PN FL Fundamentals Funds quiz 1 Fall 2025
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Free PN FL Fundamentals Funds quiz 1 Fall 2025 Questions
1. A patient is considering moving to an assisted living facility. When providing education about an assisted-living facility, the nurse states:
- A. "Your physician will make daily visits while you're at an assisted-living facility."
- B. "An assisted-living facility provides a hospital-like atmosphere."
- C. "An assisted-living facility provides a home-like atmosphere."
- D. "You should move to an assisted-living facility when you're no longer independent."
Explanation
An assisted-living facility is designed to offer a home-like environment for individuals who can live independently but need help with daily activities such as bathing, dressing, or medication management. These facilities promote autonomy and social engagement rather than a clinical or hospital-like setting. Physicians visit as needed, not daily, and residents typically transition there before they lose full independence, allowing for supportive rather than total care.
2. 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)?
- A. Use of sterile technique
- B. Hand hygiene
- C. Proper disposal of linens
- D. 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.
3. A patient requests that the nurse copy his chart for his daughter. The nurse replies:
- A. "The chart belongs to the hospital, but if you give written permission, a copy can be made for you."
- B. "Only your lawyer can request a copy so you need to contact her."
- C. "I'll get a copy made right away. How many copies do you need?"
- D. "HIPAA prevents the hospital from copying your chart, but you could speak to your physician about it."
Explanation
Under HIPAA (Health Insurance Portability and Accountability Act), patients have the right to access and obtain copies of their medical records, but the original chart is the property of the hospital or healthcare facility. Copies can be provided once written authorization is given by the patient. The nurse should not copy or release records without proper consent (making C incorrect). Option B limits access unnecessarily, and option D misrepresents HIPAA regulations.
4. The nurse is instructing a student nurse about the best methods to use when teaching a kinesthetic learner. The student nurse understands by stating:
- A. "A kinesthetic learner learns best by doing."
- B. "A kinesthetic learner learns best by watching."
- C. "A kinesthetic learner learns best by seeing."
- D. "A kinesthetic learner learns best by reading."
Explanation
Kinesthetic learners understand and retain information most effectively through hands-on experiences and physical activity. They benefit from practicing skills, role-playing, simulations, and demonstrations. These learners prefer movement and touch as part of their learning process. In contrast, visual learners learn best by seeing (diagrams, videos), auditory learners by listening, and reading/writing learners through written materials. Therefore, the student’s statement that kinesthetic learners learn best by “doing” is correct.
5. The Nurse Practice Act is enforced by the:
- A. State Board of Nursing
- B. National League for Nursing
- C. State Department of Health
- D. County Health Department
Explanation
The State Board of Nursing (BON) is the regulatory body that enforces the Nurse Practice Act within each state. It establishes standards for safe nursing practice, issues and renews nursing licenses, and investigates violations or misconduct. The BON ensures that nurses adhere to professional and ethical standards to protect public health and safety. In contrast, the National League for Nursing focuses on education, and health departments primarily handle community health and disease prevention—not nursing regulation.
6. A nurse witnesses a coworker taking a medication ordered for a patient. The nurse's first course of action is to:
- A. Ask the other nurses on the unit what they would do
- B. Offer to care for the nurse's patients until the medication is no longer effective
- C. Tell the coworker that the incident will be reported the next time it happens
- D. Report the incident to the nurse supervisor
Explanation
When a nurse observes drug diversion—a coworker taking medication intended for a patient—the appropriate and ethical first action is to report the incident immediately to the nurse supervisor. This ensures patient safety and initiates proper investigation in accordance with facility policy. Confronting the coworker or discussing the issue with others violates confidentiality and may delay intervention. The supervisor is responsible for following established procedures to handle the situation appropriately and protect both the patients and staff.
7. 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:
- A. "You will receive intense therapy services while you're here."
- B. "If you get sick while you're here, we can transfer you to the hospital."
- C. "You will be seen by a physician who specializes in rehabilitation."
- D. "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.
8. 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:
- A. Theodore Fliedner
- B. Clara Barton
- C. Jean Watson
- D. 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.
9. The nurse is supervising a certified nursing assistant (CNA). The nurse intervenes when the CNA asks a patient:
- A. "When would you like your bath?"
- B. "Would you like a snack?"
- C. "Is it okay if I take your vital signs?"
- D. "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.
10. The nurse recognizes that a system of health care delivery aimed at managing the cost and quality of access to health care is known as:
- A. Medicaid
- B. Medicare
- C. Managed care
- D. Private insurance
Explanation
Managed care is a health care delivery system designed to control costs, improve quality, and ensure efficient use of services. It involves coordination among providers, insurers, and patients to avoid unnecessary treatments and promote preventive care. Examples include Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs). In contrast, Medicare and Medicaid are government-funded programs, and private insurance generally lacks the same structured cost-control mechanisms found in managed care systems.
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