1
SAMPLE QUESTIONS
Chapter 1: Professional Nursing Practice
Test Bank
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and discharge goals will be developed with the
patient’s input. The patient states, “How is this different from what the doctor does?” Which response would be most
appropriate for the nurse to make?
o “The role of the nurse is to administer medications and other treatments prescribed by your doctor.”
o “The nurse’s job is to help the doctor by collecting information and
communicating any problems that occur.”
o “Nurses perform many of the same procedures as the doctor, but nurses are with
the patients for a longer time than the doctor.”
o “In addition to caring for you while you are sick, the nurses will assist
you to develop an individualized plan to maintain your health.”
, 2
23 2.The nurse describes to a student nurse how to use evidence-based practice guidelines when caring for patients.
Which statement, if made by the nurse, would be the most accurate?
0 “Inferences from clinical research studies are used as a guide.”
1 “Patient care is based on clinical judgment, experience, and traditions.”
2 “Data are evaluated to show that the patient outcomes are consistently met.”
3 “Recommendations are based on research, clinical expertise, and patient preferences.”
23 3.The nurse teaches a student nurse about how to apply the nursing process when providing patient care. Which
statement, if made by the student nurse, indicates that teaching was successful?
0 “The nursing process is a scientific-based method of diagnosing the patient’s health care problems.”
1 “The nursing process is a problem-solving tool used to identify and treat
patients’ health care needs.”
2 “The nursing process is based on nursing theory that incorporates the
biopsychosocial nature of humans.”
3 “The nursing process is used primarily to explain nursing interventions to
other health care professionals.”
23 4.A patient has been admitted to the hospital for surgery and tells the nurse, “I do not feel comfortable leaving my
children with my parents.” Which action should the nurse take next?
0 Reassure the patient that these feelings are common for parents.
1 Have the patient call the children to ensure that they are doing well.
2 Gather more data about the patient’s feelings about the child-care arrangements.
3 Call the patient’s parents to determine whether adequate child care is being provided.
23 5.A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer on the left hip. Which
nursing diagnosis is most appropriate?
0 Impaired physical mobility related to left-sided paralysis
1 Risk for impaired tissue integrity related to left-sided weakness
2 Impaired skin integrity related to altered circulation and pressure
3 Ineffective tissue perfusion related to inability to move independently
23 6.A patient with a bacterial infection has a nursing diagnosis of deficient fluid volume related to excessive diaphoresis.
Which outcome would the nurse recognize as most appropriate for this patient?
0 Patient has a balanced intake and output.
1 Patient’s bedding is changed when it becomes damp.
2 Patient understands the need for increased fluid intake.
3 Patient’s skin remains cool and dry throughout hospitalization.
23 7.A nurse asks the patient if pain was relieved after receiving medication. What is the purpose of the evaluation
phase of the nursing process?
0 To determine if interventions have been effective in meeting patient outcomes
1 To document the nursing care plan in the progress notes of the medical record
2 To decide whether the patient’s health problems have been completely resolved
3 To establish if the patient agrees that the nursing care provided was satisfactory
23 8.The nurse interviews a patient while completing the health history and physical examination. What is the purpose of
the assessment phase of the nursing process?
0 To teach interventions that relieve health problems
1 To use patient data to evaluate patient care outcomes
2 To obtain data with which to diagnose patient problems
3 To help the patient identify realistic outcomes for health problems
, 3
23 9.Which nursing diagnosis statement is written correctly?
0 Altered tissue perfusion related to heart failure
1 Risk for impaired tissue integrity related to sacral redness
2 Ineffective coping related to response to biopsy test results
3 Altered urinary elimination related to urinary tract infection
23 10.The nurse admits a patient to the hospital and develops a plan of care. What components should the nurse
include in the nursing diagnosis statement?
0 The problem and the suggested patient goals or outcomes
1 The problem with possible causes and the planned interventions
2 The problem, its cause, and objective data that support the problem
3 The problem with an etiology and the signs and symptoms of the problem
23 11.A nurse is caring for a patient with heart failure. Which task is appropriate for the nurse to delegate to experienced
unlicensed assistive personnel (UAP)?
