Exam Questions and Answers A+ Graded
You are participating in a clinical care coordination conference for a patient
with terminal cancer. You talk with your colleagues about using the nursing
code of ethics for professional registered nurses to guide care decisions. A
nonnursing colleague asks about this code. 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 - CORRECT
ANSWER-D. Defines the principles of right and wrong to provide patient care
When giving care, it is essential to provide a specified service according to
standards of practice and to follow a code of ethics. The code of ethics is the
philosophical ideals of right and wrong that define the principles you will use
to provide care for your patients. The code serves as a guide for carrying out
nursing responsibilities to provide quality nursing care and the ethical
obligations of the profession.
An 18-year-old woman is in the emergency department with fever and cough.
The nurse obtains her vital signs, auscultates her lung sounds, listens to her
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 - CORRECT ANSWER-C. Assessment
Assessment is the collection of comprehensive data pertinent to the patient's
health and/or the situation.
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 - CORRECT ANSWER-D. Implementation
Implementation is completing coordinating care and the prescribed plan of
care.
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 the family. The
nurse is acting as the patient's:
A. Educator
B. Advocate
C. Caregiver
D. Case manager - CORRECT ANSWER-B. Advocate
An advocate protects the patient's human and legal right to make choices
about his or her care. An advocate may also provide additional information to
help a patient decide whether or not to accept a treatment or find an
interpreter to help family members communicate their concerns.
Evidence-based practice is defined as:
A. Nursing care based on tradition
B. Scholarly inquiry of nursing and biomedical research literature
C. A problem-solving approach that integrates best current evidence with
clinical practice
D. Quality nursing care provided in an efficient and economically sound
manner - CORRECT ANSWER-C. A problem-solving approach that integrates
best current evidence with clinical practice
Evidence-based practice integrates best current evidence with clinical expertise
and patient/family preferences and values for delivery of optimal health care.
The examination for registered nurse licensure is exactly the same in every
state in the United States. This examination:
A. Guarantees safe nursing care for all patients
B. Ensures standard nursing care for all patients
C. Ensures that honest and ethical care is provided
D. Provides a minimal standard of knowledge for a registered nurse in practice
- CORRECT ANSWER-D. Provides a minimal standard of knowledge for a
registered nurse in practice
Registered nurse (RN) candidates must pass the NCLEX-RN® that the
individual State Boards of Nursing administer. Regardless of educational
preparation, the examination for RN licensure is exactly the same in every
, state in the United States. This provides a standardized minimum knowledge
base for nurses.
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 - CORRECT ANSWER-A. Caregiver
B. Autonomy and accountability
C. Patient advocate
D. Health promotion
E. Lobbyist
Each of these roles includes activities for the professional nurse. Each of these
is used in direct care or is part of professionalism that guides nursing
practice. Some nurses are lobbyists, but being a lobbyist is not expected of all
professional nurses
Advanced practice registered nurses generally:
A. Function independently
B. Function as unit directors
C. Work in acute care settings
D. Work in the university setting - CORRECT ANSWER-A. Function
independently
Advanced practice registered nurse functions independently as a clinician,
educator, case manager, consultant, and researcher within his or her area of
practice to plan or improve the quality of nursing care for the patient and
family.
Health care 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 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 - CORRECT
ANSWER-A. Moving from an acute illness to a health promotion, illness
prevention model
Health care reform also affects how health care is delivered. There is greater
emphasis on health promotion, disease prevention, and management of illness.
, Which of the following nursing roles may have prescriptive authority in their
practice? (Select all that apply.)
A. Critical care nurse
B. Nurse practitioner
C. Certified clinical nurse specialist
D. Charge nurse - CORRECT ANSWER-B. Nurse practitioner
Nurse practitioners and certified clinical nurse specialists encompass the role
and preparation of the advanced practice registered nurse. According to the
American Nurses Association standards of practice, prescriptive authority may
be granted to these nurses.
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 - CORRECT ANSWER-D. Informatics
Using decision support systems is one example of using and gaining
competency in informatics.
A nurse is caring for an older-adult couple in a community-based assisted
living facility. During the family assessment he notes that the couple has many
expired medications and multiple medications for their respective chronic
illnesses. They note that they go to two different health care providers. The
nurse begins to work with the couple to determine what they know about their
medications and helps them decide on one care provider rather than two. 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 - CORRECT ANSWER-B. Safety
Helping the patients understand the consequences and complications of
multiple medications helps to build the competency in safety.
ID: 514968103
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