NURSING 3300 EXAM PRACTICE QUESTIONS AND ANSWERS.
The primary aim of the Healthy People 2030 initiative is:
a.) illness prevention.
b.) coping with disability.
c.) health promotion.
d.) health restoration. - Correct Answer c.) health promotion.
Explanation:
Healthy People 2030 establishes health promotion guidelines for the nation as a whole.
The guidelines contain Leading Health Indicators, which are used to measure the health of
the nation over a 10-year period. Illness prevention, health restoration, and coping with
disability are components of the Healthy People 2030 guidelines, but are not considered
as the primary goal of the initiative.
What is the best nursing intervention to promote health in a client at risk for heart disease?
a.) Taking the client's pulse rate daily
b.) Instructing the client to adhere to a high-sodium diet
c.) Informing the client that the client must lose weight
d.) Emphasizing a client's strengths to encourage weight loss - Correct Answer d.)
Emphasizing a client's strengths to encourage weight loss
Explanation:
Nurses promote health by identifying, analyzing, and maximizing each client's own
individual strengths as components of preventing illness, restoring health, and facilitating
coping with disability or death. Emphasizing the client's strengths to encourage weight loss
is the most effective way to promote this client's health. Informing the client that the client
must lose weight would not help the client use his or her strengths to accomplish the goal.
Low-sodium diets can prevent heart disease. Taking the pulse daily would not prevent
heart disease.
The new nursing graduate is concerned about some of the critical changes that will be
occurring in nursing. What changes does the nurse anticipate will impact nursing care?
a.) Rapid growth of nurses and shortage of job opportunities
,b.) Decrease in health care costs
c.) Limitations that nurses have in the workforce
d.) Difficulty for nurses to remain current in a rapidly changing medical and technology
environment - Correct Answer d.) Difficulty for nurses to remain current in a rapidly
changing medical and technology environment
Explanation:
The National Advisory Council on Nurse Education and Practice (NACNEP) identifies
critical challenges to nursing practice in the 21st century: a growing population of
hospitalized clients who are older and more acutely ill, increasing health care costs, and
the need to stay current with rapid advances in medical knowledge and technology.
Nursing is limitless and, with opportunities for furthering education, there are many various
ways nurses can practice. Health costs are rising and there are more citizens needing
health care. There is a projected nursing shortage that may be severe and there are no
shortages of jobs for nurses.
Which explanation accurately differentiates the role of the registered nurse (RN) from that
of the licensed practical/vocational nurse (LPN/LVN)?
a.) The RN is permitted to prescribe medications.
b.) The LPN/LVN can only work in a long-term care facility.
c.) The RN directs the workload of an LPN/LVN.
d.) The LPN/LVN should work under the supervision of an RN. - Correct Answer d.) The
LPN/LVN should work under the supervision of an RN.
Explanation:
LPNs/LVNs are employed in hospitals, long-term care facilities, and rehabilitation centers
and by health care providers. LPNs/LVNs differ from RNs in two areas: educational
preparation and scope of practice. LPNs always practice under the supervision of an RN.
LPNs have a scope of practice and the workload is not directed by the RN. RNs are not
permitted to prescribe medications. Nurse practitioners may prescribe medications.
What might a nurse need to do to ensure the continuation of his or her nursing license?
a.) Attend hospital in-services.
b.) Obtain a baccalaureate degree.
c.) Obtain a master's degree.
,d.) Obtain continuing education credits. - Correct Answer d.) Obtain continuing education
credits.
Explanation:
In many states, continuing education is required for an RN to maintain licensure. These are
defined as professional development experiences designed to enrich the nurse's
contribution to health. Obtainment of an ongoing degree is not necessary to maintain
licensure. While hospital in-services may provide continuing education, not all in-services
are designed to do so.
A nurse is working with a client who has undergone a lower leg amputation. While
conducting an assessment, the nurse notes the client has a downcast mood. Which
statement by the nurse conveys empathy to the client?
a.) "If I had the type of life-altering experience you had, I would probably feel depressed.
You are doing well under the circumstances."
b.) "I notice you might be experiencing some feelings of sadness. Would you like to share
how you are feeling with me?"
c.) "I can see you are in need of extra comfort right now. Let me adjust your position and
readjust your bed linens for you."
d.) "It is not uncommon to be depressed after having such major surgery. Many of my
clients feel sad." - Correct Answer b.) "I notice you might be experiencing some feelings of
sadness. Would you like to share how you are feeling with me?"
