Fundamentals Mid-Term
1. You are participating in a clinical care coordination conference for a patient with
terminal cancer. You talk with your colleagues about using the nursing code of ethics for
professional registered nurses to guide care decisions. A non-nursing colleague asks
about this code. Which of the following statements best describes this code?
a. Improves self-health care
b. Protects the patient's confidentiality
c. Ensures identical care to all patients
d. Defines the principles of right and wrong to provide patient care - ANS-d. Defines the
principles of right and wrong to provide patient care
2. An 18-year-old woman is in the emergency department with fever and cough. The
nurse obtains her vital signs, auscultates her lung sounds, listens to her heart sounds,
determines her level of comfort, and collects blood and sputum samples for analysis.
Which standard of practice is performed?
a. Diagnosis
b. Evaluation
c. Assessment
d. Implementation - ANS-c. Assessment
3. A patient in the emergency department has developed wheezing and shortness of
breath. The nurse gives the ordered medicated nebulizer treatment now and in 4 hours.
Which standard of practice is performed?
a. Planning
b. Evaluation
c. Assessment
d. Implementation - ANS-d. Implementation
4. A nurse is caring for a patient with end-stage lung disease. The patient wants to go
home on oxygen and be comfortable. The family wants the patient to have a new
surgical procedure. The nurse explains the risk and benefits of the surgery to the family
and discusses the patient's wishes with the family. The nurse is acting as the patient's:
a. Educator
b. Advocate
c. Caregiver
d. Case manager - ANS-b. Advocate
,5. Evidence-based practice is defined as:
a. Nursing care based on tradition
b. Scholarly inquiry of nursing and biomedical research literature
c. A problem-solving approach that integrates best current evidence with clinical
practice
d. Quality nursing care provided in an efficient and economically sound manner -
ANS-c. A problem-solving approach that integrates best current evidence with clinical
practice
6. The examination for registered nurse licensure is exactly the same in every state in
the United States. This examination:
a. Guarantees safe nursing care for all patients
b. Ensures standard nursing care for all patients
c. Ensures that honest and ethical care is provided
d. Provides a minimal standard of knowledge for a registered nurse in practice - ANS-d.
Provides a minimal standard of knowledge for a registered nurse in practice
7. Contemporary nursing requires that the nurse has knowledge and skills for a variety
of professional roles and responsibilities. Which of the following are examples? (Select
all that apply.)
a. Caregiver
b. Autonomy and accountability
c. Patient advocate
d. Health promotion
e. Lobbyist - ANS-a. Caregiver
b. Autonomy and accountability
c. Patient advocate
d. Health promotion
8. Advanced practice registered nurses generally:
a. Function independently
b. Function as unit directors
c. Work in acute care settings
d. Work in the university setting - ANS-a. Function independently
9. Health care reform will bring changes in the emphasis of care. Which of the following
models is expected from health care reform?
a. Moving from an acute illness to a health promotion, illness prevention model
b. Moving from illness prevention to a health promotion model
c. Moving from an acute illness to a disease management model
,d. Moving from a chronic care to an illness prevention model - ANS-a. Moving from an
acute illness to a health promotion, illness prevention model
10. Which of the following nursing roles may have prescriptive authority in their
practice? (Select all that apply.)
a. Critical care nurse
b. Nurse practitioner
c. Certified clinical nurse specialist
d. Charge nurse - ANS-b. Nurse practitioner
c. Certified clinical nurse specialist
11. A critical care nurse is using a computerized decision support system to correctly
position her ventilated patients to reduce pneumonia caused by accumulated respiratory
secretions. This is an example of which Quality and Safety in the Education of Nurses
(QSEN) competency?
a. Patient-centered care
b. Safety
c. Teamwork and collaboration
d. Informatics - ANS-d. Informatics
12. A nurse is caring for an older-adult couple in a community-based assisted living
facility. During the family assessment he notes that the couple has many expired
medications and multiple medications for their respective chronic illnesses. They note
that they go to two different health care providers. The nurse begins to work with the
couple to determine what they know about their medications and helps them decide on
one care provider rather than two. This is an example of which Quality and Safety in the
Education of Nurses (QSEN) competency?
a. Patient-centered care
b. Safety
c. Teamwork and collaboration
d. Informatics - ANS-b. Safety
13. The nurses on an acute care medical floor notice an increase in pressure ulcer
formation in their patients. A nurse consultant decides to compare two types of
treatment. The first is the procedure currently used to assess for pressure ulcer risk.
