NURS FCCA 274C Exam QUESTIONS WITH COMPLETE
SOLUTIONS A+ 2023 UPDATE
A patient recovering from a motor vehicle accident is scheduled for transfer to an
extended care facility. The patient states to the RN “I’m a little bit nervous about this
transfer.” Which intervention by the RN will foster a smooth transition to the next level
of care?
Explore the option of family accompanying the patient during transport.
Inform the patient that anxiety about a new facility is normal and everything will
be fine. Encourage the patient to perform relaxation techniques taught by the
social worker.
Collaborate with the health care provider about an anti-anxiety medication for the patient.
The RN contacts the health care provider to report a change in a patient’s condition.
Which is an appropriate introduction to the patient report by the RN?
“I am calling because Mr. Smith in room 21 doesn’t look
good.” “This is Ann the nurse caring for Mr. Smith. Sorry
to bother you.”
“I am the RN caring for Mr. Smith whose condition has deteriorated.”
“This is Ann Jones, RN at ECHO Hospital, calling about Mr. Smith.”
,NURS FCCA 274C Exam QUESTIONS WITH COMPLETE
SOLUTIONS A+ 2023 UPDATE
During interdisciplinary rounds, a patient reports frequent nightmares that is
interfering with restorative rest. What would be an appropriate short term goal agreed to
by the patient and the team?
The patient will resume regular activities of daily living.
The patient will have no “flashbacks” or disturbing thoughts.
The patient will be able to discuss the event without feeling anxious.
The patient will be able to sleep without medication.
A patient has chronic myalgia related to Lyme disease. Which members of the
team would contribute to the patient’s plan of care? Select all that apply.
Registered Nurse
Physical therapist
Respiratory Therapist
Infectious disease
physician Clinical
Pharmacist
The Unlicensed Assistive Personnel (UAP) reports to the RN “Mr. Jones seems
different, a little vague and slightly confused.” What is the appropriate response by
,NURS FCCA 274C Exam QUESTIONS WITH COMPLETE
SOLUTIONS A+ 2023 UPDATE
the RN?
“I did not notice any changes, but I will do a more in-depth assessment.”
“I am busy with another patient. Can you keep an eye on
Mr. Jones?” “Many elderly people get confused when in the
hospital.”
“There were no changes in his vital signs from baseline an hour ago.”
, NURS FCCA 274C Exam QUESTIONS WITH COMPLETE
SOLUTIONS A+ 2023 UPDATE
An RN caring for a pregnant woman in labor states to the obstetrician “The fetal
heart rate is 80 beats per minute.” The obstetrician replies “Yes, thanks.” What is an
appropriate initial response by the RN?
“The fetal heart rate is 80.”
“I will continue to monitor and report the
findings.” “We need to notify the surgical
team now.”
“The baby seems to be in distress.”
The RN manager is coordinating the implementation of patient centered rounds for the
nursing unit. Which action facilitates quality, cost-effective use of the team members’
time during patient-centered rounds?
Encourage physician orders be entered once rounds are
completed. Have a standardized system when conducting
patient rounds. Delay visiting hours until after daily rounds
are complete.
Incorporate teaching of various disease states during rounds.
The healthcare provider requests the RN’s presence when delivering “bad news”
SOLUTIONS A+ 2023 UPDATE
A patient recovering from a motor vehicle accident is scheduled for transfer to an
extended care facility. The patient states to the RN “I’m a little bit nervous about this
transfer.” Which intervention by the RN will foster a smooth transition to the next level
of care?
Explore the option of family accompanying the patient during transport.
Inform the patient that anxiety about a new facility is normal and everything will
be fine. Encourage the patient to perform relaxation techniques taught by the
social worker.
Collaborate with the health care provider about an anti-anxiety medication for the patient.
The RN contacts the health care provider to report a change in a patient’s condition.
Which is an appropriate introduction to the patient report by the RN?
“I am calling because Mr. Smith in room 21 doesn’t look
good.” “This is Ann the nurse caring for Mr. Smith. Sorry
to bother you.”
“I am the RN caring for Mr. Smith whose condition has deteriorated.”
“This is Ann Jones, RN at ECHO Hospital, calling about Mr. Smith.”
,NURS FCCA 274C Exam QUESTIONS WITH COMPLETE
SOLUTIONS A+ 2023 UPDATE
During interdisciplinary rounds, a patient reports frequent nightmares that is
interfering with restorative rest. What would be an appropriate short term goal agreed to
by the patient and the team?
The patient will resume regular activities of daily living.
The patient will have no “flashbacks” or disturbing thoughts.
The patient will be able to discuss the event without feeling anxious.
The patient will be able to sleep without medication.
A patient has chronic myalgia related to Lyme disease. Which members of the
team would contribute to the patient’s plan of care? Select all that apply.
Registered Nurse
Physical therapist
Respiratory Therapist
Infectious disease
physician Clinical
Pharmacist
The Unlicensed Assistive Personnel (UAP) reports to the RN “Mr. Jones seems
different, a little vague and slightly confused.” What is the appropriate response by
,NURS FCCA 274C Exam QUESTIONS WITH COMPLETE
SOLUTIONS A+ 2023 UPDATE
the RN?
“I did not notice any changes, but I will do a more in-depth assessment.”
“I am busy with another patient. Can you keep an eye on
Mr. Jones?” “Many elderly people get confused when in the
hospital.”
“There were no changes in his vital signs from baseline an hour ago.”
, NURS FCCA 274C Exam QUESTIONS WITH COMPLETE
SOLUTIONS A+ 2023 UPDATE
An RN caring for a pregnant woman in labor states to the obstetrician “The fetal
heart rate is 80 beats per minute.” The obstetrician replies “Yes, thanks.” What is an
appropriate initial response by the RN?
“The fetal heart rate is 80.”
“I will continue to monitor and report the
findings.” “We need to notify the surgical
team now.”
“The baby seems to be in distress.”
The RN manager is coordinating the implementation of patient centered rounds for the
nursing unit. Which action facilitates quality, cost-effective use of the team members’
time during patient-centered rounds?
Encourage physician orders be entered once rounds are
completed. Have a standardized system when conducting
patient rounds. Delay visiting hours until after daily rounds
are complete.
Incorporate teaching of various disease states during rounds.
The healthcare provider requests the RN’s presence when delivering “bad news”
