1. Which item below correctly describes the U.S. Bureau ANS: B
of Labor Statistics predictions by 2020? Correct: In 2020, the United States is projected to have
a. Positions that historically required registered nurses only 64% of the registered nursing workforce required
will be filled by unlicensed personnel. to meet the demand for RNs.
b. The job growth rate for RNs will surpass job growth in Incorrect:
all other occupations. a. Unlicensed personnel will not be filling positions for
c. The need for hospital nurses will dramatically nurses because this group does not have the education
decrease. needed to provide such care.
d. Hospitals will finally achieve the required RN c. The need for hospital nurses will dramatically
workforce. increase, not decrease.
d. Hospitals will not have enough nurses as stated per
statistics.
------------------------------------------------------------------------------------------------------------------------------------------------------------
2. What effect did the movie One Flew Over the ANS: B
Cuckoo’s Nest have on health care? Correct: One Flew Over the Cuckoo’s Nest reminded us
a. Funding for mental health care increased, allowing that all individuals have rights and that it is the
the point of care to change from the community to responsibility of the public and health care professionals
standardized institutional care. to ensure that these rights are protected.
b. The public and the nursing profession were made Incorrect:
aware of the rights of vulnerable populations. a. The context for the care of patients with mental
c. Nurses were seen as advocates for individuals who disability did not change as a result of the movie.
cannot advocate for themselves. c. One Flew Over the Cuckoo’s Nest portrayed nurses as
d. Funding for nursing traineeships was eliminated. the enforcers of the system.
d. Funding for nursing traineeships was not eliminated.
Rather, the Nurse Training Act was established in 1964.
------------------------------------------------------------------------------------------------------------------------------------------------------------
3. Which nurse died after deliberately acquiring two ANS: C
bites from yellow fever carrier mosquitoes to enable her Correct: Clara Maas is noted as the nurse who
to provide care to soldiers with yellow fever during the deliberately acquired two bites from yellow fever carrier
Spanish-American War? mosquitoes to enable her to provide care to soldiers
a. Florence Nightingale with yellow fever.
b. Margaret Hoolihan Incorrect:
c. Clara Maas a. Florence Nightingale is the founder of professional
d. Sairy Gamp nursing.
b. Margaret Hoolihan is a character on a TV show, not
an actual nurse.
d. Sairy Gamp is a character in a Charles Dickens novel.
------------------------------------------------------------------------------------------------------------------------------------------------------------
4. A bronze statue of a nurse in battle fatigues who is ANS: D
obviously exhausted but demonstrates caring by holding Correct: This statue represents the caring provided by
a soldier’s head is an artistic representation of nurses nurses during the Vietnam War.
who served in which war? Incorrect:
a. World War I a. There is no statue that represents nursing during
b. World War II World War I.
c. Spanish-American War b. There is no statue that represents nursing during
d. Vietnam War World War II.
c. There is no statue that represents nursing during the
Spanish-American War.
,5. What was the purpose of the Nurse Reinvestment Act ANS: C
of 2002? Correct: This act provided nursing scholarships, public
a.Provided disability insurance to RNs who contract a service announcements promoting nursing as a career,
life-threatening illness while on duty faculty loan cancellation programs, geriatric training
b. Funded public service announcements that promote grants, and nurse retention and safety enhancement
unlicensed caregivers as an alternative to professional grants.
nurses Incorrect:
c. Focused on nurse retention and safety enhancement a. This act does not provide disability insurance to RNs.
grants b. These funds do not promote unlicensed caregivers as
d. Provided pediatric nursing training grants an alternative to professional nurses.
d. This act provides for geriatric training grants, not
pediatric training grants.
------------------------------------------------------------------------------------------------------------------------------------------------------------
6. Potential nursing students are concerned about ANS: B
choosing a profession with job security and ask the Correct: According to the U.S. Bureau of Labor Statistics,
recruiter, “Because more people are choosing nursing, the nursing shortage is predicted to be twice as large as
will I have a job in a few years?” The recruiter answer any previous shortage since Medicare and Medicaid in
that by 2025, on the basis of the U.S. Bureau of Labor 1965.
