Nursing Fundamentals Test
Questions
Course Introduction
Nursing Fundamentals provides a comprehensive introduction to the essential concepts and skills required for safe, effective patient care in a variety of healthcare settings. This course covers foundational topics such as the nursing process, communication techniques, infection control, basic patient assessment, and vital sign measurement. Students will also explore the roles and responsibilities of professional nurses, ethical and legal considerations, and the importance of cultural competence in delivering holistic care. Through a combination of classroom learning and hands-on practice, learners will develop the core competencies necessary to begin clinical practice and advance in the nursing profession.
Recommended Textbook
Interpersonal Relationships Professional Communication Skills for Nurses 7th Edition by Arnold
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26 Chapters
424 Verified Questions
424 Flashcards
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Chapter 1: Theory Based Perspectives and Contemporary Dynamics
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16 Flashcards
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Sample Questions
Q1) Which of the following statements best represents therapeutic communication when a student discovers a client crying in bed?
A) "I am the nurse who will be doing your treatments today."
B) "Will you listen to me so I can help you get better?"
C) "This is what is going to happen during surgery."
D) "Can we talk about what seems to be bothering you?"
Answer: D
Q2) The nurse-client relationship as described by Hildegard Peplau
A) would not be useful in a short-stay unit.
B) allows personal and social growth to occur only for the client.
C) facilitates the identification and accomplishment of therapeutic goals.
D) focuses on maintaining a personal relationship between the nurse and client.
Answer: C
Q3) Today,professional nursing education begins at the
A) undergraduate level.
B) graduate level.
C) advanced practice level.
D) administrative level.
Answer: A
Page 3
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Chapter 2: Professional Guides for Nursing Communication
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Sample Questions
Q1) A preoperative assessment shows that a client's hemoglobin level is dropping.The anesthetist orders 3 units of blood to be administered.The nurse administers the first unit before discovering that the client is a Jehovah's Witness,as documented in the record.This is an example of
A) professional conduct.
B) a negligent act.
C) physical abuse.
D) breaching client confidentiality.
Answer: B
Q2) Which of the following is an outcome for a client with a broken leg?
A) Client will develop an ambulation program within 1 month.
B) Encourage client to ambulate with cast using crutches.
C) Client asks, "When will I walk again?"
D) Client experiences alteration in mobility related to a broken leg.
Answer: A
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4
Chapter 3: Clinical Judgment and Ethical Decision Making
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Sample Questions
Q1) Personal values are defined as
A) values shaped by family, religious beliefs, and years of experience.
B) altruism.
C) two values that are in conflict.
D) values determined by commitment.
Answer: A
Q2) Characteristics of a critical thinker include all but which of the following?
A) Haphazardly seeking solutions
B) Anticipating consequences
C) Considering alternative solutions
D) Revising actions based on new input
Answer: A
Q3) During the third step in the critical thinking process
A) new data are obtained.
B) values are clarified.
C) existing information is compared with past knowledge.
D) the problem is identified.
Answer: C
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5
Chapter 4: Clarity and Safety in Communication
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Sample Questions
Q1) When educating a newly diagnosed client about management of diabetes mellitus,the nurse recognizes that health care-related communication
A) does not lead to errors within the hospital.
B) is generally well understood by most clients.
C) is not an important component of client care.
D) can cause clients to misunderstand information.
Q2) A nurse manager encourages staff to improve error and near miss event reporting.The nurse manager recognizes that as error reporting improves, A) the severity of errors increases.
B) better, safer systems can be developed.
C) the likelihood of other errors increases.
D) error detection rates and severity remain unchanged.
Q3) When working on a nursing unit,the nurse recognizes that incomplete communication errors most often occur during A) staff meetings.
B) the night shift.
C) a handoff procedure.
D) medication administration.
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Chapter 5: Developing Therapeutic Communication Skills
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Sample Questions
Q1) When communicating with clients,the nurse actively uses listening responses.Which of the following types of listening response should the nurse use?
A) Moralizing
B) Giving advice
C) False reassurance
D) Paraphrasing
Q2) A nurse is conducting a medication education group for mentally ill clients.One of the clients states,"I don't think everyone needs medications.What about psychotherapy? Can you tell me about that?" What is an appropriate response by the nurse?
A) Talk to the group about the benefits of psychotherapy.
