Nursing Fundamentals
3 MAXE
NF Foundations of Professional Nursing Practice
CARING · COMPETENCE · COMPASSION
FUNDAMENTALS
Nursing Fundamentals — Exam 3
C A R I N G T H E O R Y, C R A N I A L N E R V E S , PA I N , G R I E F, CO M M U N I C AT I O N & S E L F - CO N C E PT
INSTITUTION Nursing Fundamentals Program COURSE CODE NURS 101 — Fundamentals
PROGRAM Associate / Bachelor of Science in Nursing ACADEMIC YEAR
EXAM TITLE Exam 3 — Fundamentals of Nursing TOTAL QUESTIONS 33 Questions (Complete)
COURSE TITLE Fundamentals of Nursing FORMAT Multiple Choice — Select the Single Best
Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question.
▸ All 33 questions from the provided study material are included with correct answers and clinical rationales.
CARING, NEURO, PAIN, GRIEF, COMMUNICATION & TEACHING Questions 1 – 33
1. A nurse is actively listening to a client who has concerns about a new diagnosis. Which of the following categories
of Swanson's Theory of Caring is the nurse demonstrating?
A. Knowing.
B. Being with.
C. Doing for.
D. Enabling.
CORRECT ANSWER B — "Being with" involves emotional presence and active listening. Swanson's five categories:
Knowing, Being with, Doing for, Enabling, Maintaining belief.
RATIONALE Active listening demonstrates the nurse's presence and emotional availability — core components of "being
with" the patient during vulnerable moments.
2. A nurse is preparing to perform a cranial nerve examination on a client. Which of the following actions should the
nurse take to check cranial nerve XII?
A. Have the client identify different smells.
B. Ask the client to stick out their tongue and observe if it is midline.
C. Observe for facial symmetry when smiling.
D. Observe for ability to turn the head from side to side.
CORRECT ANSWER B — CN XII = Hypoglossal nerve (efferent nerve for the tongue). Assess tongue protrusion for midline
position and deviations.
RATIONALE CN I = olfactory (smell). CN VII = facial (symmetry). CN XI = accessory (head turning/shrugging). Tongue
deviation points toward the side of the lesion.
, 3. A nurse is caring for a client who reports a decrease in central vision. The nurse should identify that this is a
manifestation of which of the following visual impairments?
A. Cataracts.
B. Glaucoma.
C. Macular degeneration.
D. Retinal detachment.
CORRECT ANSWER C — Macular degeneration = loss of central vision caused by degeneration of the macula (small central
portion of the retina).
RATIONALE Cataracts = cloudy lens. Glaucoma = peripheral vision loss (increased IOP). Retinal detachment = curtain-like
vision loss, floaters, flashes.
4. A nurse is teaching a client about tactile testing. Which of the following client statements indicates an
understanding of the teaching?
A. "I will be asked to read letters from a chart."
B. "I will be asked to identify sensations such as sharp, dull, soft, warm."
C. "I will be asked to walk in a straight line."
D. "I will be asked to listen to different tones."
CORRECT ANSWER B — Tactile testing assesses the sense of touch and ability to discriminate between different
sensations (sharp/dull, soft/hard, warm/cold).
RATIONALE Tactile discrimination tests the sensory function of peripheral nerves and the sensory cortex.
5. A nurse is teaching a client about diagnostic vision tests. The nurse should include that which of the following tests
is performed to diagnose macular degeneration?
A. Snellen chart.
B. Amsler grid.
C. Ishihara test.
D. Tonometry.
CORRECT ANSWER B — The Amsler grid uses a grid pattern to check for impaired central vision (distortions, wavy lines,
blank spots) — classic for macular degeneration.
RATIONALE Snellen = visual acuity. Ishihara = color vision. Tonometry = intraocular pressure (glaucoma screening).
6. A nurse is teaching a client about an electromyography (EMG) test. Which of the following statements should the
nurse make?
A. "You will need to fast for 12 hours before the test."
B. "Small needles will be inserted into your muscles."
C. "Contrast dye will be injected into your vein."
D. "You will lie still in a large magnet."
CORRECT ANSWER B — EMG uses small needle electrodes inserted into muscles to measure electrical activity and
diagnose neuromuscular disorders.
RATIONALE EMG evaluates muscle and nerve function. May cause mild discomfort. No fasting or contrast dye required.
MRI uses a large magnet.
