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Intro to Professional Nursing Final Exam Questions and Answers

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Intro to Professional Nursing Final Exam Questions and Answers Which of the following was responsible for the mass migration of skilled nurses from other countries, particularly the Philippines, to the United States in the 20th century? A)Cadet Nurse Corps B)Vietnam War C)Immigration act of 1965 D)HIV/AIDS epidemic Immigration act of 1965 Which of the following could eventually change the historical status of nursing as a female-dominated profession? A)More men graduating from baccalaureate and higher degree programs B)More male graduates of basic nursing programs entering the workplace C)The proportion of men in nursing beginning to increase D)Salary compensation increasing to attract more men More male graduates of basic nursing programs entering the workplace The racial and ethnic composition of the nursing profession will change to more accurately reflect the population as a whole when: A)the percentage of African-American and Hispanic nurses decreases more than the percentage of white nurses. B)the nonwhite portion of the general population decreases. C)the number of Asians or Native Hawaiian-Pacific Islanders begins to increase. D)the increased numbers of racial and ethnic minorities enrolled in educational programs graduate and begin to practice. the increased numbers of racial and ethnic minorities enrolled in educational programs graduate and begin to practice. Which of the following best describes trends in nursing education? A)Foreign-born nurses practicing in the United States are seen as less knowledgeable because of their lesser educational preparation. B)Numbers of RNs with diploma educations are increasing. C)Numbers of RNs with bachelor's and higher degrees are increasing. D)Numbers of RNs with associate degrees are decreasing. Numbers of RNs with bachelor's and higher degrees are increasing. Despite the variety of work settings available to the RN, data indicate that the primary work site for RNs is: A)acute care hospitals. B)community health settings. C)ambulatory care settings. D)long-term care facilities. acute care hospitals Which of the following statements is correct about community health nursing (CHN)? A)Assessment skills are less important in CHN because patients are not acutely ill. B)Nursing care is rapidly moving from the home setting to the institutional setting. C)Prevention and community education are the cornerstones of CHN. D)High-tech care such as ventilators and total parenteral nutrition cannot be handled in the home. Prevention and community education are the cornerstones of CHN. The major benefit of serving as a military nurse is: A)serving as an officer on active duty or in the reserves. B)working with entirely baccalaureate-prepared peers on active duty. C)the financial support to seek advanced degrees. D)broader responsibilities and scope of practice than civilian nurses. the financial support to seek advanced degrees. What has been found about the outcomes of patients cared for in hospitals with a higher percentage of BSN-prepared nurses as compared to patients in hospitals with a lower percentage of BSN-prepared nurses? A)Medical patients had better outcomes, but surgical patients fared the same. B)Outcomes were better in hospitals with more BSN-prepared nurses. C)Patient outcomes are more dependent on nurse-patient ratios. D)Outcomes were similar in both types of hospitals. Outcomes were better in hospitals with more BSN-prepared nurses. One important advantage of the evolution of nursing informatics is that: A)benefits of informatics advancements include improved patient safety and increased variability of care. B)informatics nurses are best able to design systems with the needs and skills of nurses who use them in mind. C)informatics nurses will reduce the need for direct caregivers to document care. D)it allows any RN to become a certified informatics nurse. informatics nurses are best able to design systems with the needs and skills of nurses who use them in mind. NPs are advanced practice nurses who: A)are required to have physician collaboration or supervision. B)function under a set of universal advanced practitioner laws. C)can diagnose and treat common and chronic conditions. D)cannot receive direct reimbursement for their services. can diagnose and treat common and chronic conditions. Hospice and palliative care nursing is a rapidly developing specialty in nursing. Which facts have contributed to this growth? (Select all that apply.) A)End-of-life care is largely the responsibility of nurses. B)Nursing curricula have prepared nurses to deal effectively with dying patients and their families. C)Palliative care is a new focus of advanced practice