B) Tell the group that psychotherapy is ineffective and they need medication.
C) Acknowledge the question, but explain the time limitations and focus of that particular group.
D) Explain that it is the physician's decision what type of treatment modality is for each client
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Chapter 6: Variation in Communication Styles
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Sample Questions
Q1) The nurse is assigned to care for a client who has been diagnosed with multiple sclerosis.Which communication behavior will have the most impact on the client?
A) What is said
B) Tone of voice
C) Sense of confidence
D) Verbal message
Q2) Communication is a combination of
A) verbal and nonverbal behaviors.
B) pitch, tone, and paralanguage.
C) proxemics, touch, and kinesics.
D) eye contact, facial expressions, and nonverbal messages.
Q3) An adult client responds to questions inappropriately.The nurse should do which of the following?
A) Assume that the client is depressed and seek further information.
B) Ask other staff members whether the client is sick.
C) Leave the client alone for now and return to reassess.
D) Observe the client's nonverbal behavior.
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8
Chapter 7: Intercultural Communication
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Sample Questions
Q1) A nursing instructor is teaching a group of student nurses about culture.When teaching the students nurses about the concept of ethnocentrism,the student nurses demonstrate cultural sensitivity when they state that their culture
A) is superior to others.
B) has the right to impose its standards of "correct" behavior and values on another.
C) is a culture that warrants a sense of pride.
D) should be the norm because it is considered better or more enlightened than others.
Q2) Which of the following is a true statement in relation to the concept of poverty?
A) Poverty affects only a small segment of the population.
B) Poor people expect others to work with them in making things better.
C) Communication strategies that empower the poor to take small steps toward dependence are most effective.
D) Lack of essential resources is associated with political and personal powerlessness.
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9
Chapter 8: Therapeutic Communication in Groups
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17 Verified Questions
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Sample Questions
Q1) When a group leader encourages the group members to express their feelings about one another with the stipulation that any concerns the group may have about an individual member or suggestions for future growth should be stated in a constructive way and the group leader summarizes goal achievement,the group has reached which phase of group development?
A) Formative phase
B) Engagement
C) Active intervention
D) Termination
Q2) Which of the following statements is true in relation to task functions?
A) When task functions predominate, member satisfaction increases.
B) When maintenance functions predominate, goals are achieved.
C) They are behaviors used to move toward goal achievement.
D) They are behaviors designed to ensure personal satisfaction.
Q3) Which of the following is a characteristic of a secondary group?
A) There is not a designated leader.
B) They have a prescribed structure.
C) They lack identified specific goals.
D) The group remains together even when goals are achieved.
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Page 10
Chapter 9: Self Concept in Professional Interpersonal
Relationships
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Sample Questions
Q1) The nurse is caring for a client who is anxious about a new diagnosis of cancer.When discussing chemotherapy with the client,the nurse understands that
A) the client will need to be given instructions only once.
B) the client may only hear part of the instructions.
C) emotions obey the rules of logic.
D) a cognitive lack of understanding may occur.
Q2) To adequately meet the spiritual needs of clients,the nurse should first
A) learn to be considerate and sensitive.
B) distinguish between his or her own spiritual needs and those of the client.
C) meet the client's spiritual needs.
D) offer to pray and read the bible with the client.
Q3) Which of the following represents the role of the nurse in helping a client reframe a potentially incapacitating sense of self into one with more hope and broader options when faced with a health-related difficulty?
A) They can take a passive approach.
B) They can negate potential possibilities.
C) They can focus on personal weaknesses.
D) They can reframe the client's sense of self.
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Chapter 10: Developing Therapeutic Relationships
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) Which of the following is true about the helping relationship?
A) The health care provider takes responsibility for maintaining appropriate boundaries.
B) Both the health care provider and the client have equal responsibility for the relationship.
C) Self-disclosure for both the health care provider and the client is expected.
D) Understanding does not always have to be put into words.
Q2) Which of the following personality characteristics can affect the nurse's ability to function in a therapeutic manner,if disclosed to the client?
A) The nurse is shy.
B) The nurse becomes angry when criticized.
C) The nurse has difficulty handling conflict.
D) The nurse struggles with getting up in the morning.
Q3) When should the nurse first start planning for termination of the nurse-client relationship?
