Nursing Fundamentals
3 MAXE
NF Foundations of Professional Nursing Practice
CARING · COMPETENCE · COMPASSION
FUNDAMENTALS
Nursing Fundamentals — Exam 3
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 , S E L F - CO N C E PT, S E X U A L I TY & G R I E F
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 100+ 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 questions from the provided study material are included with correct answers and clinical rationales.
SAFETY, INFECTION, VITALS, SELF-CONCEPT, SEXUALITY & LOSS Questions 1 – 100+
1. National Quality Reportable Events include all EXCEPT:
A. Surgical or invasive procedure events and product or device events.
B. Patient protection events and care management events.
C. Routine patient satisfaction surveys.
D. Environmental events, radiological events, and potential criminal events.
CORRECT ANSWER C — Routine patient satisfaction surveys are not National Quality Reportable Events. These are
serious, preventable adverse events (never events).
RATIONALE The seven categories: surgical/invasive, product/device, patient protection, care management,
environmental, radiological, and potential criminal events.
2. Joint Commission National Patient Safety Goals include:
A. Only medication safety.
B. Acknowledgment of safe operations, a safe environment for reporting errors without repercussions, and
collaboration across disciplines.
C. Only patient identification.
D. Only infection prevention.
CORRECT ANSWER B — A culture of safety includes commitment to safe operations, non-punitive error reporting, and
interdisciplinary collaboration to solve safety problems.
RATIONALE Safety is defined as freedom from psychological and physical harm. It encompasses home, workplace,
environment, lifestyle, and health conditions.
, 3. Environmental safety includes:
A. Only physical factors.
B. Physical and psychosocial factors that influence or affect the life and survival of the patient.
C. Only psychosocial factors.
D. Only economic factors.
CORRECT ANSWER B — Environmental safety includes both physical (falls, fire, equipment) and psychosocial (violence,
stress, bullying) factors.
RATIONALE Basic human needs (Maslow) — physiological needs including oxygen, nutrition, and optimum temperature —
influence a person's safety.
4. Oxygen safety teaching includes all EXCEPT:
A. Not smoking and storing oxygen away from heat sources.
B. Using petroleum-based products (Vaseline) to lubricate nares — this is a FIRE HAZARD.
C. Awareness that tubing can be a fall hazard.
D. Nasal cannula can cause skin breakdown with long-term use.
CORRECT ANSWER B — Petroleum-based products are FLAMMABLE near oxygen. Use WATER-SOLUBLE lubricants only for
dry nares.
RATIONALE RACE = Rescue, Alarm, Confine, Extinguish/Evacuate. PASS = Pull, Aim, Squeeze, Sweep (fire extinguisher).
5. Vulnerable groups for safety risks include:
A. Only young adults.
B. Elderly (falls, heat injuries), infants/children (SIDS, choking, car accidents, poisoning), and adolescents (risky
behaviors, substance use).
C. Only middle-aged adults.
D. All age groups have identical risks.
CORRECT ANSWER B — Elderly, infants/children, and adolescents each have distinct, developmentally-related safety
vulnerabilities.
RATIONALE Geriatric risks: polypharmacy, cognitive decline, communication deficits, caregiver abuse. Pediatric risks:
curiosity, choking, lack of supervision.
6. SPLATT is a fall assessment tool that stands for:
A. Safety, Prevention, Location, Activity, Time, Treatment.
B. Symptoms at time of fall, Previous fall, Location of fall, Activity at time of fall, Time of fall, Trauma after fall.
C. Skin, Pain, Level, Assessment, Treatment, Teaching.
D. Safety, Positioning, Lifting, Ambulation, Transfer, Teaching.
CORRECT ANSWER B — SPLATT systematically evaluates fall circumstances to identify patterns and prevent future falls.
RATIONALE Intrinsic fall risks: altered cognition, mobility, sensory deficits, medications, toileting. Extrinsic:
communication issues, physical hazards, unsafe environments.
