NSG 444 EXAM 1 QUESTIONS WITH COMPLETE AND
ACCURATE SOLUTIONS
1) A new graduate nurse is in the fifth week of working on a busy surgical unit. The
nurse tells a friend about witnessing some patient care that was appalling. What
should the nurse do?
A) Return to school to obtain a master’s of science in nursing (MSN) and
leave bedside nursing
B) Talk to the other nurses involved in the situation about the concerns.
C) Report the behavior to the nurse manager of the unit.
D) Accept that this is the reality of nursing in a busy unit. -- Answer ✔✔
Talk to the other nurses involved in the situation about the concerns.
- Rationale; Disengaging mentally and emotionally may result in dropout.
2) Which of the following strategies may help to overcome reality shock in the
novice nurse?
A) Participating in a preceptorship
, B) Returning to school immediately after graduation
C) Moving frequently from job to job
D) Becoming emotionally involved with patients -- Answer ✔✔
Participating in a preceptorship
- Rationale; Participating in a preceptor program can help a novice assimilate
more smoothly into the registered nurse (RN) role.
3) Black illustrates concepts of preventing burnout by using the example of a flight
attendant instructing persons to put your own oxygen mask on first. What does
this statement mean?
A) Oxygen is the most important element of life.
B) Airway is always a priority in patient care.
C) Taking care of yourself will enable you to be a better nurse.
D) Ask others for help if you feel overwhelmed by your first position as a
nurse. -- Answer ✔✔ Taking care of yourself will enable you to be a
better nurse. - Rationale; Taking care of yourself will allow you to
better care for others.
4) A definition of nursing is essential because it (Select all that apply.)
A) differentiates nursing from other health occupations.
B) guides educational preparation and theory development.
C) helps state nurse practice acts reflect the changing roles of nurses.
D) clarifies the purposes and functions of the nurses.
E) informs potential students of exactly what nurses do. -- Answer ✔✔
A, B, C, D
- Rationale; A definition is important because it allows nurses, other health
care providers, policy makers, and others in the community to better
understand what nurses do.
,5) Which of the following behaviors of a student indicate that the student has taken
responsibility for his or her own professional socialization? (Select all that apply.)
A) Projecting a professional appearance in class
B) Attending class, quietly listening to the lectures
C) Taking responsibility to request alternative dates for examinations in
order to work
D) Taking responsibility to learn the expectations of the faculty in each
course
E) Accepting constructive criticism without becoming defensive -- Answer
✔✔ A, D, E
- Rationale; Part of being a professional is to look and behave like a
professional. Each teacher may have different expectations and it is the
students responsibility to seek clarification as a professional. It is through
Feedback that one is able to improve as a professional. If students become
defensive, they may not hear all the Feedback, positive and negative.
6) Critical thinking in nursing needs to include which of the following important
variables?
A) Consideration of ethics and responsible decision making
B) Ability to act quickly, often on impulse
C) Ability to determine the best nursing interventions regardless of
patients values and beliefs
D) Flexible thinking that rarely follows a pattern or considers standards --
Answer ✔✔ Consideration of ethics and responsible decision making
- Rationale; Critical thinking in nursing is based on ethics and standards of the
profession.
7) A nursing student asks a faculty member how to improve critical thinking. Which
response by the faculty is best?
, A) Don’t worry too much; it will come with time and experience.
B) Pay close attention to how you solve problems; assess your own style
of thinking.
C) Spend time shadowing an experienced nurse to see how it is done.
D) Use ethical standards to guide how you approach patient situations. --
Answer ✔✔ Pay close attention to how you solve problems; assess
your own style of thinking.
- Rationale; Making thinking a focus of concern and actively thinking about it is
the best advise the faculty can give.
8) Which of the following is a characteristic of an accomplished critical thinker?
A) Inquisitiveness
B) Narrow focus
C) Unaffected by other arguments
D) Quick decision making -- Answer ✔✔ Inquisitiveness
- Rationale; The accomplished critical thinker needs to ask questions when
things do not seem quite right.
9) Which of the following statements describes the purpose of the nursing process?
A) Process of documentation designed to decrease liability
B) Process designed to maximize reimbursement potential
C) A sophisticated time-management strategy
D) Process used to identify and solve patient problems -- Answer ✔✔
Process used to identify and solve patient problems
- Rationale; The purpose of the nursing process is to identify and solve patient
problems.
