NCLEX Practice Questions Exam 1
A nurse assesses patients in a physician's office who are experiencing different levels of
health and illness. Which statements best define the concepts of health and illness? Select
all that apply.
a. Health and illness are the same for all people.
b. Health and illness are individually defined by each person.
c. People with acute illnesses are actually healthy.
d. People with chronic illnesses have poor health beliefs.
e. Health is more than the absence of illness.
f. Illness is the response of a person to a disease. - ANS-b, e, f. Each person defines health
and illness individually, based on a number of factors. Health is more than just the absence
of illness; it is an active process in which a person moves toward one's maximum potential.
An illness is the response of the person to a disease.
\A caregiver asks a nurse to explain respite care. How would the nurse respond?
a. "A service that allows time away for caregivers"
b. "A special service for the terminally ill and their family"
c. "Direct care provided to individuals in a long-term care facility"
d. "Living units for people without regular shelter" - ANS-a. Respite care is provided to
enable a primary caregiver time away from the day-to-day responsibilities of homebound
patients.
\A nurse cares for dying patients by providing physical, psychological, social, and spiritual
care for the patients, their families, and other loved ones. This service is known as:
a. Respite care
b. Palliative care
c. Hospice care
d. Extended care - ANS-c. The hospice nurse combines the skills of the home care nurse
with the ability to provide daily emotional support to dying patients and their families. Respite
care is a type of care provided for caregivers of homebound ill, disabled, or older patients.
Palliative care, which can be used inconjunction with medical treatment and in all types of
health care settings, is focused on the relief of physical, mental, and spiritual distress.
Extended-care facilities include transitional subacute care, assisted-living facilities,
intermediate and long-term care, homes for medically fragile children, retirement centers,
and residential institutions for mentally and developmentally or physically disabled patients
of all ages.
\A nurse caring for patients in a primary care setting submits paperwork for reimbursement
from managed care plans for services performed. Which purpose best describes managed
care as a framework for health care?
a. A design to control the cost of care while maintaining the quality of care
b. Care coordination to maximize positive outcomes to contain costs
, c. The delivery of services from initial contact through ongoing care
d. Based on a philosophy of ensuring death in comfort and dignity - ANS-a. Managed care is
a way of providing care designed to control costs while maintaining the quality of care.
\A nurse follows accepted guidelines for a healthy lifestyle. How can this promote health in
others?
a. By being a role model for healthy behaviors
b. By not requiring sick days from work
c. By never exposing others to any type of illness
d. By spending less money on food - ANS-a. Good personal health enables the nurse to
serve as a role model for patients and families.
\A nurse has volunteered to give influenza immunizations at a local clinic. What level of care
is the nurse demonstrating?
a. Tertiary
b. Secondary
c. Primary
d. Promotive - ANS-c. Giving influenza injections is an example of primary health promotion
and illness prevention.
\A nurse is caring for a patient in the ICU who is being monitored for a possible cerebral
aneurysm following a loss of consciousness in the emergency room. The nurse anticipates
preparing the patient for ordered diagnostic tests. This nurse's knowledge of the diagnostic
procedures for this condition reflects which aspect of nursing?
a. The art of nursing
b. The science of nursing
c. The caring aspect of nursing
d. The holistic approach to nursing - ANS-b. The science of nursing is the knowledge base
for care that is provided. In contrast, the skilled application of that knowledge is the art of
nursing. Providing holistic care to patients based on the science of nursing is considered the
art of nursing.
\A nurse is caring for patients in a primary care center. What is the most likely role of this
nurse based on the setting?
a. Assisting with major surgery
b. Performing a health assessment
c. Maintaining patients' function and independence
d. Keeping student immunization records up to date - ANS-b. Performing patient
assessments is a common role of the nurse in a primary care center. Assisting with major
surgery is a role of the nurse in the hospital setting. Maintaining patients' function and
independence is a role of the nurse in an extended-care facility, and keeping student
immunization records up to date is a role of the school nurse.
\A nurse is evaluating a patient diagnosed with renaldisease for treatment in a Hospital at
Home program. Whichstatement accurately describes a step in this program?
a. The patient is evaluated upon hospital admission and is given daily nursing care in the
home after discharge for as long as necessary.
