NUR 115 FINAL NCLEX QUESTIONS AND ANSWERS
In comparing the American Nurses Association (ANA) and the International Council of
Nurses (ICN) definitions of nursing, what component does the ICN mention that is not
included in ANA's definition and is indicative of a more global focus?
a. Advocacy
b. Health promotion
c. Shaping health policy
d. Prevention of illness - Answers - C
The ICN's definition of nursing expands on the ANA's definition by providing for the
concept of shaping health policy as a responsibility of nursing.
A profession has specific characteristics. In regard to how nursing meets these
characteristics, which criteria are consistent and standardized processes? (Select all
that apply.)
a. Code of ethics
b. Licensing
c. Body of knowledge
d. Educational preparation
e. Altruism - Answers - A, B, C, E
Nursing as a profession has a code of ethics, licensing, a body of knowledge, and
altruism. Because there are multiple paths of education for nursing and not a standard
entry into practice, this is one criterion of a profession that is not standard and
consistent.
What specific aspect of a profession does the development of theories provide?
a. Altruism
b. Body of knowledge
c. Autonomy
d. Accountability - Answers - B
Theories establish a specific nursing body of knowledge that is unique to the discipline,
which is one criterion of a profession.
Health care workers are discussing a diverse group of patients respectfully and are
being responsive to the health beliefs and practices of these patients. What important
aspect of nursing professional practice are they exhibiting?
a. Autonomy
b. Accountability
c. Cultural competence
d. Autocratic leadership - Answers - C
,The nurse and other health care workers are exhibiting cultural competence by being
responsive to patients' health beliefs and practices that are influenced by the individual's
culture
A nurse makes a medication error, immediately assesses the patient, and reports the
error to the nurse manager and the primary care provider (PCP). Which characteristic of
a professional is the nurse demonstrating?
a. Autonomy
b. Collaboration
c. Accountability
d. Altruism - Answers - C
The nurse is demonstrating accountability by taking responsibility for the error and
reporting it after an initial assessment of the patient. Criteria of a profession include
altruism (public service over personal gain), autonomy (independence), accountability,
and diversity; however, in this case, the nurse is demonstrating accountability. Although
collaboration is important for the health care team, it is not a criterion for a profession
Which are included in the ANA standards? (Select all that apply.)
a. Standards of professional performance
b. Code of ethics
c. Standards of practice
d. Legal scope of practice
e. Licensure requirements - Answers - A, C
ANA standards have two parts: One is standards of professional performance, and the
other is standards of practice. ANA has a separate document that is a code of ethics.
Nurse practice acts are a legal scope of practice
Which core competency of advanced practice nursing is the Master of Science in
Nursing (MSN) nurse educator exhibiting when counseling a student in therapeutic
communication techniques?
a. Leadership
b. Ethical decision making
c. Direct clinical practice
d. Expert coaching - Answers - D
A nurse educator who is teaching and counseling students is practicing expert coaching
and guidance. A nurse educator with a master's degree practices the other
competencies of leadership and ethical decision making in other situations. Although a
nurse educator may also work as a nurse involved in direct patient care, this is not part
of the educator role
Which statements describe a component discussed in nursing theories? (Select all that
apply.)
a. Optimal functioning of the patient
,b. Interaction with components of the environment
c. The conceptual makeup of the administration of the hospital
d. The illness and health concept
e. Safety aspect of medication administration - Answers - A, B, D
There are four components that a nursing theory discusses: (1) the patient, (2) health,
(3) environment, and (4) nursing—not the hospital administration
Which factors affect the nursing shortage? (Select all that apply.)
a. Aging faculty
b. Increasing elderly population
c. Job satisfaction due to adequate number of nurses
d. Aging nursing workforce
e. Greater autonomy for nurses - Answers - A, B, D
The nursing workforce and nursing faculty are aging. The entire population is aging,
which increases the need for more nurses. The insufficient number of nurses leads to
job dissatisfaction and burnout.
A nurse has performed a physical examination of the patient and reviewed the
laboratory results and diagnostics on the patient's chart. The nurse is performing which
specific nursing function?
a. Diagnosis
b. Assessment
c. Education
d. Advocacy - Answers - B
The nurse is performing the first step in the nursing process—assessment
What is an example of Nightingale's contributions to nursing?
a. Graduated as the first trained U.S. nurse
b. Practiced nursing in the Civil War
c. Established the American Red Cross
d. Emphasized respect for patients' needs and rights - Answers - D
Clara Barton practiced nursing in the Civil War and established the Red Cross. Linda
Richards was the first U.S. trained nurse. Nightingale emphasized patients' needs and
rights.