0 Monitor for shortness of breath or fatigue after ambulation.
1 Instruct the patient about the need to alternate activity and rest.
2 Obtain the patient’s blood pressure and pulse rate after ambulation.
3 Determine whether the patient is ready to increase the activity level.
24
23 12.A nurse is caring for a group of patients on the medical-surgical unit with the help of one float registered nurse
(RN), one unlicensed assistive personnel (UAP), and one licensed practical/vocational nurse (LPN/LVN). Which
assignment, if delegated by the nurse, would be inappropriate?
0 Measurement of a patient’s urine output by UAP
1 Administration of oral medications by LPN/LVN
2 Check for the presence of bowel sounds and flatulence by UAP
3 Care of a patient with diabetes by RN who usually works on the pediatric unit
23 13.Which task is appropriate for the nurse to delegate to a licensed practical/vocational nurse (LPN/LVN)?
0 Complete the initial admission assessment and plan of care.
1 Document teaching completed before a diagnostic procedure.
2 Instruct a patient about low-fat, reduced sodium dietary restrictions.
3 Obtain bedside blood glucose on a patient before insulin administration.
23 14.A nurse is assigned as a case manager for a hospitalized patient with a spinal cord injury. The patient can expect the
nurse functioning in this role to perform which activity?
0 Care for the patient during hospitalization for the injuries.
1 Assist the patient with home care activities during recovery.
2 Determine what medical care the patient needs for optimal rehabilitation.
3 Coordinate the services that the patient receives in the hospital and at home.
23 15.The nurse is caring for an older adult patient who had surgery to repair a fractured hip. The patient needs
continued nursing care and physical therapy to improve mobility before returning home. The nurse will help to
arrange for transfer of this patient to which facility?
0 A skilled care facility
1 A residential care facility
2 A transitional care facility
3 An intermediate care facility
23 16.A home care nurse is planning care for a patient who has just been diagnosed with type 2 diabetes mellitus. Which
task is appropriate for the nurse to delegate to the home health aide?
0 Assist the patient to choose appropriate foods.
1 Help the patient with a daily bath and oral care.
2 Check the patient’s feet for signs of breakdown.
3 Teach the patient how to monitor blood glucose.
, 4
23 17..The nurse is providing education to nursing staff on quality care initiatives. Which statement would be the most
accurate description of the impact of health care financing on quality care?
0 “Hospitals are reimbursed for all costs incurred if care is documented electronically.”
1 “Payment for patient care is primarily based on clinical outcomes and patient satisfaction.”
2 “If a patient develops a catheter-related infection, the hospital receives additional funding.”
3 “Because hospitals are accountable for overall care, it is not nursing’s responsibility
to monitor care delivered by others.”
23 18..The nurse documenting the patient’s progress in the care plan in the electronic health record before an
interdisciplinary discharge conference is demonstrating competency in which QSEN category?
0 Patient-centered care
1 Quality improvement
2 Evidence-based practice
3 Informatics and technology
MULTIPLE RESPONSE
23
24 19..Which information will the nurse consider when deciding what nursing actions to delegate to a licensed
practical/vocational nurse (LPN/LVN) who is working on a medical-surgical unit (select all that apply)?
0 Institutional policies
1 Stability of the patient
2 State nurse practice act
3 LPN/LVN teaching abilities
4 Experience of the LPN/LVN
23 20..The nurse is administering medications to a patient. Which actions by the nurse during this process are consistent
with promoting safe delivery of care (select all that apply)?
0 Throws away a medication that is not labeled
1 Uses a hand sanitizer before preparing a medication
2 Identifies the patient by the room number on the door
3 Checks lab test results before administering a diuretic
4 Gives the patient a list of current medications upon discharge
OTHER
23 21..The nurse uses the Situation-Background-Assessment-Recommendation (SBAR) format to communicate a change
in patient status to a health care provider. In which order should the nurse make the following statements? (Put a
comma and a space between each answer choice [A, B, C, D].)
0 “The patient needs to be evaluated immediately and may need intubation and mechanical ventilation.”
1 “The patient was admitted yesterday with heart failure and has been receiving furosemide (Lasix) for diuresis,
but urine output has been low.”
2 “The patient has crackles audible throughout the posterior chest and the most recent oxygen saturation is 89%.
Her condition is very unstable.”
3 “This is the nurse on the surgical unit. After assessing the patient, I am very concerned about increased
shortness of breath over the past hour.”
