Fundamentals Mid-Term questions and
answers with solutions
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 -
ANSWER 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. W hich standard of practice is
performed?
a. Diagnosis
b. Evaluation
c. Assessment
d. Implementation - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER
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 - ANSWER b. Nurse practitioner
c. Certified clinical nurse specialist
answers with solutions
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 -
ANSWER 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. W hich standard of practice is
performed?
a. Diagnosis
b. Evaluation
c. Assessment
d. Implementation - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER
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 - ANSWER b. Nurse practitioner
c. Certified clinical nurse specialist
