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Comprehensive Exam Bank on Fundamentals of Nursing: Core
Concepts, Clinical Reasoning, and Safe Practice
Table of Contents
Topic 1: Foundations of Nursing Practice and the Nursing Process (Q1–Q20)................................2
Topic 2: Medical-Surgical Nursing: Adult Health and Chronic Conditions (Q21–Q40)..................13
Topic 3: Pharmacology and Safe Medication Administration (Q41–Q60).....................................23
Topic 4: Infection Control and Patient Safety (Q61–Q80)..............................................................34
Topic 5: Mental Health and Psychosocial Nursing (Q81–Q100)....................................................44
Topic 6: Maternal and Newborn Nursing (Q101–Q120)................................................................55
Topic 7: Pediatric Nursing (Q121–Q140)........................................................................................65
Topic 8: Leadership and Delegation in Nursing (Q141–Q160).......................................................76
Topic 9: Pharmacology and Medication Administration (Q161–Q180).........................................87
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Topic 1: Foundations of Nursing Practice and the Nursing Process (Q1–
Q20)
Question 1
A nurse is performing the assessment phase of the nursing process.
Which of the following actions best represents this phase?
A. Documenting the patient’s progress after medication administration
B. Collecting data on the patient's health history and physical
condition
C. Setting goals with the patient about discharge planning
D. Implementing a physician's order for wound dressing
Correct Answer: B. Collecting data on the patient's health history and
physical condition
Rationale: The assessment phase involves gathering comprehensive
data about the patient’s physiological, psychological, sociocultural, and
spiritual status. Data collection is the foundation for all other steps in
the nursing process.
Question 2
Which of the following is an example of a correctly written nursing
diagnosis?
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A. Hypertension related to obesity
B. Pain as evidenced by grimacing
C. Impaired physical mobility related to muscle weakness as
evidenced by inability to move left leg
D. Risk for falls as evidenced by unsteady gait
Correct Answer: C. Impaired physical mobility related to muscle
weakness as evidenced by inability to move left leg
Rationale: A well-written nursing diagnosis includes the problem,
etiology (related to), and defining characteristics (as evidenced by),
which is reflected in option C.
Question 3
The nurse sets a goal: "Patient will ambulate 30 feet with assistance
twice a day within 3 days." This is an example of which type of goal?
A. Long-term goal
B. Short-term goal
C. Outcome criterion
D. Assessment objective
Correct Answer: B. Short-term goal
Rationale: A short-term goal is achievable within a few days to a week.
This goal is specific, measurable, and time-bound, making it a short-
term objective in the care plan.
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Question 4
A nurse is reviewing the five rights of delegation. Which of the following
is part of these rights?
A. Right time
B. Right task
C. Right pathophysiology
D. Right consequence
Correct Answer: B. Right task
Rationale: The five rights of delegation include: right task, right
circumstance, right person, right direction/communication, and right
supervision/evaluation.
Question 5
Which of the following statements best reflects the concept of
evidence-based practice (EBP) in nursing?
A. Providing care based solely on institutional tradition
B. Integrating clinical expertise with the best available research and
patient preferences
C. Using anecdotal experience as the primary decision-making tool
D. Following only the physician’s orders for treatment
Correct Answer: B. Integrating clinical expertise with the best
available research and patient preferences
Rationale: EBP integrates the best current evidence, clinical expertise,
and patient values to deliver optimal health care.
Comprehensive Exam Bank on Fundamentals of Nursing: Core
Concepts, Clinical Reasoning, and Safe Practice
Table of Contents
Topic 1: Foundations of Nursing Practice and the Nursing Process (Q1–Q20)................................2
Topic 2: Medical-Surgical Nursing: Adult Health and Chronic Conditions (Q21–Q40)..................13
Topic 3: Pharmacology and Safe Medication Administration (Q41–Q60).....................................23
Topic 4: Infection Control and Patient Safety (Q61–Q80)..............................................................34
Topic 5: Mental Health and Psychosocial Nursing (Q81–Q100)....................................................44
Topic 6: Maternal and Newborn Nursing (Q101–Q120)................................................................55
Topic 7: Pediatric Nursing (Q121–Q140)........................................................................................65
Topic 8: Leadership and Delegation in Nursing (Q141–Q160).......................................................76
Topic 9: Pharmacology and Medication Administration (Q161–Q180).........................................87
, 2
Topic 1: Foundations of Nursing Practice and the Nursing Process (Q1–
Q20)
Question 1
A nurse is performing the assessment phase of the nursing process.
Which of the following actions best represents this phase?
A. Documenting the patient’s progress after medication administration
B. Collecting data on the patient's health history and physical
condition
C. Setting goals with the patient about discharge planning
D. Implementing a physician's order for wound dressing
Correct Answer: B. Collecting data on the patient's health history and
physical condition
Rationale: The assessment phase involves gathering comprehensive
data about the patient’s physiological, psychological, sociocultural, and
spiritual status. Data collection is the foundation for all other steps in
the nursing process.
Question 2
Which of the following is an example of a correctly written nursing
diagnosis?
, 3
A. Hypertension related to obesity
B. Pain as evidenced by grimacing
C. Impaired physical mobility related to muscle weakness as
evidenced by inability to move left leg
D. Risk for falls as evidenced by unsteady gait
Correct Answer: C. Impaired physical mobility related to muscle
weakness as evidenced by inability to move left leg
Rationale: A well-written nursing diagnosis includes the problem,
etiology (related to), and defining characteristics (as evidenced by),
which is reflected in option C.
Question 3
The nurse sets a goal: "Patient will ambulate 30 feet with assistance
twice a day within 3 days." This is an example of which type of goal?
A. Long-term goal
B. Short-term goal
C. Outcome criterion
D. Assessment objective
Correct Answer: B. Short-term goal
Rationale: A short-term goal is achievable within a few days to a week.
This goal is specific, measurable, and time-bound, making it a short-
term objective in the care plan.
, 4
Question 4
A nurse is reviewing the five rights of delegation. Which of the following
is part of these rights?
A. Right time
B. Right task
C. Right pathophysiology
D. Right consequence
Correct Answer: B. Right task
Rationale: The five rights of delegation include: right task, right
circumstance, right person, right direction/communication, and right
supervision/evaluation.
Question 5
Which of the following statements best reflects the concept of
evidence-based practice (EBP) in nursing?
A. Providing care based solely on institutional tradition
B. Integrating clinical expertise with the best available research and
patient preferences
C. Using anecdotal experience as the primary decision-making tool
D. Following only the physician’s orders for treatment
Correct Answer: B. Integrating clinical expertise with the best
available research and patient preferences
Rationale: EBP integrates the best current evidence, clinical expertise,
and patient values to deliver optimal health care.
