Foundations for Registered Nursing Practice
Chapter Exam Questions
Course Introduction
This course provides a comprehensive introduction to the foundational knowledge and skills required for professional nursing practice. Students explore key concepts such as healthcare ethics, legal responsibilities, patient safety, communication, and cultural competence within the context of nursing. The course emphasizes the development of clinical reasoning, evidence-based decision-making, and person-centered care. Through theoretical instruction and practical learning opportunities, students gain an understanding of the roles, standards, and scope of registered nursing, preparing them for subsequent clinical experiences and successful integration into the healthcare environment.
Recommended Textbook
LPN to RN Transitions 3rd Edition by Lora Claywell
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19 Chapters
398 Verified Questions
398 Flashcards
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Page 2
Chapter 1: Honoring Your Past, Planning Your Future
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) A nurse notices a posting for a management position for which she is qualified. If the nurse is in the moving phase of Lewin's Change Theory, which statement reflects the action she is most likely to take?
A) Does nothing to obtain the position
B) Applies for the position
C) Identifies that change is needed
D) Settles into the routine of her job
Answer: B
Q2) An LPN is talking with her clinical instructor about her decision to return to school to become an RN. The clinical instructor interprets the LPNs outcome priority based on which statement?
A) "My family wanted me to go back to school."
B) "I want to better my financial situation."
C) "I really enjoy school."
D) "I would like to advance to a teaching role someday."
Answer: B
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3
Chapter 2: Managing Time and Designing Success
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Sample Questions
Q1) Which actions or statements can the nurse take to eliminate self-defeating behaviors? (Select all that apply.)
A) Say, "I know that I can do this."
B) Accept responsibility for his or her actions.
C) Worry about things that are out of his or her control.
D) Strive for perfection.
E) Believe that his or her actions are out of his or her control.
Answer: A, B
Q2) A nurse is trying to manage success in the workplace. Which action demonstrates that she understands key habits that must be developed and maintained?
A) Carefully list and organize the day's tasks.
B) Complete a task over again because it wasn't done perfectly the first time.
C) Avoid difficult tasks because they won't be done correctly.
D) Blame others for lack of organization.
Answer: A
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4
Chapter 3: Classroom Study Habits That Work
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Sample Questions
Q1) A student has been out of school for a number of years. She is concerned that she may not be able to study effectively. What action can the student take that will increase her ability to focus on her studies?
A) Study for 1 hour a night.
B) Study in a loud coffee shop.
C) Stay up all night before tests to make sure she is proficient.
D) Study with the TV off.
Answer: D
Q2) A first semester student is struggling in class and did not do well on her last exam. She has determined the problem to be her lack of skill in note-taking. What can the student do in order to take more effective notes during lecture?
A) Focus on writing key words and phrases.
B) Photocopy someone else's notes.
C) Write verbatim all that is said.
D) Practice memorization in class instead of taking notes.
Answer: A
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5
Chapter 4: Basic Math Review: Preparing for Medication
Calculations
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47 Flashcards
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Sample Questions
Q1) Kefzol 500 mg in NS 75 mL over 30 minutes
Q2) 1 L D5W to infuse in 8 hours
Q3) 500 mL D5LR to infuse in 4 hours
Q4) What volume of aminophylline is one dose?
Ordered: aminophylline 175 mg IV q6h
Available: aminophylline ampule labeled 500 mg/20 mL
Q5) Calcium gluconate 10% 16 mEq in 100 mL D W over 30 minutes
Q6) How many tablets of Zaroxolyn are in one dose?
Ordered: Zaroxolyn 0.005 gm PO q AM
Available: 2.5-mg tablets
Q7) 1000 mL 0.45 NS to infuse over 8 hours
Q8) Ordered: Vistaril 10 mg IM q4-6h PRN nausea
Pediatric dose range: 0.5 to 1 mg/kg/dose
Child's weight: 44 lb
Available: Vistaril 25 mg/mL
Q9) Ordered: Dilantin 40 mg PO BID
Pediatric dose range: 5 to 7 mg/kg/day
Child's weight: 6.7 kg
Available: Dilantin 30 mg/5 mL susp Page 6
Q10) Give 1000 mL D ½NS q6h. Drop factor is 15 gtt/mL.
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Page 7
Chapter 5: Passing NCLEX-RN
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Sample Questions
Q1) A graduate nurse is submitting documentation so that she may take the NCLEX-RN within a few months. Which action shows an understanding of the content of the most updated test plan?