Explanation:
Because a client does not always communicate one's feelings to strangers, nurses use
empathy (intuitive awareness of what the client is experiencing) to perceive the client's
emotional state and need for support. This skill differs from sympathy (feeling as
emotionally distraught as the client). Empathy helps the nurse become effective at
providing for the client's needs while remaining compassionately detached. By stating an
observational awareness of the client's emotional state based on the client's nonverbal
cues, the nurse invites the client to engage in therapeutic communication. The nurse does
not assume the client wants any help; therefore, the nurse asks if the client wants to
engage in exploring one's experience. By telling the client that is common to be depressed,
the nurse is making an assumption about the client's emotional experience. Not all
sadness should be labeled as "depression." In addition, by telling the client that other
people have had the same experience, it minimizes the client's unique and personal
experience, which can threaten the nurse-client relationship and pose a barrier to
therapeutic communication. The nurse should not share personal experiences or how the
, client's unique health experience would make the nurse feel if the nurse was in the same
situation. Again, this statement serves to minimize the client's experience and undermines
therapeutic communication. Although comforting skills are essential to nursing, assuming
that adjusting the client's bed linens will address the client's emotional state is
noncongruent and the incorrect intervention for what the nurse has observed.
For the nurse to become a nurse practitioner, what is the minimal degree the nurse will
need to acquire?
a.) Associate's
b.) Baccalaureate
c.) Master's
d.) Diploma - Correct Answer c.) Master's
Explanation:
A master's degree is the minimal degree for a nurse to become a nurse practitioner.
Diploma, associate, and baccalaureate degrees are the minimal degree for an RN.
Which action should the nurse implement when working with a medically homeless client?
a.) Encourage the client to utilize the emergency room when ill.
b.) Encourage client to utilize the free health care clinic.
c.) Assist the client in finding housing.
d.) Assist the client in finding a job. - Correct Answer b.) Encourage client to utilize the free
health care clinic.
Explanation:
According to the Association of American Medical Colleges, many Americans are
medically homeless and find it difficult to navigate the health care system. Encouraging the
client to utilize the free health care clinic will help the client navigate the system and obtain
access to health care. While utilizing the emergency room when needed is appropriate, the
emergency room should not be utilized for all illnesses, as it increases the burden on the
health care system. Assisting the client to find housing or a job will help the client, but is
outside of the scope of nursing practice.
A nurse is providing care for clients in a long-term care facility. What should be the central
focus of this care?
a.) The nurse as the caregiver
The primary aim of the Healthy People 2030 initiative is:
a.) illness prevention.
b.) coping with disability.
c.) health promotion.
d.) health restoration. - Correct Answer c.) health promotion.
Explanation:
Healthy People 2030 establishes health promotion guidelines for the nation as a whole.
The guidelines contain Leading Health Indicators, which are used to measure the health of
the nation over a 10-year period. Illness prevention, health restoration, and coping with
disability are components of the Healthy People 2030 guidelines, but are not considered
as the primary goal of the initiative.
What is the best nursing intervention to promote health in a client at risk for heart disease?
a.) Taking the client's pulse rate daily
b.) Instructing the client to adhere to a high-sodium diet
c.) Informing the client that the client must lose weight
d.) Emphasizing a client's strengths to encourage weight loss - Correct Answer d.)
Emphasizing a client's strengths to encourage weight loss
Explanation:
Nurses promote health by identifying, analyzing, and maximizing each client's own
individual strengths as components of preventing illness, restoring health, and facilitating
coping with disability or death. Emphasizing the client's strengths to encourage weight loss
is the most effective way to promote this client's health. Informing the client that the client
must lose weight would not help the client use his or her strengths to accomplish the goal.
Low-sodium diets can prevent heart disease. Taking the pulse daily would not prevent
heart disease.
The new nursing graduate is concerned about some of the critical changes that will be
occurring in nursing. What changes does the nurse anticipate will impact nursing care?
a.) Rapid growth of nurses and shortage of job opportunities
,b.) Decrease in health care costs
c.) Limitations that nurses have in the workforce
d.) Difficulty for nurses to remain current in a rapidly changing medical and technology
environment - Correct Answer d.) Difficulty for nurses to remain current in a rapidly
changing medical and technology environment
Explanation:
The National Advisory Council on Nurse Education and Practice (NACNEP) identifies
critical challenges to nursing practice in the 21st century: a growing population of
hospitalized clients who are older and more acutely ill, increasing health care costs, and
the need to stay current with rapid advances in medical knowledge and technology.
Nursing is limitless and, with opportunities for furthering education, there are many various
ways nurses can practice. Health costs are rising and there are more citizens needing
health care. There is a projected nursing shortage that may be severe and there are no
shortages of jobs for nurses.
