ETELPMOC • 3 MAXE
Nursing Fundamentals
NF College of Nursing & Health Sciences
B U I L D I N G T H E F O U N D AT I O N F O R N U R S I N G E X C E L L E N C E
FUNDAMENTALS
Nursing Fundamentals — Exam 3
CO M P L E T E CO M P R E H E N S I V E R E V I E W — CO M M U N I C AT I O N , D E L E G AT I O N , S A F E TY, I N F E C T I O N
CO N T R O L & M E D I C AT I O N A D M I N I ST R AT I O N
INSTITUTION Nursing Fundamentals Program EXAM TYPE Nursing Fundamentals Exam 3
PROGRAM RN Nursing Program ACADEMIC YEAR
EXAM TITLE Nursing Fundamentals Exam 3 — TOTAL QUESTIONS Complete Study Guide — All Topics
Complete Review
COURSE TITLE Nursing Fundamentals FORMAT Multiple Choice / Select All That Apply
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question unless "Select all that apply" is specified.
▸ This comprehensive Exam 3 covers therapeutic communication, delegation (Five Rights, appropriate tasks for RN/LPN/UAP),
safety (falls, seizures, restraints, fire safety, carbon monoxide), infection control (C. diff, MRSA, PPE, surgical asepsis), medication
administration (rights, errors, IV push, IM injection, ear drops, G-tube, pediatric dosing), and professional accountability.
▸ Correct answers and detailed rationales appear below each question.
▸ All content is derived from Nursing Fundamentals Exam 3 core concepts.
SECTION I — THERAPEUTIC COMMUNICATION & NURSE-PATIENT Part
RELATIONSHIP A
1. Nurses must communicate effectively with the health care team for which reasons? (Select all that apply)
A. Improve the nurse's status with the health team members.
B. Reduce the risk of errors to the patient.
C. Provide optimum level of patient care.
D. Improve patient outcomes.
E. Prevent issues that need to be reported to outside agencies.
CORRECT ANSWER B, C, D — Reduce errors, provide optimum care, improve outcomes.
RATIONALE Effective communication reduces errors, ensures optimal care delivery, and directly improves patient
outcomes. It is not about improving nurse status (A) or preventing external reporting (E). Communication is
fundamental to patient safety and quality care.
, 2. Which strategies should a nurse use to facilitate a safe transition of care during a patient's transfer from hospital to
a skilled nursing facility? (Select all that apply)
1. Collaboration between staff members from sending and receiving departments.
2. Requiring that the patient visit the facility before a transfer is arranged.
3. Using a standardized transfer policy and transfer tool.
4. Arranging all patient transfers during the same time each day.
5. Relying on family members to share information with the new facility.
CORRECT ANSWER 1, 3 — Interdepartmental collaboration and standardized transfer tools.
RATIONALE Safe transitions require direct collaboration between sending and receiving staff and standardized transfer
policies/tools (like SBAR). Requiring pre-transfer visits (2) is not always feasible. Transfers should not be
batched (4). Family members should not be relied upon as the primary information conduit (5).
3. A patient is evaluated in the ED after causing an auto accident while under the influence of alcohol. Which
statement would be the most therapeutic?
A. "Why did you drive after you had been drinking?"
B. "We have multiple patients to see tonight as a result of this accident."
C. "Tell me what happened before, during, and after the automobile accident tonight."
D. "It will be okay. No one was seriously hurt in the accident."
CORRECT ANSWER C — "Tell me what happened before, during, and after the automobile accident tonight."
RATIONALE This is an open-ended, therapeutic question that invites the patient to share their experience without
judgment. "Why" questions (A) are accusatory. Option B is dismissive. Option D is false reassurance.
Therapeutic communication uses open-ended statements and broad openings.
4. A nurse gathering physical assessment data and listening to patient concerns sets a goal incorporating the patient's
desire to make treatment decisions. This is an example of which phase of the nurse-patient relationship?
A. Working phase.
B. Preinteraction phase.
C. Termination phase.
D. Orientation phase.
CORRECT ANSWER A — Working phase.
RATIONALE The working phase is when the nurse and patient actively collaborate to solve problems, implement
interventions, and accomplish health goals. The orientation phase establishes trust and roles. Preinteraction
is before meeting. Termination concludes the relationship.
5. Motivational interviewing (MI) benefits include: (Select all that apply)
1. Gaining an understanding of patient's motivations.
2. Focusing on opportunities to avoid poor health choices.
3. Recognizing patient's strengths and supporting their efforts.
4. Providing assessment data that can be shared with families to promote change.
5. Identifying differences in patient's health goals and current behaviors.
CORRECT ANSWER 1, 3, 5 — Understanding motivations, recognizing strengths, identifying goal-behavior gaps.
RATIONALE MI focuses on understanding the patient's own motivations (1), building on their strengths (3), and exploring
discrepancies between goals and current behaviors (5). It is patient-centered and avoids imposing the
clinician's agenda or sharing data with families without consent.