A) Spending additional study time reviewing health promotion and maintenance
B) Taking a cardiology course before the exam
C) Reviewing notes from previous nursing classes
D) Setting aside time to study pathophysiology of the brain
Q2) Students are applying the KATTS Framework in order to be successful in their nursing program. The instructor knows they are following the framework properly when they report which of the following?
A) They are studying 1 hour for every 2 to 3 hours of question drill time.
B) They are studying for 2 hours for every 2 to 3 hours of question drill time.
C) They are studying in group for 3 hours total.
D) They are engaged in question drill time for 2 to 3 hours per study session.
Q3) It is critical that students have _____ and believe that they can pass the NCLEX-RN exam.
A) good study habits
B) a positive attitude
C) a good support system
D) adequate sleep
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Chapter 6: Distinguishing the RN Role From the LPN/LVN
Role
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Sample Questions
Q1) The registered nurse takes on different care provider roles in the health care setting. Which roles could the nurse assume when caring for a patient who has just been diagnosed with cancer? (Select all that apply.)
A) Counselor
B) Educator
C) Advocate
D) Collaborator
E) Medical power of attorney
Q2) The RN is caring for the following patients. Which patient and task are most appropriate to assign to the LPN/LVN?
A) A 34-year-old female patient who will need discharge teaching
B) A 40-year-old postoperative male patient who needs a dressing change
C) A 64-year-old female patient who needs a bed bath
D) A 79-year-old patient whose plan of care needs to be updated
Q3) Which function falls within the LPN/LVN's scope of practice?
A) Formulating the plan of care
B) Collecting data
C) Selecting nursing diagnoses
D) Setting goals, objectives, and outcomes
Page 9
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Chapter 7: The Nurses, Ideas, and Forces That Define the Profession
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12 Flashcards
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Sample Questions
Q1) Which is the dominant focus of patient care in the current health care environment?
A) To increase cost to increase profit
B) To contain rising costs
C) To ignore rising costs
D) To manage care according to cost
Q2) What is the function of Continuous Quality Improvement?
A) To improve staff compliance with training
B) To assist staff in building on nursing skills
C) To assess patient care, from admission to discharge
D) To improve collaboration of staff
Q3) The "graying of America" is estimated to include 65 million older Americans by 2030. What current evidence supports the need for increased nursing knowledge of geriatrics and home health care? (Select all that apply.)
A) The elderly utilize more health care dollars per person than younger members of society.
B) The elderly rely minimally on Social Security.
C) The elderly have chronic illnesses.
D) The elderly typically have fewer years of schooling.
E) Some elderly are widowed and need assistance with care.
Page 10
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Chapter 8: Upholding Legal and Ethical Principles
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Sample Questions
Q1) The nurse manager shows an understanding of preventable medical errors when she makes which statement?
A) "There are only a few deaths related to medical errors per year."
B) "Medical errors are made only by nurses who are not focused."
C) "About 20,000 patients die each year from preventable medical errors in the United States."
D) "Each year between 44,000 and 98,000 patients die from preventable medical errors."
Q2) The four elements that must be present for a person to recover damages as the result of alleged malpractice are duty, breach of duty, actual injury, and:
A) insurance.
B) battery.
C) intent.
D) causation.
Q3) The nursing student knows that ethics is a part of which branch?
A) Sociology
B) Law
C) Philosophy
D) Medicine
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Chapter 9: Care and Safety Standards, Competence, and Nurse Accountability
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Sample Questions
Q1) There are a number of characteristics that will help a novice nurse find success in a mentoring relationship. Which action represents one of these positive characteristics?
A) The novice nurse asks clear, thoughtful questions and seeks clarifications.
B) The novice nurse is patient and waits for the mentor to approach with learning opportunities.
C) The novice nurse is directive rather than open to dialogue.
D) The novice nurse stays busy, and the mentor seeks the opportunities.
Q2) The medical team determines that a patient needs to be transferred to another facility to continue receiving the most appropriate and beneficial care. The transfer process has been slow and difficult, and the nurse is struggling to care for the transferring patient along with her other assigned patients. What is the best action the nurse can take to improve her situation?
A) Continue to do the best that she can do for all of her patients.
B) Inform the medical team that the transfer will have to wait for the next shift.
C) Involve management so that the nurse can focus on patient care.
D) Ask her co-workers to manage her patient assignment.
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Page 12
Chapter 10: Using Nursing Theory to Guide Professional Practice
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20 Flashcards
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Sample Questions
Q1) Which of the following are the concepts common among most nursing philosophies, models, and theories?