Nurses are most likely to utilize theories from which of the following individuals in their
leadership role?
a. Maslow
b. Rosenstock
c. Lewin
d. Erikson - Answers - C
, The nurse will use Lewin's change theory most often in the leadership role. Maslow's
hierarchy of needs, Erikson's developmental theory, and the Rosenstock's Health Belief
Model will be utilized most during patient care and education.
A team meeting of providers and nurses is convened to discuss a specific patient's
problems and to determine goals for the patient. During the meeting, specific
accountability related to patient care for both the providers and nurses involved is
established. All members of the meeting show mutual respect by valuing each other's
clinical competence that is necessary to provide quality patient care. Of the following
functions of a nurse, which one is demonstrated in the above example?
a. Delegation
b. Advocacy
c. Collaboration
d. Management - Answers - C
This is an example of the dynamic interpersonal process of collaboration in which health
care professionals constructively solve problems and learn from each other. Delegation
is the process of entrusting or transferring the responsibility for certain tasks to other
personnel. Advocacy is speaking for the patient when he or she is not able to.
Management is overseeing a group of people.
A nurse has graduated from a nursing school and is participating in a new graduate
program at a local hospital as a continuing socialization to the role of the nurse. At what
level is the nurse functioning at this point in the nurse's career?
a. Expert
b. Competent
c. Novice
d. Advanced beginner - Answers - D
The nurse is an advanced beginner for 2 to 3 years after graduating and doesn't reach
the level of competence until the end of that time period. An expert has an intuitive
grasp of situations. A novice is rigid and rule-bound because he or she has no
experience.
Nursing students all belong to the National Student Nurses Association when they are
attending a specific nursing program. This is an important aspect of their socialization to
the profession as it demonstrates which criteria of a profession?
a. Providing service to society
b. Accepting responsibility for actions and omissions
c. Participating in an organization that supports and advances the profession
d. Making independent decisions based on their scope of practice - Answers - C
Students begin their socialization to the profession by participating in an organization,
which is one criteria of a profession.
What is the nurse's role as patient advocate? (Select all that apply.)
In comparing the American Nurses Association (ANA) and the International Council of
Nurses (ICN) definitions of nursing, what component does the ICN mention that is not
included in ANA's definition and is indicative of a more global focus?
a. Advocacy
b. Health promotion
c. Shaping health policy
d. Prevention of illness - Answers - C
The ICN's definition of nursing expands on the ANA's definition by providing for the
concept of shaping health policy as a responsibility of nursing.
A profession has specific characteristics. In regard to how nursing meets these
characteristics, which criteria are consistent and standardized processes? (Select all
that apply.)
a. Code of ethics
b. Licensing
c. Body of knowledge
d. Educational preparation
e. Altruism - Answers - A, B, C, E
Nursing as a profession has a code of ethics, licensing, a body of knowledge, and
altruism. Because there are multiple paths of education for nursing and not a standard
entry into practice, this is one criterion of a profession that is not standard and
consistent.
What specific aspect of a profession does the development of theories provide?
a. Altruism
b. Body of knowledge
c. Autonomy
d. Accountability - Answers - B
Theories establish a specific nursing body of knowledge that is unique to the discipline,
which is one criterion of a profession.
Health care workers are discussing a diverse group of patients respectfully and are
being responsive to the health beliefs and practices of these patients. What important
aspect of nursing professional practice are they exhibiting?
a. Autonomy
b. Accountability
c. Cultural competence
d. Autocratic leadership - Answers - C
,The nurse and other health care workers are exhibiting cultural competence by being
responsive to patients' health beliefs and practices that are influenced by the individual's
culture
A nurse makes a medication error, immediately assesses the patient, and reports the
error to the nurse manager and the primary care provider (PCP). Which characteristic of
a professional is the nurse demonstrating?
a. Autonomy
b. Collaboration
c. Accountability
d. Altruism - Answers - C
The nurse is demonstrating accountability by taking responsibility for the error and
reporting it after an initial assessment of the patient. Criteria of a profession include
altruism (public service over personal gain), autonomy (independence), accountability,
and diversity; however, in this case, the nurse is demonstrating accountability. Although
collaboration is important for the health care team, it is not a criterion for a profession
Which are included in the ANA standards? (Select all that apply.)
a. Standards of professional performance
b. Code of ethics
c. Standards of practice
d. Legal scope of practice
e. Licensure requirements - Answers - A, C
ANA standards have two parts: One is standards of professional performance, and the
other is standards of practice. ANA has a separate document that is a code of ethics.
