Fundamental Of Nursing-I Grand MCQs TestBy abdulslambsn@gmail.com / July 31, 2025 Fundamental Of Nursing-I Grand MCQs Test Your Good Name: Your City: Email: 1. Which is an example of continuing education for nurses? Attending the hospital's orientation program Completing a workshop on ethical aspects of nursing Obtaining information about the facility's new computer charting system Talking with a company representative about a new piece of equipment None 2. Who were America's first two trained nursing? Barton and Wald Richards and Mahoney Dock and Sanger Henderson and Breckinridge None 3. Which social force is most likely to significantly impact the future supply and demand for nurses? Aging Telecommunications Economics Science/technology None 4. A nurse with 2 to 3 years of experience who has the ability to coordinate multiple complex nursing care demands is at which stage of Benner's stages of nursing expertise? Advanced beginner Competent Proficient Expert None 5. Which professional organization developed a code for nursing students? AACN NSNA NLN ANA None 6. A nurse has decided to focus on educating the community about health promotion and wellness. Which of the following would be an example of this? Implementing an exercise class for clients who have had a stroke Teaching a class about home accident prevention Initiating prenatal and infant care Holding classes on prevention of sexually transmitted diseases None 7. A group of related ideas or statements” best defines which of The following? A philosophy A conceptual framework A theory A paradigm None 8. Which is an accurate statement about the role of nursing theory? Practice theories assist nurses to reflect on the effectiveness Of what they do. Nursing theory guides the direction of research but not that Of education or practice. All schools of nursing in the United States are organized Around one of the conceptual models described in this Chapter. Practice theories assist nurses to reflect on the effectiveness Of what they do. None 9. A nurse tells a client who is struggling with cancer pain, “It is normal to feel frustrated about the discomfort.” Which is most representative of the skills associated with the working phase of the helping relationship? Respect Genuineness Concreteness Confrontation None 10. A depressed client who has not bathed or dressed in clean clothes today is reading the lunch menu but is unable to make a decision. Which would be the most appropriate nursing diagnosis for this client? Anxiety Powerlessness Chronic Low Self-Esteem Social Isolation None 11. The nurse is communicating with a well-oriented older adult client in a long-term care setting. Which statement best reflects respectful and caring communication? “Are we ready for our shower?” “It’s time to go to the dining room, honey.” “Are you comfortable, Mrs. Smith?” You would rather wear the slacks, would not you?” None 12. The client made the following statement to the nurse, “My doctor just told me that he cannot save my leg and that I need to have an above-the-knee amputation.” Which response by the nurse is most appropriate? “Dr. Jones is an excellent surgeon.” “Are you in pain?” “If I were you, I’d get a second opinion.” “Tell me more. . . .” None 13. The client’s temperature at 8:00 am using an oral electronic thermometer is 36.1°C (97.2°F). If the respiration, pulse, and blood pressure were within normal range, what would the nurse do next? Wait 15 minutes and retake it. Check what the client’s temperature was the last time it was taken. Retake it using a different thermometer. Chart the temperature; it is normal. None 14. Which client meets the criteria for selection of the apical site for assessment of the pulse rather than a radial pulse? A client who is in shock A client with an arrhythmia A client whose pulse changes with body position changes A client who had surgery less than 24 hours ago None 15. For a client with a previous blood pressure of 138/74 mmHg and pulse of 64 beats/min, approximately how long should the nurse take to release the blood pressure cuff in order to obtain an accurate reading? 10–20 seconds. 30–45 seconds 1–1.5 minutes 3–3.5 minutes None 16. A nursing diagnosis of Ineffective Peripheral Tissue Perfusion would be validated by which one of the following? Bounding radial pulse Irregular apical pulse Absent posterior tibial and pedal pulses Carotid pulse stronger on the left side than the right None 17. The nurse reports that the client has dyspnea when ambulating. The nurse is most likely to have assessed which of the following? Shallow respirations Wheezing Shortness of breath Coughing up blood None 18. A client has a pressure ulcer with a shallow, partial skin thickness, eroded area but no necrotic areas. The nurse would treat the area with which dressing? Alginate Dry gauze Hydrocolloid No dressing is indicated None 19. Thirty (30) minutes after application