nurses. D)End-of-life needs are expected to increase with the aging population. E)Hospice and palliative care nurses work in a variety of settings. End-of-life care is largely the responsibility of nurses. End-of-life needs are expected to increase with the aging population. Hospice and palliative care nurses work in a variety of settings. Which early nursing leader founded the first training school for nurses that would later become a model for early nursing education? A)Mary Ann Bickerdyke B)Dorothea Dix C)Clara Barton D)Florence Nightingale Florence Nightingale To which early nursing leader is attributed the founding of the American Red Cross? A)Lavinia Lloyd Dock B)Clara Barton C)Florence Nightingale D)Dorothea Dix Clara Barton What was the most significant impact on the profession of nursing made by Mary Breckenridge in her role as a frontier nurse? A)She demonstrated that nurses could provide primary care in rural settings. B)She demonstrated that nurses were capable of teaching new mothers to care for babies. C)She demonstrated that nurses could provide care to many clients despite geographic boundaries. D)She demonstrated that female nurses could protect themselves in unsettled rural environments. She demonstrated that nurses could provide primary care in rural settings. What specialty of nursing was considered well suited for men at a time when other areas were excluding men from practicing? A)Pediatric nursing B)Psychiatric nursing C)Obstetric nursing D)Nurse educator Psychiatric nursing When surveyed, which profession was chosen by the general public as highest in honesty and ethics? A) Nurse B)Physician C)Attorney D)Pharmacist Nurse What was the most important influence of war on nursing? A)It provided for the creation of new technology to make work easier. B)It allowed for the development of hospitals. C)Improved medical care increased soldiers' survival rates. D)Nurses were able to perform medical procedures during war. Nurses were able to perform medical procedures during war. Florence Nightingale is often credited as being the first nurse researcher. This designation is based on A)demonstration that trained nurses provided better nursing care. B)her methods of reorganizing British hospitals. C)her use of data on the morbidity and mortality of soldiers in hospitals in Scutari. D)publication of Notes on Nursing, the first scholarly nursing publication. her use of data on the morbidity and mortality of soldiers in hospitals in Scutari. The diversity of the population entering the health care system is a challenge for nurses because: A)lessons about culture and cultural differences are not part of progressive education programs. B)the portion of minorities in nursing is greater than the portion of minorities in the general population. C)ethnic minority nurses do not yet meet the same proportions in the profession as in the general population. D)educators are culturally competent leaders for nurses and students. ethnic minority nurses do not yet meet the same proportions in the profession as in the general population. Margaret Sanger, as a nurse and activist, worked on the Lower East Side of New York City in the early 1900s with immigrant women. What was the focus of her work? A)Safe contraception and family planning for women B)Providing nursing care to underserved African-American families C)Health education for children D)Sanitation to prevent disease transmission Safe contraception and family planning for women Provisions of the Affordable Care Act include (Select all that apply.) A)the right to appeal coverage decisions. B)recommended preventative services without out-of-pocket cost to consumers. C)children up to age 26 being allowed to stay on parents' insurance. D)disallowing denial of coverage for children and teens' preexisting conditions. E)lifetime limits of catastrophic care insurance will cover. the right to appeal coverage decisions. recommended preventative services without out-of-pocket cost to consumers. children up to age 26 being allowed to stay on parents' insurance. disallowing denial of coverage for children and teens' preexisting conditions. Which early nursing theorist recognized therapeutic milieu, assessment skills, and a unique body of knowledge in her definition of nursing? A)Dorothea Orem B) Florence Nightingale C)Virginia Henderson D)Hildegard Peplau FLorence Nightingale The legal definition of nursing for any particular state can be found in the: A)state legislature's official newsletter. B)state board of nursing's bylaws. C)governor's official papers. D)state's nurse practice act. state's nurse practice act. Which of the following is an example of formal socialization into the profession of nursing? A)Participating in a student nurses' association meeting B)Hearing two nurses discussing how to organize patient care more effectively