difficulty, gait normal. The patient
ate 3⁄4 of his dinner with no gastrointestinal complaints." Which expected
outcomes aimed at improving the patient's activity tolerance were discussed in
the hand-off? (Select all that apply.)
1. IV site not tender
,2. Ambulated twice during shift
3. Uses walker to walk
4. Walked to visitors lounge
5. No shortness of breath6. Tolerated dinner meal
7. Pa correct answer 4, 5, 8
6. Asking patient, "Tell me what you mean by not feeling well"
3. A nurse admits a 32-year-old patient for treatment of acute asthma. The
patient has labored breathing, a respiratory rate of 28 per minute, and lung
sounds with bilateral wheezing. The nurse makes the patient comfortable and
starts an ordered intravenous infusion to administer medication that will relax the
patient's airways. The patient tells the nurse after the first medication infusion, "I
feel as if I can breathe better." The nurse auscultates the patient's lungs and notes
decreased wheezing with a respiratory rate of 22 per minute. Which of the
following is an evaluative measure? (Select all that apply.)
1. Asking patient to breathe deeply during auscultation
2. Counting respirations per minute
3. Asking the patient to describe how his breathing feels
4. Starting the intravenous infusion
5. Auscultating lung sounds correct answer 2, 3, 5
6. Which of the following describe characteristics of an integrated health care
system? (Select all that apply.)
1. The focus is holistic.
2. Participating hospitals follow the same model of health care delivery.
,3. The system coordinates a continuum of services.
4. The focus of health care providers is finding a cure for patients.
5. Members of the health care team link electronically to use the EHR to share
the patient's health care record. correct answer 1. The focus is holistic.
8. In preparing to collect a nursing history for a patient admitted for elective
surgery, which of the following data are part of the review of present illness in the
nursing health history?
1. Current medications
2. Patient expectations of planned surgery
3. Review of patient's family support system
4. History of allergies
5. Patient's explanation for what might be the cause of symptoms that require
surgery correct answer 5
A community health nurse conducts a community assessment focused on
adolescent health behaviors. The nurse determines that a large number of
adolescents smoke. Designing a smoking-cessation program at the youth
community center is an example of which nursing role?
1. Epidemiologist
2. Counselor
3. Collaborator
4. Case manager correct answer 2. Counselor
, A community health nurse is working in a clinic with a focus on asthma and
allergies. What is the primary focus of the community health nurse in this clinic
setting? (Select all that apply.)
1. Decrease the incidence of asthma attacks in the community
2. Increase patients' ability to self-manage their asthma
3. Treat acute asthma in the hospital
4. Provide asthma education programs for the teachers in the local schools
5. Provide scheduled immunizations to people who come to the clinic correct
answer 1. Decrease the incidence of asthma attacks in the community
2. Increase patients' ability to self-manage their asthma
4. Provide asthma education programs for the teachers in the local schools
A critical care nurse is using a new research-based intervention to correctly
position patients who are on ventilators to reduce pneumonia caused by
accumulated respiratory secretions. This is an example of which QSEN
competency?
1. Patient-centered care
2. Evidence-based practice
3. Teamwork and collaboration
4. Quality improvement correct answer 2. Evidence-based practice
A home health nurse completes a home safety assessment. The data reveal that
the patient is 71 years old with bilateral cataracts that are causing blurred vision
and sensitivity to bright lights. The patient is recovering from a stroke that has
caused left-sided weakness of the leg, with an unsteady gait. When talking with
QUESTIONS WITH ACCURATE ANSWERS
3. A nursing student is providing a hand-off report to the RN assuming the
patient's care. The nursing student explains, "I ambulated him twice during the
shift; he tolerated walking to end of hall and back each time with no shortness of
breath. Heart rate was 88 and regular after exercise. The patient said he slept
better last night after I closed his door and gave him a chance to have some
uninterrupted sleep. I changed the dressing over his intravenous (IV) site and
started a new bag of D51⁄2NS." Which intervention is a dependent intervention?
