Nursing School Fundamentals of Nursing

Question 1

Which vital sign finding should be reported to the charge nurse immediately in an adult patient?

Accepted Answer

Heart rate of 112 beats per minute

Answer

Blood pressure of 118/76 mmHg

Answer

Respiratory rate of 16 breaths per minute

Answer

Temperature of 98.6°F (37°C)

Question 2

A nurse is preparing to perform hand hygiene. According to the CDC, how long should hands be scrubbed with soap and water?

Accepted Answer

At least 20 seconds

Answer

5 seconds

Answer

10 seconds

Answer

60 seconds

Question 3

When documenting in a patient's medical record, which principle is most important?

Accepted Answer

Record entries that are accurate, timely, and objective

Answer

Use abbreviations to save time

Answer

Document only at the end of each shift

Answer

Write in pencil so corrections can be made

Question 4

A patient is placed in Fowler's position. At what angle is the head of the bed elevated?

Accepted Answer

45–60 degrees

Answer

15–30 degrees

Answer

30–45 degrees

Answer

60–90 degrees

Question 5

Which action best demonstrates respect for a patient's autonomy?

Accepted Answer

Allowing the patient to refuse treatment after being informed of the risks

Answer

Administering medication without explaining side effects

Answer

Deciding the best treatment plan on behalf of the patient

Answer

Encouraging family members to make all care decisions

Question 6

A nurse is preparing to give an injection. Which site is most appropriate for an intramuscular (IM) injection in an adult?

Accepted Answer

Ventrogluteal muscle

Answer

Deltoid muscle

Answer

Dorsogluteal muscle

Answer

Vastus lateralis muscle

Question 7

What is the primary purpose of the nursing process?

Accepted Answer

To provide a systematic framework for individualized patient care

Answer

To follow physician orders accurately

Answer

To ensure hospital policies are followed

Answer

To document care for billing purposes