3 MAXE
NF Foundations of Professional Nursing Practice
CARING · COMPETENCE · COMPASSION
FUNDAMENTALS
Nursing Fundamentals — Exam 3
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 , S E L F - CO N C E PT, S E X U A L I TY & G R I E F
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 100+ 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 questions from the provided study material are included with correct answers and clinical rationales.
SAFETY, INFECTION, VITALS, SELF-CONCEPT, SEXUALITY & LOSS Questions 1 – 100+
1. National Quality Reportable Events include all EXCEPT:
A. Surgical or invasive procedure events and product or device events.
B. Patient protection events and care management events.
C. Routine patient satisfaction surveys.
D. Environmental events, radiological events, and potential criminal events.
CORRECT ANSWER C — Routine patient satisfaction surveys are not National Quality Reportable Events. These are
serious, preventable adverse events (never events).
RATIONALE The seven categories: surgical/invasive, product/device, patient protection, care management,
environmental, radiological, and potential criminal events.
2. Joint Commission National Patient Safety Goals include:
A. Only medication safety.
B. Acknowledgment of safe operations, a safe environment for reporting errors without repercussions, and
collaboration across disciplines.
C. Only patient identification.
D. Only infection prevention.
CORRECT ANSWER B — A culture of safety includes commitment to safe operations, non-punitive error reporting, and
interdisciplinary collaboration to solve safety problems.
RATIONALE Safety is defined as freedom from psychological and physical harm. It encompasses home, workplace,
environment, lifestyle, and health conditions.
, 3. Environmental safety includes:
A. Only physical factors.
B. Physical and psychosocial factors that influence or affect the life and survival of the patient.
C. Only psychosocial factors.
D. Only economic factors.
CORRECT ANSWER B — Environmental safety includes both physical (falls, fire, equipment) and psychosocial (violence,
stress, bullying) factors.
RATIONALE Basic human needs (Maslow) — physiological needs including oxygen, nutrition, and optimum temperature —
influence a person's safety.
4. Oxygen safety teaching includes all EXCEPT:
A. Not smoking and storing oxygen away from heat sources.
B. Using petroleum-based products (Vaseline) to lubricate nares — this is a FIRE HAZARD.
C. Awareness that tubing can be a fall hazard.
D. Nasal cannula can cause skin breakdown with long-term use.
CORRECT ANSWER B — Petroleum-based products are FLAMMABLE near oxygen. Use WATER-SOLUBLE lubricants only for
dry nares.
RATIONALE RACE = Rescue, Alarm, Confine, Extinguish/Evacuate. PASS = Pull, Aim, Squeeze, Sweep (fire extinguisher).
5. Vulnerable groups for safety risks include:
A. Only young adults.
B. Elderly (falls, heat injuries), infants/children (SIDS, choking, car accidents, poisoning), and adolescents (risky
behaviors, substance use).
C. Only middle-aged adults.
D. All age groups have identical risks.
CORRECT ANSWER B — Elderly, infants/children, and adolescents each have distinct, developmentally-related safety
vulnerabilities.
RATIONALE Geriatric risks: polypharmacy, cognitive decline, communication deficits, caregiver abuse. Pediatric risks:
curiosity, choking, lack of supervision.
6. SPLATT is a fall assessment tool that stands for:
A. Safety, Prevention, Location, Activity, Time, Treatment.
B. Symptoms at time of fall, Previous fall, Location of fall, Activity at time of fall, Time of fall, Trauma after fall.
C. Skin, Pain, Level, Assessment, Treatment, Teaching.
D. Safety, Positioning, Lifting, Ambulation, Transfer, Teaching.
CORRECT ANSWER B — SPLATT systematically evaluates fall circumstances to identify patterns and prevent future falls.
RATIONALE Intrinsic fall risks: altered cognition, mobility, sensory deficits, medications, toileting. Extrinsic:
communication issues, physical hazards, unsafe environments.
