Nursing Fundamental Final Exam
Questions With Complete Solutions
/. A nurse is caring for a patient in the ICU who is being monitored for a possible
cerebral aneurysm following a lost of consciousness in the emergency room. The nurse
anticipates preparing the pt for ordered diagnostic tests. This nurse's knowledge of the
diagnostic procedures for this condition reflects which aspect of nursing?
A. The art of nursing
B. The science of nursing
C. The caring aspect of nursing
D. The holistic approach to nursing - Answer-✅B. The science of nursing
/.A nurse is formulating a clinical question in PICO format. What does the letterP
represent?
A. Comparison to another similar treatment
B. Clearly defined, focused literature review
C. Specific identification of the desired outcome
D. Explicit descriptions of the population of interest - Answer-✅D. Explicit descriptions of
the population of interest
/.Insulin - Answer-✅Removes excess glucose from the blood and stores it as glycogen
in the liver.
/.Which nurse who was influential in the development of nursing in North America is
regarded as the founder of American nursing?
A. Clara Barton
B. Lillian Wald
C. Lavina Dock
D. Florence Nightingale - Answer-✅D. Florence Nightingale
/.The student nurse learns that illnesses are classified as either acute or chronic. Which
are examples of chronic illnesses? Select all that apply.
A. Diabetes mellitus
B. Bronchial pneumonia
C. Rheumatoid arthritis
D. Cystic fibrosis
E. Fractured hip
F. Otitis media - Answer-✅A, C, & D
,/.World War II had a tremendous effect on the nursing profession. Which development
occurred during this period?
A. The role of the nurse was broadened
B. There was a decreased emphasis on education
C. Nursing was practiced mainly in hospital settings
D. There was an overabundance of nurses - Answer-✅A. The role of the nurse was
broadened
/.One of the 4 broad aims of nursing practice is to restore health. Which examples of
nursing interventions reflect this goal? Select all that apply.
A. A nurse counsels adolescents in a drug rehabilitation program
B. A nurse performed ROM exercises for a pt on bedrest
C. A nurse shows a diabetic pt how to inject insulin
D. A nurse recommends a yoga class for a busy executive
E. A nurse provides hospice care for a pt with end-stage cancer
F. A nurse teaches a nutrition class at a local high school - Answer-✅A, B, and C
/.Postpartum Urinary System Adaptations - Answer-✅-GFR and renal flow rate
increases
-Loss of voiding sensation
-Postpartum diuresis
/.When the newborn cheek is touched, the cheek turns toward the stimulus - Answer-
✅Rooting
/.Overweight BMI - Answer-✅>25 mg/dL
/.How many patient identifiers is required, and what are they? - Answer-✅2
Name and date of birth
/.Pain and anxiety can alter these vital signs - Answer-✅HR, RR, and BP
/.1. A nurse assesses patients in a physician's office who are experiencing different
levels of health and illness. Which statements best define the concepts of health and
illness? Select all that apply.
A. Health and illness are the same for all people.
B. Health and illness are individually defined by each person.
C. People with acute illnesses are actually healthy.
D. People with chronic illnesses have poor health beliefs.
E. Health is more than the absence of illness.
F. Illness is the response of a person to a disease. - Answer-✅B, E, & F
,/.Method of communication between health care providers about patients (the handoff) -
Answer-✅SBAR
/.When the newborn's head is turned to one side, the arm on that side is extended out -
Answer-✅Tonic neck
/.True or false: Diarrhea is a common concern postpartum - Answer-✅False.
Constipation is a common concern if iron is administered
/.This is the angle for a subcutaneous injection - Answer-✅45 degrees
/.A nurse has volunteered to give influenza immunizations at a local clinic. What level of
care is the nurse demonstrating?
A. Tertiary
B. Secondary
C. Primary
D. Promotive - Answer-✅C. Primary
/.The outer most layer of the skin - Answer-✅Epidermis
/.First step in the abdominal assessment - Answer-✅Inspection
/.Obesity BMI - Answer-✅>30 mg/dL
/.When the bottom of the foot is stroked upwards, the newborn's toes flare out - Answer-
✅Babinski
/.Health promotion activities may occur on a primary, secondary, or tertiary level. Which
activities are considered tertiary health promotion? Select all that apply.