Nurse practice acts are a legal scope of practice
Which core competency of advanced practice nursing is the Master of Science in
Nursing (MSN) nurse educator exhibiting when counseling a student in therapeutic
communication techniques?
a. Leadership
b. Ethical decision making
c. Direct clinical practice
d. Expert coaching - Answers - D
A nurse educator who is teaching and counseling students is practicing expert coaching
and guidance. A nurse educator with a master's degree practices the other
competencies of leadership and ethical decision making in other situations. Although a
nurse educator may also work as a nurse involved in direct patient care, this is not part
of the educator role
Which statements describe a component discussed in nursing theories? (Select all that
apply.)
a. Optimal functioning of the patient
,b. Interaction with components of the environment
c. The conceptual makeup of the administration of the hospital
d. The illness and health concept
e. Safety aspect of medication administration - Answers - A, B, D
There are four components that a nursing theory discusses: (1) the patient, (2) health,
(3) environment, and (4) nursing—not the hospital administration
Which factors affect the nursing shortage? (Select all that apply.)
a. Aging faculty
b. Increasing elderly population
c. Job satisfaction due to adequate number of nurses
d. Aging nursing workforce
e. Greater autonomy for nurses - Answers - A, B, D
The nursing workforce and nursing faculty are aging. The entire population is aging,
which increases the need for more nurses. The insufficient number of nurses leads to
job dissatisfaction and burnout.
A nurse has performed a physical examination of the patient and reviewed the
laboratory results and diagnostics on the patient's chart. The nurse is performing which
specific nursing function?
a. Diagnosis
b. Assessment
c. Education
d. Advocacy - Answers - B
The nurse is performing the first step in the nursing process—assessment
What is an example of Nightingale's contributions to nursing?
a. Graduated as the first trained U.S. nurse
b. Practiced nursing in the Civil War
c. Established the American Red Cross
d. Emphasized respect for patients' needs and rights - Answers - D
Clara Barton practiced nursing in the Civil War and established the Red Cross. Linda
Richards was the first U.S. trained nurse. Nightingale emphasized patients' needs and
rights.
Nurses are most likely to utilize theories from which of the following individuals in their
leadership role?
a. Maslow
b. Rosenstock
c. Lewin
d. Erikson - Answers - C
, The nurse will use Lewin's change theory most often in the leadership role. Maslow's
hierarchy of needs, Erikson's developmental theory, and the Rosenstock's Health Belief
Model will be utilized most during patient care and education.
A team meeting of providers and nurses is convened to discuss a specific patient's
problems and to determine goals for the patient. During the meeting, specific
accountability related to patient care for both the providers and nurses involved is
established. All members of the meeting show mutual respect by valuing each other's
clinical competence that is necessary to provide quality patient care. Of the following
functions of a nurse, which one is demonstrated in the above example?
a. Delegation
b. Advocacy
c. Collaboration
d. Management - Answers - C
This is an example of the dynamic interpersonal process of collaboration in which health
care professionals constructively solve problems and learn from each other. Delegation
is the process of entrusting or transferring the responsibility for certain tasks to other
personnel. Advocacy is speaking for the patient when he or she is not able to.
Management is overseeing a group of people.
A nurse has graduated from a nursing school and is participating in a new graduate
program at a local hospital as a continuing socialization to the role of the nurse. At what
level is the nurse functioning at this point in the nurse's career?
a. Expert
b. Competent
c. Novice
d. Advanced beginner - Answers - D
The nurse is an advanced beginner for 2 to 3 years after graduating and doesn't reach
the level of competence until the end of that time period. An expert has an intuitive
grasp of situations. A novice is rigid and rule-bound because he or she has no
experience.
Nursing students all belong to the National Student Nurses Association when they are
attending a specific nursing program. This is an important aspect of their socialization to
the profession as it demonstrates which criteria of a profession?
a. Providing service to society
b. Accepting responsibility for actions and omissions
c. Participating in an organization that supports and advances the profession
d. Making independent decisions based on their scope of practice - Answers - C
Students begin their socialization to the profession by participating in an organization,
which is one criteria of a profession.
What is the nurse's role as patient advocate? (Select all that apply.)