Which explanation accurately differentiates the role of the registered nurse (RN) from that
of the licensed practical/vocational nurse (LPN/LVN)?
a.) The RN is permitted to prescribe medications.
b.) The LPN/LVN can only work in a long-term care facility.
c.) The RN directs the workload of an LPN/LVN.
d.) The LPN/LVN should work under the supervision of an RN. - Correct Answer d.) The
LPN/LVN should work under the supervision of an RN.
Explanation:
LPNs/LVNs are employed in hospitals, long-term care facilities, and rehabilitation centers
and by health care providers. LPNs/LVNs differ from RNs in two areas: educational
preparation and scope of practice. LPNs always practice under the supervision of an RN.
LPNs have a scope of practice and the workload is not directed by the RN. RNs are not
permitted to prescribe medications. Nurse practitioners may prescribe medications.
What might a nurse need to do to ensure the continuation of his or her nursing license?
a.) Attend hospital in-services.
b.) Obtain a baccalaureate degree.
c.) Obtain a master's degree.
,d.) Obtain continuing education credits. - Correct Answer d.) Obtain continuing education
credits.
Explanation:
In many states, continuing education is required for an RN to maintain licensure. These are
defined as professional development experiences designed to enrich the nurse's
contribution to health. Obtainment of an ongoing degree is not necessary to maintain
licensure. While hospital in-services may provide continuing education, not all in-services
are designed to do so.
A nurse is working with a client who has undergone a lower leg amputation. While
conducting an assessment, the nurse notes the client has a downcast mood. Which
statement by the nurse conveys empathy to the client?
a.) "If I had the type of life-altering experience you had, I would probably feel depressed.
You are doing well under the circumstances."
b.) "I notice you might be experiencing some feelings of sadness. Would you like to share
how you are feeling with me?"
c.) "I can see you are in need of extra comfort right now. Let me adjust your position and
readjust your bed linens for you."
d.) "It is not uncommon to be depressed after having such major surgery. Many of my
clients feel sad." - Correct Answer b.) "I notice you might be experiencing some feelings of
sadness. Would you like to share how you are feeling with me?"
Explanation:
Because a client does not always communicate one's feelings to strangers, nurses use
empathy (intuitive awareness of what the client is experiencing) to perceive the client's
emotional state and need for support. This skill differs from sympathy (feeling as
emotionally distraught as the client). Empathy helps the nurse become effective at
providing for the client's needs while remaining compassionately detached. By stating an
observational awareness of the client's emotional state based on the client's nonverbal
cues, the nurse invites the client to engage in therapeutic communication. The nurse does
not assume the client wants any help; therefore, the nurse asks if the client wants to
engage in exploring one's experience. By telling the client that is common to be depressed,
the nurse is making an assumption about the client's emotional experience. Not all
sadness should be labeled as "depression." In addition, by telling the client that other
people have had the same experience, it minimizes the client's unique and personal
experience, which can threaten the nurse-client relationship and pose a barrier to
therapeutic communication. The nurse should not share personal experiences or how the
, client's unique health experience would make the nurse feel if the nurse was in the same
situation. Again, this statement serves to minimize the client's experience and undermines
therapeutic communication. Although comforting skills are essential to nursing, assuming
that adjusting the client's bed linens will address the client's emotional state is
noncongruent and the incorrect intervention for what the nurse has observed.
For the nurse to become a nurse practitioner, what is the minimal degree the nurse will
need to acquire?
a.) Associate's
b.) Baccalaureate
c.) Master's
d.) Diploma - Correct Answer c.) Master's
Explanation:
A master's degree is the minimal degree for a nurse to become a nurse practitioner.
Diploma, associate, and baccalaureate degrees are the minimal degree for an RN.
Which action should the nurse implement when working with a medically homeless client?
a.) Encourage the client to utilize the emergency room when ill.
b.) Encourage client to utilize the free health care clinic.
c.) Assist the client in finding housing.
d.) Assist the client in finding a job. - Correct Answer b.) Encourage client to utilize the free
health care clinic.
Explanation:
According to the Association of American Medical Colleges, many Americans are
medically homeless and find it difficult to navigate the health care system. Encouraging the
client to utilize the free health care clinic will help the client navigate the system and obtain
access to health care. While utilizing the emergency room when needed is appropriate, the
emergency room should not be utilized for all illnesses, as it increases the burden on the
health care system. Assisting the client to find housing or a job will help the client, but is
outside of the scope of nursing practice.
A nurse is providing care for clients in a long-term care facility. What should be the central
focus of this care?
a.) The nurse as the caregiver