Statistics prediction: Incorrect:
a. positions that have historically required RNs will be a. The number of foreign nurses arriving in the United
filled by foreign nurses. States is not sufficient to cure the shortage, and a large
b. the nursing shortage will increase twofold, the largest number of these nurses are unsuccessful on the NCLEX-
shortage in almost 50 years. RN®, resulting in an inability of foreign RNs to practice.
c. the need for hospital nurses will dramatically c. Although slightly more than half of all nurses practice
decrease as nurses reenter the profession. in hospitals, 84.8% of its licensed members are currently
d. hospitals will finally achieve the required RN in nursing practice. Thus, reentering RNs will not
workforce, reducing the need for more RNs. dramatically reduce the shortage.
d. Even by 2025, it is projected that the United States
will need 260,000 more RNs than will be available.
------------------------------------------------------------------------------------------------------------------------------------------------------------
7. Charles Dickens’ character Sairy Gamp: ANS: B
a. portrayed nurses as trained professional individuals Correct: Sairy Gamp endured nursing because of the
who put others before themselves. lack of other opportunities.
b. chose nursing because she had no other avenue for Incorrect:
employment. a. Sairy Gamp did not portray a professional image of
c. was a prostitute who took advantage of sick old men. nursing, but that of an untrained caregiver who profited
d. characterized nurses as being at the forefront of from the sick and dying.
technology and autonomy. c. Sairy Gamp was a nurse who used her position to take
advantage of her patients.
d. Dickens’ portrayal of a nurse does not suggest that
the nurse is at the forefront of technology and
autonomy.
------------------------------------------------------------------------------------------------------------------------------------------------------------
8. What does the Spirit of Nursing statue honor? ANS: D
a. Florence Nightingale’s accomplishments in public Correct: The statue the Spirit of Nursing was created to
health honor all military nurses.
b. Edith Cavell’s attempt to help the victims of the Incorrect:
Tuskegee experiment seek treatment a. The statue does not seek to honor Florence
c. Clara Maas, who found the cure for yellow fever Nightingale.
during WWII b. Nurse Rivers was the nurse who attempted to help
d. All military nurses for their bravery and compassion the victims of the Tuskegee experiment.
c. The statue does not honor Clara Maas, and Clara
Maas did not find the cure for yellow fever.
,9. Although the media portrayed nursing in a negative ANS: C
light in M*A*S*H through the character of a Correct: The sitcom M*A*S*H did show humor as a
promiscuous, uncaring nurse, it also provided Americans coping mechanism for nurses in a war setting.
with a promising glimpse of: Incorrect:
a. nurses who can be promiscuous and still help doctors. a. M*A*S*H’s portrayal of promiscuous nurses has no
b. the fact that caring is not as important as the desire merit because nurses assist physicians.
to serve one’s country. b. The sitcom addressed both factors as part of the
c. the ability of nurses to cope with the dreadfulness of nurse’s role in the military.
war by using humor. d. No male nurses were portrayed in the sitcom.
d. the contributions of male military nurses.
------------------------------------------------------------------------------------------------------------------------------------------------------------
10. With the crisis in health care and the nursing ANS: A
shortage, why is the image of nursing still important? Correct: A person who seeks health care is entering a
a. Nursing care is often delivered during a time of world of uncertainty. The nurse provides continuity and
uncertainty, and the image of nurses during this time compassion and stabilizes the environment of the
can reinforce trust in the nurse-patient relationship. patient.
b. Physicians have a distinctive body of knowledge that Incorrect:
identifies them as professionals, whereas nursing has b. Nursing has a unique body of knowledge.
yet to develop a unique body of knowledge on which to c. Nursing is a profession. Unification will enhance the
base practice. professional goals for nursing.
c. Nurses must present a unified image if they hope to d. Caring will always be part of the nursing image, and
ever establish nursing as a profession. nurses have already moved into the technologic realm.
d. The dynamic state of today’s health care requires
nurses to move from a caring image to one of
technologic competence.