A) Person, nurse, health, and environment
B) Person, physician, health, and environment
C) Person, nurse, health, and culture
D) Person, nurse, environment, and culture
Q2) What parts make up and work together in Imogene King's Theory of Goal Attainment? (Select all that apply.)
A) Creating a method to evaluate outcomes
B) Defining quality nursing care
C) Setting goals
D) Focusing on self-care
E) Maintaining a clean environment
Q3) Which statement about nursing conceptual models is true?
A) Nursing conceptual models provide a broad explanation of the world.
B) Nursing conceptual models are composed of a defined and interrelated set of concepts.
C) Nursing conceptual models are abstract concepts that propose outcomes.
D) Nursing conceptual models are related constructs that broadly explain a phenomenon of interest.
Page 13
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Chapter 11: Providing Patient-Centered Care Through the Nursing Process
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25 Verified Questions
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Sample Questions
Q1) Errors may occur with the use of data in formulating an appropriate nursing diagnosis. Based on what you know, which of the following represents the main source of errors in the nursing diagnosis process?
A) Making assumptions without supporting data
B) Placing data in incorrect categories
C) Not validating data with the patient
D) Relying on team members for data
Q2) While the nurse is taking the health history, the patient states, "My father and grandfather both had heart attacks and were unable to be very active afterward." This statement is related to the functional health pattern of:
A) activity-exercise.
B) cognitive-perceptual.
C) health perception-health management.
D) coping-stress tolerance.
Q3) Which of the following is true about collaborative problems?
A) Collaborative problems fall within the definition of nursing diagnoses.
B) Collaborative problems are managed using two physicians.
C) Collaborative problems require the nurse to monitor for changes in status.
D) Collaborative problems emphasize prevention, treatment, or health promotion.
Page 14
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Chapter 12: Critical and Diagnostic Thinking for Better Clinical Judgment
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Sample Questions
Q1) The nurse is caring for a 19-year-old trauma patient paralyzed from the neck down. He is alert and oriented, requires assistance with ADLs, and keeps his spirits up with frequent visitors. A priority for the nurse is:
A) rounding hourly to assess the patient's support system and acceptance of his condition.
B) feeding the patient to maintain his nutritional status.
C) ensuring the patient has constant stimuli through his friends because teenagers are peer-focused.
D) watching and preventing skin breakdown as a result of immobility.
Q2) Select the hospital patient who has the best chance of avoiding a nosocomial infection.
A) A 42-year-old patient who had abdominal surgery
B) A 35-year-old patient with a closed leg fracture
C) A 5-month-old non-breastfed infant
D) A 75-year-old patient receiving chemotherapy
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15
Chapter 13: Practicing Evidence-Based Decision Making
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25 Verified Questions
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Sample Questions
Q1) What characteristics support evidence-based practice (EBP)? (Select all that apply.)
A) The nurse's clinical experience is fundamental to the evidence-based practice process.
B) Evidence-based practice provides a theoretical framework for accuracy and safety in patient care.
C) Evidence-based practice involves the use of a holistic approach to patient care in health care.
D) Evidence-based practice is designed to create a generic plan of patient care in clinical settings.
E) Evidence-based practice allows the nurse autonomy in patient care because research proves success.
Q2) The nurse is interested in whether antibiotic therapy or observation only is most effective in the treatment of sinusitis in young adults. Which of the following best describes the type of question being considered?
A) Background questions
B) Foreground questions
C) General knowledge questions
D) Both a and b
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16
Chapter 14: Communicating With Patients and Co-Workers
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21 Verified Questions
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Sample Questions
Q1) Laura, a nurse manager, is meeting with the staff, which consists of nurses from the Veteran, Baby Boomer, Generation X, and Millennial generations. Which of the following is the best approach to encouraging collaboration and feedback from everyone?
A) Ask for volunteers to form a committee to explore the issue.
B) Form a committee made up of at least one representative from each generation.
C) Form a committee primarily composed of experienced, older nurses.
D) Meet with each nurse individually to solicit feedback.
Q2) Which of the following would be most appropriate to assess first for the newly admitted Chinese patient?
A) Pain
B) Language barrier
C) Family support
D) Religious preference
Q3) When preparing for patient teaching what should the nurse do first?
A) Assess the learner's needs.
B) List key points to be presented.
C) Collect the teaching materials.
D) Think about how the skill can be done at home.