C) Starting an intravenous (IV) line in the simulation laboratory under faculty guidance D)Unplanned observation of a nurse comforting a child after a painful procedure Starting an intravenous (IV) line in the simulation laboratory under faculty guidance Which of the following is an example of informal socialization into a profession? A)Performing your first physical assessment in a client B)Nurses discussing a patient care issue in the presence of other nurses C)Teaching a patient about warfarin (Coumadin) D)Taking an extra class for an elective Nurses discussing a patient care issue in the presence of other nurses A nursing student says to the clinical faculty, "I know I will be able to care for this patient given your directions." In which stage of Cohen's model of professional socialization is this student? A)Stage III: Dependence/mutuality B)Stage IV: Interdependence C)Stage I: Unilateral dependence D)Stage II: Negativity/independence Stage I: Unilateral dependence A nursing student asks, "Why do I have to go to clinical in obstetrics when I know I'll never work with women and children?" In which stage of Cohen's model of professional socialization is this student? A)Stage III: Dependence/mutuality B)Stage IV: Interdependence C)Stage I: Unilateral dependence D)Stage II: Negativity/independence Stage II: Negativity/independence Benner describes five stages of nursing proficiency as students develop into expert nurses. Which of the following is not a stage of development described by Benner? A)Expert practitioner B)Novice C)Inexpert beginner D)Competent practitioner Inexpert beginner A mother asks the nurse if her 5-year-old can visit his twin brother in the pediatric intensive care unit (PICU) after cardiac surgery. The nurse denies the request because hospital policy states that children younger than 12 years of age are not allowed to visit the PICU. This illustrates which of Benner's stages of nursing proficiency? A)Advanced beginner B)Novice C)Proficient practitioner D)Competent practitioner Novice A 5-year-old with a twin brother is admitted to the PICU after cardiac surgery. Hospital policy does not allow individuals younger than 12 years of age to visit the PICU. The nurse recognizes the needs of the patient and his brother and suggests that the mother bring her son to visit his brother briefly in the afternoon when the unit is usually quiet. This illustrates which of Brenner's stages of nursing proficiency? A)Competent practitioner B)Proficient practitioner C)Advanced beginner D)Expert practitioner Expert practitioner A nurse observes a new graduate nurse being harassed by co-workers when asking questions or requesting help. What action by the nurse is best? A)Ask the nursing manager to intervene on behalf of the new nurse. B)Teach the new nurse to stand up for himself or herself when harassed. C)Respectfully confront the staff and explain that this behavior is not part of nursing. D)Do not intervene, because it will only invite more harassment. Respectfully confront the staff and explain that this behavior is not part of nursing. Which of the following strategies may help to overcome reality shock in the novice nurse? A)Becoming emotionally involved with patients B)Participating in a preceptorship C)Moving frequently from job to job D)Returning to school immediately after graduation Participating in a preceptorship 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)Ask others for help if you feel overwhelmed by your first position as a nurse. B)Airway is always a priority in patient care. C)Taking care of yourself will enable you to be a better nurse. D)Oxygen is the most important element of life. Taking care of yourself will enable you to be a better nurse. Which of the following was recognized earliest as a true profession? A)Ministry B)Teaching C)Social work D)Engineering Ministry A component that separates occupations from professions is commitment. Which of the following is the best way that nurses can show commitment to each other? A)Mentoring nursing students and novice nurses B)Reading the professional literature C)Making a financial donation to a professional organization D)Reporting substandard practice by unlicensed personnel Mentoring nursing students and novice nurses The nursing profession has experienced barriers to professionalism. Which of the following is the primary current barrier to nursing's professionalism? A)Limitations placed on practice by state legislators B)Too many men in nursing C)Unquestioning obedience to doctors D)Variability of educational backgrounds of nurses Variability of educational backgrounds of nurses A barrier to professionalism attributed to nursing's roots in altruism is illustrated when a nurse: A)needs to seek approval from charge nurse to give a PRN medication. B)questions a medication order written by the