------------------------------------------------------------------------------------------------------------------------------------------------------------
11. Nurses can combat the nursing shortage by: ANS: D
a. joining unions, which influence employers to provide Correct: Advocating for funds to pay for nursing
incentives such as pay raises and free child care, thus education and a safer work environment is a positive
encouraging the large percentage of nonworking nurses strategy, as can be seen by results attained after the
to return to the workforce. Reinvestment Act P.L. 107-205 provided $20 million for
b. demanding that the requirements of the qualifying nursing scholarships, public service announcements,
examination for foreign nurses should be reduced, so faculty loan cancellation programs, geriatric training
they are eligible to sit for the licensure examination. grants, and nurse retention and safety enhancement
c. working more hours with a higher nurse/patient ratio. grants. This is the best defense against the nursing
d. advocating for funds to pay for nursing education and shortage. Nursing graduates in many states have
a safer work environment. increased in number, and enrollment in nursing schools
is also on the rise.
------------------------------------------------------------------------------------------------------------------------------------------------------------
12. The demographics of the twenty-first century ANS: D
nursing population indicate that: Correct: Fifty-six percent of nurses practice in hospitals.
a. individuals entering nursing are second-degree Incorrect:
students who average 45 years of age. a. There is an influx of new graduates less than age 30,
b. more white nurses enter and obtain graduate degrees which has slowed the aging of the profession.
than any other ethnic group. b. More African-Americans are entering graduate
c. the highest level of nursing education for most RNs is school.
an associate degree. c. The highest level of nursing education is most often
d. the majority of nurses practice in hospitals. the baccalaureate degree.
, 13. A nursing student asks, “I wonder if the reason that ANS: C
the nursing shortage is so severe is that registered
nurses are unhappy with their jobs.” To research the According to the latest National Sample Survey of
answer, the National Survey of Registered Nurses was Registered Nurses (NSSR), 79.8% of practicing RNs were
reviewed and found: satisfied with their job and 88.4% were with the same
a. registered nurses change employers every year to employer as they had been in the preceding year (U.S.
prevent burnout and to keep the nursing shortage from Department of Health and Human Services, 2010).
increasing. Among all RNs, nursing faculty are the most satisfied
b. nursing faculty are aging or leaving academia due to (86.6%).
increased work demands and generational difference
from students.
c. practicing registered nurses are satisfied with their job
and most remain with same employer they worked for
the previous year.
d. registered nurses were the least satisfied with their
job of all health care providers.
------------------------------------------------------------------------------------------------------------------------------------------------------------
14. A registered nurse is on break and checking emails. ANS: C
One email contains a picture of a celebrity who is a Correct: Failing to report the image can result in
patient in the hospital, and on the same floor, where the discipline.
nurse works. Included with the photo is a message, Incorrect:
“check out my Facebook,” which contains additional a. Removing a posting or a picture from a website does
photographs of the patient. The nurse immediately not make it unavailable because it is retrievable.
deletes the picture to prevent having to report the b. Nurses who have received patient pictures and not
“friend” to supervisors. Based on the action of the nurse immediately reported the problem have been subject to
who received the message, which statement is correct? the same discipline as nurses who sent the pictures.
a. The nurse is not at risk for having his/her license d. Information posted on social media can be viewed by
suspended since removing the photos made them others who are not providing health care—even the
temporary and invisible to all others. public.
b. Because the nurse did not send the message and
immediately deleted the photo, there is no risk for
discipline.
c. Failing to report receiving the message places the
nurse at risk for discipline.
d. Because the patient is on the same floor as the one
on which the nurse works, the information can be
ethically and legally shared.