A. A nurse runs an immunization clinic in the inner city.
B. A nurse teaches a patient with an amputation how to care for the residual limb.
C. A nurse provides range-of-motion exercises for a paralyzed patient.
D. A nurse teaches parents of toddlers how to childproof their homes.
E. A school nurse provides screening for scoliosis for the students.
F. A nurse teaches new parents how to choose and use an infant car seat. - Answer-✅B
&C
/.When does menstruation return after birth for non lactating women? - Answer-✅7-9
weeks
/.Nursing students should not drink this when stressed - Answer-✅Alcohol
, /.A nurse administers a dose of an oral medication for hypertension to a patient who
immediately vomits after swallowing the pill. What would be the appropriate initial action
of the nurse in this situation?
A. Readminister the medication and notify the primary care provider.
B. Readminister the pill in a liquid form if possible.
C. Assess the vomit, looking for the pill.
D. Notify the primary care provider. - Answer-✅C. If a patient vomits immediately after
swallowing an oral pill, the nurse should assess the vomit for the pill or fragments of it.
The nurse should then notify the primary care provider to see if another dosage should
be administered.
/.Identify goals of Healthy People 2020 related to diabetes - Answer-✅-Reduce the
disease and economic burden of diabetes mellitus and improve the quality of life for at
risk persons
-Reduce disease risk through healthful diets and achievements and management of
healthy body weights
/.True or False: RhoGAM is given to the mom when the mother is positive and baby is
negative - Answer-✅False. Mother must be negative and baby must be positive
/.Chloride normal values - Answer-✅97-107 mEq/L
/.Degree of stretch of the ventrical at the end of diastole - Answer-✅Preload
/.True or False:Baby blues are a serious postpartum problem that requires treatment -
Answer-✅False. These are mild depressive symptoms, anxiety, irritability, mood swings,
tearfulness, increased sensitivity, and fatigue.
Usually peaks at 4-5 days and resolves by day 10
/.A nurse is interviewing a newly admitted patient. Which question would be considered
culturally sensitive?
A. "Do you think you will be able to eat the food we have here?"
B. "Do you understand that we can't prepare special meals?"
C. "What types of food do you eat for meals?"
D. "Why can't you just eat our food while you are here?" - Answer-✅C
/.Which acid-base imbalance would the nurse suspect after assessing the following
arterial blood gas values: pH, 7.30; PaCO2, 36 mm Hg; HCO3−, 14 mEq/L?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Metabolic alkalosis - Answer-✅C
Questions With Complete Solutions
/. A nurse is caring for a patient in the ICU who is being monitored for a possible
cerebral aneurysm following a lost of consciousness in the emergency room. The nurse
anticipates preparing the pt for ordered diagnostic tests. This nurse's knowledge of the
diagnostic procedures for this condition reflects which aspect of nursing?
A. The art of nursing
B. The science of nursing
C. The caring aspect of nursing
D. The holistic approach to nursing - Answer-✅B. The science of nursing
/.A nurse is formulating a clinical question in PICO format. What does the letterP
represent?
A. Comparison to another similar treatment
B. Clearly defined, focused literature review
C. Specific identification of the desired outcome
D. Explicit descriptions of the population of interest - Answer-✅D. Explicit descriptions of
the population of interest
/.Insulin - Answer-✅Removes excess glucose from the blood and stores it as glycogen
in the liver.
/.Which nurse who was influential in the development of nursing in North America is
regarded as the founder of American nursing?
A. Clara Barton
B. Lillian Wald
C. Lavina Dock
D. Florence Nightingale - Answer-✅D. Florence Nightingale
/.The student nurse learns that illnesses are classified as either acute or chronic. Which
are examples of chronic illnesses? Select all that apply.
A. Diabetes mellitus
B. Bronchial pneumonia
C. Rheumatoid arthritis
D. Cystic fibrosis
E. Fractured hip
F. Otitis media - Answer-✅A, C, & D
,/.World War II had a tremendous effect on the nursing profession. Which development
occurred during this period?
A. The role of the nurse was broadened
B. There was a decreased emphasis on education
C. Nursing was practiced mainly in hospital settings
D. There was an overabundance of nurses - Answer-✅A. The role of the nurse was
broadened
/.One of the 4 broad aims of nursing practice is to restore health. Which examples of
nursing interventions reflect this goal? Select all that apply.
