College of Nursing
MAXE LANIF
★ ★
N Department of Health Sciences
SCIENTIA · CURA · COMPASSIO
EST. 1908
Nursing Fundamentals — Final Examination
CO M P R E H E N S I V E C N A / N A P F I N A L : S A F E TY · I N F E C T I O N CO N T R O L · V I TA L S I G N S · E L I M I N AT I O N ·
LEGAL
INSTITUTION College of Nursing COURSE CODE NURS 1101
PROGRAM Nursing Assistant / BSN Foundations ACADEMIC YEAR
EXAM TITLE Nursing Fundamentals Final Exam TOTAL QUESTIONS 160+ Questions
COURSE TITLE Nursing Fundamentals FORMAT Multiple Choice & True/False
EXAMINATION INSTRUCTIONS
▸ This comprehensive final exam covers nursing assistant scope of practice, safety, infection control, vital signs, elimination,
nutrition, end-of-life care, and legal/ethical issues.
▸ Select the single best answer unless otherwise indicated. True/False items are marked accordingly.
▸ Correct answers and clinical rationales appear below each question.
SECTION I — SCOPE OF PRACTICE, LEGAL/ETHICAL, COMMUNICATION Questions 1 –
& SAFETY 50
1. Where should you discuss a resident's new bedsore with the nurse?
a. In the patient's room
b. In the hallway with the family
c. In private
d. At the local bar
CORRECT ANSWER c — In private
RATIONALE Patient information must be discussed confidentially, away from others who do not have a need to know.
HIPAA requires protecting patient privacy.
2. To prevent shampoo from getting into a resident's eyes, you should:
a. Use a hand-held nozzle
b. Use dry shampoo
c. Rinse the hair thoroughly
d. Use a washcloth to cover the eyes
CORRECT ANSWER d — Use a washcloth to cover the eyes
RATIONALE A folded washcloth over the eyes protects them from shampoo and water during hair washing.
,3. Bath water temperature should be at what temperature?
a. 110–115°F
b. 110–120°F
c. 105°F
d. 105–109°F
CORRECT ANSWER a — 110–115°F
RATIONALE Bath water should be 110–115°F to prevent burns and provide comfort. Water above 120°F can cause burns
within minutes.
4. The word "acute" when used to define illness means:
a. An illness with no reasonable expectation of recovery
b. An ongoing illness with no cure
c. A sudden onset to an illness
d. An illness that is gradual
CORRECT ANSWER c — A sudden onset to an illness
RATIONALE Acute illness has a rapid onset and relatively short duration. Chronic illness develops gradually and persists
over a long period.
5. In your role as a nursing assistant, you are able to:
a. Take verbal orders over the phone from doctors
b. Give medications
c. Insert a Foley catheter
d. Report changes in the resident's condition to the nurse
CORRECT ANSWER d — Report changes in the resident's condition to the nurse
RATIONALE Nursing assistants work under nurse supervision. They cannot take orders, administer medications, or
perform invasive procedures. Reporting observations is a core responsibility.
6. An assisted living facility provides all of the following EXCEPT:
a. Housing
b. Personal care
c. Social activities
d. 24-hour skilled nursing care
CORRECT ANSWER d — 24-hour skilled nursing care
RATIONALE Assisted living provides housing, personal care, and activities but does NOT provide 24-hour skilled nursing
care. That level of care is provided in skilled nursing facilities (nursing homes).
, 7. Persons who provide basic nursing care under RN/LPN supervision are:
a. Licensed practical nurses
b. Case managers
c. Assistive personnel
d. The "health care team"
CORRECT ANSWER c — Assistive personnel (CNA/NAP)
RATIONALE Certified Nursing Assistants (CNAs) or Nursing Assistive Personnel (NAP) provide basic care under licensed
nurse supervision.
8. A federal insurance plan for older persons and some younger persons with disabilities is:
a. Medicaid
b. Medicare
c. Blue Cross/Blue Shield
d. Coventry
CORRECT ANSWER b — Medicare
RATIONALE Medicare is a federal program for adults ≥65 and certain younger people with disabilities. Medicaid is state-
administered for low-income individuals.
9. Which nursing care pattern focuses on tasks and jobs?
a. Functional nursing
b. Team nursing
c. Primary nursing
d. Care management
CORRECT ANSWER a — Functional nursing
RATIONALE Functional nursing divides care into tasks (one person takes vitals, another gives baths). Team nursing uses
a team led by an RN. Primary nursing assigns one RN per patient.
10. You promote quality of life by:
a. Delegating tasks to your coworkers
b. Bringing the resident chocolate and Starbucks
c. Doing everything for the patient
d. Speaking to individuals in a respectful manner
CORRECT ANSWER d — Speaking to individuals in a respectful manner
RATIONALE Respectful communication preserves dignity and promotes quality of life. Doing everything for the patient
undermines independence.