is initiated, the client requests that the nurse leave the heating pad in place. The nurse explains the following to the client: It will be acceptable to leave the pad in place as long as it is moist heat. It will be acceptable to leave the pad in place for another 30 minutes if the site appears satisfactory when assessed. It will be acceptable to leave the pad in place if the temperature is reduced. Heat application for longer than 30 minutes can actually cause the opposite effect (constriction) of the desired one (dilation). None 20. An appropriate nursing diagnosis for a client with large areas of skin excoriation resulting from scratching an allergic rash is.. Risk for Impaired Skin Integrity. Impaired Skin Integrity. Impaired Tissue Integrity. Risk for Infection. None 21. Which of the following indicates proper use of a triangle arm sling? The elbow is kept flexed at 908 or more. The sling extends to just proximal of the hand The sling is removed every 2 hours to check for circulation and skin integrity. The knot is placed on either side of the vertebrae of the neck. None 22. A nurse sees smoke emerging from the suction equipment being used. Which is the greatest priority in the event of a fire? Report the fire. Extinguish the fire. Protect the clients. Contain the fire. None 23. What should the nurse point out as a safety hazard for the developing fetus when instructing a pregnant client? Banging into objects Bicycle rides Recreational activities X-rays None 24. A 75-year-old client, hospitalized with a cerebro vascular accident (stroke), becomes disoriented at times and tries to get out of bed, but is unable to ambulate without help. What is the most appropriate safety measure? Restrain the client in bed Ask a family member to stay with the client Check the client every 15 minutes. Use a bed exit safety monitoring device. None 25. What can the nurse do to promote a safe environment for the client? Keep clutter to a minimum in the client’s room. Have the client wear terry cloth slippers. Provide adequate lighting. Turn off alarms to reduce noise None 26. When planning to teach health care topics to a group of male adolescents, which topic should the nurse consider a priority? Sports contribute to an adolescent’s self-esteem. Sunbathing and tanning beds can be dangerous. Guns are the most frequently used weapon for adolescent Suicide. A driver’s education course is mandatory for safety None 27. A 74-year-old client who takes multiple medications tells the nurse, “I have no idea what that little yellow pill is for.” What is the best nursing diagnosis for this client? Deficient Knowledge Health-Seeking Behavior Deficient Knowledge (Medication Information) Noncompliance None 28. A primary care provider admitted a client experiencing hypertensive crisis because of the failure to take his prescribed medications. To determine learning needs, which client assessment by the nurse would have the highest priority? Age Perception of the effects of hypertension Ability to purchase needed medications Support system None 29. Which learning activity reflects Bloom’s affective domain? Administering an injection Accepting the loss of a limb Inserting a catheter Learning how to read None 30. How can the nurse best assess a client’s style of learning? Ask the client how he or she learns best Use a variety of teaching strategies. Observe the client’s interactions with others. Ask family members. None 31. A client’s learning outcome is “Client will verbalize medication name, purpose, and appropriate precautions.” Which documented statement reflects evidence of learning? Taught name, purpose, and precautions for the new cardiac medication; seemed to understand. Written information about the medication provided and reviewed; correct responses were given to followup questions. Written information read to client; stated he would read it when he got home. Asked questions about the new cardiac medication satisfied with the information. None 32. The nurse is working on a hospital committee focused on preventing back injury in nurses. Which recommendation by this committee is most likely to result in a decrease in back injuries if followed? Nurses must wear back belts when lifting clients. All nursing personnel must attend annual body mechanics education. In order to prevent injury, nurses must strive to become physically fit. No solo lifting of clients is permitted in the facility None 33. Five minutes after the client’s first postoperative exercise, the client’s vital signs have not yet returned to baseline. Which is an appropriate nursing diagnosis? Activity Intolerance Risk for Activity Intolerance Impaired Physical Mobility Risk for Disuse Syndrome None 34. When assessing a client's galt, which does the nurse look for and encourage? The spine rotates, initiating locomotion Toes strike the ground before the heel Gaze is slightly downward Arm on the