NP1 Exam 1 Review Questions
You are preparing presentation for you classmates regarding the clinical care
coordination conference for a patient with terminal cancer. As part of the
preparation you have your classmates read the Nursing Code of Ethics for
Professional Registered Nurses. Your instructor asks the class why this
document is important. Which of the following statements best describes this
code?
a. improves self-health care
b. protects the patient's confidentiality
✅✅-D
c. ensures identical care to all patients
d. defines the principles of right and wrong to provide patient care -
An 18-year old woman is in the emergency department with fever and cough.
The nurse obtains her vital signs, listens to her lung and heart sounds,
determines her level of comfort, and collects blood and sputum samples for
analysis. Which standard of practice is performed?
a. diagnosis
b. evaluation
✅✅-C
c. assessment
d. implementation -
A patient in the emergency department has developed wheezing and
shortness of breath. The nurse gives the ordered medicated nebulizer
treatment now and in 4 hours. Which standard of practice is performed?
a. planning
b. evaluation
✅✅-D
c. assessment
d. implementation -
A nurse is caring for a patient with end-stage lung disease. The patient wants
to go home on oxygen and be comfortable. The family wants the patient to
have a new surgical procedure. The nurse explains the risk and benefits of the
surgery to the family and discusses the patient's wishes with them. The nurse
is acting as the patient's:
a. educator
b. advocate
✅✅-B
c. caregiver
d. case manager -
,The nurse spends time with the patient and family reviewing the dressing
change procedure for the patient's wound. The patient's spouse demonstrates
how to change the dressing. The nurse is acting in which professional role?
a. educator
b. advocate
✅✅-A
c. caregiver
d. case manager -
The examination for registered nurse (RN) licensure is exactly the same in
every state in the United States. This examination:
a. guarantees safe nursing for all patients
b. ensures standard nursing care for patients
✅✅-D
c. ensures that honest and ethical care is provided
d. provides a minimal standard of knowledge for an RN in practice -
Contemporary nursing requires that the nurse has knowledge and skills for a
variety of professional roles and responsibilities. Which of the following are
examples? (Select all that apply.)
A. Caregiver
B. Autonomy and accountability
C. Patient advocate
✅✅
D. Health promotion
E. Lobbyist - -A, B, C, D
Match the advanced practice nurse specialty with the statement about the role.
1. Clinical nurse specialist
2. Nurse anesthetist
3. Nurse practitioner
4. Nurse-midwife
a. Provides independent care, including pregnancy and gynecological services
b. Expert clinician in a specialized area of practice such as adult diabetes care
c. Provides comprehensive care, usually in a primary care setting, directly
managing the medical care of patients who are healthy or have chronic
conditions
✅✅
d. Provides care and services under the supervision of an anesthesiologist -
-1B, 2D, 3C, 4A
Healthcare reform will bring changes in the emphasis of care. Which of the
following models is expected from health care reform?
,a. moving from an acute illness to a health promotion, illness prevention
model
b. moving from an illness prevention to a health promotion model
✅✅
c. moving from an acute illness to a disease management model
d. moving from a chronic care to an illness prevention model - -A
A nurse meets with the registered dietician and physical therapist to develop a
plan of care that focuses on improving nutrition and mobility for a patient. This
is an example of which Quality and Safety in the Education of Nurses (QSEN)
competency?
a. patient-centered care
b. safety
✅✅
c. teamwork and collaboration
d. informatics - -C
A critical care nurse is using a computerized decision support system to
correctly position her ventilated patients to reduce pneumonia caused by
accumulated respiratory secretions. This is an example of which Quality and
Safety in the Education of Nurses (QSEN) competency?
a. patient-centered care
b. safety
✅✅
c. teamwork and collaboration
d. informatics - -D
The nurses on an acute care medical floor notice an increase in pressure ulcer
formation in their patients. A nurse consultant decides to compare two types
of treatment. The first is the procedure currently used to assess for pressure
ulcer risk. The second uses a new assessment instrument to identify at-risk
patients. Given this information, the nurse consultant exemplifies which
career?
a. clinical nurse specialist
b. nurse administrator
✅✅
c. nurse educator
d. nurse researcher - -D
Nurses in an acute care hospital are attending a unit based education program
to learn how to use a new pressure-relieving device for patients at risk for
pressure ulcers. This is which type of education?
a. continuing education
, b. graduate education
✅✅-C
c. in-service education
d. professional registered nurse education -
Which of the following Internet resources can help consumers compare quality
care measures? (Select all that apply)
a. WebMD
b. Hospital Compare
c. Magnet Recognition Program
✅✅-B and D
d. Hospital Consumer Assessment of Healthcare
e. The American Hospital Association's webpage -
A community center is presenting a nurse-led program on the Patient
Protection and Affordable Care Act. Which statement made by a participate
indicates a need for the further teaching?
a. "my small company will now have to offer the 75 employees health
insurance or pay a penalty"
b. "as long as my son is a full-time student in college, I will be able to keep him
on my health insurance until he is 26 year olds"
c. "I signed up for the state health insurance exchange before the designated
deadline to make sure I had health insurance"
✅✅
d. "since I have now been diagnosed with diabetes, my health insurance plan
cannot charge me higher premiums" - -B
Which activity performed by a nurse is related to maintaining competency in
nursing practice?
a. asking another nurse about how to change the settings on a medication
pump
b. regularly attending unit staff meetings
c. participating as a member of the professional nursing council
✅✅
d. attending a review course in preparation for a certification examination -
-D
A patient tells a nurse that she is enrolled in a preferred provider organization
(PPO) but does not understand what this is. What is the nurse's best
explanation of a PPO?
a. this health plan is for people who cannot afford their own health insurance
b. this health plan is operated by the government to provide healthcare to
older adults
You are preparing presentation for you classmates regarding the clinical care
coordination conference for a patient with terminal cancer. As part of the
preparation you have your classmates read the Nursing Code of Ethics for
Professional Registered Nurses. Your instructor asks the class why this
document is important. Which of the following statements best describes this
code?
a. improves self-health care
b. protects the patient's confidentiality
✅✅-D
c. ensures identical care to all patients
d. defines the principles of right and wrong to provide patient care -
An 18-year old woman is in the emergency department with fever and cough.