physician. C) feels guilty for expecting to be paid well for work. D)takes the time to listen to a patient's fears about surgery. feels guilty for expecting to be paid well for work. One of the characteristics of a profession identified by Kelly was "there is an organization (association) that encourages and supports high standards of practice." Which of the following illustrates a concern for nursing meeting this characteristic? A)Nursing specialty organizations have greater power to influence practice than a more general nursing organization. B)The ANA has existed for more than 100 years. C)The purpose of the ANA does not address the economic and general welfare of nurses. D)The membership of the ANA is less than 10% of all nurses. The membership of the ANA is less than 10% of all nurses. Which American university opened the first nursing school as a separate department within the university? A)Columbia B)Harvard C)Yale D)Teachers College Yale Which of the following is true about bachelor's of science in nursing (BSN) education? A)Faculty are not given full faculty status in the university. B)It requires 3 years to complete. C)It is recommended by professional organizations as preparation for entry into practice. D)Faculty must be BSN prepared. It is recommended by professional organizations as preparation for entry into practice. Which recommendation made by the 1965 American Nurses Association (ANA) position paper and other position papers of national nursing organizations is still an issue today? A)Education for nursing should take place in hospital-based programs. B)Minimum preparation for professional nursing practice should be the BSN degree. C)Education for nursing must be evidence-based. D)Minimum preparation for technical nursing practice should be the licensed practical/vocation nurse (LPN/LVN) diploma. Minimum preparation for professional nursing practice should be the BSN degree. Which type of basic nursing education program graduates the largest number of RNs in the United States today? A)Associate degree programs B)Nurse practitioner programs C)Diploma programs D)BSN programs Associate degree programs All levels of nursing educational programs can be accredited by which organization? A)National League for Nursing Councils of Education Programs (NLNCEP) B)Commission on Collegiate Nursing Education (CCNE) C)American Association of Colleges of Nursing (AACN) D)Accreditation Commission for Education in Nursing (ACEN) Accreditation Commission for Education in Nursing (ACEN) Florence Nightingale established a school of nursing based on which of the following innovative principles? (Select all that apply.) A)Professional nurses should be paid for their instruction in the school. B)Students should be selected to create a diverse student body. C)Nurses should be trained in privately funded educational institutions. D)The nursing school should be affiliated with a teaching hospital but independent of it. E)The curriculum should include theory and practical experience. Professional nurses should be paid for their instruction in the school. The nursing school should be affiliated with a teaching hospital but independent of it. The curriculum should include theory and practical experience. Which of the following is not included as an overarching goal of Healthy People 2020? A)Lengthening the average lifespan by a decade B)Creating environments that promote good health C)Attaining longer lives free of preventable diseases and injury D)Eliminating health disparities Lengthening the average lifespan by a decade Which of the following is characteristic of public agencies? A)They provide health care services at the national, state, and local levels. B)They are not involved in the education of health care providers. C)They are supported by donations from the public. D)Most only provide primary care services. They provide health care services at the national, state, and local levels. Which of the following is not a public agency? A)State Board of Nursing B)National Institute of Nursing Research C)American Red Cross D)Centers for Disease Control and Prevention American Red Cross A health care agency that uses its profits to better the institution rather than paying stockholders would be classified as a: A)voluntary agency. B)for-profit agency. C)not-for-profit agency. D)private agency. not-for-profit agency An agency that treats temporary health dysfunction requiring intervention to prevent complications is providing which level of health care? A)Tertiary care B)Primary care C)Secondary care D)Subacute care Secondary Care Differences between treatment outcomes for different populations are known as: A)population variability. B)health care outcomes. C)treatment choices. D)health care disparities. health care disparities Which of the following is not recognized as part of the