The second uses a new assessment instrument to identify at-risk patients. Given this
information, the nurse consultant exemplifies which career?
a. Clinical nurse specialist
b. Nurse administrator
c. Nurse educator
, d. Nurse researcher - ANS-d. Nurse researcher
14. Nurses at a community hospital are in an education program to learn how to use a
new pressure-relieving device for patients at risk for pressure ulcers. This is which type
of education?
a. Continuing education
b. Graduate education
c. In-service education
d. Professional Registered Nurse Education - ANS-c. In-service education
1. Which of the following is an example of the principle of patient-centered care focused
on continuity and transition?
a. The nurse asks the patient who in the family should have access to patient
information
b. The nurse is teaching the patient how to change the wound dressing at home
c. The nurse responds promptly to the patient's request for pain medication
d. The nurse schedules the patient's diagnostic scan following the physical therapy
session - ANS-b. The nurse is teaching the patient how to change the wound dressing
at home
2. Which activity performed by the nurse is related to maintaining competency in nursing
practice?
a. Asking another nurse about how to change the settings on a medication pump
b. Regularly attending unit staff meetings
c. Participating as a member of the professional nursing council
d. Attending a review course in preparation for the certification examination - ANS-d.
Attending a review course in preparation for the certification examination
3. The patient tells the nurse that she is enrolled in a preferred provider organization
(PPO) but does not understand what this is. What is the nurse's best explanation of a
PPO?
a. This health plan is for people who cannot afford their own health insurance
b. This health plan is operated by the government to provide health care to older adults
c. This health plan provides you with a preferred list of physicians, hospitals, and
providers from which you can choose
d. This is a fee-for-service plan in which you can choose any physician or hospital -
ANS-c. This health plan provides you with a preferred list of physicians, hospitals, and
providers from which you can choose
1. You are participating in a clinical care coordination conference for a patient with
terminal cancer. You talk with your colleagues about using the nursing code of ethics for
professional registered nurses to guide care decisions. A non-nursing colleague asks
about this code. Which of the following statements best describes this code?
a. Improves self-health care
b. Protects the patient's confidentiality
c. Ensures identical care to all patients
d. Defines the principles of right and wrong to provide patient care - ANS-d. Defines the
principles of right and wrong to provide patient care
2. An 18-year-old woman is in the emergency department with fever and cough. The
nurse obtains her vital signs, auscultates her lung sounds, listens to her heart sounds,
determines her level of comfort, and collects blood and sputum samples for analysis.
Which standard of practice is performed?
a. Diagnosis
b. Evaluation
c. Assessment
d. Implementation - ANS-c. Assessment
3. A patient in the emergency department has developed wheezing and shortness of
breath. The nurse gives the ordered medicated nebulizer treatment now and in 4 hours.
Which standard of practice is performed?
a. Planning
b. Evaluation
c. Assessment
d. Implementation - ANS-d. Implementation
4. A nurse is caring for a patient with end-stage lung disease. The patient wants to go
home on oxygen and be comfortable. The family wants the patient to have a new
surgical procedure. The nurse explains the risk and benefits of the surgery to the family
and discusses the patient's wishes with the family. The nurse is acting as the patient's:
a. Educator
b. Advocate
c. Caregiver
d. Case manager - ANS-b. Advocate
,5. Evidence-based practice is defined as:
a. Nursing care based on tradition
b. Scholarly inquiry of nursing and biomedical research literature
c. A problem-solving approach that integrates best current evidence with clinical
practice
d. Quality nursing care provided in an efficient and economically sound manner -
ANS-c. A problem-solving approach that integrates best current evidence with clinical
practice
6. The examination for registered nurse licensure is exactly the same in every state in
the United States. This examination:
a. Guarantees safe nursing care for all patients
b. Ensures standard nursing care for all patients
c. Ensures that honest and ethical care is provided
d. Provides a minimal standard of knowledge for a registered nurse in practice - ANS-d.