SAMPLE QUESTIONS
Chapter 1: Professional Nursing Practice
Test Bank
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and discharge goals will be developed with the
patient’s input. The patient states, “How is this different from what the doctor does?” Which response would be most
appropriate for the nurse to make?
o “The role of the nurse is to administer medications and other treatments prescribed by your doctor.”
o “The nurse’s job is to help the doctor by collecting information and
communicating any problems that occur.”
o “Nurses perform many of the same procedures as the doctor, but nurses are with
the patients for a longer time than the doctor.”
o “In addition to caring for you while you are sick, the nurses will assist
you to develop an individualized plan to maintain your health.”
, 2
23 2.The nurse describes to a student nurse how to use evidence-based practice guidelines when caring for patients.
Which statement, if made by the nurse, would be the most accurate?
0 “Inferences from clinical research studies are used as a guide.”
1 “Patient care is based on clinical judgment, experience, and traditions.”
2 “Data are evaluated to show that the patient outcomes are consistently met.”
3 “Recommendations are based on research, clinical expertise, and patient preferences.”
23 3.The nurse teaches a student nurse about how to apply the nursing process when providing patient care. Which
statement, if made by the student nurse, indicates that teaching was successful?
0 “The nursing process is a scientific-based method of diagnosing the patient’s health care problems.”
1 “The nursing process is a problem-solving tool used to identify and treat
patients’ health care needs.”
2 “The nursing process is based on nursing theory that incorporates the
biopsychosocial nature of humans.”
3 “The nursing process is used primarily to explain nursing interventions to
other health care professionals.”
23 4.A patient has been admitted to the hospital for surgery and tells the nurse, “I do not feel comfortable leaving my
children with my parents.” Which action should the nurse take next?
0 Reassure the patient that these feelings are common for parents.
1 Have the patient call the children to ensure that they are doing well.
2 Gather more data about the patient’s feelings about the child-care arrangements.
3 Call the patient’s parents to determine whether adequate child care is being provided.
23 5.A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer on the left hip. Which
nursing diagnosis is most appropriate?
0 Impaired physical mobility related to left-sided paralysis
1 Risk for impaired tissue integrity related to left-sided weakness
2 Impaired skin integrity related to altered circulation and pressure
3 Ineffective tissue perfusion related to inability to move independently
23 6.A patient with a bacterial infection has a nursing diagnosis of deficient fluid volume related to excessive diaphoresis.
Which outcome would the nurse recognize as most appropriate for this patient?
0 Patient has a balanced intake and output.
1 Patient’s bedding is changed when it becomes damp.
2 Patient understands the need for increased fluid intake.
3 Patient’s skin remains cool and dry throughout hospitalization.
23 7.A nurse asks the patient if pain was relieved after receiving medication. What is the purpose of the evaluation
phase of the nursing process?
0 To determine if interventions have been effective in meeting patient outcomes
1 To document the nursing care plan in the progress notes of the medical record
2 To decide whether the patient’s health problems have been completely resolved
3 To establish if the patient agrees that the nursing care provided was satisfactory
23 8.The nurse interviews a patient while completing the health history and physical examination. What is the purpose of
the assessment phase of the nursing process?
0 To teach interventions that relieve health problems
1 To use patient data to evaluate patient care outcomes
2 To obtain data with which to diagnose patient problems
3 To help the patient identify realistic outcomes for health problems
, 3
23 9.Which nursing diagnosis statement is written correctly?
0 Altered tissue perfusion related to heart failure
1 Risk for impaired tissue integrity related to sacral redness
2 Ineffective coping related to response to biopsy test results
3 Altered urinary elimination related to urinary tract infection
23 10.The nurse admits a patient to the hospital and develops a plan of care. What components should the nurse
include in the nursing diagnosis statement?
0 The problem and the suggested patient goals or outcomes
1 The problem with possible causes and the planned interventions
2 The problem, its cause, and objective data that support the problem
3 The problem with an etiology and the signs and symptoms of the problem
23 11.A nurse is caring for a patient with heart failure. Which task is appropriate for the nurse to delegate to experienced
unlicensed assistive personnel (UAP)?