role of the nurse as a member of the health care team? A)Manager of care and resources for a group of patients B)Collaborator and provider of care C)Patient advocate and educator D)Performance of physician functions under direct supervision of a physician Performance of physician functions under direct supervision of a physician Which of the following is a characteristic of the team model of nursing care delivery? A)Team nursing emphasizes holistic care for the patients and their families. B)This model increases continuity of care for the patients. C)Communication among the team saves time, so the model is cost-efficient. D)Each member of the team uses his or her abilities to the fullest in patient care. Each member of the team uses his or her abilities to the fullest in patient care. The care delivery model in which a registered nurse provides direct care and also has 24-hour responsibility for updating the patient's plan of care is known as: A)case management. B)team nursing. C)primary nursing. D)functional nursing. primary nursing What service is covered by Medicare, part D? A)Home health care B)Physician office visits C)Inpatient hospital stays D)Prescription drug costs prescription drug costs Which of the following is an effective method for the practicing nurse to achieve leadership skills? A)Avoiding involvement in politics B)Becoming active in professional organizations C)Learning about collective bargaining D)Changing jobs frequently to improve skills Becoming active in professional organizations The American Nurses Association (ANA) serves as the: A)source of dissemination of nursing research. B)regulatory agency setting the guidelines for the scope of practice. C)clearing house of standards set by clinical specialty organizations. D)professional organization for all nurses regardless of practice setting or level of practice professional organization for all nurses regardless of practice setting or level of practice A nurse is contemplating a political leadership position and wonders if she/he has the desired characteristics to make a good leader. Which of the following traits is inconsistent with a good leader? A)Solves problems methodically using a strict model. B)Has a developed sense of systems thinking. C)Holds high moral and ethical standards. D)Adapts quickly to new situations. Solves problems methodically using a strict model. A variety of benefits result from membership in professional organizations, including which of the following (select all that apply). A)Discount on licensure fees. B)Increased pay and prestige in the work setting. C)Opportunities to develop personal leadership skills. D)Availability of practice guidelines to influence policy development. E)Continuing education opportunities. Opportunities to develop personal leadership skills. Availability of practice guidelines to influence policy development. Continuing education opportunities. The nurse practice act of a state defines the scope and responsibilities of nursing practice in that state. Which of the following is true regarding nurse practice acts? A)They describe the process for gaining membership to a professional organization. B)They determine the educational requirements for licensure. C)They regulate how many professional nursing organizations may be formed. D)They define the practice of medicine in relation to nursing. They determine the educational requirements for licensure. The most common reason that nurses are disciplined by the state board of nursing is: A)practicing while impaired. B)following unsafe nursing practice. C)abandoning patients. D)making medication errors. practicing while impaired What is the primary function of the National Council of State Boards of Nursing (NCSBN)? A)Overseeing granting licensure by endorsement B)Developing the NCLEX-RN® and NCLEX-PN® licensing examinations C)Administering the NCLEX examination at testing centers D)Overseeing decisions made by state boards of nursing Developing the NCLEX-RN® and NCLEX-PN® licensing examinations Which of the following nursing responsibilities can never be delegated? A)Accountability B)Evaluation C)Medication administration D)Complex tasks Accountability The RN delegates changing a sterile dressing over a central line to a licensed practical/vocational nurse (LPN/LVN). The LPN/LVN contaminated the site during the dressing change, and an infection developed in the patient. Which of the following statements is true? A)The RN is ultimately responsible for acts he or she delegates. B)The LPN/LVN is guilty of malpractice. C)A malpractice suit cannot be brought as no harm came to the patient. D)The hospital cannot be held responsible for the acts of its employees. The RN is ultimately responsible for acts he or she delegates. In which of the following situations should the legality of an informed consent be