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 15 of 25
- A. Assessment, diagnosis, planning, implementation, evaluation
- B. Diagnosis, assessment, planning, evaluation, implementation
- C. Planning, assessment, implementation, diagnosis, evaluation
- D. Assessment, planning, diagnosis, evaluation, implementation
Explanation: The nursing process follows assessment, nursing diagnosis, planning, implementation and evaluation.
Correct answer: Assessment, diagnosis, planning, implementation, evaluation- A. Document the pain as exaggerated
- B. Ask focused questions and reassess the patient
- C. Ignore the report until vital signs change
- D. Record only the objective assessment findings
Explanation: Conflicting data should be validated by asking focused questions and repeating relevant assessments.
Correct answer: Ask focused questions and reassess the patient- A. A comprehensive health history and physical examination
- B. A focused examination of the chief complaint only
- C. A review of the medication list without examination
- D. An emergency assessment limited to airway and breathing
Explanation: A first clinic visit with several concerns requires a comprehensive assessment to establish baseline health information.
Correct answer: A comprehensive health history and physical examination- A. Impaired skin integrity related to immobility as evidenced by a sacral wound
- B. Pneumonia related to fever as evidenced by abnormal breath sounds
- C. Risk for falls related to unsteady gait as evidenced by a previous fall
- D. Acute pain related to appendicitis as evidenced by a surgical incision
Explanation: An actual nursing diagnosis includes the problem, related cause and supporting signs or symptoms.
Correct answer: Impaired skin integrity related to immobility as evidenced by a sacral wound- A. The patient's usual exercise pattern
- B. The tablet name, amount and time taken
- C. The patient's preferred learning method
- D. The patient's usual bowel elimination pattern
Explanation: The substance, approximate amount and time of ingestion guide urgent treatment and monitoring for toxicity.
Correct answer: The tablet name, amount and time taken- A. Grouping related findings before identifying a patient problem
- B. Recording every finding without deciding its meaning
- C. Choosing an intervention before reviewing the assessment
- D. Using the medical diagnosis as the nursing diagnosis
Explanation: Clustering related findings helps the nurse identify patterns and support an accurate nursing diagnosis.
Correct answer: Grouping related findings before identifying a patient problem- A. Give the same printed leaflet used for all patients
- B. Provide verbal teaching with pictures and teach-back
- C. Ask a family member to explain every treatment
- D. Tell the patient to search for instructions online
Explanation: Verbal teaching, pictures and teach-back adapt education to the patient's literacy and comprehension needs.
Correct answer: Provide verbal teaching with pictures and teach-back- A. Continue the same plan without further assessment
- B. Reassess the patient and revise the plan if needed
- C. Mark the outcome as achieved because treatment was given
- D. Remove the nursing diagnosis from the care plan
Explanation: Evaluation compares the patient's actual response with the expected outcome and leads to reassessment and revision when progress is…
Correct answer: Reassess the patient and revise the plan if needed- A. The patient reports feeling tired
- B. The patient states that nausea began today
- C. The nurse observes a three-centimetre skin tear
- D. The patient describes a burning sensation
Explanation: Objective data are observable or measurable findings obtained by the nurse, such as the size and appearance of a skin tear.
Correct answer: The nurse observes a three-centimetre skin tear- A. Inspect and measure the ulcer, then assess circulation and sensation
- B. Apply a dressing before examining the surrounding skin
- C. Ask the patient to walk to determine the wound's severity
- D. Clean the ulcer forcefully until all tissue appears red
Explanation: The initial assessment should document wound features and evaluate circulation and sensation because diabetes increases the risk of…
Correct answer: Inspect and measure the ulcer, then assess circulation and sensation- A. Inspection, palpation, percussion, auscultation
- B. Palpation, inspection, auscultation, percussion
- C. Auscultation, percussion, palpation, inspection
- D. Percussion, auscultation, inspection, palpation
Explanation: The usual sequence is inspection, palpation, percussion and auscultation.
Correct answer: Inspection, palpation, percussion, auscultation- A. Administer the prescribed antibiotic as recorded
- B. Ask the patient to describe the previous reaction
- C. Delete the allergy entry from the medication record
- D. Ask a family member to decide which record is correct
Explanation: The nurse should validate the discrepancy by asking what happened, when it occurred and how severe the reaction was.
Correct answer: Ask the patient to describe the previous reaction- A. The colour and shape of each tablet
- B. Prescribed, over-the-counter and herbal medicines
- C. The patient's preferred time for hospital meals
- D. The name of the patient's nearest neighbour
Explanation: A complete medication history includes prescribed drugs, over-the-counter products, herbal medicines and supplements.
Correct answer: Prescribed, over-the-counter and herbal medicines- A. Document that no history can be obtained
- B. Obtain relevant information from a reliable family member
- C. Wait until discharge to collect the patient's history
- D. Assume that the previous admission record is complete
Explanation: A reliable family member or caregiver can provide secondary information when the patient cannot respond accurately.
Correct answer: Obtain relevant information from a reliable family member- A. Group the findings as a possible fluid retention pattern
- B. Record each finding without linking related information
- C. Begin discharge teaching about a low-salt diet
- D. Ask the patient whether the hospital food is acceptable
Explanation: Analysis involves clustering related cues and identifying patterns that may support a nursing diagnosis.
Correct answer: Group the findings as a possible fluid retention pattern- A. Deficient knowledge about diet
- B. Disturbed sleep pattern
- C. Ineffective airway clearance
- D. Readiness for enhanced nutrition
Explanation: Ineffective airway clearance threatens breathing and therefore takes priority over sleep or education needs.
Correct answer: Ineffective airway clearance- A. Patient is difficult and refuses necessary care
- B. Patient refuses dressing change and states, “It is too painful”
- C. Patient is noncompliant and does not understand treatment
- D. Dressing change was omitted because the patient was uncooperative
Explanation: Documentation should state the patient's action and exact reason without judgmental labels.
Correct answer: Patient refuses dressing change and states, “It is too painful”- A. Leave the patient alone to promote privacy
- B. Ensure immediate safety and remain with the patient
- C. Give written information about stress management
- D. Schedule a routine counselling appointment
Explanation: A statement of suicidal thoughts creates an immediate safety risk. The nurse should stay with the patient, remove potential means when…
Correct answer: Ensure immediate safety and remain with the patient- A. Determine the cause of a new confusion
- B. Teach a patient how to use an inhaler
- C. Obtain routine vital signs for a stable patient
- D. Develop nursing diagnoses from assessment findings
Explanation: Routine vital signs for a stable patient may be delegated, with clear instructions to report abnormal findings.
Correct answer: Obtain routine vital signs for a stable patient- A. Check the patient's current condition and explain the procedure
- B. Document that the expected outcome has already been achieved
- C. Replace the nursing diagnosis with a medical diagnosis
- D. Ask the patient to develop a new care plan independently
Explanation: Before implementation, the nurse reassesses the patient's current condition and explains the planned care.
Correct answer: Check the patient's current condition and explain the procedure