All Free Fundamentals of Nursing MCQs with Answers
Every Fundamentals of Nursing question in the bank, across all chapters, each with the correct answer and a written explanation. Free and unlimited, with no account needed.
500 questions · page 14 of 25
- A. Collecting the patient's health history
- B. Administering a prescribed antibiotic
- C. Writing a measurable patient outcome
- D. Comparing results with the expected outcome
Explanation: Implementation is the phase in which the nurse carries out planned nursing interventions.
Correct answer: Administering a prescribed antibiotic- A. The patient reports feeling nauseated
- B. The patient states that the pain is severe
- C. The nurse observes swelling of both ankles
- D. The patient says the wound is burning
Explanation: Objective data are findings that can be observed, measured, or verified by another person.
Correct answer: The nurse observes swelling of both ankles- A. Record the answer without further questioning
- B. Ask a focused question to clarify the onset
- C. Ask the family to provide the exact time
- D. Document that the patient is an unreliable source
Explanation: The nurse should clarify incomplete or unclear information before documenting the assessment.
Correct answer: Ask a focused question to clarify the onset- A. You do not smoke, do you?
- B. Why did you delay seeking treatment?
- C. What health concern brought you here today?
- D. You are taking your medicines as prescribed, correct?
Explanation: An open-ended, neutral question encourages the patient to describe the main concern in their own words.
Correct answer: What health concern brought you here today?- A. It identifies the disease causing the patient's symptoms
- B. It describes a human response that nursing care can address
- C. It remains unchanged until the medical diagnosis changes
- D. It is selected only from the physician's diagnostic report
Explanation: A nursing diagnosis describes an actual or potential human response to health conditions that nurses can treat or prevent.
Correct answer: It describes a human response that nursing care can address- A. Check the patient's airway and breathing
- B. Ask about the patient's usual sleep pattern
- C. Inspect the skin for a pressure injury
- D. Review the patient's usual dietary intake
Explanation: Restlessness, confusion and cyanosis suggest worsening oxygenation, so airway and breathing are assessed first.
Correct answer: Check the patient's airway and breathing- A. Encourage every patient to walk independently
- B. Provide assistance according to the patient's assessed ability
- C. Keep the patient on bed rest throughout admission
- D. Use the same mobility schedule for all patients
Explanation: Individualised care matches assistance and activity to the patient's strength, balance and safety needs.
Correct answer: Provide assistance according to the patient's assessed ability- A. Set a pain goal with the patient
- B. Administer analgesia without further assessment
- C. Record that the patient has recovered
- D. Replace the nursing diagnosis with the surgical diagnosis
Explanation: Planning includes setting patient-centred, measurable goals with the patient before interventions are selected.
Correct answer: Set a pain goal with the patient- A. Ignore it because the patient has no complaint
- B. Reassess the pulse and collect related findings
- C. Document a cardiac disease as the nursing diagnosis
- D. Tell the patient that a serious disorder is present
Explanation: An unexpected finding should be validated and assessed further, including rate, rhythm and related symptoms.
Correct answer: Reassess the pulse and collect related findings- A. The patient says the ward feels comfortable
- B. The patient remains free from falls and uses the call bell
- C. The nurse explains the fall-prevention policy once
- D. The patient receives the prescribed evening medication
Explanation: Evaluation compares the patient's actual response with the planned measurable outcome.
Correct answer: The patient remains free from falls and uses the call bell- A. Document the reading as the patient's baseline
- B. Apply oxygen without checking the measurement
- C. Warm the hand and repeat the reading
- D. Ask the patient to take rapid deep breaths
Explanation: The nurse should validate an unexpected finding by correcting possible equipment or patient factors and repeating the measurement.
Correct answer: Warm the hand and repeat the reading- A. Previous appendectomy at age 20
- B. Current allergy to penicillin
- C. Mother diagnosed with hypertension
- D. Patient's usual daily exercise pattern
Explanation: Family history records significant illnesses or conditions affecting blood relatives, such as hypertension in the patient's mother.
Correct answer: Mother diagnosed with hypertension273. When assessing a patient's abdomen, which sequence of physical examination techniques is correct?
- A. Inspection, auscultation, percussion, palpation
- B. Palpation, percussion, inspection, auscultation
- C. Auscultation, palpation, inspection, percussion
- D. Percussion, palpation, auscultation, inspection
Explanation: The abdomen is assessed in the order of inspection, auscultation, percussion and palpation.
Correct answer: Inspection, auscultation, percussion, palpation- A. Group related findings into meaningful patterns
- B. Select the first diagnosis in the care plan
- C. Begin all prescribed treatments immediately
- D. Ask the medical officer to name the diagnosis
Explanation: Clustering related assessment cues helps the nurse identify meaningful patterns and supports an accurate nursing diagnosis.
Correct answer: Group related findings into meaningful patterns- A. Wound looks bad and patient is careless
- B. Wound is probably infected and painful
- C. Red, warm area measuring 3 cm surrounds incision
- D. Patient seems unhealthy and does not cooperate
Explanation: The third entry uses observable, measurable and neutral language, making it suitable for the clinical record.
Correct answer: Red, warm area measuring 3 cm surrounds incision- A. A patient requesting help to choose lunch
- B. A patient reporting sudden difficulty speaking
- C. A patient asking for a routine bath
- D. A patient with mild pain before breakfast
Explanation: Sudden difficulty speaking may indicate an acute neurological emergency and requires immediate assessment for safety and possible loss of…
Correct answer: A patient reporting sudden difficulty speaking- A. It describes a problem that is already present
- B. It identifies a possible problem supported by risk factors
- C. It names the disease causing the patient's symptoms
- D. It records the treatment prescribed by the physician
Explanation: A risk nursing diagnosis identifies a patient vulnerability and the factors that increase the chance of a problem developing.
Correct answer: It identifies a possible problem supported by risk factors- A. Use a trained medical interpreter
- B. Ask a young child in the family to interpret
- C. Give the patient a form without further discussion
- D. Proceed using gestures and assumptions
Explanation: A trained medical interpreter promotes accurate communication, privacy and informed participation in assessment.
Correct answer: Use a trained medical interpreter- A. Mark the outcome as achieved because care was provided
- B. Reassess the patient and review the care plan
- C. Discontinue all interventions immediately
- D. Record that the patient failed to cooperate
Explanation: When an outcome is unmet, the nurse reassesses the patient and examines whether the diagnosis, interventions or time frame should be…
Correct answer: Reassess the patient and review the care plan- A. Respiratory rate of 18 per minute with clear speech
- B. Mild thirst after walking to the bathroom
- C. New use of accessory muscles during breathing
- D. Dry skin after spending time in a warm room
Explanation: New use of accessory muscles indicates increased work of breathing and possible respiratory compromise, so breathing assessment is the…
Correct answer: New use of accessory muscles during breathing