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
The Nurse Practice Act is enforced by the:
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State Board of Nursing
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National League for Nursing
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State Department of Health
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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.
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:
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Medicaid
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Medicare
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Managed care
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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.
The nurse is instructing a student nurse about the best methods to use when teaching a kinesthetic learner. The student nurse understands by stating:
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"A kinesthetic learner learns best by doing."
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"A kinesthetic learner learns best by watching."
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"A kinesthetic learner learns best by seeing."
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"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.
A student nurse is caring for a patient who is on a clear liquid diet. The best example of nursing documentation related to this patient is:
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"No complaints of nausea while on clear liquid diet."
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"Patient tolerates the clear liquid diet well."
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"Average intake of clear liquid diet noted."
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"Patient swallowing clear liquids normally."
Explanation
The statement "Patient tolerates the clear liquid diet well" provides clear, concise, and relevant documentation of the patient’s response to the prescribed diet. It indicates that the patient is able to consume the diet without complications such as nausea, vomiting, or discomfort. Documentation should reflect the patient’s tolerance and response to interventions. While the other statements describe partial observations, option B most effectively summarizes the patient’s overall status related to the dietary order.
The nurse is performing an admission assessment on a patient. When collecting objective and subjective data, the nurse identifies it as subjective data:
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The patient demonstrates guarding
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The patient has wound drainage
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The patient is short of breath
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The patient reports feelings of fatigue
Explanation
Subjective data are statements or symptoms reported by the patient and cannot be directly observed or measured by the nurse. When a patient reports feeling fatigued, it reflects their personal experience and perception. In contrast, objective data—such as guarding, wound drainage, or observed shortness of breath—are measurable or observable signs collected through inspection, palpation, or testing. Accurate differentiation between the two types of data ensures thorough and precise assessment.
An intervention on the part of the nursing instructor would be required if:
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A student performs hand washing and then uses a paper towel to turn off the water.
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A student ties the lower strings of a mask up on the head.
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A student removes gloves and performs hand washing after providing sliding-scale insulin.
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A student dons a gown and gloves prior to entering the room of a patient on contact precautions.
Explanation
When donning a mask, the lower strings should be tied around the neck, below the ears, not on the head. The upper strings are tied on top of the head. Incorrectly tying both sets of strings on the head compromises the mask’s fit and effectiveness, increasing the risk of contamination. The other actions—using a paper towel to turn off water, handwashing after glove removal, and donning PPE for contact precautions—are all correct infection control practices.
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:
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Planning
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Diagnosis
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Assessment
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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.
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:
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Male priests
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Nurses
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Physicians
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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.
A patient requests that the nurse copy his chart for his daughter. The nurse replies:
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"The chart belongs to the hospital, but if you give written permission, a copy can be made for you."
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"Only your lawyer can request a copy so you need to contact her."
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"I'll get a copy made right away. How many copies do you need?"
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"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.
A nurse is educating a student nurse about documentation. The nurse recognizes that additional teaching is required when the student nurse states:
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"Documentation serves as a temporary part of the medical record."
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"Documentation is one of the most important tasks that I'll perform in nursing."
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"Documentation is the act of charting pertinent information related to a patient."
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"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.
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