The nurse obtains her vital signs, listens to her lung and heart sounds,
determines her level of comfort, and collects blood and sputum samples for
analysis. Which standard of practice is performed?
a. diagnosis
b. evaluation
✅✅-C
c. assessment
d. implementation -
A patient in the emergency department has developed wheezing and
shortness of breath. The nurse gives the ordered medicated nebulizer
treatment now and in 4 hours. Which standard of practice is performed?
a. planning
b. evaluation
✅✅-D
c. assessment
d. implementation -
A nurse is caring for a patient with end-stage lung disease. The patient wants
to go home on oxygen and be comfortable. The family wants the patient to
have a new surgical procedure. The nurse explains the risk and benefits of the
surgery to the family and discusses the patient's wishes with them. The nurse
is acting as the patient's:
a. educator
b. advocate
✅✅-B
c. caregiver
d. case manager -
,The nurse spends time with the patient and family reviewing the dressing
change procedure for the patient's wound. The patient's spouse demonstrates
how to change the dressing. The nurse is acting in which professional role?
a. educator
b. advocate
✅✅-A
c. caregiver
d. case manager -
The examination for registered nurse (RN) licensure is exactly the same in
every state in the United States. This examination:
a. guarantees safe nursing for all patients
b. ensures standard nursing care for patients
✅✅-D
c. ensures that honest and ethical care is provided
d. provides a minimal standard of knowledge for an RN in practice -
Contemporary nursing requires that the nurse has knowledge and skills for a
variety of professional roles and responsibilities. Which of the following are
examples? (Select all that apply.)
A. Caregiver
B. Autonomy and accountability
C. Patient advocate
✅✅
D. Health promotion
E. Lobbyist - -A, B, C, D
Match the advanced practice nurse specialty with the statement about the role.
1. Clinical nurse specialist
2. Nurse anesthetist
3. Nurse practitioner
4. Nurse-midwife
a. Provides independent care, including pregnancy and gynecological services
b. Expert clinician in a specialized area of practice such as adult diabetes care
c. Provides comprehensive care, usually in a primary care setting, directly
managing the medical care of patients who are healthy or have chronic
conditions
✅✅
d. Provides care and services under the supervision of an anesthesiologist -
-1B, 2D, 3C, 4A
Healthcare reform will bring changes in the emphasis of care. Which of the
following models is expected from health care reform?
,a. moving from an acute illness to a health promotion, illness prevention
model
b. moving from an illness prevention to a health promotion model
✅✅
c. moving from an acute illness to a disease management model
d. moving from a chronic care to an illness prevention model - -A
A nurse meets with the registered dietician and physical therapist to develop a
plan of care that focuses on improving nutrition and mobility for a patient. This
is an example of which Quality and Safety in the Education of Nurses (QSEN)
competency?
a. patient-centered care
b. safety
✅✅
c. teamwork and collaboration
d. informatics - -C
A critical care nurse is using a computerized decision support system to
correctly position her ventilated patients to reduce pneumonia caused by
accumulated respiratory secretions. This is an example of which Quality and
Safety in the Education of Nurses (QSEN) competency?
a. patient-centered care
b. safety
✅✅
c. teamwork and collaboration
d. informatics - -D
The nurses on an acute care medical floor notice an increase in pressure ulcer
formation in their patients. A nurse consultant decides to compare two types
of treatment. The first is the procedure currently used to assess for pressure
ulcer risk. The second uses a new assessment instrument to identify at-risk
patients. Given this information, the nurse consultant exemplifies which
career?
a. clinical nurse specialist
b. nurse administrator
✅✅
c. nurse educator
d. nurse researcher - -D
Nurses in an acute care hospital are attending a unit based education program
to learn how to use a new pressure-relieving device for patients at risk for
pressure ulcers. This is which type of education?
a. continuing education
, b. graduate education
✅✅-C
c. in-service education
d. professional registered nurse education -
Which of the following Internet resources can help consumers compare quality
care measures? (Select all that apply)
a. WebMD
b. Hospital Compare
c. Magnet Recognition Program
✅✅-B and D
d. Hospital Consumer Assessment of Healthcare
e. The American Hospital Association's webpage -
A community center is presenting a nurse-led program on the Patient
Protection and Affordable Care Act. Which statement made by a participate
indicates a need for the further teaching?
a. "my small company will now have to offer the 75 employees health
insurance or pay a penalty"
b. "as long as my son is a full-time student in college, I will be able to keep him
on my health insurance until he is 26 year olds"
c. "I signed up for the state health insurance exchange before the designated
deadline to make sure I had health insurance"
✅✅
d. "since I have now been diagnosed with diabetes, my health insurance plan
cannot charge me higher premiums" - -B
Which activity performed by a nurse is related to maintaining competency in
nursing practice?
a. asking another nurse about how to change the settings on a medication
pump
b. regularly attending unit staff meetings
c. participating as a member of the professional nursing council
✅✅
d. attending a review course in preparation for a certification examination -
-D
A patient tells a nurse that she is enrolled in a preferred provider organization
(PPO) but does not understand what this is. What is the nurse's best
explanation of a PPO?
a. this health plan is for people who cannot afford their own health insurance
b. this health plan is operated by the government to provide healthcare to
older adults