Provides a minimal standard of knowledge for a registered nurse in practice
7. Contemporary nursing requires that the nurse has knowledge and skills for a variety
of professional roles and responsibilities. Which of the following are examples? (Select
all that apply.)
a. Caregiver
b. Autonomy and accountability
c. Patient advocate
d. Health promotion
e. Lobbyist - ANS-a. Caregiver
b. Autonomy and accountability
c. Patient advocate
d. Health promotion
8. Advanced practice registered nurses generally:
a. Function independently
b. Function as unit directors
c. Work in acute care settings
d. Work in the university setting - ANS-a. Function independently
9. Health care reform will bring changes in the emphasis of care. Which of the following
models is expected from health care reform?
a. Moving from an acute illness to a health promotion, illness prevention model
b. Moving from illness prevention to a health promotion model
c. Moving from an acute illness to a disease management model
,d. Moving from a chronic care to an illness prevention model - ANS-a. Moving from an
acute illness to a health promotion, illness prevention model
10. Which of the following nursing roles may have prescriptive authority in their
practice? (Select all that apply.)
a. Critical care nurse
b. Nurse practitioner
c. Certified clinical nurse specialist
d. Charge nurse - ANS-b. Nurse practitioner
c. Certified clinical nurse specialist
11. A critical care nurse is using a computerized decision support system to correctly
position her ventilated patients to reduce pneumonia caused by accumulated respiratory
secretions. This is an example of which Quality and Safety in the Education of Nurses
(QSEN) competency?
a. Patient-centered care
b. Safety
c. Teamwork and collaboration
d. Informatics - ANS-d. Informatics
12. A nurse is caring for an older-adult couple in a community-based assisted living
facility. During the family assessment he notes that the couple has many expired
medications and multiple medications for their respective chronic illnesses. They note
that they go to two different health care providers. The nurse begins to work with the
couple to determine what they know about their medications and helps them decide on
one care provider rather than two. This is an example of which Quality and Safety in the
Education of Nurses (QSEN) competency?
a. Patient-centered care
b. Safety
c. Teamwork and collaboration
d. Informatics - ANS-b. Safety
13. The nurses on an acute care medical floor notice an increase in pressure ulcer
formation in their patients. A nurse consultant decides to compare two types of
treatment. The first is the procedure currently used to assess for pressure ulcer risk.
The second uses a new assessment instrument to identify at-risk patients. Given this
information, the nurse consultant exemplifies which career?
a. Clinical nurse specialist
b. Nurse administrator
c. Nurse educator
, d. Nurse researcher - ANS-d. Nurse researcher
14. Nurses at a community hospital are in an education program to learn how to use a
new pressure-relieving device for patients at risk for pressure ulcers. This is which type
of education?
a. Continuing education
b. Graduate education
c. In-service education
d. Professional Registered Nurse Education - ANS-c. In-service education
1. Which of the following is an example of the principle of patient-centered care focused
on continuity and transition?
a. The nurse asks the patient who in the family should have access to patient
information
b. The nurse is teaching the patient how to change the wound dressing at home
c. The nurse responds promptly to the patient's request for pain medication
d. The nurse schedules the patient's diagnostic scan following the physical therapy
session - ANS-b. The nurse is teaching the patient how to change the wound dressing
at home
2. Which activity performed by the nurse is related to maintaining competency in nursing
practice?
a. Asking another nurse about how to change the settings on a medication pump
b. Regularly attending unit staff meetings
c. Participating as a member of the professional nursing council
d. Attending a review course in preparation for the certification examination - ANS-d.
Attending a review course in preparation for the certification examination
3. The patient tells the nurse that she is enrolled in a preferred provider organization
(PPO) but does not understand what this is. What is the nurse's best explanation of a
PPO?
a. This health plan is for people who cannot afford their own health insurance
b. This health plan is operated by the government to provide health care to older adults
c. This health plan provides you with a preferred list of physicians, hospitals, and
providers from which you can choose
d. This is a fee-for-service plan in which you can choose any physician or hospital -
ANS-c. This health plan provides you with a preferred list of physicians, hospitals, and
providers from which you can choose