A) From the initial encounter
B) After goals have been achieved
C) When the client requests it
D) During the working phase of the relationship
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12
Chapter 11: Bridges and Barriers in Therapeutic Relationships
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Sample Questions
Q1) Which of the following is a barrier to communication?
A) Intrusion into personal space
B) Unconditional acceptance
C) Self-awareness
D) Gender differences
Q2) Which of the following demonstrates the use of the caring process?
A) Respecting the uniqueness of every client
B) Problem solving for the client
C) Performing tasks for the client
D) Communicating expectations of the health care team
Q3) Which of the following should be achieved first in establishing the nurse-client relationship?
A) Trust
B) Empathy
C) Mutuality
D) Empowerment
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13
Chapter 12: Communicating With Families
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Sample Questions
Q1) When the nurse cares for a client with a terminal illness,a question that the nurse can ask the client's family to elicit information about family strengths is
A) "Who best understands what the doctors have told you?"
B) "What has the family been doing so far that is helpful?"
C) "Who is most uncomfortable at the bedside?"
D) "Who is now taking care of the house?"
Q2) The nurse-family relationship in client care depends on what type of relationship between the nurse and the family?
A) A dependent relationship
B) A relationship that begins informally
C) A reciprocal relationship
D) A relationship that promotes inequality between the nurse and family
Q3) Regardless of how uniquely they are defined,strong emotional ties and durability of membership characterize
A) family function.
B) family process.
C) family relationships.
D) family ecomap.
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14
Chapter 13: Resolving Conflicts Between Nurse and Client
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Sample Questions
Q1) After fasting from 10 p.m.the previous evening,a client learns that the procedure has been cancelled.The client curses at the nurse and accuses the nurse of being incompetent.The nurse's best response would be
A) "You have no right to say that to me. You are nasty."
B) "I can understand that you're upset, but I feel uncomfortable when I am cursed at."
C) "Perhaps we shouldn't get so angry when things don't work out the way we think they should."
D) to leave the room and refuse to return to answer the call light when the client calls.
Q2) When providing home health care to a client suffering from Alzheimer disease who fell and broke his hip 3 weeks ago,the nurse teaches the client's family correct use of the walker.This represents which stage of the nurse-caregiver relationship?
A) Worker-helper
B) Worker-worker
C) Nurse as manager; family as worker
D) Nurse as nurse for family caregiver
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15
Chapter 14: Communicating to Encourage Health Literacy, health
Promotion, and Prevention of Disease
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Sample Questions
Q1) Which of the following is an example of tertiary prevention?
A) Mammogram
B) Smoking cessation
C) Safe sex counseling
D) Diabetic meal planning class
Q2) When conducting an initial assessment,a client informs the nurse about difficulty getting to doctors' appointments due to lack of transportation.When considering examples of PRECEDE Diagnostic Behavioral Factors,the nurse recognizes this as what type of factor?
A) Reinforcing factor
B) Epidemiologic factor
C) Enabling factor
D) Predisposing factor
Q3) Which of the following strategies in health education does the U.S.Preventive Services Task Force recommend?
A) Using a standardized teaching format
B) Eliminating established behaviors
C) Offering limited information regarding the purpose of interventions
D) Suggesting small changes rather than large ones
Page 16
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Chapter 15: Health Teaching and Coaching
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Sample Questions
Q1) The concept that "the teacher must start where the learner is" was proposed by whom?
A) Skinner
B) Premack
C) Rogers
D) Taylor
Q2) Which of the following is an effective teaching objective? The client will be able to A) ambulate short distances around the nursing unit.
B) learn subcutaneous self-administration of insulin.
C) understand diabetes and its lifestyle implications.
D) perform foot care correctly after three teaching sessions.
Q3) The nurse is caring for a client who has a history of alcohol abuse.When formulating a goal that "the client will be able to identify three physical effects of alcohol abuse," the nurse recognizes this goal as referring primarily to health teaching in which domain?
A) Cognitive
B) Affective
C) Psychomotor
D) Promoting acceptance
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17
Chapter 16: Empowerment-Oriented Communication
Strategies to Reduce Stress
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Sample Questions
Q1) A client is experiencing anxiety related to hospitalization.When assessing this client,the nurse anticipates which assessment finding?
A) Increased socialization
B) Improved sleep
C) Greater recall ability
D) Disengagement from the stressor
Q2) Which of the following is true in relation to stress?
A) Men and women respond to stress in the same fashion.
