Chamberlain University
1 MAXE · SDNUF
★ ★
C College of Nursing & Public Health
J O U R N E Y T O E X T R A O R D I N A R Y CO M PA S S I O N AT E C A R E
EST. 1889
FUNdamentals of Nursing — Exam 1
CO M P L E T E R E V I E W : N U R S I N G P R O C E SS , CO M M U N I C AT I O N , I N F E C T I O N , V I TA LS , A SS E SS M E N T &
S A F E TY
INSTITUTION Chamberlain University COURSE CODE NR-224 / NR-226
PROGRAM Bachelor of Science in Nursing (BSN) ACADEMIC YEAR
EXAM TITLE Exam 1 — Fundamentals of Nursing TOTAL QUESTIONS 159 Questions
COURSE TITLE Fundamentals of Nursing FORMAT Multiple Choice — Select the Single Best
Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question.
▸ Content covers nursing process, therapeutic communication, infection control, vital signs, physical assessment, seizures, and
emergency response.
▸ All 159 questions are included with correct answers and clinical rationales.
COMPLETE FUNDAMENTALS EXAMINATION Questions 1 – 159
1. What are the most important roles of the nurse (5)?
A. Caregiver, Advocate, Educator, Researcher, Leader.
B. Medicator, Scheduler, Documenter, Disciplinarian, Manager.
C. Technician, Assistant, Secretary, Counselor, Friend.
D. Observer, Reporter, Plumber, Electrician, Chef.
CORRECT ANSWER A — Caregiver, Advocate, Educator, Researcher, Leader.
RATIONALE These five roles encompass the core professional responsibilities of the registered nurse across all practice
settings.
2. What are the 5 steps in the nursing process?
A. Inspection, Palpation, Percussion, Auscultation, Olfaction.
B. Assessment, Nursing Diagnosis, Planning, Implementation, Evaluation.
C. Introduction, History, Physical, Diagnosis, Treatment.
D. Observe, Report, Document, Medicate, Discharge.
CORRECT ANSWER B — Assessment, Nursing Diagnosis, Planning, Implementation, Evaluation (ADPIE).
RATIONALE ADPIE is the systematic framework for professional nursing practice. All steps require critical thinking.
,3. Define Assessment in the nursing process.
A. Developing a plan of care.
B. Collecting comprehensive data pertinent to the patient's health/situation.
C. Administering medications.
D. Evaluating outcomes.
CORRECT ANSWER B — Collects comprehensive data pertinent to the patient's health and/or situation.
RATIONALE Assessment begins the moment you walk through the door and includes all information medical personnel
can observe and the patient reports.
4. Can the RN provide subjective information about patient?
A. Yes, the RN can report what they observe as subjective data.
B. No, only the patient can give subjective info. Objective info is what the RN sees, hears, or smells.
C. Yes, the RN's interpretation is always subjective.
D. No, subjective data comes only from the medical record.
CORRECT ANSWER B — No! Only the patient can give subjective information. Objective info is what the RN sees, hears, or
smells.
RATIONALE Subjective data = patient's report of symptoms. Objective data = nurse's observations and measurements.
5. What is the Diagnosis phase of the nursing process?
A. Administering treatments.
B. Analyzing the assessment and making a clinical judgment related to an ACTUAL or POTENTIAL health problem.
C. Documenting vital signs.
D. Discharging the patient.
CORRECT ANSWER B — Analyze the assessment and make a clinical judgment related to an ACTUAL or POTENTIAL health
problem.
RATIONALE Nurses must be aware of potential risks based on health problems and collaborate with other specialists to
manage them.
6. What are the three phases of a Nursing Diagnosis statement?
A. Problem, Intervention, Outcome.
B. First info (problem) → Related to (why) → As evidenced by (proof).
C. Subjective, Objective, Assessment.
D. Assessment, Planning, Evaluation.
CORRECT ANSWER B — First info → Related to → As evidenced by. WHAT is the problem? WHY is it a problem? WHAT is the
evidence?