same side as the swing-through foot moves forward at the same time. None 35. The client is ambulating for the first time after surgery. The client tells the nurse, "I feel faint." Which is the best action by the nurse? Find another nurse for help Tell the client to take rapid, shallow breaths Return the client to her room as quickly as possible Assist the client to a nearby chair None 36. The nurse is performing an assessment of an Immobilized client. Which assessment causes the nurse to take action? Heart rate 86 beats/min Reddened area on sacrum Nonproductive cough Urine output of 50 mL/h None 37. When planning care, for which client would the nurse include close observation for a decreased or absent cough reflex? The client with a nasal fracture The client with impairment of vagus nerve conduction The client with a sinus infection The client with reduction in respiratory membrane Conduction None 38. A client, diagnosed with chronic obstructive lung disease receiving oxygen at 1.5 liters per minute via nasal cannula, is complaining of shortness of breath. What action should the nurse take? Increase the oxygen to 3 liters per minute via nasal cannula. Lower the head of the client’s bed to semi-Fowler’s position. Have the client breathe through pursed lips Encourage the client to breathe more rapidly None 39. The nurse has placed an oro-pharyngeal airway in a client. What action should the nurse take at this time? Tape the airway in place. Suction the client. Turn the client’s head to the side. Insert a nasal trumpet. None 40. Which client statement informs the nurse that his teaching about the proper use of an incentive spirometer was effective? “I should breathe out as fast and hard as possible into the device.” “I should inhale slowly and steadily to keep the balls up.” “I should use the device three times a day, after meals.” “The entire device should be washed thoroughly in sudsy water once a week.” None 41. While a client with chest tubes is ambulating, the connection between the tube and the water seal dislodges. Which action by the nurse is most appropriate? Assist the client to ambulate back to bed. Reconnect the tube to the water seal Assess the client’s lung sounds with a stethoscope. Have the client cough forcibly several times. None 42. The nurse makes the assessment that which client has the greatest risk for a problem with the transport of oxygen from the lungs to the tissues? A client who has.. Anemia An infection A fractured rib. A tumor of the medulla. None 43. Which term does the nurse document to best describe a client experiencing shortness of breath when lying down who must assume an upright or sitting position to breathe more comfortably and effectively? Dyspnea Hyperpnea Orthopnea Apnea None 44. A client with emphysema is prescribed corticosteroid therapy on a short-term basis for acute bronchitis. The client asks the nurse how the steroids will help him. The nurse responds by saying that the corticosteroids will do which of the following? Promote bronchodilation. Help the client to cough Prevent respiratory infection. Decrease inflammation in the airways. None 45. Place the numbers in the correct sequence: Which would most likely be included in the evaluation of the client goal of “Demonstrate adequate tissue perfusion”? Symmetrical chest expansion Use of pursed-lip breathing Brisk capillary refill Activity intolerance None 46. The client has complaints of being tired, listless, and unable to tolerate activity at usual levels. Which laboratory value would the nurse review first while assessing this complaint? Blood urea nitrogen Hemoglobin and hematocrit Blood sugar Serum potassium None 47. A client has a heart rate of 170 beats per minute. For what will the nurse assess next in this client? Increased cardiac output Increased preload Decreased afterload Decreased cardiac output None 48. The nurse is assigned to three clients with the following diagnoses: myocardial infarction (MI), heart failure (HF), and anemia. In planning for their nursing care, the nurse knows that all three clients will have which sign/symptom? Pain Distended neck veins Shortness of breath Nausea None 49. The surgeon ordered sequential compression devices (SCDs) to be applied postoperatively. The client asks why the SCDs are needed. Which is the best responseby the nurse when teaching. The client about the purpose of SCDS? They promote arterial circulation. They promote venous return from the legs. They decrease afterload They decrease postoperative pain None 50. Which set of assessment data best validates that the nurse should initiate cardiopulmonary resuscitation on a comatose client? Cool, pale skin; unconsciousness; absence of radial pulse Cyanosis, slow pulse, dilated pupils Absent pulses, flushed skin, pinpoint pupils Apnea, absence of carotid or femoral pulses, dilated pupils None 1 out of 5 Thanks For Submitting Your Quiz !!