Fundamental Test 1 review Chapters 01,2,3,4,5,6,7,9. Nursing Today Chapter 01: 1. 1. Which nurse most likely kept records on sanitation techniques and the effects on health? a.Florence Nightingale b. Mary Nutting c. Clara Barton d. Lillian Wald 2. 2. The nurse prescribes strategies and alternatives...
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Fundamental Test 1 review Chapters 01,2,3,4,5,6,7,9
Nursing Today Chapter 01:
1. 1. Which nurse most likely kept records on sanitation techniques and the effects on health?
a.Florence Nightingale b. Mary Nutting c. Clara Barton d. Lillian Wald ANS: A
2. 2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard
of nursing practice is the nurse following? a. Assessment b. Diagnosis c. Planning d.
Implementation ANS: C
3. 3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of
proficiency is the nurse upon initial transition to the obstetrical floor? a. Novice b. Proficient c.
Competent d. Advanced beginner ANS: A
4. 4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more
fluids. The nurse then encourages the patient to drink more fluids. Which concept is the nurse
demonstrating? a. Licensure b. Autonomy c. Certification d. Accountability ANS: B
5. 5. A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse
implementing? a. Educator b. Manager c. Advocate d. Caregiver ANS: B
6. 6. A nurse attends a workshop on current nursing issues provided by the American Nurses
Association. Which type of education did the nurse receive? a. Graduate education b. Inservice
education c. Continuing education d. Registered nurse education ANS: C
7. 7. The nurse has been working in the clinical setting for several years as an advanced practice
nurse. However, the nurse has a strong desire to pursue research and theory development. To
fulfill this desire, which program should the nurse attend? a. Doctor of Nursing Science degree
(DNSc) b. Doctor of Philosophy degree (PhD) c. Doctor of Nursing Practice degree (DNP) d.
Doctor in the Science of Nursing degree (DSN) ANS: B
8. 8. A nurse identifies gaps between local and best practices. Which Quality and Safety Education
for Nurses (QSEN) competency is the nurse demonstrating? a. Safety b. Patient-centered care c.
Quality improvement d. Teamwork and collaboration ANS: C
9. 9. A nurse has compassion fatigue. What is the nurse experiencing? a. Lateral violence and
intrapersonal conflict b. Burnout and secondary traumatic stress c. Short-term grief and single
stressor d. Physical and mental exhaustion ANS: B
,10. 10. A patient is scheduled for surgery. When getting ready to obtain the informed consent, the
patient tells the nurse, “I have no idea what is going to happen. I couldn’t ask any questions.”
The nurse does not allow the patient to sign the permit and notifies the health care provider of
the situation. Which role is the nurse displaying? a. Manager b. Patient educator c. Patient
advocate d. Clinical nurse specialist ANS: C
11. 11. A nurse teaches a group of nursing students about nurse practice acts. Which information is
most important to include in the teaching session about nurse practice acts? a. Protects the
nurse b. Protects the public c. Protects the provider d. Protects the hospital ANS: B
12. 12. A nurse is using a guide that provides principles of right and wrong to provide care to
patients. Which guide is the nurse using? a. Code of ethics b. Standards of practice c. Standards
of professional performance d. Quality and safety education for nurses ANS: A
13. 13. While providing care to a patient, the nurse is responsible, both professionally and legally.
Which concept does this describe? a. Autonomy b. Accountability c. Patient advocacy d. Patient
education ANS: B
14. 14. A nurse is teaching the staff about Benner’s levels of proficiency. In which order should the
nurse place the levels from beginning level to ending level? 1. Expert 2. Novice 3. Proficient 4.
Competent 5. Advanced beginner a. 2, 4, 5, 1, 3 b. 2, 5, 4, 3, 1 c. 4, 2, 5, 3, 1 d. 4, 5, 2, 1, 3 ANS: B
15. 15. A nurse is preparing a teaching session about contemporary influences on nursing. Which
examples should the nurse include? (Select all that apply.) a. Human rights b. Affordable Care
Act c. Demographic changes d. Medically underserved e. Decreasing health care costs ANS: A, B,
C, D
16. 16. The nurse manager from the oncology unit has had two callouts; the orthopedic unit has had
multiple discharges and probably will have to cancel one or two of its nurses. The orthopedic
unit has agreed to “float” two of its nurses to the oncology unit if oncology can “float” a nursing
assistant to the orthopedic unit to help with obtaining vital signs. Which concepts does this
situation entail? (Select all that apply.) a. Autonomy b. Informatics c. Accountability d. Political
activism e. Teamwork and collaboration ANS: A, C, E
02: The Health Care Delivery System
1. 1. The nurse is caring for a patient whose insurance coverage is Medicare. The nurse should
consider which information when planning care for this patient? a. Capitation provides the
hospital with a means of recovering variable charges. b. The hospital will be paid for the full
cost of the patient’s hospitalization. c. Diagnosis-related groups (DRGs) provide a fixed
, reimbursement of cost. d. Medicare will pay the national average for the patient’s condition.
ANS: C
2. 2. A nurse is teaching the staff about managed care. Which information should the nurse
include in the teaching session? a. Managed care insures full coverage of health care costs.
b. Managed care only assumes the financial risk involved. c. Managed care allows providers
to focus on illness care. d. Managed care causes providers to focus on prevention. ANS: D
3. 3. A nurse is teaching a family about health care plans. Which information from the nurse
indicates a correct understanding of the Affordable Care Act? a. A family can choose
whether to have health insurance with no consequences. b. Primary care physician
payments from Medicaid services can equal Medicare. c. Adult children up to age 26 are
allowed coverage on the parent’s plan. d. Private insurance companies can deny coverage
for any reason. ANS: C
4. 4. A nurse is caring for a patient in the hospital. When should the nurse begin discharge
planning? a. When the patient is ready b. Close to the time of discharge c. Upon admission
to the hospital d. After an order is written/prescribed ANS: C
5. 5. The nurse is applying for a position with a home care organization that specializes in
spinal cord injury. In which type of health care facility does the nurse want to work? a.
Secondary acute b. Continuing c. Restorative d. Tertiary ANS: C
6. 6. A nurse provides immunization to children and adults through the public health
department. Which type of health care is the nurse providing? a. Primary care b. Preventive
care c. Restorative care d. Continuing care ANS: B
7. 7. A nurse is following the PDSA cycle for quality improvement. Which action will the nurse
take for the letter “A”? a. Act b. Alter c. Assess d. Approach ANS: A
8. 9. An older adult patient has extensive wound care needs after discharge from the hospital.
Which facility should the nurse discuss with the patient? a. Hospice b. Respite care c.
Assisted living d. Skilled nursing ANS: D
9. 10. A nurse working in a community hospital’s emergency department provides care to a
patient having chest pain. Which level of care is the nurse providing? a. Continuing care b.
Restorative care c. Preventive care d. Tertiary care ANS: D
10. 12. A nurse is using research findings to improve clinical practice. Which technique is the
nurse using? a. Performance improvement b. Integrated delivery networks c. Nursing-
sensitive outcomes d. Utilization review committees ANS: A
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