1. Providing hand-off report at change of shift
2. Enhancing the patient's sleep hygiene
3. Administering IV fluids
4. Taking vital signs correct answer 3
5. A nursing student is providing a hand-off report to a registered nurse (RN) who
is assuming the patient's care at the end of the clinical day. The student states,
"The patient had a good day. His intravenous (IV) fluid is infusing at 124 mL/hr
with D51⁄2NS infusing in left forearm. The IV site is intact, and no complaints of
tenderness. I ambulated him twice during the shift; he walked to the visitors
lounge and back with no shortness of breath, respirations 14, heart rate 88 after
returning to chair. He uses his walker without difficulty, gait normal. The patient
ate 3⁄4 of his dinner with no gastrointestinal complaints." Which expected
outcomes aimed at improving the patient's activity tolerance were discussed in
the hand-off? (Select all that apply.)
1. IV site not tender
,2. Ambulated twice during shift
3. Uses walker to walk
4. Walked to visitors lounge
5. No shortness of breath6. Tolerated dinner meal
7. Pa correct answer 4, 5, 8
6. Asking patient, "Tell me what you mean by not feeling well"
3. A nurse admits a 32-year-old patient for treatment of acute asthma. The
patient has labored breathing, a respiratory rate of 28 per minute, and lung
sounds with bilateral wheezing. The nurse makes the patient comfortable and
starts an ordered intravenous infusion to administer medication that will relax the
patient's airways. The patient tells the nurse after the first medication infusion, "I
feel as if I can breathe better." The nurse auscultates the patient's lungs and notes
decreased wheezing with a respiratory rate of 22 per minute. Which of the
following is an evaluative measure? (Select all that apply.)
1. Asking patient to breathe deeply during auscultation
2. Counting respirations per minute
3. Asking the patient to describe how his breathing feels
4. Starting the intravenous infusion
5. Auscultating lung sounds correct answer 2, 3, 5
6. Which of the following describe characteristics of an integrated health care
system? (Select all that apply.)
1. The focus is holistic.
2. Participating hospitals follow the same model of health care delivery.
,3. The system coordinates a continuum of services.
4. The focus of health care providers is finding a cure for patients.
5. Members of the health care team link electronically to use the EHR to share
the patient's health care record. correct answer 1. The focus is holistic.
8. In preparing to collect a nursing history for a patient admitted for elective
surgery, which of the following data are part of the review of present illness in the
nursing health history?
1. Current medications
2. Patient expectations of planned surgery
3. Review of patient's family support system
4. History of allergies
5. Patient's explanation for what might be the cause of symptoms that require
surgery correct answer 5
A community health nurse conducts a community assessment focused on
adolescent health behaviors. The nurse determines that a large number of
adolescents smoke. Designing a smoking-cessation program at the youth
community center is an example of which nursing role?
1. Epidemiologist
2. Counselor
3. Collaborator
4. Case manager correct answer 2. Counselor
, A community health nurse is working in a clinic with a focus on asthma and
allergies. What is the primary focus of the community health nurse in this clinic
setting? (Select all that apply.)
1. Decrease the incidence of asthma attacks in the community
2. Increase patients' ability to self-manage their asthma
3. Treat acute asthma in the hospital
4. Provide asthma education programs for the teachers in the local schools
5. Provide scheduled immunizations to people who come to the clinic correct
answer 1. Decrease the incidence of asthma attacks in the community
2. Increase patients' ability to self-manage their asthma
4. Provide asthma education programs for the teachers in the local schools
A critical care nurse is using a new research-based intervention to correctly
position patients who are on ventilators to reduce pneumonia caused by
accumulated respiratory secretions. This is an example of which QSEN
competency?
1. Patient-centered care
2. Evidence-based practice
3. Teamwork and collaboration
4. Quality improvement correct answer 2. Evidence-based practice
A home health nurse completes a home safety assessment. The data reveal that
the patient is 71 years old with bilateral cataracts that are causing blurred vision
and sensitivity to bright lights. The patient is recovering from a stroke that has
caused left-sided weakness of the leg, with an unsteady gait. When talking with