Nursing Fundamentals
NF College of Nursing & Health Sciences
B U I L D I N G T H E F O U N D AT I O N F O R N U R S I N G E X C E L L E N C E
FUNDAMENTALS
Nursing Fundamentals — Exam 3
CO M P L E T E CO M P R E H E N S I V E R E V I E W — CO M M U N I C AT I O N , D E L E G AT I O N , S A F E TY, I N F E C T I O N
CO N T R O L & M E D I C AT I O N A D M I N I ST R AT I O N
INSTITUTION Nursing Fundamentals Program EXAM TYPE Nursing Fundamentals Exam 3
PROGRAM RN Nursing Program ACADEMIC YEAR
EXAM TITLE Nursing Fundamentals Exam 3 — TOTAL QUESTIONS Complete Study Guide — All Topics
Complete Review
COURSE TITLE Nursing Fundamentals FORMAT Multiple Choice / Select All That Apply
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question unless "Select all that apply" is specified.
▸ This comprehensive Exam 3 covers therapeutic communication, delegation (Five Rights, appropriate tasks for RN/LPN/UAP),
safety (falls, seizures, restraints, fire safety, carbon monoxide), infection control (C. diff, MRSA, PPE, surgical asepsis), medication
administration (rights, errors, IV push, IM injection, ear drops, G-tube, pediatric dosing), and professional accountability.
▸ Correct answers and detailed rationales appear below each question.
▸ All content is derived from Nursing Fundamentals Exam 3 core concepts.
SECTION I — THERAPEUTIC COMMUNICATION & NURSE-PATIENT Part
RELATIONSHIP A
1. Nurses must communicate effectively with the health care team for which reasons? (Select all that apply)
A. Improve the nurse's status with the health team members.
B. Reduce the risk of errors to the patient.
C. Provide optimum level of patient care.
D. Improve patient outcomes.
E. Prevent issues that need to be reported to outside agencies.
CORRECT ANSWER B, C, D — Reduce errors, provide optimum care, improve outcomes.
RATIONALE Effective communication reduces errors, ensures optimal care delivery, and directly improves patient
outcomes. It is not about improving nurse status (A) or preventing external reporting (E). Communication is
fundamental to patient safety and quality care.
, 2. Which strategies should a nurse use to facilitate a safe transition of care during a patient's transfer from hospital to
a skilled nursing facility? (Select all that apply)
1. Collaboration between staff members from sending and receiving departments.
2. Requiring that the patient visit the facility before a transfer is arranged.
3. Using a standardized transfer policy and transfer tool.
4. Arranging all patient transfers during the same time each day.
5. Relying on family members to share information with the new facility.
CORRECT ANSWER 1, 3 — Interdepartmental collaboration and standardized transfer tools.
RATIONALE Safe transitions require direct collaboration between sending and receiving staff and standardized transfer
policies/tools (like SBAR). Requiring pre-transfer visits (2) is not always feasible. Transfers should not be
batched (4). Family members should not be relied upon as the primary information conduit (5).
3. A patient is evaluated in the ED after causing an auto accident while under the influence of alcohol. Which
statement would be the most therapeutic?
A. "Why did you drive after you had been drinking?"
B. "We have multiple patients to see tonight as a result of this accident."
C. "Tell me what happened before, during, and after the automobile accident tonight."
D. "It will be okay. No one was seriously hurt in the accident."
CORRECT ANSWER C — "Tell me what happened before, during, and after the automobile accident tonight."
RATIONALE This is an open-ended, therapeutic question that invites the patient to share their experience without
judgment. "Why" questions (A) are accusatory. Option B is dismissive. Option D is false reassurance.
Therapeutic communication uses open-ended statements and broad openings.
4. A nurse gathering physical assessment data and listening to patient concerns sets a goal incorporating the patient's
desire to make treatment decisions. This is an example of which phase of the nurse-patient relationship?
A. Working phase.
B. Preinteraction phase.
C. Termination phase.
D. Orientation phase.
CORRECT ANSWER A — Working phase.
RATIONALE The working phase is when the nurse and patient actively collaborate to solve problems, implement
interventions, and accomplish health goals. The orientation phase establishes trust and roles. Preinteraction
is before meeting. Termination concludes the relationship.
5. Motivational interviewing (MI) benefits include: (Select all that apply)
1. Gaining an understanding of patient's motivations.
2. Focusing on opportunities to avoid poor health choices.
3. Recognizing patient's strengths and supporting their efforts.
4. Providing assessment data that can be shared with families to promote change.
5. Identifying differences in patient's health goals and current behaviors.
CORRECT ANSWER 1, 3, 5 — Understanding motivations, recognizing strengths, identifying goal-behavior gaps.
RATIONALE MI focuses on understanding the patient's own motivations (1), building on their strengths (3), and exploring
discrepancies between goals and current behaviors (5). It is patient-centered and avoids imposing the
clinician's agenda or sharing data with families without consent.