B) Culture does not affect the stress experience.
C) Stress is always a negative experience.
D) Stress can have protective and adaptive functions.
Q3) Current research suggests that men and women respond to stress in which of the following ways?
A) Men use nurturing activities to reduce stress.
B) Women use a "tend and befriend" approach to stress.
C) Men and women respond to stress in a similar manner.
D) Women respond to stress with patterns of "fight or flight."
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Page 18
Chapter 17: Communicating With Clients Experiencing
Communication Deficits
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Sample Questions
Q1) The nurse is caring for a client who has experienced a stroke.The client has aphasia.The nurse recognizes that aphasia is a
A) neurological linguistic deficit.
B) cognitive comprehension deficit.
C) sensory deprivation deficit.
D) mental disorder deficit.
Q2) The nurse understands that as clients age,they are more likely to have vision problems that may interfere with the communication process,including the lens of the eyes becoming less flexible,making it difficult to accommodate shifts from far to near vision.The nurse recognizes that this condition is known as A) receptive aphasia.
B) autism.
C) presbycusis.
D) presbyopia.
Q3) Which of the following is true in relation to communication deficits?
A) Communication deficits occur only as a result of physical disabilities.
B) Communication deficits can arise from sensory deprivation.
C) Individuals who are equally impaired are equally disabled.
D) The primary nursing goal is to minimize the client's independence.
Page 19
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Chapter 18: Communicating With Children
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Sample Questions
Q1) The nurse is caring for a 2-year-old child on a pediatric unit.The child's parents have just left the unit for the night.The child is standing at the edge of the crib and crying.Which of the following interventions is most appropriate for the nurse to use?
A) Limit the use of kinesthetic approaches when caring for the child.
B) Talk to the child about Mommy and Daddy and how much the child cares for them.
C) Maintain a flat affect when interacting with the child.
D) At first maintain a distance of 8 feet from the child.
Q2) During the preoperational period the nurse recognizes that children
A) ask numerous questions to clarify a message.
B) can process auditory information quickly.
C) can clearly distinguish between fantasy and reality.
D) misunderstand messages quite easily.
Q3) When assessing a child's reaction to illness,it is important for the nurse to
A) observe the interaction between parent and child.
B) recognize that chronological age matches cognitive level.
C) realize that children are more comfortable with female health care providers.
D) recognize that the child's behavior will be age appropriate.
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Page 20
Chapter 19: Communicating With Older Adults
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Sample Questions
Q1) When assessing an older adult client,the nurse notes that the client demonstrates an inability to take purposeful action even when the muscles,senses,and vocabulary appear to be intact.The client appears to register on a command but acts in a way that suggests little understanding of what transpired verbally.The nurse recognizes these assessment findings as consistent with which of the following conditions?
A) Presbycusis
B) Somatization
C) Apraxia
D) Polypharmacy
Q2) A client diagnosed with dementia is becoming increasingly unable to express complete thoughts and is having difficulty engaging in simple conversations.When communicating with this client,the nurse should
A) use words directly applicable to the client's daily routine.
B) restate ideas using different words in a different sequence.
C) refrain from validating the meaning of the client's responses.
D) ask the client questions that require more than a yes or no answer.
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Chapter 20: Communicating With Clients in Crisis
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Q1) A client is admitted to a psychiatric unit for crisis intervention.When caring for this client,the nurse recognizes that crisis intervention is
A) a long-term treatment to improve coping skills.
B) a system for focusing on future problem-solving skills.
C) a method of intervention with a goal of returning the client to a level of functioning higher than their precrisis level.
D) a time-limited treatment focused on the immediate problem and its resolution.
Q2) A client enters the emergency department.When performing the initial admission assessment,the nurse recognizes which client behavior as an indicator that the client may become violent?
A) Coherent speech
B) Flat affect
C) A relaxed posture
D) Confusion
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22
Chapter 21: Communicating With Clients and Families at the End of Life
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Sample Questions
Q1) Which of the following best describes anticipatory grief?
A) It occurs after the actual death.
B) It occurs when death was sudden and unexpected.
C) Only the family of the dying client experiences it.
D) It can be colored by ambivalent feelings.
Q2) The nurse is caring for a client who has just experienced the death of her mother.The nurse best demonstrates support for the client by
A) sitting quietly with the client and not discussing the loss.
