nursing 1025 fundamentals of nursing
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Free nursing 1025 fundamentals of nursing Questions
A nurse is discussing how client safety is affected by information management technology with a newly licensed nurse. Which of the following statements should the nurse include?
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"Information management technology can increase the risk of human errors."
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"Information management technology decreases the burden of disease."
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"Information management technology can increase direct client care time."
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"Information management technology assists with compliance of practice guidelines."
Explanation
Correct Answer: D) "Information management technology assists with compliance of practice guidelines."
Information management technology, including electronic health records (EHRs), clinical decision support systems (CDSS), and barcode medication administration (BCMA), plays a critical role in enhancing client safety. These systems provide nurses and other healthcare providers with real-time alerts, drug interaction warnings, standardized care pathways, and evidence-based reminders that guide clinical decision-making. By embedding practice guidelines directly into the workflow, these technologies reduce variability in care, minimize omissions, and support consistent adherence to best practices, all of which directly improve client safety and outcomes.
A nurse is preparing a teaching plan for a client who has diabetes mellitus. Which of the following actions should the nurse plan to take first?
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Determine the client's readiness to learn.
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Provide written educational material for the client.
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Identify short-term goals for the client.
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Ask the client to demonstrate checking their blood sugar.
Explanation
Correct Answer: A) Determine the client's readiness to learn.
Before any teaching can begin, the nurse must first assess the client's readiness to learn. Readiness to learn encompasses physical readiness (is the client in pain or too fatigued to focus?), emotional readiness (is the client in denial or anxious about their diagnosis?), and experiential readiness (what does the client already know?). Teaching provided to a client who is not ready — whether due to emotional distress, physical discomfort, low health literacy, or language barriers — will be ineffective and potentially unsafe. Assessing readiness ensures the teaching plan is tailored to the client's actual needs and circumstances, maximizing retention, comprehension, and ultimately the client's ability to manage their diabetes safely at home.
A nurse is teaching a client newly diagnosed with type I diabetes mellitus. A referral for a dietician has been initiated. Which of the following statements by the client indicates the purpose for the referral?
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"The dietician will change my treatment plan."
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"The dietician will assist me in affording my medication."
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"The dietician will coordinate my care."
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"The dietician will help me with my diet due to diabetes."
Explanation
Correct Answer: D) "The dietician will help me with my diet due to diabetes."
A dietician is a licensed healthcare professional who specializes in nutrition and dietary management. For a client newly diagnosed with type 1 diabetes mellitus, dietary management is a cornerstone of disease management. The dietician's role in this context is to provide individualized medical nutrition therapy, which includes teaching the client how to count carbohydrates, understand glycemic index, balance macronutrient intake, coordinate meal timing with insulin administration, and make sustainable dietary choices that help maintain blood glucose within target ranges. The dietician does not have the authority to change the treatment plan, assist with medication affordability, or coordinate overall care, as these fall under the responsibilities of the physician and case manager respectively.
A nurse overhears two assistive personnel (APs) disagreeing about client care assignments. Which of the following actions by the nurse demonstrates conflict resolution?
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Confront the APs to discuss their argument.
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Allow the APs to resolve their issues.
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Tell the APs they are acting immature.
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Report the APs to the charge nurse.
Explanation
Correct Answer: B) Allow the APs to resolve their issues.
Effective conflict resolution encourages individuals to work through disagreements independently when possible, as this builds communication skills, professional accountability, and team cohesion. When the conflict involves a minor workplace disagreement that does not affect patient safety, allowing the parties to resolve it themselves is the most appropriate first step. This approach respects the autonomy of the APs, avoids unnecessary escalation, and fosters a culture of constructive communication. The nurse's role is to monitor the situation and only intervene or escalate if the conflict remains unresolved or begins to impact client care or the work environment.
A charge nurse is providing an in-service to a group of staff members on incivility. Which of the following situations should the nurse include as an example of lateral violence?
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A charge nurse speaks to an assistive personnel (AP) with a demeaning tone.
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A nursing supervisor refusing to help a charge nurse with staffing.
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A charge nurse is rude to their nurse manager when speaking.
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A nurse rolls their eyes at another nurse after providing report.
Explanation
Correct Answer: D) A nurse rolls their eyes at another nurse after providing report.
Lateral violence — also called horizontal violence or workplace bullying — refers to hostile, aggressive, or demeaning behavior directed between colleagues at the same hierarchical level. A nurse rolling their eyes at a peer after report is a classic example of lateral violence through nonverbal demeaning behavior. This type of conduct, even when subtle, creates a toxic work environment, undermines team communication, erodes trust among colleagues, and has been linked to increased nurse burnout, higher turnover rates, and compromised patient safety. Lateral violence can be overt (verbal abuse, sabotage) or covert (eye-rolling, exclusion, passive-aggressive behavior) — both forms are equally harmful and unacceptable in professional nursing practice.