A. A nurse counsels adolescents in a drug rehabilitation program
B. A nurse performed ROM exercises for a pt on bedrest
C. A nurse shows a diabetic pt how to inject insulin
D. A nurse recommends a yoga class for a busy executive
E. A nurse provides hospice care for a pt with end-stage cancer
F. A nurse teaches a nutrition class at a local high school - Answer-✅A, B, and C
/.Postpartum Urinary System Adaptations - Answer-✅-GFR and renal flow rate
increases
-Loss of voiding sensation
-Postpartum diuresis
/.When the newborn cheek is touched, the cheek turns toward the stimulus - Answer-
✅Rooting
/.Overweight BMI - Answer-✅>25 mg/dL
/.How many patient identifiers is required, and what are they? - Answer-✅2
Name and date of birth
/.Pain and anxiety can alter these vital signs - Answer-✅HR, RR, and BP
/.1. A nurse assesses patients in a physician's office who are experiencing different
levels of health and illness. Which statements best define the concepts of health and
illness? Select all that apply.
A. Health and illness are the same for all people.
B. Health and illness are individually defined by each person.
C. People with acute illnesses are actually healthy.
D. People with chronic illnesses have poor health beliefs.
E. Health is more than the absence of illness.
F. Illness is the response of a person to a disease. - Answer-✅B, E, & F
,/.Method of communication between health care providers about patients (the handoff) -
Answer-✅SBAR
/.When the newborn's head is turned to one side, the arm on that side is extended out -
Answer-✅Tonic neck
/.True or false: Diarrhea is a common concern postpartum - Answer-✅False.
Constipation is a common concern if iron is administered
/.This is the angle for a subcutaneous injection - Answer-✅45 degrees
/.A nurse has volunteered to give influenza immunizations at a local clinic. What level of
care is the nurse demonstrating?
A. Tertiary
B. Secondary
C. Primary
D. Promotive - Answer-✅C. Primary
/.The outer most layer of the skin - Answer-✅Epidermis
/.First step in the abdominal assessment - Answer-✅Inspection
/.Obesity BMI - Answer-✅>30 mg/dL
/.When the bottom of the foot is stroked upwards, the newborn's toes flare out - Answer-
✅Babinski
/.Health promotion activities may occur on a primary, secondary, or tertiary level. Which
activities are considered tertiary health promotion? Select all that apply.
A. A nurse runs an immunization clinic in the inner city.
B. A nurse teaches a patient with an amputation how to care for the residual limb.
C. A nurse provides range-of-motion exercises for a paralyzed patient.
D. A nurse teaches parents of toddlers how to childproof their homes.
E. A school nurse provides screening for scoliosis for the students.
F. A nurse teaches new parents how to choose and use an infant car seat. - Answer-✅B
&C
/.When does menstruation return after birth for non lactating women? - Answer-✅7-9
weeks
/.Nursing students should not drink this when stressed - Answer-✅Alcohol
, /.A nurse administers a dose of an oral medication for hypertension to a patient who
immediately vomits after swallowing the pill. What would be the appropriate initial action
of the nurse in this situation?
A. Readminister the medication and notify the primary care provider.
B. Readminister the pill in a liquid form if possible.
C. Assess the vomit, looking for the pill.
D. Notify the primary care provider. - Answer-✅C. If a patient vomits immediately after
swallowing an oral pill, the nurse should assess the vomit for the pill or fragments of it.
The nurse should then notify the primary care provider to see if another dosage should
be administered.
/.Identify goals of Healthy People 2020 related to diabetes - Answer-✅-Reduce the
disease and economic burden of diabetes mellitus and improve the quality of life for at
risk persons
-Reduce disease risk through healthful diets and achievements and management of
healthy body weights
/.True or False: RhoGAM is given to the mom when the mother is positive and baby is
negative - Answer-✅False. Mother must be negative and baby must be positive
/.Chloride normal values - Answer-✅97-107 mEq/L
/.Degree of stretch of the ventrical at the end of diastole - Answer-✅Preload
/.True or False:Baby blues are a serious postpartum problem that requires treatment -
Answer-✅False. These are mild depressive symptoms, anxiety, irritability, mood swings,
tearfulness, increased sensitivity, and fatigue.
Usually peaks at 4-5 days and resolves by day 10
/.A nurse is interviewing a newly admitted patient. Which question would be considered
culturally sensitive?
A. "Do you think you will be able to eat the food we have here?"
B. "Do you understand that we can't prepare special meals?"
C. "What types of food do you eat for meals?"
D. "Why can't you just eat our food while you are here?" - Answer-✅C
/.Which acid-base imbalance would the nurse suspect after assessing the following
arterial blood gas values: pH, 7.30; PaCO2, 36 mm Hg; HCO3−, 14 mEq/L?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Metabolic alkalosis - Answer-✅C
