FCCA 1 Exam
FCCA 1 EXAM NEWEST 2025/2026 COMPLETE ALL QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!
The client has a nursing diagnosis of impaired gas exchange as a result of excessive
secretions. An outcome for the client is that the airways will be free of secretions.
A positive evaluation will focus upon the client's: - ANSWER-Lungs clear bilaterally
on auscultation
Auscultating lung sounds is the best way to determine if airways are clear. A
positive evaluation is that they are clear, as expected in the outcome statement.
Respiratory rate may be an indicator of respiratory status, but it is not the best
way to determine if airways are free of secretions. A complaint of chest pain
would be a negative outcome, & it is not the focus for determining whether
airways are free of secretions as written in the outcome statement. Having the
ability to perform incentive spirometry does not determine whether the airways
are clear or not. It is an intervention that may help achieve clear airways.
A client shares with the nurse that they have, "almost reached the goal of smoking
only one-half pack of cigarettes a day." The best example of a nursing intervention
to correct this unmet outcome is: - ANSWER-Suggest that the strength of the
prescribed nicotine patches be increased to 21 mg
An unmet outcome reveals the client has not responded to interventions as
planned. As a result, the nurse changes the plan of care by trying different
therapies or changing the frequency or approach of existing therapies. The best
option is one that adds to the existing therapy. The remaining options should have
been explored as a part of the goal-setting process or exercised if the current
therapy proves ineffective.
1|Page
, FCCA 1 Exam
The primary purpose of the nursing evaluation process is to: - ANSWER-Determine
the effectiveness of the nursing care provided
The evaluation process determines the effectiveness of nursing care. The
remaining options are all examples of evaluation but do not reflect the primary
purpose of nursing evaluation.
Which of the following statements best reflects a goal based on a clinical standard
of practice? - ANSWER-Client's peripheral intravenous site will be free of redness.
Goals often are also based on standards of care or guidelines established for
minimal safe practice. Prevention of acquired infection is a standard of practice;
the remaining options reflect client-specific goals.
Which of the following outcomes best reflects a nurse-sensitive client outcome? -
ANSWER-Client will experience no falls during hospitalization.
A nurse-sensitive client outcome is a measurable client or family state, behavior,
or perception largely influenced by & sensitive to nursing interventions. The nurse
is instrumental in the prevention of falls while the remaining options are
dependent on the client.
The nurse has identified a nursing diagnosis of knowledge deficit regarding the
need to monitor blood glucose levels daily. Which of the following statements
best reflects the client's understanding of the need for therapy? - ANSWER-Client
records blood glucose levels for a 3-week period.
2|Page
, FCCA 1 Exam
During the planning phase of the nursing process it is important for you to select
an observable client state, behavior, or self-reported perception that will reflect
goal achievement. The actual written result of regular blood glucose monitoring is
the best indicator of the client's understanding of the importance of regular
testing. The remaining options may show initial willingness or ability to perform
the test but do not show consistent compliance.
Which of the following nursing notes demonstrates the best evaluation of nursing
interventions regarding the care provided? - ANSWER-"Pressure ulcer on left heel
is no longer producing purulent drainage."
In many clinical situations it is important to collect evaluative measures over a
period of time to determine if a pattern of improvement or change exists. The
absence of purulent drainage indicates successful nursing interventions while the
other options either fail to provide measurable data regarding the wound or
indicate no improvement.
Which of the following statements made by a client's family is the most reliable
for use in the evaluation of a client's outcome? - ANSWER-"Mom has been eating
90% of all of her meals since she's been home."
Input from the family & other caregivers can be used to evaluate client outcomes
but it is best to use their observations of measurable actions, such as the amount
eaten, than to rely on their subjective opinions of a client's reaction, such as pain,
anxiety, or mood.
3|Page
, FCCA 1 Exam
A nurse is providing care for a client receiving normal saline when the IV
infiltrates. Which of the following nursing actions represents the evaluation phase
of the nursing process? - ANSWER-Site reinspected for presence of swelling.
Evaluation, the final step of the nursing process, is crucial to determine whether,
after application of the nursing process, the client's condition or well-being
improves. The remaining options represent the assessment & implementation
phases.
Which of the following questions, asked by a nurse, best reflects an understanding
of effective evaluation? - ANSWER-"May we review what we discussed earlier
about your medications?"
In effective evaluation, the nurse compares client behavior & responses that were
assessed before delivering nursing interventions with behavior & responses that
occur after administering nursing care. The answer shows direct client knowledge
related to the material previously discussed, while the other options reflect close-
ended questions that require only a yes or no answer.
The nurse caring for an immobile client with a pressure ulcer implements an
intervention that requires repositioning the client every 2 hours. Which of the
following represents the best evaluation method for this intervention? - ANSWER-
The client's pressure ulcer shows a decrease in size over a 1-week period.
You conduct evaluation measures to determine if you met expected outcomes,
not if nursing interventions were completed. The decrease in size of the pressure
ulcer best evaluates the effectiveness of this intervention while the remaining
4|Page
FCCA 1 EXAM NEWEST 2025/2026 COMPLETE ALL QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!