questioned? A)Patient who is anxious and asks many questions of the physician B)Patient with dementia; consent given by spouse C)Patient who received a preoperative dose of Demerol before giving consent D)Patient who expresses concern about the cost of the procedure Patient who received a preoperative dose of Demerol before giving consent Which of the following actions is acceptable as an exception to a nurse's obligation regarding confidentiality? A) Discussing a patient's care with someone who does not know the patient B)Discussing a patient's condition in a public place as long as the patient's name is not mentioned C)Reporting certain diseases to public health authority D)Leaving printouts of lab reports on the desk in the physicians' lounge as a convenience Reporting certain diseases to public health authority Which patient rights are guaranteed by HIPAA? A) Patients are protected against medical records being indiscriminately shared. B)Patients are asked to sign a release of responsibility if their health care records inadvertently become a matter of public record. C)Patients sign a release protecting the health care provider and insurance company against computer file theft. D)Patients may receive a complete copy of their medical records at no cost. Patients are protected against medical records being indiscriminately shared. The Patient Self-Determination Act of 1991, as implemented today, is known as providing A)informed consent. B)patient bill of rights. C)HIPAA protections. D)advance directives. advance directives Which of the following is an important step in preventing legal action against the nurse? A)Avoid explaining care procedures to patients. B)Deflect blame from yourself as much as possible. C)Never make a mistake. D)Develop caring, therapeutic relationships with patients. Develop caring, therapeutic relationships with patients. Respecting an elderly woman's decision to stay in her own home is based on a belief in the ethical principle of: A)death with dignity. B)justice. C)nonmaleficence. D)autonomy. autonomy A school nurse teaching school-aged children about water safety is an example of which ethical principle? A)Veracity B)Justice C)Autonomy D)Beneficence Beneficence A nurse who advocates for a longer stay when a medically indigent patient is being prematurely discharged to reduce hospital cost is relying on which ethical principle? A)Justice B)Fidelity C)Autonomy D)Beneficence Justice A patient who is terminally ill is experiencing great pain. To relieve the patient's suffering, the nurse needs to administer larger doses of morphine. This relieves the pain but also inhibits respiration. Which principle justifies the risk of harm? A)Justice B)Fidelity C)Veracity D)Double effect Double effect Taking a pediatric patient to the playroom on a promised time and day is based on the belief in the ethical principle of: A)justice. B)fidelity. C)veracity. D)autonomy. fidelity Answering a terminally ill child's questions about his or her condition honestly is based on a belief in the ethical principle of: A)veracity. B)autonomy. C)fidelity. D)justice. veracity Which of the following is the best description of a code of ethics? A)A document that describes the correct course of action and does not change regardless of societal changes B)A document that permits others to know what principles guide professional decision making C)A document that all professions must have even if not representative of practice D)A document widely open to interpretation by professionals in various settings A document that permits others to know what principles guide professional decision making Which of the following are activities in the ethical decision making process? (Select all that apply.) A)Brainstorm with others involved to identify all possible solutions. B)Determine if the people who are affected by the dilemma have value conflicts. C)Evaluate the action taken to determine whether it accomplished its purpose. D)Discuss only acceptable solutions that are practical to implement. E)Avoid looking at legal cases or precedents related to the situation. Brainstorm with others involved to identify all possible solutions. Determine if the people who are affected by the dilemma have value conflicts. Evaluate the action taken to determine whether it accomplished its purpose. Which of the following is a correct statement about the registered nurse population? A) The racial/ethnic composition of RNs closely resembles that of the general population B) The number of men entering nursing has decreased steadily over the last decade C)The rate of aging RNs has slowed for the first time in the past 30 years D) The majority of employed RNs working full time must work a second position The rate of ageing RNs has slowed for the first time in the past 30 years Which of the following nursing roles