RATIONALE Example: "Acute pain → related to surgical incision → as evidenced by patient report of pain 8/10."
,7. What are Outcomes Identification?
A. Documentation of completed tasks.
B. Statement of how a patient's status will change once interventions have been successfully instituted.
C. A list of medications.
D. The nurse's personal goals.
CORRECT ANSWER B — Statement of how a patient's status will change once interventions have been successfully
instituted.
RATIONALE Outcomes must be measurable criteria indicating that objectives have been met.
8. Define the PLANNING stage of the nursing process.
A. Gathering assessment data.
B. Developing a plan that prescribes strategies and alternatives to attain expected outcomes.
C. Evaluating the effectiveness of care.
D. Documenting in the chart.
CORRECT ANSWER B — Develops a plan that prescribes strategies and alternatives to attain expected outcomes.
RATIONALE Planning involves prioritizing strategies and setting short-term and long-term goals that describe the aim of
nursing care.
9. Describe IMPLEMENTATION of the nursing process.
A. Collecting data.
B. The actions to facilitate positive patient outcomes.
C. Making a nursing diagnosis.
D. Evaluating patient progress.
CORRECT ANSWER B — The actions to facilitate positive patient outcomes.
RATIONALE Implementation requires three skills: Cognitive, Personal, and Psychomotor.
10. What three skills are needed to implement goals?
A. Reading, Writing, Arithmetic.
B. Cognitive, Personal, Psychomotor.
C. Assessment, Planning, Evaluation.
D. Technical, Administrative, Social.
CORRECT ANSWER B — Cognitive, Personal, Psychomotor.
RATIONALE Cognitive = knowledge; Personal = interpersonal skills; Psychomotor = hands-on technical skills.
11. Describe the EVALUATION phase of the nursing process.
A. Making a nursing diagnosis.
B. Describing how well the patient's needs were met (or not met). Done through reassessment.
C. Administering medications.
D. Developing the care plan.
CORRECT ANSWER B — Describes how well the patient's needs were met (or not met). Done through reassessment.
RATIONALE Evaluation asks: Did your patient get better or worse? Did your patient get an infection at the hospital?
, 12. What percentage of all communication is nonverbal?
A. 50%.
B. 70%.
C. 90%.
D. 30%.
CORRECT ANSWER C — 90%.
RATIONALE The vast majority of communication is conveyed through body language, facial expression, tone of voice, and
gestures.
13. What two characteristics should nurses always exude?
A. Authority and strictness.
B. Caring and Competence.
C. Speed and efficiency.
D. Detachment and professionalism.
CORRECT ANSWER B — Caring and Competence.
RATIONALE Patients need to feel cared for and confident in their nurse's knowledge and skills.
14. How is communication used in the Assessment phase?
A. Only through written records.
B. Verbal interviewing, visual observation of nonverbal behavior, and physical examination data gathering.
C. Exclusively through diagnostic tests.
D. Only by reviewing the medical history.
CORRECT ANSWER B — Verbal interviewing, visual/intuitive observation of nonverbal behavior, and
visual/tactile/auditory data gathering during physical exam.
RATIONALE Assessment communication also includes written medical records, diagnostic tests, and literature review.
15. Define REFERENT in communication.
A. The person who receives the message.
B. The referent motivates one person to communicate with another.
C. The channel through which the message travels.
D. The feedback provided by the receiver.
CORRECT ANSWER B — The referent motivates one person to communicate with another.
RATIONALE Referents include sights, sounds, odors, time schedules, messages, objects, emotions, sensations,
perceptions, and ideas.
16. Define SENDER in communication.
A. The person who receives the message.
B. The person who encodes and delivers the message.
C. The feedback mechanism.
D. The channel of communication.
CORRECT ANSWER B — The person who encodes and delivers the message.
RATIONALE The sender is responsible for the accuracy and emotional tone of the message content.