B) reminding the client that her mother lived a long life.
C) changing the subject so the client won't get upset.
D) offering spiritual support for the client and family.
Q3) A client's adult children call the nurse hourly with concerns about their mother's death and end-of-life care.The nurse's best response is to
A) provide detailed, scientific information.
B) discuss physical symptoms.
C) withhold information to avoid unnecessary fears.
D) provide frequent updates.
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Page 23
Chapter 22: Role Relationships and Interprofessional Communication
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Sample Questions
Q1) A nurse,who has been practicing for 4 years,demonstrates competence,speed,and flexibility when performing clinical skills.According to Benner,the nurse is practicing at which developmental stage?
A) Advanced beginner
B) Competency
C) Proficiency
D) Expert
Q2) A novice nurse decides to attend a diabetes workshop after a client was admitted to the unit with an insulin pump that the nurse was not familiar with.This is an example of A) role performance.
B) client advocacy.
C) collaboration.
D) professional self-awareness.
Q3) Essential components of interprofessional professionalism are clear communication,caring,professional ethics,and A) aesthetics.
B) altruism.
C) justice.
D) truth.
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Chapter 23: Communicating With Other Health Professionals
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Q1) The nurse is scheduled for a yearly evaluation by the nursing supervisor.When planning for this meeting,the nurse should recognize the importance of A) scheduling the evaluation during a time when anxiety level is high.
B) becoming reactive when faced with constructive criticism.
C) demonstrating defensiveness when discussing the evaluation with the supervisor. D) listening carefully during the evaluation and paraphrasing constructive criticism.
Q2) The charge nurse is working on a unit where a nurse is frequently late for work.The charge nurse addresses the behavior by telling the nurse,"It is necessary for you to be here on time from now on." This is an example of what type of constructive criticism?
A) Expressing sympathy
B) Describing the behavior
C) Stating expectations
D) Listing consequences
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Chapter 24: Communicating for Continuity of Care
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Q1) The nurse is caring for a client who will be transferred from the hospital unit to an acute rehabilitation facility.In order to ensure continuity of care for the client,the nurse should
A) manage continuity through a rigid approach.
B) communicate infrequently with the health care team.
C) use a shared management plan when providing health services.
D) prohibit sharing information about the client in order to abide by HIPAA regulations.
Q2) A staff nurse educates a nursing student about collaborative health care teams.The staff nurse recognizes that additional teaching is warranted when the nursing student lists which of the following as a characteristic of a collaborative health care team?
A) They are composed of a single health care discipline in order to maintain cost effectiveness.
B) They are broadly classified as multidisciplinary, interdisciplinary, and transdisciplinary teams.
C) Two or more skilled clinical practitioners will combine efforts in providing care.
D) There is an expectation that care will be provided collaboratively.
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Chapter 25: Documentation in an Electronic Era
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Sample Questions
Q1) The nursing diagnosis for a client is immobility related to a stroke.Which classification system can be readily used with this diagnosis?
A) Omaha system of client problems
B) Clinical pathways
C) Nursing intervention classification
D) International classification of disease (ICD)
Q2) Which classification system is a comprehensive practice,documentation,and information management tool?
A) NANDA
B) NIC
C) NOC
D) Omaha system
Q3) One major advantage of an electronic health information technology system is A) lack of integration.
B) accessibility of health records.
C) it is not easily transferable.
D) it consists of imaging files that allow for delayed access.
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27
Chapter 26: Communicating at the Point of Care: Application of Ehealth Information Technologies
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Sample Questions
Q1) When caring for a client who is at risk for falls,the nurse recognizes that a system that communicates whether the client falls and does not get up via sensors embedded in the hospital room is referred to as
A) telecare.
B) health information technology.
C) radio frequency identity chips.
D) a personal digital assistant.
Q2) Major transformations occurring in use of Health Information Technology (HIT)that will greatly change traditional patterns of nursing communication include which of the following?
A) Electronic health record (EHR)
B) Centralized access to client information
C) Handheld wireless devices to provide continual information
D) Point of care information
E) Continual real time exchange of information
Q3) Which of the following is true about electronic mail communication?
A) Most physicians use e-mail to schedule appointments.
B) E-mail is a means of ensuring confidentiality.
C) Physicians expressed concerns about lack of income generation.
D) Paper copies can be eliminated.
Page 28
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