PN FL Fundamentals Funds quiz 1 Fall 2025 at Jersey College School of Nursing

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Free PN FL Fundamentals Funds quiz 1 Fall 2025 at Jersey College School of Nursing Questions

1. A student nurse is caring for a patient at a rehabilitation facility. The student nurse educates the patient about the rehabilitation facility. The nurse intervenes when the student states:
  • "You will receive intense therapy services while you're here."
  • "If you get sick while you're here, we can transfer you to the hospital."
  • "You will be seen by a physician who specializes in rehabilitation."
  • "You must participate in at least 6 hours of therapy each day."

Explanation

Inpatient rehabilitation facilities typically require patients to participate in a minimum of 3 hours of therapy per day for 5 days per week, not 6 hours daily. The goal is to provide intensive therapy while balancing rest and recovery. The other statements are accurate—rehabilitation facilities provide specialized therapy services, have physicians trained in rehabilitation medicine, and can transfer patients to acute care hospitals if a medical emergency or illness occurs.
2. A patient appears anxious. The patient speaks quickly and paces the hospital halls. Using the SOAPIER method, a nurse should chart this finding under the initial:
  • A
  • S
  • O
  • P

Explanation

In the SOAPIER documentation format (Subjective, Objective, Assessment, Plan, Intervention, Evaluation, Revision), O stands for Objective data—information the nurse can observe, measure, or verify. The patient’s rapid speech, pacing, and anxious appearance are observable signs, making them objective findings. In contrast, S (Subjective) refers to what the patient reports, such as “I feel nervous.” Objective documentation ensures clear, factual communication of the nurse’s direct observations.
3. The nurse is supervising a certified nursing assistant (CNA). The nurse intervenes when the CNA asks a patient:
  • "When would you like your bath?"
  • "Would you like a snack?"
  • "Is it okay if I take your vital signs?"
  • "What is your pain level?"

Explanation

Assessing a patient’s pain level is a nursing responsibility that requires clinical judgment and cannot be delegated to a CNA. Certified nursing assistants can report observations, such as facial grimacing or restlessness, but they cannot perform pain assessments. The other options—asking about bathing preferences, offering snacks, or obtaining consent for vital signs—are appropriate and within the CNA’s scope of practice. The nurse must intervene to ensure delegation aligns with each team member’s legal and professional responsibilities.
4. The nurse educates a nursing student about the Nurse Practice Act. The nursing student demonstrates understanding when stating:
  • "The Nurse Practice Act is the same in every state."
  • "The Nurse Practice Act does not specify who can supervise a nurse."
  • "The Nurse Practice Act is determined by the American Nurses Association."
  • "The Nurse Practice Act establishes the scope of practice for each level of nurse."

Explanation

Each state’s Nurse Practice Act (NPA) defines and regulates the scope of nursing practice for all levels of nurses, including LPNs/LVNs and RNs. It outlines the responsibilities, limitations, and legal standards nurses must follow to ensure safe and competent care. The NPA is state-specific and enforced by the State Board of Nursing, not by the American Nurses Association. Therefore, option D correctly reflects the student’s understanding of the NPA’s purpose and function.
5. Student nurses are reviewing best practice methods to prevent the spread of infection. Which action should provide the highest level of protection based on evidence-based practice (EBP)?
  • Use of sterile technique
  • Hand hygiene
  • Proper disposal of linens
  • Private room assignment

Explanation

Hand hygiene is the most effective and evidence-based method for preventing the spread of infection in all healthcare settings. It removes transient microorganisms and prevents cross-contamination between patients, staff, and the environment. Whether performed with soap and water or alcohol-based sanitizer, consistent hand hygiene before and after patient contact is the cornerstone of infection control. While sterile technique, linen handling, and isolation practices are important, none are as universally effective as proper hand hygiene.
6. Which of the following is defined as a client injury that occurs because the nurse fails to meet his or her responsibility to the client?
  • Abandonment
  • Battery
  • Damages
  • Negligence

Explanation

Negligence occurs when a nurse fails to perform an action that a reasonably prudent nurse would do in a similar situation, resulting in harm or injury to the client. It represents a breach of duty and failure to meet accepted standards of care. Examples include failing to monitor a patient’s condition, giving the wrong medication, or not responding to a change in status. Abandonment involves leaving a patient without proper care, battery is intentional touching without consent, and damages refer to the harm suffered as a result of negligence.
7. The client states to their nurse, "I do not understand the risks of this procedure or exactly what will occur during the procedure." Which of the following statements would be most appropriate by the nurse?
  • "I will educate you on this procedure."
  • "Why don't you understand?"
  • "I will need to inform your physician."
  • "You can still have the procedure."

Explanation

It is the physician’s legal and ethical responsibility to provide information about a procedure, including its risks, benefits, and alternatives, and to obtain informed consent. If the patient expresses confusion or lack of understanding, the nurse must notify the physician so that the explanation can be clarified before proceeding. The nurse’s role is to advocate for the patient’s understanding, not to provide procedural education or proceed without informed consent.
8. The student nurse is caring for a patient who is covered by Medicaid. When speaking with the case manager about Medicaid, the case manager tells the student nurse that Medicaid:
  • Offers the same benefits in every state.
  • Is funded by the city health department.
  • Is a county government matching funding program.
  • Offers assistance to pregnant impoverished women.

Explanation

Medicaid is a joint federal and state-funded program that provides health care coverage for low-income individuals and families, including pregnant women, children, elderly adults, and people with disabilities. Eligibility and benefits vary by state. The program assists vulnerable populations by covering hospital care, physician services, and prenatal care. It is not city-funded, and benefits are not identical across states, as each state administers its own program within federal guidelines.
9. While caring for a patient who is complaining of abdominal pain, the nurse determines that the top priority is to manage the patient’s pain with medication. This step in the nursing process is called:
  • Planning
  • Diagnosis
  • Assessment
  • Implementation

Explanation

The planning phase of the nursing process involves setting priorities, establishing goals, and determining which interventions should be implemented to address the patient’s needs. In this scenario, the nurse is identifying pain management as the top priority and deciding that medication is the appropriate intervention — this is planning. The implementation phase would occur after this step, when the nurse actually administers the medication.
10. The nursing instructor is educating a nursing student about nursing history. The nurse explains that throughout ancient history, nursing care was provided by family members and:
  • Male priests
  • Nurses
  • Physicians
  • Female priests

Explanation

In ancient history, male priests often assisted in providing nursing care along with family members. Healing was closely tied to religion, and priests were seen as both spiritual and physical caregivers, using rituals, herbal remedies, and basic health practices. The formal role of nurses as we know it today did not yet exist. Organized nursing care began to develop much later, particularly during the religious orders of the Middle Ages and was later professionalized by figures such as Florence Nightingale.

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