3 MAXE
NF Foundations of Professional Nursing Practice
CARING · COMPETENCE · COMPASSION
FUNDAMENTALS
Nursing Fundamentals — Exam 3
C A R I N G T H E O R Y, C R A N I A L N E R V E S , PA I N , G R I E F, CO M M U N I C AT I O N & S E L F - CO N C E PT
INSTITUTION Nursing Fundamentals Program COURSE CODE NURS 101 — Fundamentals
PROGRAM Associate / Bachelor of Science in Nursing ACADEMIC YEAR
EXAM TITLE Exam 3 — Fundamentals of Nursing TOTAL QUESTIONS 33 Questions (Complete)
COURSE TITLE Fundamentals of Nursing FORMAT Multiple Choice — Select the Single Best
Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question.
▸ All 33 questions from the provided study material are included with correct answers and clinical rationales.
CARING, NEURO, PAIN, GRIEF, COMMUNICATION & TEACHING Questions 1 – 33
1. A nurse is actively listening to a client who has concerns about a new diagnosis. Which of the following categories
of Swanson's Theory of Caring is the nurse demonstrating?
A. Knowing.
B. Being with.
C. Doing for.
D. Enabling.
CORRECT ANSWER B — "Being with" involves emotional presence and active listening. Swanson's five categories:
Knowing, Being with, Doing for, Enabling, Maintaining belief.
RATIONALE Active listening demonstrates the nurse's presence and emotional availability — core components of "being
with" the patient during vulnerable moments.
2. A nurse is preparing to perform a cranial nerve examination on a client. Which of the following actions should the
nurse take to check cranial nerve XII?
A. Have the client identify different smells.
B. Ask the client to stick out their tongue and observe if it is midline.
C. Observe for facial symmetry when smiling.
D. Observe for ability to turn the head from side to side.
CORRECT ANSWER B — CN XII = Hypoglossal nerve (efferent nerve for the tongue). Assess tongue protrusion for midline
position and deviations.
RATIONALE CN I = olfactory (smell). CN VII = facial (symmetry). CN XI = accessory (head turning/shrugging). Tongue
deviation points toward the side of the lesion.
, 3. A nurse is caring for a client who reports a decrease in central vision. The nurse should identify that this is a
manifestation of which of the following visual impairments?
A. Cataracts.
B. Glaucoma.
C. Macular degeneration.
D. Retinal detachment.
CORRECT ANSWER C — Macular degeneration = loss of central vision caused by degeneration of the macula (small central
portion of the retina).
RATIONALE Cataracts = cloudy lens. Glaucoma = peripheral vision loss (increased IOP). Retinal detachment = curtain-like
vision loss, floaters, flashes.
4. A nurse is teaching a client about tactile testing. Which of the following client statements indicates an
understanding of the teaching?
A. "I will be asked to read letters from a chart."
B. "I will be asked to identify sensations such as sharp, dull, soft, warm."
C. "I will be asked to walk in a straight line."
D. "I will be asked to listen to different tones."
CORRECT ANSWER B — Tactile testing assesses the sense of touch and ability to discriminate between different
sensations (sharp/dull, soft/hard, warm/cold).
RATIONALE Tactile discrimination tests the sensory function of peripheral nerves and the sensory cortex.
5. A nurse is teaching a client about diagnostic vision tests. The nurse should include that which of the following tests
is performed to diagnose macular degeneration?
A. Snellen chart.
B. Amsler grid.
C. Ishihara test.
D. Tonometry.
CORRECT ANSWER B — The Amsler grid uses a grid pattern to check for impaired central vision (distortions, wavy lines,
blank spots) — classic for macular degeneration.
RATIONALE Snellen = visual acuity. Ishihara = color vision. Tonometry = intraocular pressure (glaucoma screening).
6. A nurse is teaching a client about an electromyography (EMG) test. Which of the following statements should the
nurse make?
A. "You will need to fast for 12 hours before the test."
B. "Small needles will be inserted into your muscles."
C. "Contrast dye will be injected into your vein."
D. "You will lie still in a large magnet."
CORRECT ANSWER B — EMG uses small needle electrodes inserted into muscles to measure electrical activity and
diagnose neuromuscular disorders.
RATIONALE EMG evaluates muscle and nerve function. May cause mild discomfort. No fasting or contrast dye required.
MRI uses a large magnet.