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17
Chapter 15: Teaching Patients and Their Families
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Sample Questions
Q1) A 78-year-old patient has shortness of breath on very slight exertion. The physician has written an order for her to be taught about a 2-gram sodium diet. Based on these data, which factor would be likely to interfere with diet teaching?
A) The patient's age
B) The patient's shortness of breath
C) The patient's reluctance to change
D) The chronic nature of the patient's illness
Q2) Which item would most likely be a barrier to learning for a patient who must begin to wear an insulin pump?
A) Curiosity about new experiences and equipment
B) Tendency toward embarrassment about making mistakes and being seen with the pump
C) Ability to prioritize diabetes management
D) Understanding that the patient can promote his or her own well-being
Q3) Which patient characteristic must a nurse consider when planning teaching?
A) Literacy level
B) Discharge instructions
C) Good lighting
D) Pain medication
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Page 18
Chapter 16: Leading, Delegating, and Collaborating
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Sample Questions
Q1) According to the ANA, which elements of nursing cannot be delegated? (Select all that apply.)
A) Initial and subsequent nursing assessments requiring professional judgment
B) The determination of nursing diagnoses, goals, plans of care, and progress
C) Interventions that require the application of professional knowledge and skills
D) Interventions that require additional knowledge and skills
E) Routine daily care elements including recording vital signs
Q2) All of these nursing actions are included in the plan of care for a patient who is malnourished. Which action is appropriate for the RN to delegate to a nursing assistant?
A) Assist the patient in choosing high-nutrition items from the menu.
B) Monitor the patient for skin breakdown over the bony prominences.
C) Assess the patient's strength while ambulating the patient in the room.
D) Offer the patient the ordered nutritional supplement between meals.
Q3) Which of these tasks is appropriate for the RN to delegate to a LPN/LVN?
A) Documenting patient teaching about a routine surgical procedure
B) Teaching a patient how to self-administer insulin
C) Administering an oral medication to a patient
D) Completing the initial assessment and plan of care
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Chapter 17: Promoting Healthful Living in the Primary Care Setting
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Sample Questions
Q1) A patient admitted with chest pain who is a one pack-a-day smoker tells the nurse, "I am just not ready to quit smoking yet." The most appropriate response by the nurse is:
A) "This would be a really good time to quit."
B) "Are you familiar with the nicotine patch?"
C) "Your smoking is the cause of your chest pain."
D) "What do you think keeps you from quitting?"
Q2) A nurse recognizes that a homeless patient must walk great distances to obtain food. What kind of need does this patient demonstrate?
A) Health-deviation need
B) Developmental need
C) Universal need
D) Health continuum need
Q3) Healthy People 2020 is a:
A) new global action plan to prevent and treat disease.
B) prevention agenda for the nation.
C) national effort to improve lives of U.S. citizens.
D) set of national health mandates.
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Page 20
Chapter 18: Managing Care in Secondary and Tertiary
Health Care
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Sample Questions
Q1) Discharge planning requires all of the following except:
A) assessing the patient's plan of care to determine whether the outcome criteria are met.
B) evaluation of whether the patient and family can continue with the necessary interventions or whether they need assistance.
C) obtaining specific orders from the physician to begin the process of discharge planning.
D) assessing the level of the patient's understanding with regard to his or her illness state and treatment regimen.
Q2) In what way(s) do clinical pathways help nurses to manage patient care? (Select all that apply.)
A) Evaluate long-term care facilities.
B) Enable consistently safe care.
C) Manage the resources of the health care facility.
D) Define standard assessment data and frequency for data collection.
E) Review patient charts for quality improvement opportunities.
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21
Chapter 19: Reflecting on Your Transition
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Sample Questions
Q1) A nurse is assigned to care for an elderly, confused patient. The patient's son is sitting at the bedside and is watching a loud television program. The nurse needs to complete the respiratory and cardiac assessment and vital signs. What would be the best approach to this situation?
A) Do not say anything. Just do the best you can with the TV on loud.
B) Say: "That TV is too loud for me to do my work. You have to shut it off."
C) Say: "I'll come back after you've finished watching this TV show. Can you use the call bell to let me know when it's over?"
D) Say: "I need a quiet environment while I listen to your mother's chest. I will need to turn the TV down until I'm finished."
Q2) What could a nurse say who believed that a nursing student has a duty to understand pertinent clinical information to make sound clinical judgments?
A) "Sometimes work does get in the way of studying."
B) "Nursing school is difficult, and striving for average is understandable."
C) "You should be honest when critically reflecting on your strengths and weaknesses."
D) "Experience after nursing school will provide real nursing knowledge."
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