NP1 Exam 1 Review Questions And
Answers
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
c. ensures identical care to all patients
d. defines the principles of right and wrong to provide patient care - ANS D
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. assessment
d. implementation - ANS C
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
c. assessment
d. implementation - ANS D
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
,c. caregiver
d. case manager - ANS B
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
c. caregiver
d. case manager - ANS A
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
c. ensures that honest and ethical care is provided
d. provides a minimal standard of knowledge for an RN in practice - ANS D
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 - ANS 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 - ANS 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 - ANS 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 - ANS 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 - ANS 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 - ANS 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. in-service education
, d. professional registered nurse education - ANS C
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
d. Hospital Consumer Assessment of Healthcare
e. The American Hospital Association's webpage - ANS B and D
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" - ANS 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 - ANS 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
c. this health plan gives you a list of physicians and hospital from which you can choose
d. this is a fee-for-service plan in which you can choose any physician or hospital - ANS C
Which of the following are examples of a nurse participating in primary care activities? (Select
all that apply)
a. providing prenatal teaching on nutrition to a pregnant woman during the first trimester
b. assessing the nutritional status of older adults who come to the community center for lunch
c. working with patients in a cardiac rehabilitation program
Answers
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
c. ensures identical care to all patients
d. defines the principles of right and wrong to provide patient care - ANS D
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. assessment
d. implementation - ANS C
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
c. assessment
d. implementation - ANS D
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
,c. caregiver
d. case manager - ANS B
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
c. caregiver
d. case manager - ANS A
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
c. ensures that honest and ethical care is provided
d. provides a minimal standard of knowledge for an RN in practice - ANS D
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 - ANS 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 - ANS 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 - ANS 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 - ANS 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 - ANS 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 - ANS 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. in-service education
, d. professional registered nurse education - ANS C
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
d. Hospital Consumer Assessment of Healthcare
e. The American Hospital Association's webpage - ANS B and D
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" - ANS 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 - ANS 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
c. this health plan gives you a list of physicians and hospital from which you can choose
d. this is a fee-for-service plan in which you can choose any physician or hospital - ANS C
Which of the following are examples of a nurse participating in primary care activities? (Select
all that apply)
a. providing prenatal teaching on nutrition to a pregnant woman during the first trimester
b. assessing the nutritional status of older adults who come to the community center for lunch
c. working with patients in a cardiac rehabilitation program
