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 2 of 25
- A. The patient’s response and discharge plan
- B. The drug, dose, route, time and nurse’s initials
- C. The patient’s diagnosis and dietary preference
- D. The prescriber’s full progress note and treatment goals
Explanation: The medication administration record confirms what medication was given, in which dose and route, at what time, and by whom.
Correct answer: The drug, dose, route, time and nurse’s initials- A. Record the medication as given at the scheduled time
- B. Leave the medication record blank without further action
- C. Record that it was withheld, state the reason and follow policy
- D. Ask another nurse to sign for the medication instead
Explanation: The nurse should accurately record that the medication was not administered and document the reason, following local policy for…
Correct answer: Record that it was withheld, state the reason and follow policy- A. Are you feeling better today?
- B. You are not having pain, are you?
- C. Can you tell me what has been troubling you?
- D. Did the pain begin after you ate breakfast?
Explanation: An open-ended question allows the patient to describe concerns in their own words and supports therapeutic listening.
Correct answer: Can you tell me what has been troubling you?- A. You must remain calm because delays happen
- B. There is no reason to be angry at the nursing staff
- C. I can see that the long wait has been frustrating for you
- D. You should discuss the delay with the doctor later
Explanation: This response acknowledges the patient’s emotion without arguing or making promises.
Correct answer: I can see that the long wait has been frustrating for you- A. Filtering
- B. Feedback
- C. Defensive communication
- D. Nonverbal reassurance
Explanation: Feedback confirms that the message was received and understood accurately, which reduces communication errors during handover.
Correct answer: Feedback- A. Document the findings at the end of the shift
- B. Offer oral fluids and ask the patient to rest
- C. Report the acute findings immediately according to emergency policy
- D. Wait for the next routine medical round before reporting
Explanation: Sudden facial drooping and arm weakness may indicate an acute stroke and require immediate reporting for time-sensitive assessment and…
Correct answer: Report the acute findings immediately according to emergency policy- A. Recording care before it is performed
- B. Using vague terms such as patient seems fine
- C. Documenting assessments and interventions at the time they occur
- D. Allowing a colleague to sign an entry made by another nurse
Explanation: Timely documentation provides a reliable record of the patient’s condition and the care delivered.
Correct answer: Documenting assessments and interventions at the time they occur- A. Patient is uncomfortable
- B. Patient has severe pain
- C. Patient reports pain of 7 out of 10 in the lower abdomen
- D. Patient appears to have a pain problem
Explanation: The numerical rating and specific location communicate measurable information that another nurse can reassess.
Correct answer: Patient reports pain of 7 out of 10 in the lower abdomen- A. The patient’s preferred television programme
- B. The patient’s current abnormal assessment findings
- C. The patient’s complete social history from admission
- D. The patient’s planned discharge teaching topics
Explanation: Current abnormal findings are the most relevant information for immediate clinical decision-making and patient safety.
Correct answer: The patient’s current abnormal assessment findings- A. Give an uncertain answer to avoid delaying the patient
- B. Change the subject until the patient stops asking
- C. State that you will verify the information and return with an answer
- D. Tell the patient to search for the answer on the internet
Explanation: The nurse should be honest, seek accurate information from an appropriate source, and follow up with the patient.
Correct answer: State that you will verify the information and return with an answer- A. The patient problem identified
- B. The nursing intervention provided
- C. The evaluation of the response
- D. The equipment used during care
Explanation: In PIE charting, E means evaluation of the patient’s response to the intervention.
Correct answer: The evaluation of the response- A. Recording care before it is provided
- B. Charting as soon as possible after care
- C. Waiting until the end of the week
- D. Copying the previous shift’s complete note
Explanation: Charting soon after care improves accuracy and reduces forgotten details.
Correct answer: Charting as soon as possible after care- A. To record repeated observations efficiently
- B. To replace all narrative nursing notes
- C. To document only unexpected emergencies
- D. To record the prescriber’s treatment decisions
Explanation: A flow sheet provides an organized way to record repeated measurements and routine observations.
Correct answer: To record repeated observations efficiently- A. Ask an adult relative to explain the procedure
- B. Use a qualified medical interpreter
- C. Ask the patient to sign without further discussion
- D. Give the patient written information in English
Explanation: A qualified medical interpreter supports accurate understanding and voluntary consent.
Correct answer: Use a qualified medical interpreter- A. Insulin teaching completed
- B. Patient received routine education
- C. Patient correctly demonstrates the injection technique
- D. Patient was given an insulin information leaflet
Explanation: A return demonstration provides direct evidence that the patient can perform the skill safely.
Correct answer: Patient correctly demonstrates the injection technique- A. Copy the statement again for consistency
- B. Delete the earlier nurse’s original entry
- C. Assess the patient and document verified findings
- D. Ignore the statement because it is already recorded
Explanation: The nurse should assess the patient and record only current findings that can be verified.
Correct answer: Assess the patient and document verified findings- A. You should not worry about this problem
- B. I understand exactly how you feel
- C. You are saying that the pain worsens at night
- D. Why did you wait so long to tell me?
Explanation: Restating the patient’s message confirms understanding without judging or giving false reassurance.
Correct answer: You are saying that the pain worsens at night- A. Give a long chronological account of the admission
- B. State the current concern, findings, and requested review
- C. Wait until the next routine handover to mention it
- D. Ask another patient whether similar pain is expected
Explanation: An urgent report should focus on the present concern, relevant assessment findings, and the action needed.
Correct answer: State the current concern, findings, and requested review- A. The nurse’s personal opinion about the family
- B. The exact time, caller identity, message, and action taken
- C. A general statement that the family was difficult
- D. Only the fact that a telephone call occurred
Explanation: A complete telephone note identifies when the call occurred, who called, what was communicated, and what follow-up occurred.
Correct answer: The exact time, caller identity, message, and action taken- A. Join the discussion if the information is clinically interesting
- B. Silently leave and discuss it with friends later
- C. Ask the colleague to stop and move the discussion to a private area
- D. Record the conversation in the patient’s nursing notes
Explanation: Patient information should be discussed only with people who need it for care and in a private setting.
Correct answer: Ask the colleague to stop and move the discussion to a private area