0 Monitor for shortness of breath or fatigue after ambulation.
1 Instruct the patient about the need to alternate activity and rest.
2 Obtain the patient’s blood pressure and pulse rate after ambulation.
3 Determine whether the patient is ready to increase the activity level.
24
23 12.A nurse is caring for a group of patients on the medical-surgical unit with the help of one float registered nurse
(RN), one unlicensed assistive personnel (UAP), and one licensed practical/vocational nurse (LPN/LVN). Which
assignment, if delegated by the nurse, would be inappropriate?
0 Measurement of a patient’s urine output by UAP
1 Administration of oral medications by LPN/LVN
2 Check for the presence of bowel sounds and flatulence by UAP
3 Care of a patient with diabetes by RN who usually works on the pediatric unit
23 13.Which task is appropriate for the nurse to delegate to a licensed practical/vocational nurse (LPN/LVN)?
0 Complete the initial admission assessment and plan of care.
1 Document teaching completed before a diagnostic procedure.
2 Instruct a patient about low-fat, reduced sodium dietary restrictions.
3 Obtain bedside blood glucose on a patient before insulin administration.
23 14.A nurse is assigned as a case manager for a hospitalized patient with a spinal cord injury. The patient can expect the
nurse functioning in this role to perform which activity?
0 Care for the patient during hospitalization for the injuries.
1 Assist the patient with home care activities during recovery.
2 Determine what medical care the patient needs for optimal rehabilitation.
3 Coordinate the services that the patient receives in the hospital and at home.
23 15.The nurse is caring for an older adult patient who had surgery to repair a fractured hip. The patient needs
continued nursing care and physical therapy to improve mobility before returning home. The nurse will help to
arrange for transfer of this patient to which facility?
0 A skilled care facility
1 A residential care facility
2 A transitional care facility
3 An intermediate care facility
23 16.A home care nurse is planning care for a patient who has just been diagnosed with type 2 diabetes mellitus. Which
task is appropriate for the nurse to delegate to the home health aide?
0 Assist the patient to choose appropriate foods.
1 Help the patient with a daily bath and oral care.
2 Check the patient’s feet for signs of breakdown.
3 Teach the patient how to monitor blood glucose.
, 4
23 17..The nurse is providing education to nursing staff on quality care initiatives. Which statement would be the most
accurate description of the impact of health care financing on quality care?
0 “Hospitals are reimbursed for all costs incurred if care is documented electronically.”
1 “Payment for patient care is primarily based on clinical outcomes and patient satisfaction.”
2 “If a patient develops a catheter-related infection, the hospital receives additional funding.”
3 “Because hospitals are accountable for overall care, it is not nursing’s responsibility
to monitor care delivered by others.”
23 18..The nurse documenting the patient’s progress in the care plan in the electronic health record before an
interdisciplinary discharge conference is demonstrating competency in which QSEN category?
0 Patient-centered care
1 Quality improvement
2 Evidence-based practice
3 Informatics and technology
MULTIPLE RESPONSE
23
24 19..Which information will the nurse consider when deciding what nursing actions to delegate to a licensed
practical/vocational nurse (LPN/LVN) who is working on a medical-surgical unit (select all that apply)?
0 Institutional policies
1 Stability of the patient
2 State nurse practice act
3 LPN/LVN teaching abilities
4 Experience of the LPN/LVN
23 20..The nurse is administering medications to a patient. Which actions by the nurse during this process are consistent
with promoting safe delivery of care (select all that apply)?
0 Throws away a medication that is not labeled
1 Uses a hand sanitizer before preparing a medication
2 Identifies the patient by the room number on the door
3 Checks lab test results before administering a diuretic
4 Gives the patient a list of current medications upon discharge
OTHER
23 21..The nurse uses the Situation-Background-Assessment-Recommendation (SBAR) format to communicate a change
in patient status to a health care provider. In which order should the nurse make the following statements? (Put a
comma and a space between each answer choice [A, B, C, D].)
0 “The patient needs to be evaluated immediately and may need intubation and mechanical ventilation.”
1 “The patient was admitted yesterday with heart failure and has been receiving furosemide (Lasix) for diuresis,
but urine output has been low.”
2 “The patient has crackles audible throughout the posterior chest and the most recent oxygen saturation is 89%.
Her condition is very unstable.”
3 “This is the nurse on the surgical unit. After assessing the patient, I am very concerned about increased
shortness of breath over the past hour.”
