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1. You are participating in a clinical care coordination conference for a patient
with terminal cancer. You talk with your colleagues about using the nursing
code of ethics for professional registered nurses to guide care decisions. A
nonnursing colleague asks about this code. Which of the following statements
best describes this code?
A. Improves self-health care
B. Protects the patient's confidentiality
C. Ensures identical care to all patients
D. Defines the principles of right and wrong to provide patient care: D. Defines the
principles of right and wrong to provide patient care
When giving care, it is essential to provide a specified service according to standards of practice and to follow a code
of ethics. The code of ethics is the philosophical ideals of right and wrong that define the principles you will use to
provide care for your patients. The code serves as a guide for carrying out nursing responsibilities to provide quality
nursing care and the ethical obligations of the profession.
2. An 18-year-old woman is in the emergency department with fever and cough.
The nurse obtains her vital signs, auscultates her lung sounds, listens to her
heart sounds, determines her level of comfort, and collects blood and sputum
samples for analysis. Which standard of practice is performed?
A. Diagnosis
B. Evaluation
C. Assessment
D. Implementation: C. Assessment
Assessment is the collection of comprehensive data pertinent to the patient's health and/or the situation.
3. A patient in the emergency department has developed wheezing and short-
ness of breath. The nurse gives the ordered medicated nebulizer treatment
now and in 4 hours. Which standard of practice is performed?
A. Planning
B. Evaluation
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C. Assessment
D. Implementation: D. Implementation
Implementation is completing coordinating care and the prescribed plan of care.
4. A nurse is caring for a patient with end-stage lung disease. The patient wants
to go home on oxygen and be comfortable. The family wants the patient to
have a new surgical procedure. The nurse explains the risk and benefits of the
surgery to the family and discusses the patient's wishes with the family. The
nurse is acting as the patient's:
A. Educator
B. Advocate
C. Caregiver
D. Case manager: B. Advocate
An advocate protects the patient's human and legal right to make choices about his or her care. An advocate may also
provide additional information to help a patient decide whether or not to accept a treatment or find an interpreter to
help family members communicate their concerns.
5. Evidence-based practice is defined as:
A. Nursing care based on tradition
B. Scholarly inquiry of nursing and biomedical research literature
C. A problem-solving approach that integrates best current evidence with clin-
ical practice
D. Quality nursing care provided in an efficient and economically sound man-
ner: C. A problem-solving approach that integrates best current evidence with clinical practice
Evidence-based practice integrates best current evidence with clinical expertise and patient/family preferences and
values for delivery of optimal health care.
6. The examination for registered nurse licensure is exactly the same in every
state in the United States. This examination:
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A. Guarantees safe nursing care for all patients
B. Ensures standard nursing care for all patients
C. Ensures that honest and ethical care is provided
D. Provides a minimal standard of knowledge for a registered nurse in prac-
tice: D. Provides a minimal standard of knowledge for a registered nurse in practice
Registered nurse (RN) candidates must pass the NCLEX-RN® that the individual State Boards of Nursing administer.
Regardless of educational preparation, the examination for RN licensure is exactly the same in every state in the United
States. This provides a standardized minimum knowledge base for nurses.
7. Contemporary nursing requires that the nurse has knowledge and skills for
a variety of professional roles and responsibilities. Which of the following are
examples? (Select all that apply.)
A. Caregiver
B. Autonomy and accountability
C. Patient advocate
D. Health promotion
E. Lobbyist: A. Caregiver
B. Autonomy and accountability
C. Patient advocate
D. Health promotion
E. Lobbyist
Each of these roles includes activities for the professional nurse. Each of these is used in direct care or is part of
professionalism that guides nursing practice. Some nurses are lobbyists, but being a lobbyist is not expected of all
professional nurses
8. Advanced practice registered nurses generally:
A. Function independently
B. Function as unit directors
C. Work in acute care settings
D. Work in the university setting: A. Function independently
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Advanced practice registered nurse functions independently as a clinician, educator, case manager, consultant, and
researcher within his or her area of practice to plan or improve the quality of nursing care for the patient and family.
9. Health care reform will bring changes in the emphasis of care. Which of the
following models is expected from health care reform?
A. Moving from an acute illness to a health promotion, illness prevention
model
B. Moving from illness prevention to a health promotion model
C. Moving from an acute illness to a disease management model
D. Moving from a chronic care to an illness prevention model: A. Moving from an acute
illness to a health promotion, illness prevention model
Health care reform also affects how health care is delivered. There is greater emphasis on health promotion, disease
prevention, and management of illness.
10. Which of the following nursing roles may have prescriptive authority in their
practice? (Select all that apply.)
A. Critical care nurse
B. Nurse practitioner
C. Certified clinical nurse specialist
D. Charge nurse: B. Nurse practitioner
Nurse practitioners and certified clinical nurse specialists encompass the role and preparation of the advanced practice
registered nurse. According to the American Nurses Association standards of practice, prescriptive authority may be
granted to these nurses.
11. A critical care nurse is using a computerized decision support system to
correctly position her ventilated patients to reduce pneumonia caused by accu-
mulated respiratory secretions. This is an example of which Quality and Safety
in the Education of Nurses (QSEN) competency?
A. Patient-centered care
B. Safety