ETELPMOC • 1 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 1
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 , A S E P S I S , H E A LT H M O D E LS &
H E A LT H C A R E D E L I V E R Y
INSTITUTION Nursing Fundamentals Program EXAM TYPE Fundamentals of Nursing Exam 1
PROGRAM RN Nursing Program ACADEMIC YEAR
EXAM TITLE Nursing Fundamentals — Exam 1 TOTAL QUESTIONS Complete Study Guide — All Topics
Complete Review
COURSE TITLE Nursing Fundamentals FORMAT Multiple Choice / Fill-in — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question unless otherwise specified.
▸ This comprehensive fundamentals exam covers communication (types, process, SBAR), asepsis & infection control (stages,
transmission, HAIs), health states (wellness, disease, illness), prevention levels (primary, secondary, tertiary), cultural
considerations, healthcare delivery (IOM outcomes, levels of care), and nursing roles.
▸ Correct answers and detailed rationales appear below each question.
▸ All content is derived from Nursing Fundamentals Exam 1 core concepts.
SECTION I — COMMUNICATION & SBAR Part A
1. The types of communication in nursing include all of the following EXCEPT:
A. Verbal, nonverbal, and intrapersonal.
B. Small-group, public, and organizational.
C. Electronic and social media only.
D. Verbal, nonverbal, intrapersonal, small-group, public, and organizational.
CORRECT ANSWER D — Verbal, nonverbal, intrapersonal, small-group, public, and organizational.
RATIONALE Nursing communication encompasses multiple levels: verbal (spoken/written words), nonverbal (body
language, facial expressions), intrapersonal (self-talk), small-group, public, and organizational
communication.
, 2. The correct order of the communication process is:
A. Receiver → message → sender → channel → feedback.
B. Sender → message → channel → receiver → feedback.
C. Message → sender → receiver → feedback → channel.
D. Channel → sender → message → receiver → feedback.
CORRECT ANSWER B — Sender → message → channel → receiver → feedback.
RATIONALE The communication process flows: Sender encodes a message, transmits it through a channel, the receiver
decodes it, and provides feedback. This cyclical process allows for clarification and verification.
3. Factors influencing communication include all EXCEPT:
A. Developmental state, gender, and sociocultural background.
B. Roles, emotional/physical state, and environment.
C. Medication administration route.
D. Developmental state, gender, sociocultural background, roles, emotional/physical state, and environment.
CORRECT ANSWER D — Developmental state, gender, sociocultural background, roles, emotional/physical state, and
environment.
RATIONALE Multiple factors influence how messages are sent and received: developmental level (child vs. adult
understanding), gender communication styles, cultural norms, professional/personal roles, emotional state
(anxiety, pain), and environmental distractions.
4. Communication barriers include all of the following EXCEPT:
A. Failure to listen and inappropriate questions.
B. Changing the subject and false reassurance.
C. Active listening and therapeutic silence.
D. Distractions, gossip, and disruptive behavior.
CORRECT ANSWER C — Active listening and therapeutic silence.
RATIONALE Active listening and therapeutic silence are therapeutic communication techniques that FACILITATE
communication. Barriers include failure to listen, inappropriate questions, changing the subject, false
reassurance, distractions, gossip, and disruptive behavior.
5. SBAR stands for:
A. Symptoms, Background, Assessment, Recovery.
B. Situation, Background, Assessment, Recommendations.
C. Safety, Baseline, Action, Response.
D. Summary, Background, Analysis, Report.
CORRECT ANSWER B — Situation, Background, Assessment, Recommendations.
RATIONALE SBAR is the standardized communication tool for handoffs and critical information transfer: Situation (what is
happening now), Background (relevant history), Assessment (clinical judgment), Recommendations (what is
needed).
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 1
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 , A S E P S I S , H E A LT H M O D E LS &
H E A LT H C A R E D E L I V E R Y
INSTITUTION Nursing Fundamentals Program EXAM TYPE Fundamentals of Nursing Exam 1
PROGRAM RN Nursing Program ACADEMIC YEAR
EXAM TITLE Nursing Fundamentals — Exam 1 TOTAL QUESTIONS Complete Study Guide — All Topics
Complete Review
COURSE TITLE Nursing Fundamentals FORMAT Multiple Choice / Fill-in — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question unless otherwise specified.
▸ This comprehensive fundamentals exam covers communication (types, process, SBAR), asepsis & infection control (stages,
transmission, HAIs), health states (wellness, disease, illness), prevention levels (primary, secondary, tertiary), cultural
considerations, healthcare delivery (IOM outcomes, levels of care), and nursing roles.
▸ Correct answers and detailed rationales appear below each question.
▸ All content is derived from Nursing Fundamentals Exam 1 core concepts.
SECTION I — COMMUNICATION & SBAR Part A
1. The types of communication in nursing include all of the following EXCEPT:
A. Verbal, nonverbal, and intrapersonal.
B. Small-group, public, and organizational.
C. Electronic and social media only.
D. Verbal, nonverbal, intrapersonal, small-group, public, and organizational.
CORRECT ANSWER D — Verbal, nonverbal, intrapersonal, small-group, public, and organizational.
RATIONALE Nursing communication encompasses multiple levels: verbal (spoken/written words), nonverbal (body
language, facial expressions), intrapersonal (self-talk), small-group, public, and organizational
communication.
, 2. The correct order of the communication process is:
A. Receiver → message → sender → channel → feedback.
B. Sender → message → channel → receiver → feedback.
C. Message → sender → receiver → feedback → channel.
D. Channel → sender → message → receiver → feedback.
CORRECT ANSWER B — Sender → message → channel → receiver → feedback.
RATIONALE The communication process flows: Sender encodes a message, transmits it through a channel, the receiver
decodes it, and provides feedback. This cyclical process allows for clarification and verification.
3. Factors influencing communication include all EXCEPT:
A. Developmental state, gender, and sociocultural background.
B. Roles, emotional/physical state, and environment.
C. Medication administration route.
D. Developmental state, gender, sociocultural background, roles, emotional/physical state, and environment.
CORRECT ANSWER D — Developmental state, gender, sociocultural background, roles, emotional/physical state, and
environment.
RATIONALE Multiple factors influence how messages are sent and received: developmental level (child vs. adult
understanding), gender communication styles, cultural norms, professional/personal roles, emotional state
(anxiety, pain), and environmental distractions.
4. Communication barriers include all of the following EXCEPT:
A. Failure to listen and inappropriate questions.
B. Changing the subject and false reassurance.
C. Active listening and therapeutic silence.
D. Distractions, gossip, and disruptive behavior.
CORRECT ANSWER C — Active listening and therapeutic silence.
RATIONALE Active listening and therapeutic silence are therapeutic communication techniques that FACILITATE
communication. Barriers include failure to listen, inappropriate questions, changing the subject, false
reassurance, distractions, gossip, and disruptive behavior.
5. SBAR stands for:
A. Symptoms, Background, Assessment, Recovery.
B. Situation, Background, Assessment, Recommendations.
C. Safety, Baseline, Action, Response.
D. Summary, Background, Analysis, Report.
CORRECT ANSWER B — Situation, Background, Assessment, Recommendations.
RATIONALE SBAR is the standardized communication tool for handoffs and critical information transfer: Situation (what is
happening now), Background (relevant history), Assessment (clinical judgment), Recommendations (what is
needed).
