RN Practice in Primary
Care
Q & A w/ Rationales
2024
,1. Which of the following actions is a primary care RN
responsible for when providing care to a patient with a
chronic illness?
a) Prescribing medication for symptom management
b) Collaborating with other healthcare professionals for
coordination of care
c) Performing complex surgical procedures
d) Providing specialized care in an acute care setting
Answer: b) Collaborating with other healthcare
professionals for coordination of care
Rationale: Primary care RNs are responsible for
coordinating care for patients with chronic illnesses, which
involves collaborating with other healthcare professionals
such as physicians, pharmacists, and social workers.
2. When conducting an initial assessment of a patient in a
primary care setting, which of the following is the nurse's
priority action?
a) Assessing the patient's vital signs
b) Reviewing the patient's medical history
c) Conducting a physical examination
d) Establishing a therapeutic relationship with the patient
Answer: d) Establishing a therapeutic relationship with the
patient
Rationale: Building a therapeutic relationship is the
foundation of providing comprehensive primary care. It
helps in gaining the patient's trust, understanding their
concerns, and promoting effective communication.
, 3. What is the primary goal of health promotion in primary
care?
a) Preventing disease and illness
b) Diagnosing and treating acute conditions
c) Managing chronic illnesses
d) Providing palliative care for end-of-life patients
Answer: a) Preventing disease and illness
Rationale: Health promotion aims to prevent disease and
illness by providing education and interventions that
encourage individuals to adopt healthy lifestyles, engage in
preventive screenings, and make informed healthcare
decisions.
4. Which of the following activities falls under the scope of
practice for a primary care RN?
a) Diagnosing and prescribing medications for acute
conditions
b) Administering vaccinations to pediatric patients
c) Performing surgery in an operating room
d) Conducting research studies on patient outcomes
Answer: b) Administering vaccinations to pediatric patients
Rationale: Administering vaccinations is within the scope
of practice for primary care RNs as they play a critical role
in promoting immunization and preventing communicable
diseases in various patient populations.
5. When developing a care plan for a patient with diabetes