2025 Updates
by Patricia A. Potter, RN, MSN, PhD, FAAN, et al
,Table Of Content
UNIT 1 Nursing and the Health Care Environment
Chapter 1 Nursing Today
1.A 32-year-old patient recovering from surgery expresses fear about managing
medications at home. The nurse arranges for discharge teaching and contacts a home
health nurse to continue education. This demonstrates which of the following roles of the
professional nurse?
A. Advocate
B. Caregiver
C. Educator
D. Communicator
ANS: C. Educator
Rationale: Nurses teach patients about their conditions and care needs, promoting self-
management and safety at home. The educator role is central to empowering patients
through understanding and skill-building.
2.A nurse manager is reviewing the ANA Standards of Professional Nursing Practice with
her team. Which of the following examples best represents adherence to these standards?
A. Delegating patient care tasks to nursing assistants without supervision
B. Creating a patient care plan based on evidence and regularly evaluating outcomes
C. Prioritizing documentation over patient interaction to meet deadlines
D. Prescribing medication after reviewing the patient’s chart
ANS: B. Creating a patient care plan based on evidence and regularly evaluating outcomes
Rationale: The ANA Standards emphasize evidence-based care, planning,
implementation, and evaluation. Option B reflects critical thinking and professional
accountability consistent with these standards.
3.A nurse works in a hospital that integrates technology and informatics into daily practice.
What QSEN competency is the nurse demonstrating by using the EHR to track and
communicate patient outcomes?
,A. Patient-Centered Care
B. Safety
C. Informatics
D. Teamwork and Collaboration
ANS: C. Informatics
Rationale: QSEN defines informatics as using information and technology to
communicate, manage knowledge, mitigate error, and support decision-making. EHR
usage for outcome tracking directly aligns with this.
4.A nurse notices that a patient who speaks limited English is not participating in care
decisions. The nurse arranges for a medical interpreter and includes the patient’s family in
teaching sessions. This reflects which nursing competency?
A. Systems-based practice
B. Cultural humility
C. Time management
D. Clinical expertise
ANS: B. Cultural humility
Rationale: Cultural humility involves ongoing self-reflection, recognizing patient values
and beliefs, and actively addressing language and cultural barriers in care.
5.An experienced nurse returns to school to become a nurse practitioner. Which advanced
practice role is she preparing for?
A. Clinical Nurse Leader
B. Nurse Anesthetist
C. Nurse Educator
D. Nurse Practitioner
ANS: D. Nurse Practitioner
Rationale: Nurse practitioners are advanced practice registered nurses who manage care
for patients across the lifespan. Returning to school indicates a transition into this
specialized role.
6.A new graduate nurse is encouraged to join a professional organization such as the ANA.
What is the primary benefit of this recommendation?
, A. Increased salary incentives
B. Guaranteed job promotions
C. Access to continuing education and professional development
D. Automatic specialty certification
ANS: C. Access to continuing education and professional development
Rationale: Membership in professional organizations offers networking, advocacy, and
learning opportunities essential for lifelong development and practice improvement.
7.In response to rising healthcare costs, a hospital implements nurse-led patient
education initiatives to reduce readmissions. What is this strategy best aligned with?
A. Nurse burnout prevention
B. Cost containment through preventive care
C. Legal compliance standards
D. Hospital reputation management
ANS: B. Cost containment through preventive care
Rationale: Educating patients can reduce complications and readmissions, improving
outcomes and reducing healthcare expenditures — a key trend in today’s nursing
environment.
8.Which of the following best exemplifies the nurse's role in advocacy?
A. Teaching a patient about a new diagnosis
B. Documenting procedures in the EHR
C. Contacting a provider to clarify a questionable medication order
D. Applying sterile technique during wound care
ANS: C. Contacting a provider to clarify a questionable medication order
Rationale: Advocacy includes protecting the patient from harm by ensuring accurate and
safe care, even when it involves questioning other healthcare professionals.
9.A nurse participates in research to evaluate the effectiveness of a new infection control
protocol. This role is best described as:
A. Manager
B. Advocate