MAXE LANIF
★ ★
N Department of Health Sciences
SCIENTIA · CURA · COMPASSIO
EST. 1908
Nursing Fundamentals — Final Examination
CO M P R E H E N S I V E C N A / N A P F I N A L : S A F E TY · I N F E C T I O N CO N T R O L · V I TA L S I G N S · E L I M I N AT I O N ·
LEGAL
INSTITUTION College of Nursing COURSE CODE NURS 1101
PROGRAM Nursing Assistant / BSN Foundations ACADEMIC YEAR
EXAM TITLE Nursing Fundamentals Final Exam TOTAL QUESTIONS 160+ Questions
COURSE TITLE Nursing Fundamentals FORMAT Multiple Choice & True/False
EXAMINATION INSTRUCTIONS
▸ This comprehensive final exam covers nursing assistant scope of practice, safety, infection control, vital signs, elimination,
nutrition, end-of-life care, and legal/ethical issues.
▸ Select the single best answer unless otherwise indicated. True/False items are marked accordingly.
▸ Correct answers and clinical rationales appear below each question.
SECTION I — SCOPE OF PRACTICE, LEGAL/ETHICAL, COMMUNICATION Questions 1 –
& SAFETY 50
1. Where should you discuss a resident's new bedsore with the nurse?
a. In the patient's room
b. In the hallway with the family
c. In private
d. At the local bar
CORRECT ANSWER c — In private
RATIONALE Patient information must be discussed confidentially, away from others who do not have a need to know.
HIPAA requires protecting patient privacy.
2. To prevent shampoo from getting into a resident's eyes, you should:
a. Use a hand-held nozzle
b. Use dry shampoo
c. Rinse the hair thoroughly
d. Use a washcloth to cover the eyes
CORRECT ANSWER d — Use a washcloth to cover the eyes
RATIONALE A folded washcloth over the eyes protects them from shampoo and water during hair washing.
,3. Bath water temperature should be at what temperature?
a. 110–115°F
b. 110–120°F
c. 105°F
d. 105–109°F
CORRECT ANSWER a — 110–115°F
RATIONALE Bath water should be 110–115°F to prevent burns and provide comfort. Water above 120°F can cause burns
within minutes.
4. The word "acute" when used to define illness means:
a. An illness with no reasonable expectation of recovery
b. An ongoing illness with no cure
c. A sudden onset to an illness
d. An illness that is gradual
CORRECT ANSWER c — A sudden onset to an illness
RATIONALE Acute illness has a rapid onset and relatively short duration. Chronic illness develops gradually and persists
over a long period.
5. In your role as a nursing assistant, you are able to:
a. Take verbal orders over the phone from doctors
b. Give medications
c. Insert a Foley catheter
d. Report changes in the resident's condition to the nurse
CORRECT ANSWER d — Report changes in the resident's condition to the nurse
RATIONALE Nursing assistants work under nurse supervision. They cannot take orders, administer medications, or
perform invasive procedures. Reporting observations is a core responsibility.
6. An assisted living facility provides all of the following EXCEPT:
a. Housing
b. Personal care
c. Social activities
d. 24-hour skilled nursing care
CORRECT ANSWER d — 24-hour skilled nursing care
RATIONALE Assisted living provides housing, personal care, and activities but does NOT provide 24-hour skilled nursing
care. That level of care is provided in skilled nursing facilities (nursing homes).
, 7. Persons who provide basic nursing care under RN/LPN supervision are:
a. Licensed practical nurses
b. Case managers
c. Assistive personnel
d. The "health care team"
CORRECT ANSWER c — Assistive personnel (CNA/NAP)
RATIONALE Certified Nursing Assistants (CNAs) or Nursing Assistive Personnel (NAP) provide basic care under licensed
nurse supervision.
8. A federal insurance plan for older persons and some younger persons with disabilities is:
a. Medicaid
b. Medicare
c. Blue Cross/Blue Shield
d. Coventry
CORRECT ANSWER b — Medicare
RATIONALE Medicare is a federal program for adults ≥65 and certain younger people with disabilities. Medicaid is state-
administered for low-income individuals.
9. Which nursing care pattern focuses on tasks and jobs?
a. Functional nursing
b. Team nursing
c. Primary nursing
d. Care management
CORRECT ANSWER a — Functional nursing
RATIONALE Functional nursing divides care into tasks (one person takes vitals, another gives baths). Team nursing uses
a team led by an RN. Primary nursing assigns one RN per patient.
10. You promote quality of life by:
a. Delegating tasks to your coworkers
b. Bringing the resident chocolate and Starbucks
c. Doing everything for the patient
d. Speaking to individuals in a respectful manner
CORRECT ANSWER d — Speaking to individuals in a respectful manner
RATIONALE Respectful communication preserves dignity and promotes quality of life. Doing everything for the patient
undermines independence.