is not considered an advanced practice role? A) Certified nurse-midwife (CNM) B)community health nurse C)certified nurse practitioner (CNP) D)clinical nurse specialist (CNS) Community health nurse Who was the first formally-educated and licensed African American nurse in the United States? A)Linda Richards B)Phoebe Pember C)Sojourner Truth D)Mary Eliza Mahoney Mary Eliza Mahoney What were some of the application requirements of nursing education programs in the 1900s? A)Male, intelligent, strong B)Female, sensitive, subservient C)Female, docile, from a poor background D)Male, independent, from a wealthy background Female, sensitive, subservient Which of the following leaders, because of her work in the Henry Street Settlement, is considered the founder of public health nursing? A)Margaret Sanger B)Clara Barton C)Lillian Wald D)Lavinia Llyod Dock Lillian Wald Which of the following events occurring during the first decade of the 20th century brought sweeping changes to nursing? A)It was required that all practicing nurses be licensed B)Permissive licensing laws allowed registered nurses (RNs) to practice without a license if they registered with the state C)All states required a standardized licensing examination D)Nurses had to pass a licensing exam to use the title RN Nurses had to pass a licensing exam to use the title RN Which of the following trends in health care delivery that began in the second half of the 20th century still continues today? A)widespread use of team nursing to address the nursing shortage B)massive movement of nurses out of acute care and into home care C)Advent of primary care to replace specialized care D)Provision of care to the poor, elderly and disabled through medicare and medicaid Provision of care to the poor, elderly and disabled through medicare and medicaid What was the purpose of the Hill-Burton act? A)It established funding for the construction of hospitals B)it provided women in the service with military rank C)it established and funded the frontier nursing service D)It created the cadet nurse corps It established funding for the construction of hospitals The quality of nursing care is judged by whether nursing actions meet the standard of care. Which of the following is an example of meeting the standard of care? A)Demonstrating the use of the nursing process when charting B)Following actions consistent with local practice C)Monitoring a patient more closely if the equipment has occasionally malfunctioned D)Bypassing medication checks to save time once the nurse is experienced Demonstrating the use of the nursing process when charting Which of the following is a nursing responsibility regarding informed consent? A)canceling the procedure if the patient has questions B)explaining the procedure, risks, and treatment alternatives C)serving as a witness, ensuring that the patient does not feel coerced into a decision D)ensuring that the physician has completely explained the costs of the procedure serving as a witness, ensuring that the patient does not feel coerced into a decision The RN asked a nursing assistant to monitor several postoperative patients. Which of the following instructions to the nursing assistant demonstrate appropriate delegation? A)take vital signs every 2 hours, and report to me anything outside of the norms B)assess pain using a 10-point scale, and record the score on the chart C)Record the urine output, and report to me if they have not voided within 4 hours D)record the amount of drainage on the dressing on the bedside record Record the urine output, and report to me if they have not voided within 4 hours The nurse giving medications to a pediatric patient notes that in order for a medication is considerably larger than the usual dose. The nurse looks up the medication in a pharmacology book and finds the prescribed dose is too large. What action should the nurse take? -documenting the findings in the chart after giving the medication -calling the nursing supervisor and ask what to do next -calling the pharmacist to obtain the usual dosage -notifying the physician of these findings before giving the medication notifying the physician of these findings before giving the medication A nursing student got a thank you card from a patient's family and had another student take a photo of the student with the family. The student asks the nursing instructor if it would be all right to post the photo on Facebook. Which response by the instructor is the best? -yes, as long as you ask the family if that would be ok -I think that would be ok, but you should check the hospital policy -No, posting pictures of patients and families on social media sites is not acceptable -No, that could lead to a malpractice suit by the patient or family No, posting pictures of patients and families on social media sites is not acceptable.

