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 trusting relationship with a client is built by:
- Introducing oneself and stating one's role
- The nurse makes up answers when he or she does not know the answer
- Seeing the client every 5–7 minutes
- Identifying the client by room number
Explanation
Trust is the foundation of a therapeutic nurse–client relationship. It begins with professional communication, such as introducing oneself, explaining one’s role, and clarifying the purpose of interactions. This establishes respect, transparency, and safety for the client. Making up answers (option B) destroys trust, while identifying a client by room number (option D) violates confidentiality. Frequent visits (option C) do not guarantee trust without genuine, respectful communication.
2. A nursing instructor is a member of the National League for Nursing. The purpose of this professional organization is to:
- Set standards and rules in nursing education
- Oversee training to protect patients from incompetent nurses
- Keep nurses updated on the newest information about nursing education
- Keep nurses aware of the newest medical information
Explanation
The National League for Nursing (NLN) is the primary organization responsible for establishing standards and guidelines for nursing education. It promotes excellence in nursing programs, faculty development, and educational research. The NLN works to ensure that nursing curricula and teaching practices meet national standards that prepare competent, professional nurses. While it also supports educator development and innovation, its core purpose is to define and uphold quality benchmarks in nursing education.
3. A patient is considering moving to an assisted-living facility. When providing education about an assisted-living facility, the nurse states:
- "Your physician will make daily visits while you're at an assisted-living facility."
- "An assisted-living facility provides a hospital-like atmosphere."
- "You should move to an assisted-living facility when you're no longer independent."
- "An assisted-living facility provides a home-like atmosphere."
Explanation
Assisted-living facilities are designed to promote independence in a home-like environment while providing help with activities of daily living such as bathing, dressing, and medication management. These facilities focus on maintaining residents’ dignity and autonomy rather than providing hospital-level care. Physicians do not make daily rounds (A), and the environment is not clinical (B). Residents typically move to assisted living while they still have some independence (not after losing it completely), making option D the correct statement.
4. A nurse is educating a student nurse about documentation. The nurse recognizes that additional teaching is required when the student nurse states:
- "Documentation serves as a temporary part of the medical record."
- "Documentation is one of the most important tasks that I'll perform in nursing."
- "Documentation is the act of charting pertinent information related to a patient."
- "Documentation is evidence of what transpired during an event requiring medical care."
Explanation
Documentation is a permanent and legal part of the patient’s medical record, not a temporary one. It provides a continuous record of the patient’s condition, care provided, and the nurse’s professional actions. Accurate documentation ensures communication among healthcare providers, supports clinical decision-making, and serves as legal evidence of the care delivered. Therefore, the statement that documentation is “temporary” reflects a misunderstanding and indicates the need for further teaching.
5. 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.
6. A client comments, "I cannot wait to get out of here." Which response should the nurse make that demonstrates the therapeutic communication technique of reflection?
- "I know what you mean."
- "You cannot wait to get out of here."
- "You do not like being here."
- "Your home is more comfortable than here."
Explanation
Reflection is a therapeutic communication technique where the nurse repeats or paraphrases what the patient has said to encourage further expression of thoughts and feelings. By responding, “You cannot wait to get out of here,” the nurse helps the patient elaborate on their emotions without judgment or interpretation. This promotes openness and understanding. The other options either express agreement, make assumptions, or shift focus away from the patient’s feelings.
7. The nurse is instructing a student nurse about the best methods to use when teaching a visual learner. The nurse determines that further instruction is necessary when the student nurse states:
- "A visual learner learns best by reading."
- "A visual learner learns best by touching."
- "A visual learner learns best by seeing."
- "A visual learner learns best by watching."
Explanation
Visual learners retain information most effectively through seeing, such as reading, diagrams, videos, and demonstrations. They benefit from visual aids like charts, color coding, and written notes. The statement that a visual learner learns best by touching is incorrect because tactile or kinesthetic learners, not visual learners, learn best through hands-on experiences and physical activities. Therefore, option B indicates the need for further instruction.
8. 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.
9. The nurse teaches a student nurse about the history of nursing. The nurse informs the student nurse that in 1836, the first school of nursing was established in Kaiserworth, Germany by:
- Theodore Fliedner
- Clara Barton
- Jean Watson
- Florence Nightingale
Explanation
Theodore Fliedner established the first formal school of nursing in Kaiserworth, Germany, in 1836. This school trained deaconesses in nursing care and served as a model for modern nursing education. One of its most notable students was Florence Nightingale, who later revolutionized nursing practice and education in England. Clara Barton founded the American Red Cross, and Jean Watson is known for her theory of human caring, not for founding a nursing school.
10. When teaching a class of nursing students about advanced practice nursing, the nursing instructor states:
- "A nurse practitioner must be supervised by a registered nurse."
- "A nurse practitioner cannot diagnose illnesses."
- "A nurse practitioner is not able to prescribe medications."
- "A nurse practitioner can diagnose illnesses within his or her scope of practice."
Explanation
Nurse practitioners (NPs) are advanced practice registered nurses (APRNs) who have the education and clinical training to assess, diagnose, and manage patients’ health conditions. They can also prescribe medications and order diagnostic tests, depending on state regulations. NPs practice independently or collaboratively with physicians, focusing on health promotion, disease prevention, and treatment. The other statements are incorrect because NPs do not require RN supervision and are fully qualified to diagnose and prescribe within their legal scope of practice.
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