of Labor Statistics predictions by 2020? Correct: In 2020, the United States is projected to have
a. Positions that historically required registered nurses only 64% of the registered nursing workforce required
will be filled by unlicensed personnel. to meet the demand for RNs.
b. The job growth rate for RNs will surpass job growth in Incorrect:
all other occupations. a. Unlicensed personnel will not be filling positions for
c. The need for hospital nurses will dramatically nurses because this group does not have the education
decrease. needed to provide such care.
d. Hospitals will finally achieve the required RN c. The need for hospital nurses will dramatically
workforce. increase, not decrease.
d. Hospitals will not have enough nurses as stated per
statistics.
------------------------------------------------------------------------------------------------------------------------------------------------------------
2. What effect did the movie One Flew Over the ANS: B
Cuckoo’s Nest have on health care? Correct: One Flew Over the Cuckoo’s Nest reminded us
a. Funding for mental health care increased, allowing that all individuals have rights and that it is the
the point of care to change from the community to responsibility of the public and health care professionals
standardized institutional care. to ensure that these rights are protected.
b. The public and the nursing profession were made Incorrect:
aware of the rights of vulnerable populations. a. The context for the care of patients with mental
c. Nurses were seen as advocates for individuals who disability did not change as a result of the movie.
cannot advocate for themselves. c. One Flew Over the Cuckoo’s Nest portrayed nurses as
d. Funding for nursing traineeships was eliminated. the enforcers of the system.
d. Funding for nursing traineeships was not eliminated.
Rather, the Nurse Training Act was established in 1964.
------------------------------------------------------------------------------------------------------------------------------------------------------------
3. Which nurse died after deliberately acquiring two ANS: C
bites from yellow fever carrier mosquitoes to enable her Correct: Clara Maas is noted as the nurse who
to provide care to soldiers with yellow fever during the deliberately acquired two bites from yellow fever carrier
Spanish-American War? mosquitoes to enable her to provide care to soldiers
a. Florence Nightingale with yellow fever.
b. Margaret Hoolihan Incorrect:
c. Clara Maas a. Florence Nightingale is the founder of professional
d. Sairy Gamp nursing.
b. Margaret Hoolihan is a character on a TV show, not
an actual nurse.
d. Sairy Gamp is a character in a Charles Dickens novel.
------------------------------------------------------------------------------------------------------------------------------------------------------------
4. A bronze statue of a nurse in battle fatigues who is ANS: D
obviously exhausted but demonstrates caring by holding Correct: This statue represents the caring provided by
a soldier’s head is an artistic representation of nurses nurses during the Vietnam War.
who served in which war? Incorrect:
a. World War I a. There is no statue that represents nursing during
b. World War II World War I.
c. Spanish-American War b. There is no statue that represents nursing during
d. Vietnam War World War II.
c. There is no statue that represents nursing during the
Spanish-American War.
,5. What was the purpose of the Nurse Reinvestment Act ANS: C
of 2002? Correct: This act provided nursing scholarships, public
a.Provided disability insurance to RNs who contract a service announcements promoting nursing as a career,
life-threatening illness while on duty faculty loan cancellation programs, geriatric training
b. Funded public service announcements that promote grants, and nurse retention and safety enhancement
unlicensed caregivers as an alternative to professional grants.
nurses Incorrect:
c. Focused on nurse retention and safety enhancement a. This act does not provide disability insurance to RNs.
grants b. These funds do not promote unlicensed caregivers as
d. Provided pediatric nursing training grants an alternative to professional nurses.
d. This act provides for geriatric training grants, not
pediatric training grants.
------------------------------------------------------------------------------------------------------------------------------------------------------------
6. Potential nursing students are concerned about ANS: B
choosing a profession with job security and ask the Correct: According to the U.S. Bureau of Labor Statistics,
recruiter, “Because more people are choosing nursing, the nursing shortage is predicted to be twice as large as
will I have a job in a few years?” The recruiter answer any previous shortage since Medicare and Medicaid in
that by 2025, on the basis of the U.S. Bureau of Labor 1965.