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Institution
PROFESSIONAL NURSING
Course
PROFESSIONAL NURSING

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Intro to Professional Nursing Final
Exam Questions and Answers
Which of the following was responsible for the mass migration of skilled nurses from
other countries, particularly the Philippines, to the United States in the 20th century?
A)Cadet Nurse Corps
B)Vietnam War
C)Immigration act of 1965
D)HIV/AIDS epidemic - answerImmigration act of 1965

Which of the following could eventually change the historical status of nursing as a
female-dominated profession?

A)More men graduating from baccalaureate and higher degree programs

B)More male graduates of basic nursing programs entering the workplace

C)The proportion of men in nursing beginning to increase

D)Salary compensation increasing to attract more men - answerMore male graduates of
basic nursing programs entering the workplace

The racial and ethnic composition of the nursing profession will change to more
accurately reflect the population as a whole when:

A)the percentage of African-American and Hispanic nurses decreases more than the
percentage of white nurses.

B)the nonwhite portion of the general population decreases.

C)the number of Asians or Native Hawaiian-Pacific Islanders begins to increase.

D)the increased numbers of racial and ethnic minorities enrolled in educational
programs graduate and begin to practice. - answerthe increased numbers of racial and
ethnic minorities enrolled in educational programs graduate and begin to practice.

Which of the following best describes trends in nursing education?

A)Foreign-born nurses practicing in the United States are seen as less knowledgeable
because of their lesser educational preparation.

B)Numbers of RNs with diploma educations are increasing.

,C)Numbers of RNs with bachelor's and higher degrees are increasing.

D)Numbers of RNs with associate degrees are decreasing. - answerNumbers of RNs
with bachelor's and higher degrees are increasing.

Despite the variety of work settings available to the RN, data indicate that the primary
work site for RNs is:

A)acute care hospitals.

B)community health settings.

C)ambulatory care settings.

D)long-term care facilities. - answeracute care hospitals

Which of the following statements is correct about community health nursing (CHN)?

A)Assessment skills are less important in CHN because patients are not acutely ill.

B)Nursing care is rapidly moving from the home setting to the institutional setting.

C)Prevention and community education are the cornerstones of CHN.

D)High-tech care such as ventilators and total parenteral nutrition cannot be handled in
the home. - answerPrevention and community education are the cornerstones of CHN.

The major benefit of serving as a military nurse is:

A)serving as an officer on active duty or in the reserves.

B)working with entirely baccalaureate-prepared peers on active duty.

C)the financial support to seek advanced degrees.

D)broader responsibilities and scope of practice than civilian nurses. - answerthe
financial support to seek advanced degrees.

What has been found about the outcomes of patients cared for in hospitals with a higher
percentage of BSN-prepared nurses as compared to patients in hospitals with a lower
percentage of BSN-prepared nurses?

A)Medical patients had better outcomes, but surgical patients fared the same.

B)Outcomes were better in hospitals with more BSN-prepared nurses.

, C)Patient outcomes are more dependent on nurse-patient ratios.

D)Outcomes were similar in both types of hospitals. - answerOutcomes were better in
hospitals with more BSN-prepared nurses.

One important advantage of the evolution of nursing informatics is that:

A)benefits of informatics advancements include improved patient safety and increased
variability of care.

B)informatics nurses are best able to design systems with the needs and skills of nurses
who use them in mind.

C)informatics nurses will reduce the need for direct caregivers to document care.

D)it allows any RN to become a certified informatics nurse. - answerinformatics nurses
are best able to design systems with the needs and skills of nurses who use them in
mind.

NPs are advanced practice nurses who:

A)are required to have physician collaboration or supervision.

B)function under a set of universal advanced practitioner laws.

C)can diagnose and treat common and chronic conditions.

D)cannot receive direct reimbursement for their services. - answercan diagnose and
treat common and chronic conditions.

Hospice and palliative care nursing is a rapidly developing specialty in nursing. Which
facts have contributed to this growth? (Select all that apply.)

A)End-of-life care is largely the responsibility of nurses.

B)Nursing curricula have prepared nurses to deal effectively with dying patients and
their families.

C)Palliative care is a new focus of advanced practice nurses.

D)End-of-life needs are expected to increase with the aging population.

E)Hospice and palliative care nurses work in a variety of settings. - answerEnd-of-life
care is largely the responsibility of nurses.

End-of-life needs are expected to increase with the aging population.

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PROFESSIONAL NURSING

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