ACCURATE SOLUTIONS
1) A new graduate nurse is in the fifth week of working on a busy surgical unit. The
nurse tells a friend about witnessing some patient care that was appalling. What
should the nurse do?
A) Return to school to obtain a master’s of science in nursing (MSN) and
leave bedside nursing
B) Talk to the other nurses involved in the situation about the concerns.
C) Report the behavior to the nurse manager of the unit.
D) Accept that this is the reality of nursing in a busy unit. -- Answer ✔✔
Talk to the other nurses involved in the situation about the concerns.
- Rationale; Disengaging mentally and emotionally may result in dropout.
2) Which of the following strategies may help to overcome reality shock in the
novice nurse?
A) Participating in a preceptorship
, B) Returning to school immediately after graduation
C) Moving frequently from job to job
D) Becoming emotionally involved with patients -- Answer ✔✔
Participating in a preceptorship
- Rationale; Participating in a preceptor program can help a novice assimilate
more smoothly into the registered nurse (RN) role.
3) Black illustrates concepts of preventing burnout by using the example of a flight
attendant instructing persons to put your own oxygen mask on first. What does
this statement mean?
A) Oxygen is the most important element of life.
B) Airway is always a priority in patient care.
C) Taking care of yourself will enable you to be a better nurse.
D) Ask others for help if you feel overwhelmed by your first position as a
nurse. -- Answer ✔✔ Taking care of yourself will enable you to be a
better nurse. - Rationale; Taking care of yourself will allow you to
better care for others.
4) A definition of nursing is essential because it (Select all that apply.)
A) differentiates nursing from other health occupations.
B) guides educational preparation and theory development.
C) helps state nurse practice acts reflect the changing roles of nurses.
D) clarifies the purposes and functions of the nurses.
E) informs potential students of exactly what nurses do. -- Answer ✔✔
A, B, C, D
- Rationale; A definition is important because it allows nurses, other health
care providers, policy makers, and others in the community to better
understand what nurses do.
,5) Which of the following behaviors of a student indicate that the student has taken
responsibility for his or her own professional socialization? (Select all that apply.)
A) Projecting a professional appearance in class
B) Attending class, quietly listening to the lectures
C) Taking responsibility to request alternative dates for examinations in
order to work
D) Taking responsibility to learn the expectations of the faculty in each
course
E) Accepting constructive criticism without becoming defensive -- Answer
✔✔ A, D, E
- Rationale; Part of being a professional is to look and behave like a
professional. Each teacher may have different expectations and it is the
students responsibility to seek clarification as a professional. It is through
Feedback that one is able to improve as a professional. If students become
defensive, they may not hear all the Feedback, positive and negative.
6) Critical thinking in nursing needs to include which of the following important
variables?
A) Consideration of ethics and responsible decision making
B) Ability to act quickly, often on impulse
C) Ability to determine the best nursing interventions regardless of
patients values and beliefs
D) Flexible thinking that rarely follows a pattern or considers standards --
Answer ✔✔ Consideration of ethics and responsible decision making
- Rationale; Critical thinking in nursing is based on ethics and standards of the
profession.
7) A nursing student asks a faculty member how to improve critical thinking. Which
response by the faculty is best?
, A) Don’t worry too much; it will come with time and experience.
B) Pay close attention to how you solve problems; assess your own style
of thinking.
C) Spend time shadowing an experienced nurse to see how it is done.
D) Use ethical standards to guide how you approach patient situations. --
Answer ✔✔ Pay close attention to how you solve problems; assess
your own style of thinking.
- Rationale; Making thinking a focus of concern and actively thinking about it is
the best advise the faculty can give.
8) Which of the following is a characteristic of an accomplished critical thinker?
A) Inquisitiveness
B) Narrow focus
C) Unaffected by other arguments
D) Quick decision making -- Answer ✔✔ Inquisitiveness
- Rationale; The accomplished critical thinker needs to ask questions when
things do not seem quite right.
9) Which of the following statements describes the purpose of the nursing process?
A) Process of documentation designed to decrease liability
B) Process designed to maximize reimbursement potential
C) A sophisticated time-management strategy
D) Process used to identify and solve patient problems -- Answer ✔✔
Process used to identify and solve patient problems
- Rationale; The purpose of the nursing process is to identify and solve patient
problems.
