2 MAXE
NF Foundations of Professional Nursing Practice
CARING · COMPETENCE · COMPASSION
FUNDAMENTALS
Fundamentals of Nursing — Exam 2
PAT I E N T E D U C AT I O N , OX YG E N AT I O N , I V T H E R A P Y, U R I N A R Y & B O W E L E L I M I N AT I O N
INSTITUTION Nursing Fundamentals Program COURSE CODE NURS 101 — Fundamentals
PROGRAM Associate / Bachelor of Science in Nursing ACADEMIC YEAR
EXAM TITLE Exam 2 — Fundamentals of Nursing TOTAL QUESTIONS 75+ Questions
COURSE TITLE Fundamentals of Nursing FORMAT Multiple Choice / Select All That Apply /
Dosage Calc
EXAMINATION INSTRUCTIONS
▸ Select the single best answer unless otherwise instructed.
▸ Content covers patient education, oxygenation, medication administration, IV therapy, and elimination.
EDUCATION, OXYGENATION, IV THERAPY & ELIMINATION Questions 1 – 75+
1. The three domains of learning are:
A. Visual, Auditory, Kinesthetic.
B. Cognitive (thinking), Affective (feeling), Psychomotor (doing).
C. Reading, Writing, Arithmetic.
D. Primary, Secondary, Tertiary.
CORRECT ANSWER B — Cognitive = rational thought/facts. Affective = feelings/emotions. Psychomotor = skill
performance/return demonstration.
RATIONALE Teaching must address the appropriate domain. Return demonstration assesses psychomotor learning.
Written/oral tests assess cognitive.
2. Health literacy is also known as the:
A. "First Vital Sign."
B. "Sixth Vital Sign" — the ability to obtain, process, and understand basic health information.
C. "Third Vital Sign."
D. Not related to vital signs.
CORRECT ANSWER B — Health literacy is the "Sixth Vital Sign." It affects the patient's ability to follow instructions and
make informed decisions.
RATIONALE Low health literacy is linked to poor health outcomes. Assess baseline knowledge. Avoid medical jargon. Use
teach-back method.
, 3. Primary prevention patient education focuses on:
A. Early detection of disease.
B. Health and wellness promotion (healthy lifestyle, immunizations).
C. Rehabilitation after illness.
D. Coping with chronic illness.
CORRECT ANSWER B — Primary = health promotion and disease prevention. Secondary = early detection. Tertiary =
restoration and rehabilitation.
RATIONALE Teaching regular exercise and healthy diet is primary prevention. Teaching about mammograms is secondary.
Teaching post-stroke rehab is tertiary.
4. Atelectasis is:
A. Inflammation of the bronchi.
B. Partial or full collapse of the lung; restricts lung movement. Common post-surgery.
C. Fluid in the pleural space.
D. Air in the pleural space.
CORRECT ANSWER B — Collapse of alveoli, often post-operative. Prevention: incentive spirometry, deep breathing, early
ambulation, positioning.
RATIONALE Atelectasis reduces gas exchange and can lead to pneumonia. Incentive spirometry helps re-expand collapsed
alveoli.
5. Room air contains approximately what percentage of oxygen?
A. 10%.
B. 21%.
C. 50%.
D. 100%.
CORRECT ANSWER B — 21% FiO₂. Nasal cannula: 1-6L (24-44%). Simple mask: 5-10L (35-50%). Nonrebreather: 10-15L (60-
90%).
RATIONALE Venturi masks deliver precise FiO₂ and are often used for COPD patients. Oxygen therapy reverses hypoxemia,
decreases work of breathing, and decreases cardiac workload.
6. The five rights of medication administration are:
A. Right assessment, diagnosis, plan, intervention, evaluation.
B. Right medication, patient, dose, route, time.
C. Right to refuse, right to privacy, right to dignity.
D. Right documentation, education, evaluation only.
CORRECT ANSWER B — Five core rights: medication, patient, dose, route, time. Additional rights include assessment,
documentation, refusal, education, evaluation.
RATIONALE These rights are the foundation of safe medication administration. Enteric-coated drugs should NOT be
crushed or chewed.