A nurse assesses patients in a physician's office who are experiencing different levels of
health and illness. Which statements best define the concepts of health and illness? Select
all that apply.
a. Health and illness are the same for all people.
b. Health and illness are individually defined by each person.
c. People with acute illnesses are actually healthy.
d. People with chronic illnesses have poor health beliefs.
e. Health is more than the absence of illness.
f. Illness is the response of a person to a disease. - ANS-b, e, f. Each person defines health
and illness individually, based on a number of factors. Health is more than just the absence
of illness; it is an active process in which a person moves toward one's maximum potential.
An illness is the response of the person to a disease.
\A caregiver asks a nurse to explain respite care. How would the nurse respond?
a. "A service that allows time away for caregivers"
b. "A special service for the terminally ill and their family"
c. "Direct care provided to individuals in a long-term care facility"
d. "Living units for people without regular shelter" - ANS-a. Respite care is provided to
enable a primary caregiver time away from the day-to-day responsibilities of homebound
patients.
\A nurse cares for dying patients by providing physical, psychological, social, and spiritual
care for the patients, their families, and other loved ones. This service is known as:
a. Respite care
b. Palliative care
c. Hospice care
d. Extended care - ANS-c. The hospice nurse combines the skills of the home care nurse
with the ability to provide daily emotional support to dying patients and their families. Respite
care is a type of care provided for caregivers of homebound ill, disabled, or older patients.
Palliative care, which can be used inconjunction with medical treatment and in all types of
health care settings, is focused on the relief of physical, mental, and spiritual distress.
Extended-care facilities include transitional subacute care, assisted-living facilities,
intermediate and long-term care, homes for medically fragile children, retirement centers,
and residential institutions for mentally and developmentally or physically disabled patients
of all ages.
\A nurse caring for patients in a primary care setting submits paperwork for reimbursement
from managed care plans for services performed. Which purpose best describes managed
care as a framework for health care?
a. A design to control the cost of care while maintaining the quality of care
b. Care coordination to maximize positive outcomes to contain costs
, c. The delivery of services from initial contact through ongoing care
d. Based on a philosophy of ensuring death in comfort and dignity - ANS-a. Managed care is
a way of providing care designed to control costs while maintaining the quality of care.
\A nurse follows accepted guidelines for a healthy lifestyle. How can this promote health in
others?
a. By being a role model for healthy behaviors
b. By not requiring sick days from work
c. By never exposing others to any type of illness
d. By spending less money on food - ANS-a. Good personal health enables the nurse to
serve as a role model for patients and families.
\A nurse has volunteered to give influenza immunizations at a local clinic. What level of care
is the nurse demonstrating?
a. Tertiary
b. Secondary
c. Primary
d. Promotive - ANS-c. Giving influenza injections is an example of primary health promotion
and illness prevention.
\A nurse is caring for a patient in the ICU who is being monitored for a possible cerebral
aneurysm following a loss of consciousness in the emergency room. The nurse anticipates
preparing the patient for ordered diagnostic tests. This nurse's knowledge of the diagnostic
procedures for this condition reflects which aspect of nursing?
a. The art of nursing
b. The science of nursing
c. The caring aspect of nursing
d. The holistic approach to nursing - ANS-b. The science of nursing is the knowledge base
for care that is provided. In contrast, the skilled application of that knowledge is the art of
nursing. Providing holistic care to patients based on the science of nursing is considered the
art of nursing.
\A nurse is caring for patients in a primary care center. What is the most likely role of this
nurse based on the setting?
a. Assisting with major surgery
b. Performing a health assessment
c. Maintaining patients' function and independence
d. Keeping student immunization records up to date - ANS-b. Performing patient
assessments is a common role of the nurse in a primary care center. Assisting with major
surgery is a role of the nurse in the hospital setting. Maintaining patients' function and
independence is a role of the nurse in an extended-care facility, and keeping student
immunization records up to date is a role of the school nurse.
\A nurse is evaluating a patient diagnosed with renaldisease for treatment in a Hospital at
Home program. Whichstatement accurately describes a step in this program?
a. The patient is evaluated upon hospital admission and is given daily nursing care in the
home after discharge for as long as necessary.