Statistics prediction: Incorrect:
a. positions that have historically required RNs will be a. The number of foreign nurses arriving in the United
filled by foreign nurses. States is not sufficient to cure the shortage, and a large
b. the nursing shortage will increase twofold, the largest number of these nurses are unsuccessful on the NCLEX-
shortage in almost 50 years. RN®, resulting in an inability of foreign RNs to practice.
c. the need for hospital nurses will dramatically c. Although slightly more than half of all nurses practice
decrease as nurses reenter the profession. in hospitals, 84.8% of its licensed members are currently
d. hospitals will finally achieve the required RN in nursing practice. Thus, reentering RNs will not
workforce, reducing the need for more RNs. dramatically reduce the shortage.
d. Even by 2025, it is projected that the United States
will need 260,000 more RNs than will be available.
------------------------------------------------------------------------------------------------------------------------------------------------------------
7. Charles Dickens’ character Sairy Gamp: ANS: B
a. portrayed nurses as trained professional individuals Correct: Sairy Gamp endured nursing because of the
who put others before themselves. lack of other opportunities.
b. chose nursing because she had no other avenue for Incorrect:
employment. a. Sairy Gamp did not portray a professional image of
c. was a prostitute who took advantage of sick old men. nursing, but that of an untrained caregiver who profited
d. characterized nurses as being at the forefront of from the sick and dying.
technology and autonomy. c. Sairy Gamp was a nurse who used her position to take
advantage of her patients.
d. Dickens’ portrayal of a nurse does not suggest that
the nurse is at the forefront of technology and
autonomy.
------------------------------------------------------------------------------------------------------------------------------------------------------------
8. What does the Spirit of Nursing statue honor? ANS: D
a. Florence Nightingale’s accomplishments in public Correct: The statue the Spirit of Nursing was created to
health honor all military nurses.
b. Edith Cavell’s attempt to help the victims of the Incorrect:
Tuskegee experiment seek treatment a. The statue does not seek to honor Florence
c. Clara Maas, who found the cure for yellow fever Nightingale.
during WWII b. Nurse Rivers was the nurse who attempted to help
d. All military nurses for their bravery and compassion the victims of the Tuskegee experiment.
c. The statue does not honor Clara Maas, and Clara
Maas did not find the cure for yellow fever.
,9. Although the media portrayed nursing in a negative ANS: C
light in M*A*S*H through the character of a Correct: The sitcom M*A*S*H did show humor as a
promiscuous, uncaring nurse, it also provided Americans coping mechanism for nurses in a war setting.
with a promising glimpse of: Incorrect:
a. nurses who can be promiscuous and still help doctors. a. M*A*S*H’s portrayal of promiscuous nurses has no
b. the fact that caring is not as important as the desire merit because nurses assist physicians.
to serve one’s country. b. The sitcom addressed both factors as part of the
c. the ability of nurses to cope with the dreadfulness of nurse’s role in the military.
war by using humor. d. No male nurses were portrayed in the sitcom.
d. the contributions of male military nurses.
------------------------------------------------------------------------------------------------------------------------------------------------------------
10. With the crisis in health care and the nursing ANS: A
shortage, why is the image of nursing still important? Correct: A person who seeks health care is entering a
a. Nursing care is often delivered during a time of world of uncertainty. The nurse provides continuity and
uncertainty, and the image of nurses during this time compassion and stabilizes the environment of the
can reinforce trust in the nurse-patient relationship. patient.
b. Physicians have a distinctive body of knowledge that Incorrect:
identifies them as professionals, whereas nursing has b. Nursing has a unique body of knowledge.
yet to develop a unique body of knowledge on which to c. Nursing is a profession. Unification will enhance the
base practice. professional goals for nursing.
c. Nurses must present a unified image if they hope to d. Caring will always be part of the nursing image, and
ever establish nursing as a profession. nurses have already moved into the technologic realm.
d. The dynamic state of today’s health care requires
nurses to move from a caring image to one of
technologic competence.