A nurse is discussing a multistate license with a newly licensed nurse. Which of the following statements should the nurse make? Select All that Apply.
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"You can work as a travel nurse."
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"You can practice nursing as a telehealth nurse."
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"You will need to pay for additional licenses to obtain this benefit."
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"You will be able to respond to natural disasters in other states."
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"You can work in other states if needed due to relocation."
Explanation
Correct Answers: A) "You can work as a travel nurse." B) "You can practice nursing as a telehealth nurse." D) "You will be able to respond to natural disasters in other states." E) "You can work in other states if needed due to relocation."
A) Travel nurse — A multistate license under the Nurse Licensure Compact (NLC) allows nurses to practice in any of the compact member states without obtaining additional individual state licenses, making it highly beneficial for travel nurses who move between states for short-term assignments.
B) Telehealth nurse — Telehealth nursing often involves providing care to clients located in different states than where the nurse is physically located. A multistate license permits the nurse to legally practice across state lines in this capacity, which is essential for telehealth practice.
D) Natural disasters — During declared emergencies and natural disasters, nurses with multistate licenses can be rapidly deployed to affected compact states to provide care without the administrative delay of obtaining emergency licensure, making disaster response faster and more efficient.
E) Relocation — If a nurse relocates to another compact member state, their multistate license allows them to continue practicing nursing in the new state without immediately applying for a new state license, easing the transition.
A nurse is providing preoperative teaching for a client. Which of the following outcomes should the nurse expect?
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Increased length of postoperative care in the health care facility
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Increase in postoperative pain
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Reduced postoperative respiratory function
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Reduced postoperative anxiety
Explanation
Correct Answer: D) Reduced postoperative anxiety.
Preoperative teaching is one of the most evidence-supported nursing interventions for improving surgical outcomes. When clients receive thorough preoperative education — including what to expect before, during, and after surgery, pain management strategies, breathing exercises, and early ambulation techniques — they feel significantly more prepared and in control of their experience. This psychological preparedness directly reduces preoperative and postoperative anxiety because the client's fear of the unknown is replaced with knowledge and realistic expectations. Research consistently demonstrates that well-informed surgical clients report lower anxiety levels, greater satisfaction with their care, and improved cooperation with postoperative recovery protocols.
A nurse is preparing a client for a procedure. Which of the following is an acceptable identifier to use to identify the client?
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Medical condition
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Room number
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Home address
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Date of birth
Explanation
Correct Answer: D) Date of birth
The Joint Commission requires the use of at least two patient identifiers before administering medications, performing procedures, or collecting specimens to ensure client safety and prevent medical errors. Acceptable identifiers include the client's full name, date of birth, and medical record number, as these are unique to the individual and remain consistent regardless of location. Room number is not an acceptable identifier because clients are frequently moved between rooms, creating a high risk for misidentification. Medical condition and home address are similarly unreliable as they can be shared among multiple clients or are not consistently verified in clinical practice. Using date of birth as an identifier ensures that the correct client receives the correct treatment, which is a fundamental patient safety standard.
A nurse is caring for a client who states, "My doctor was just here, but I still do not understand my diagnosis." The nurse contacts the provider to return to speak with the client. Which of the following principles is the nurse demonstrating?
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Accountability
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Advocacy
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Confidentiality
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Fidelity
Explanation
Correct Answer: B) Advocacy
Advocacy is a fundamental nursing principle that involves actively supporting and defending the rights, needs, and best interests of the client, particularly when they are unable to do so for themselves. In this scenario, the client has expressed that they do not fully understand their diagnosis, which is a critical gap that affects their ability to participate in informed decision-making about their own care. By contacting the provider and requesting that they return to speak with the client, the nurse is taking direct action to ensure the client receives the information they need and deserve. This act of speaking up on behalf of the client, ensuring their right to informed consent and understanding is upheld, is a defining example of the advocacy role in nursing practice.
A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as a modifiable risk factor for developing a disease?
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Family history
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Genetics
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Sunbathing
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Age
Explanation
Correct Answer: C) Sunbathing.
A modifiable risk factor is one that a person can change or control through behavior, lifestyle choices, or medical intervention. Sunbathing is a modifiable risk factor because it is a deliberate behavior that significantly increases the risk of skin cancer and other UV-related conditions — and it can be reduced or eliminated through behavioral changes such as using sunscreen, wearing protective clothing, and limiting sun exposure. The distinction between modifiable and non-modifiable risk factors is clinically important because health promotion and disease prevention efforts are focused on helping clients reduce their modifiable risks.
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