1 MAXE · SDNUF
★ ★
C College of Nursing & Public Health
J O U R N E Y T O E X T R A O R D I N A R Y CO M PA S S I O N AT E C A R E
EST. 1889
FUNdamentals of Nursing — Exam 1
CO M P L E T E R E V I E W : N U R S I N G P R O C E SS , CO M M U N I C AT I O N , I N F E C T I O N , V I TA LS , A SS E SS M E N T &
S A F E TY
INSTITUTION Chamberlain University COURSE CODE NR-224 / NR-226
PROGRAM Bachelor of Science in Nursing (BSN) ACADEMIC YEAR
EXAM TITLE Exam 1 — Fundamentals of Nursing TOTAL QUESTIONS 159 Questions
COURSE TITLE Fundamentals of Nursing FORMAT Multiple Choice — Select the Single Best
Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question.
▸ Content covers nursing process, therapeutic communication, infection control, vital signs, physical assessment, seizures, and
emergency response.
▸ All 159 questions are included with correct answers and clinical rationales.
COMPLETE FUNDAMENTALS EXAMINATION Questions 1 – 159
1. What are the most important roles of the nurse (5)?
A. Caregiver, Advocate, Educator, Researcher, Leader.
B. Medicator, Scheduler, Documenter, Disciplinarian, Manager.
C. Technician, Assistant, Secretary, Counselor, Friend.
D. Observer, Reporter, Plumber, Electrician, Chef.
CORRECT ANSWER A — Caregiver, Advocate, Educator, Researcher, Leader.
RATIONALE These five roles encompass the core professional responsibilities of the registered nurse across all practice
settings.
2. What are the 5 steps in the nursing process?
A. Inspection, Palpation, Percussion, Auscultation, Olfaction.
B. Assessment, Nursing Diagnosis, Planning, Implementation, Evaluation.
C. Introduction, History, Physical, Diagnosis, Treatment.
D. Observe, Report, Document, Medicate, Discharge.
CORRECT ANSWER B — Assessment, Nursing Diagnosis, Planning, Implementation, Evaluation (ADPIE).
RATIONALE ADPIE is the systematic framework for professional nursing practice. All steps require critical thinking.
,3. Define Assessment in the nursing process.
A. Developing a plan of care.
B. Collecting comprehensive data pertinent to the patient's health/situation.
C. Administering medications.
D. Evaluating outcomes.
CORRECT ANSWER B — Collects comprehensive data pertinent to the patient's health and/or situation.
RATIONALE Assessment begins the moment you walk through the door and includes all information medical personnel
can observe and the patient reports.
4. Can the RN provide subjective information about patient?
A. Yes, the RN can report what they observe as subjective data.
B. No, only the patient can give subjective info. Objective info is what the RN sees, hears, or smells.
C. Yes, the RN's interpretation is always subjective.
D. No, subjective data comes only from the medical record.
CORRECT ANSWER B — No! Only the patient can give subjective information. Objective info is what the RN sees, hears, or
smells.
RATIONALE Subjective data = patient's report of symptoms. Objective data = nurse's observations and measurements.
5. What is the Diagnosis phase of the nursing process?
A. Administering treatments.
B. Analyzing the assessment and making a clinical judgment related to an ACTUAL or POTENTIAL health problem.
C. Documenting vital signs.
D. Discharging the patient.
CORRECT ANSWER B — Analyze the assessment and make a clinical judgment related to an ACTUAL or POTENTIAL health
problem.
RATIONALE Nurses must be aware of potential risks based on health problems and collaborate with other specialists to
manage them.
6. What are the three phases of a Nursing Diagnosis statement?
A. Problem, Intervention, Outcome.
B. First info (problem) → Related to (why) → As evidenced by (proof).
C. Subjective, Objective, Assessment.
D. Assessment, Planning, Evaluation.
CORRECT ANSWER B — First info → Related to → As evidenced by. WHAT is the problem? WHY is it a problem? WHAT is the
evidence?
