Nursing Acceleration Challenge Exam I PN-RN Foundations of Nursing Practice Questions and Answers

Question 1

A nurse is documenting the care provided to a client. Which of the following documentation entries is most appropriate and legally sound?

Accepted Answer

"Client ambulated 50 feet down the hallway with steady gait, denies shortness of breath."

Answer

"Client seems to be in a better mood today."

Answer

"Performed wound care as ordered. Dressing changed."

Answer

"Administered pain medication for complaint of abdominal pain."

Question 2

A client with a terminal illness has a living will and has expressed a desire to refuse further life-prolonging treatments. The client's family, however, insists that the healthcare team do everything possible to keep the client alive. Which ethical principle should primarily guide the nurse's actions in this situation?

Accepted Answer

Autonomy

Answer

Justice

Answer

Beneficence

Answer

Non-maleficence

Question 3

During the assessment phase of the nursing process, the nurse gathers both subjective and objective data. Which of the following is an example of subjective data?

Accepted Answer

The client's statement, "I have a pounding headache."

Answer

Blood pressure reading of 120/80 mmHg

Answer

A heart rate of 92 beats per minute

Answer

Observed grimacing when the client moves

Question 4

Which of the following tasks is appropriate for a Registered Nurse (RN) to delegate to a Licensed Practical Nurse (LPN)?

Accepted Answer

Administering a scheduled oral antibiotic to a stable patient.

Answer

Completing the initial admission assessment for a new patient.

Answer

Developing the nursing care plan for a patient with complex health needs.

Answer

Providing discharge teaching to a patient after major surgery.

Question 5

A nurse is preparing a plan of care for a client. Which step of the nursing process involves setting measurable and achievable short- and long-term goals?

Accepted Answer

Planning

Answer

Assessment

Answer

Diagnosis

Answer

Implementation

Question 6

A nurse administers an incorrect dose of medication to a patient. After assessing the patient and ensuring their immediate safety, what is the nurse's next priority action?

Accepted Answer

Notify the healthcare provider and the nurse manager.

Answer

Document the error in the patient's chart.

Answer

Ask a colleague for advice on how to handle the situation.

Answer

Complete an incident report according to facility policy.

A nurse is documenting the care provided to a client.Which of the following documentation entries is most appropriate and legally sound?

A nurse is documenting the care provided to a client.
Which of the following documentation entries is most appropriate and legally sound?