The client has a nursing diagnosis of impaired gas exchange as a result of excessive
secretions. An outcome for the client is that the airways will be free of secretions.
A positive evaluation will focus upon the client's: - ANSWER-Lungs clear bilaterally
on auscultation
Auscultating lung sounds is the best way to determine if airways are clear. A
positive evaluation is that they are clear, as expected in the outcome statement.
Respiratory rate may be an indicator of respiratory status, but it is not the best
way to determine if airways are free of secretions. A complaint of chest pain
would be a negative outcome, & it is not the focus for determining whether
airways are free of secretions as written in the outcome statement. Having the
ability to perform incentive spirometry does not determine whether the airways
are clear or not. It is an intervention that may help achieve clear airways.
A client shares with the nurse that they have, "almost reached the goal of smoking
only one-half pack of cigarettes a day." The best example of a nursing intervention
to correct this unmet outcome is: - ANSWER-Suggest that the strength of the
prescribed nicotine patches be increased to 21 mg
An unmet outcome reveals the client has not responded to interventions as
planned. As a result, the nurse changes the plan of care by trying different
therapies or changing the frequency or approach of existing therapies. The best
option is one that adds to the existing therapy. The remaining options should have
been explored as a part of the goal-setting process or exercised if the current
therapy proves ineffective.
1|Page
, FCCA 1 Exam
The primary purpose of the nursing evaluation process is to: - ANSWER-Determine
the effectiveness of the nursing care provided
The evaluation process determines the effectiveness of nursing care. The
remaining options are all examples of evaluation but do not reflect the primary
purpose of nursing evaluation.
Which of the following statements best reflects a goal based on a clinical standard
of practice? - ANSWER-Client's peripheral intravenous site will be free of redness.
Goals often are also based on standards of care or guidelines established for
minimal safe practice. Prevention of acquired infection is a standard of practice;
the remaining options reflect client-specific goals.
Which of the following outcomes best reflects a nurse-sensitive client outcome? -
ANSWER-Client will experience no falls during hospitalization.
A nurse-sensitive client outcome is a measurable client or family state, behavior,
or perception largely influenced by & sensitive to nursing interventions. The nurse
is instrumental in the prevention of falls while the remaining options are
dependent on the client.
The nurse has identified a nursing diagnosis of knowledge deficit regarding the
need to monitor blood glucose levels daily. Which of the following statements
best reflects the client's understanding of the need for therapy? - ANSWER-Client
records blood glucose levels for a 3-week period.
2|Page
, FCCA 1 Exam
During the planning phase of the nursing process it is important for you to select
an observable client state, behavior, or self-reported perception that will reflect
goal achievement. The actual written result of regular blood glucose monitoring is
the best indicator of the client's understanding of the importance of regular
testing. The remaining options may show initial willingness or ability to perform
the test but do not show consistent compliance.
Which of the following nursing notes demonstrates the best evaluation of nursing
interventions regarding the care provided? - ANSWER-"Pressure ulcer on left heel
is no longer producing purulent drainage."
In many clinical situations it is important to collect evaluative measures over a
period of time to determine if a pattern of improvement or change exists. The
absence of purulent drainage indicates successful nursing interventions while the
other options either fail to provide measurable data regarding the wound or
indicate no improvement.
Which of the following statements made by a client's family is the most reliable
for use in the evaluation of a client's outcome? - ANSWER-"Mom has been eating
90% of all of her meals since she's been home."
Input from the family & other caregivers can be used to evaluate client outcomes
but it is best to use their observations of measurable actions, such as the amount
eaten, than to rely on their subjective opinions of a client's reaction, such as pain,
anxiety, or mood.
3|Page
, FCCA 1 Exam
A nurse is providing care for a client receiving normal saline when the IV
infiltrates. Which of the following nursing actions represents the evaluation phase
of the nursing process? - ANSWER-Site reinspected for presence of swelling.
Evaluation, the final step of the nursing process, is crucial to determine whether,
after application of the nursing process, the client's condition or well-being
improves. The remaining options represent the assessment & implementation
phases.
Which of the following questions, asked by a nurse, best reflects an understanding
of effective evaluation? - ANSWER-"May we review what we discussed earlier
about your medications?"
In effective evaluation, the nurse compares client behavior & responses that were
assessed before delivering nursing interventions with behavior & responses that
occur after administering nursing care. The answer shows direct client knowledge
related to the material previously discussed, while the other options reflect close-
ended questions that require only a yes or no answer.
The nurse caring for an immobile client with a pressure ulcer implements an
intervention that requires repositioning the client every 2 hours. Which of the
following represents the best evaluation method for this intervention? - ANSWER-
The client's pressure ulcer shows a decrease in size over a 1-week period.
You conduct evaluation measures to determine if you met expected outcomes,
not if nursing interventions were completed. The decrease in size of the pressure
ulcer best evaluates the effectiveness of this intervention while the remaining
4|Page
