Answers.
The nurse practices nursing in conformity with the code of ethics for professional registered
nurses. This code:
A) Improves self-health care
B) Protects the client from harm
C) Ensures identical care to all clients
D) Defines the principles by which nurses' provide care to their clients correct answers D. The
code of ethics is the philosophical ideals of right and wrong that define the principles the nurse
will use to provide care to clients. A code of ethics does not ensure identical care to all clients
(which would not be acceptable). The nursing code of ethics does not protect clients from harm
or improve self-health care.
An 18-year-old woman is in the emergency department with fever and cough. The physician asks
the nurse to measure vital signs, auscultate lung sounds, listen to heart sounds, determine the
level of comfort, and collect blood and sputum samples for analysis. The nurse is performing
what aspect of practice?
A) Diagnosis
B) Evaluation
C) Assessment
D) Implementation correct answers C. The nurse is assessing the client. Diagnosis occurs after
all assessments are completed. Then a plan is developed and implemented. The process is
completed with evaluation.
A client is wheezing and short of breath. The physician orders a medicated nebulizer treatment
now and in 4 hours. The nurse is providing what aspect of care?
A) Planning
B) Evaluation
C) Assessment
D) Implementation correct answers D. Implementation is the actual delivery of care. Assessment
is data gathering. Then the information is developed into a diagnosis and the planning occurs
with the diagnosis. Evaluation is the final step of the nursing process.
The nurse is caring for a client with end-stage lung disease. The client wants to go home on
oxygen therapy and be comfortable. The family wants the client to undergo a new surgical
procedure. The nurse explains the risk and benefits of the surgery to the family and discusses the
client's wishes with the family. The nurse is acting as the client's:
A) Manager
B) Educator
C) Advocate
D) Caregiver correct answers C. An advocate helps speak for the client, communicating the
client's concerns and wishes to family and other caregivers. A caregiver assists in meeting all
health care needs of the client, including taking measures to restore emotional, spiritual, and
social well-being. A manager coordinates all the activities of the members of the nursing staff in
delivering nursing care and has personnel, policy, and budgetary responsibilities for a specific
,nursing unit or agency. An educator explains concepts and facts about health, demonstrates
procedures such as self-care activities, reinforces learning or client behavior, and evaluates the
client's progress in learning.
Evidence-based practice is defined as:
A) Nursing care based on tradition
B) Scholarly inquiry embodied in the nursing and biomedical research literature
C) A problem-solving approach to clinical practice based on best practices
D) Quality nursing care provided in an efficient and economically sound manner correct answers
C. Evidence-based practice is a problem-solving approach to clinical practice that uses the best
available evidence, along with the nurse's expertise and the client's preference and values, in
making decisions about care. The other answers are incorrect.
The examination for the registered nurse (RN) licensure is exactly the same in every state in the
United States. This examination:
A) Guarantees safe nursing care for all clients
B) Ensures standard nursing care for all clients
C) Ensures that honest and ethical care is provided
D) Provides a minimal standard of knowledge for practice correct answers D. The RN licensure
examination provides a minimum standard of knowledge for nurses. The examination cannot
guarantee or ensure care for clients.
Advanced practice nurses (APNs) generally:
A) Work in acute care settings
B) Function independently
C) Function as unit directors
D) Work in the university setting correct answers B. APNs are generally the most independently
functioning nurses. An APN can work in a primary, acute, or restorative care setting. The setting
may be a private, public, or university facility. The APN may function as a clinician, educator,
case manager, consultant, or researcher.
Nursing practice in the twenty-first century is an art and science that is centered on:
A) The client
B) The nursing process
C) Cultural diversity
D) The health care facility correct answers A. The client is the correct choice. The health care
facility is where the client goes to receive treatment. The nursing process is how nurses proceed
to plan care for the client. Cultural diversity is not the correct choice.
Who acted to decrease mortality by improving sanitation in the battlefields, which resulted in a
decline in illness and infection?
A) Dorothea Dix
B) Lillian Wald
C) Clara Barton
, D) Florence Nightingale correct answers D. Florence Nightingale is the correct choice. Barton
founded the Red Cross. Dix organized hospitals, nurses, and supply lines to support the troops of
the Union Army. Wald opened the first community health service for the poor.
The professional nurse responsible for increasing respect for the individual and awareness of
cultural diversity was:
A) Harriet Tubman
B) Mary Mahoney
C) Isabel Hampton
D) Mary Adelaide Nutting correct answers B. Mary Mahoney, the first African American
professional nurse, worked to bring respect to individuals regardless of race, color, background,
or religion. Tubman assisted slaves to freedom during the Civil War. Hampton founded the
Nurses Associated Alumnae of the United States and Canada, which later became the American
Nurses Association (ANA). Nutting was instrumental in the affiliation of nursing education with
universities.
The document that developed goals and objectives to meet the health of the public is known as:
A) Notes on Nursing
B) Last Acts Campaign
C) Healthy People 2010
D) Nursing Principles and Practice 2010 correct answers C. Healthy People 2010, a federal
document, outlines goals for the public. Notes on Nursing set forth Nightingale's first nursing
philosophy. The Last Acts Campaign has developed standards and policies for end-of-life care.
Nursing Principles and Practice 2010—current readings in journals are necessary for all nurses in
practice.
A nurse who uses critical thinking in the decision-making process to provide effective quality
care to individuals is known as:
A) An advanced care nurse
B) A clinical decision maker
C) A member of a multidisciplinary practice
D) An evidence-based practitioner correct answers B. This process may be carried out with other
members of the health care team, and client and family members may be included. All nurses use
critical thinking. An advanced care nurse has advanced educational preparation. An evidence-
based practitioner draws on research findings as well as clinical expertise and client values. A
multidisciplinary practice includes health care members from various fields of activity, such as
physical therapy and dietary therapy, along with nursing.
Which of the following assures clients that they will receive quality care from a competent
nurse?
A) Standards of care
B) Nurse Practice Act
C) Accreditation certification
D) National council licensure correct answers A. Standards of care describe the competency
level of nursing care as described by the ANA. The Nurse Practice Act regulates the licensing
and practice of nursing; it describes the scope of practice. Accreditation allows the facility,