------------------------------------------------------------------------------------------------------------------------------------------------------------
11. Nurses can combat the nursing shortage by: ANS: D
a. joining unions, which influence employers to provide Correct: Advocating for funds to pay for nursing
incentives such as pay raises and free child care, thus education and a safer work environment is a positive
encouraging the large percentage of nonworking nurses strategy, as can be seen by results attained after the
to return to the workforce. Reinvestment Act P.L. 107-205 provided $20 million for
b. demanding that the requirements of the qualifying nursing scholarships, public service announcements,
examination for foreign nurses should be reduced, so faculty loan cancellation programs, geriatric training
they are eligible to sit for the licensure examination. grants, and nurse retention and safety enhancement
c. working more hours with a higher nurse/patient ratio. grants. This is the best defense against the nursing
d. advocating for funds to pay for nursing education and shortage. Nursing graduates in many states have
a safer work environment. increased in number, and enrollment in nursing schools
is also on the rise.
------------------------------------------------------------------------------------------------------------------------------------------------------------
12. The demographics of the twenty-first century ANS: D
nursing population indicate that: Correct: Fifty-six percent of nurses practice in hospitals.
a. individuals entering nursing are second-degree Incorrect:
students who average 45 years of age. a. There is an influx of new graduates less than age 30,
b. more white nurses enter and obtain graduate degrees which has slowed the aging of the profession.
than any other ethnic group. b. More African-Americans are entering graduate
c. the highest level of nursing education for most RNs is school.
an associate degree. c. The highest level of nursing education is most often
d. the majority of nurses practice in hospitals. the baccalaureate degree.
, 13. A nursing student asks, “I wonder if the reason that ANS: C
the nursing shortage is so severe is that registered
nurses are unhappy with their jobs.” To research the According to the latest National Sample Survey of
answer, the National Survey of Registered Nurses was Registered Nurses (NSSR), 79.8% of practicing RNs were
reviewed and found: satisfied with their job and 88.4% were with the same
a. registered nurses change employers every year to employer as they had been in the preceding year (U.S.
prevent burnout and to keep the nursing shortage from Department of Health and Human Services, 2010).
increasing. Among all RNs, nursing faculty are the most satisfied
b. nursing faculty are aging or leaving academia due to (86.6%).
increased work demands and generational difference
from students.
c. practicing registered nurses are satisfied with their job
and most remain with same employer they worked for
the previous year.
d. registered nurses were the least satisfied with their
job of all health care providers.
------------------------------------------------------------------------------------------------------------------------------------------------------------
14. A registered nurse is on break and checking emails. ANS: C
One email contains a picture of a celebrity who is a Correct: Failing to report the image can result in
patient in the hospital, and on the same floor, where the discipline.
nurse works. Included with the photo is a message, Incorrect:
“check out my Facebook,” which contains additional a. Removing a posting or a picture from a website does
photographs of the patient. The nurse immediately not make it unavailable because it is retrievable.
deletes the picture to prevent having to report the b. Nurses who have received patient pictures and not
“friend” to supervisors. Based on the action of the nurse immediately reported the problem have been subject to
who received the message, which statement is correct? the same discipline as nurses who sent the pictures.
a. The nurse is not at risk for having his/her license d. Information posted on social media can be viewed by
suspended since removing the photos made them others who are not providing health care—even the
temporary and invisible to all others. public.
b. Because the nurse did not send the message and
immediately deleted the photo, there is no risk for
discipline.
c. Failing to report receiving the message places the
nurse at risk for discipline.
d. Because the patient is on the same floor as the one
on which the nurse works, the information can be
ethically and legally shared.