RATIONALE Example: "Acute pain → related to surgical incision → as evidenced by patient report of pain 8/10."
,7. What are Outcomes Identification?
A. Documentation of completed tasks.
B. Statement of how a patient's status will change once interventions have been successfully instituted.
C. A list of medications.
D. The nurse's personal goals.
CORRECT ANSWER B — Statement of how a patient's status will change once interventions have been successfully
instituted.
RATIONALE Outcomes must be measurable criteria indicating that objectives have been met.
8. Define the PLANNING stage of the nursing process.
A. Gathering assessment data.
B. Developing a plan that prescribes strategies and alternatives to attain expected outcomes.
C. Evaluating the effectiveness of care.
D. Documenting in the chart.
CORRECT ANSWER B — Develops a plan that prescribes strategies and alternatives to attain expected outcomes.
RATIONALE Planning involves prioritizing strategies and setting short-term and long-term goals that describe the aim of
nursing care.
9. Describe IMPLEMENTATION of the nursing process.
A. Collecting data.
B. The actions to facilitate positive patient outcomes.
C. Making a nursing diagnosis.
D. Evaluating patient progress.
CORRECT ANSWER B — The actions to facilitate positive patient outcomes.
RATIONALE Implementation requires three skills: Cognitive, Personal, and Psychomotor.
10. What three skills are needed to implement goals?
A. Reading, Writing, Arithmetic.
B. Cognitive, Personal, Psychomotor.
C. Assessment, Planning, Evaluation.
D. Technical, Administrative, Social.
CORRECT ANSWER B — Cognitive, Personal, Psychomotor.
RATIONALE Cognitive = knowledge; Personal = interpersonal skills; Psychomotor = hands-on technical skills.
11. Describe the EVALUATION phase of the nursing process.
A. Making a nursing diagnosis.
B. Describing how well the patient's needs were met (or not met). Done through reassessment.
C. Administering medications.
D. Developing the care plan.
CORRECT ANSWER B — Describes how well the patient's needs were met (or not met). Done through reassessment.
RATIONALE Evaluation asks: Did your patient get better or worse? Did your patient get an infection at the hospital?
, 12. What percentage of all communication is nonverbal?
A. 50%.
B. 70%.
C. 90%.
D. 30%.
CORRECT ANSWER C — 90%.
RATIONALE The vast majority of communication is conveyed through body language, facial expression, tone of voice, and
gestures.
13. What two characteristics should nurses always exude?
A. Authority and strictness.
B. Caring and Competence.
C. Speed and efficiency.
D. Detachment and professionalism.
CORRECT ANSWER B — Caring and Competence.
RATIONALE Patients need to feel cared for and confident in their nurse's knowledge and skills.
14. How is communication used in the Assessment phase?
A. Only through written records.
B. Verbal interviewing, visual observation of nonverbal behavior, and physical examination data gathering.
C. Exclusively through diagnostic tests.
D. Only by reviewing the medical history.
CORRECT ANSWER B — Verbal interviewing, visual/intuitive observation of nonverbal behavior, and
visual/tactile/auditory data gathering during physical exam.
RATIONALE Assessment communication also includes written medical records, diagnostic tests, and literature review.
15. Define REFERENT in communication.
A. The person who receives the message.
B. The referent motivates one person to communicate with another.
C. The channel through which the message travels.
D. The feedback provided by the receiver.
CORRECT ANSWER B — The referent motivates one person to communicate with another.
RATIONALE Referents include sights, sounds, odors, time schedules, messages, objects, emotions, sensations,
perceptions, and ideas.
16. Define SENDER in communication.
A. The person who receives the message.
B. The person who encodes and delivers the message.
C. The feedback mechanism.
D. The channel of communication.
CORRECT ANSWER B — The person who encodes and delivers the message.
RATIONALE The sender is responsible for the accuracy and emotional tone of the message content.
