1,444 questions with explanations · 26 free to practise now.
Fundamentals of Nursing questions for NORCET, RRB, ESIC, CHO and state nursing officer exams, split into 11 topics. Open a topic to read sample questions with answers, or start free practice. Every question comes with a simple-English explanation.
General 1264The Nursing Care Of Adults With Medical-Surgical Disorders 45The Client With A Sex Or Growth Hormone 31Nursing Care In Specialized Settings 27The Client With Pain 14Nursing Process 13The Client With Interpersonal Violence 13Physiological Integrity 11The Client With Major Depression 11Priority Nursing Actions 9Fundamentals Of Care 6
Sample Fundamentals of Nursing questions
Q1. Team care given mainly at home for terminally ill patients and their families is called:
Respite care
Rehabilitative care
Acute care
Hospice care
Show answer and explanation
Answer: D. Hospice care
Palliative vs hospice care – palliative: comfort-focused care for any patient whose disease does not respond to cure; hospice: team care mainly at home for terminally ill patients and families, focus on quality of life.
Q2. Following a thoracotomy, the patient has a nursing diagnosis of ineffective breathing pattern related to inability to cough as a result of pain and positioning. What is the best nursing intervention for this patient?
Auscultate the lungs before and after deep-breathing and coughing regimens
Have the patient drink 16 oz of water before attempting to deep breathe
Medicate the patient with analgesics 20 to 30 minutes before assisting to cough and deep breathe
Place the patient in the Trendelenburg position for 30 minutes before the coughing exercises
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Answer: C. Medicate the patient with analgesics 20 to 30 minutes before assisting to cough and deep breathe
A thoracotomy incision is large and involves cutting into muscle, cartilage, and possibly the sternum, resulting in significant postoperative pain, interfering with deep-breathing and coughing. The patient should be provided analgesics before attempting these activities. Water intake is important to liquefy secretions but is not indicated in this case, nor should a patient with chest trauma or surgery be placed in Trendelenburg position, because it increases intrathoracic pressure. Auscultating before and after coughing evaluates effectiveness of airway clearance but does not facilitate it.
Q3. Which instruction regarding the prescribed medication is most appropriate to tell this patient?
"Warm the cough syrup to make it more palatable." The nurse is caring for a patient who must take a liquid cough syrup and several other oral tablets at the same time
"Drink more fluid throughout the day."
"Do not take the drug more frequently than prescribed."
"Avoid taking the medication before going to sleep."
Show answer and explanation
Answer: C. "Do not take the drug more frequently than prescribed."
A patient taking an opioid (codeine) is warned not to exceed the recommended dosage. Extra self-administration leads to sedation and habituation. Opioid antitussives can cause drowsiness but do not interfere with sleep patterns. Many patients take the medication before bed to suppress coughing so they can sleep. Expectorants, not opioid antitussives, are taken with extra fluids to thin mucoid secretions and facilitate their expectoration. Chilling medications, rather than warming them, would help to disguise an unpleasant taste.
Q4. In the heat and acetic acid test, turbidity that persists after adding acetic acid indicates:
Phosphates
Ketones
Protein
Glucose
Show answer and explanation
Answer: C. Protein
Heat and acetic acid test – turbidity on boiling that stays after adding acetic acid means protein; turbidity that clears means phosphates.
Q5. The nurse is teaching a group of nursing students about proper patient positioning. Which statement by a student nurse indicates an understanding of proper positioning?
A patient receiving an enema should be placed on the right side in the Sims' position
A patient with a below-the-knee amputation should be positioned with the affected limb elevated at a 45- degree angle
Patients with a craniotomy should be positioned with the head of bed at a 20-degree angle with the head in a neutral, midline position
Patients with pulmonary edema should be positioned upright with the legs dangling over the side of the bed
Show answer and explanation
Answer: D. Patients with pulmonary edema should be positioned upright with the legs dangling over the side of the bed
Patients with pulmonary edema should be positioned upright with the legs dangling over the side of the bed to decrease venous return. Patients receiving an enema should be positioned on the left side in the Sims' position to allow the gravity flow of the solution to follow the direction of the colon. Patient with lower limb amputations should have the affected limb supported but not elevated to prevent flexion contractures. Patients with a craniotomy should be positioned with the head of bed at a 30- to 45- degree angle to promote venous drainage from the head.
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Is Fundamentals of Nursing asked in NORCET and other nursing officer exams?
Nursing exams test the core nursing subjects, so this subject is useful for NORCET, RRB, ESIC, CHO and state exams. Check your exam's official syllabus for exact weightage.