NR 222 Unit 3 Exam 1 Practice
Chapter 01: Nursing Today
1. Which nurse most likely kept records on sanitation techniques and the effects on
health? a. Florence Nightingale
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses
connected
poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald
came
after Nightingale, each contributing to the nursing profession in her own way. Mary
Nutting was
instrumental in moving nursing education into universities. Clara Barton founded the
American
Red Cross. Lillian Wald helped open the Henry Street Settlement.
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which
standard of nursing practice is the nurse following?
c. Planning
In planning, the registered nurse develops a plan that prescribes strategies and
alternatives to
attain expected outcomes. During assessment, the registered nurse collects
comprehensive data
pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse
analyzes
the assessment data to determine the diagnoses or issues. During implementation, the
registered
nurse implements (carries out) the identified plan.
3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of
proficiency is the nurse upon initial transition to the obstetrical floor?
a. Novice
b. Proficient
c. Competent
d. Advanced beginner
A beginning nursing student or any nurse entering a situation in which there is no
previous level
of experience (e.g., an experienced operating room nurse chooses to now practice in
home
health) is an example of a novice nurse. A proficient nurse perceives a patient’s clinical
situation
as a whole, is able to assess an entire situation, and can readily transfer knowledge gained
from
multiple previous experiences to a situation. A competent nurse understands the
organization and
specific care required by the type of patients (e.g., surgical, oncology, or orthopedic
patients).
This nurse is a competent practitioner who is able to anticipate nursing care and establish
, longrange
goals. A nurse who has
had some level of experience with the situation is an advanced beginner. This experience
may
only
be observational in nature, but the nurse is able to identify meaningful aspects or
principles of nursing
care.
4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink
more fluids.
The nurse then encourages the patient to drink more fluids. Which concept is the nurse
demonstrating?
a.Licensure
b.Autonomy
c.Certification
d.Accountability
Autonomy is an essential element of professional nursing that involves the initiation of
independent nursing interventions without medical orders. To obtain licensure in the
United
States, the RN candidate must pass the NCLEX-RN®. Beyond the NCLEX-RN®, the
nurse
may choose to work toward certification in a specific area of nursing practice.
Accountability
means that you are responsible, professionally and legally, for the type and quality of
nursing
care provided.
5. A nurse prepares the budget and policies for an intensive care unit. Which role is the
nurse implementing?
b. Manager
A manager coordinates the activities of members of the nursing staff in delivering
nursing care
and has personnel, policy, and budgetary responsibility for a specific nursing unit or
facility. As
an educator, you explain concepts and facts about health, describe the reason for routine
care
activities, demonstrate procedures such as self-care activities, reinforce learning or
patient
behavior, and evaluate the patient’s progress in learning. As a patient advocate, you
protect your
patient’s human and legal rights and provide assistance in asserting these rights if the
need
arises. As a caregiver, you help patients maintain and regain health, manage disease and
symptoms, and attain a maximal level function and independence through the healing
process.
6. The nurse has been working in the clinical setting for several years as an advanced
practice
Chapter 01: Nursing Today
1. Which nurse most likely kept records on sanitation techniques and the effects on
health? a. Florence Nightingale
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses
connected
poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald
came
after Nightingale, each contributing to the nursing profession in her own way. Mary
Nutting was
instrumental in moving nursing education into universities. Clara Barton founded the
American
Red Cross. Lillian Wald helped open the Henry Street Settlement.
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which
standard of nursing practice is the nurse following?
c. Planning
In planning, the registered nurse develops a plan that prescribes strategies and
alternatives to
attain expected outcomes. During assessment, the registered nurse collects
comprehensive data
pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse
analyzes
the assessment data to determine the diagnoses or issues. During implementation, the
registered
nurse implements (carries out) the identified plan.
3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of
proficiency is the nurse upon initial transition to the obstetrical floor?
a. Novice
b. Proficient
c. Competent
d. Advanced beginner
A beginning nursing student or any nurse entering a situation in which there is no
previous level
of experience (e.g., an experienced operating room nurse chooses to now practice in
home
health) is an example of a novice nurse. A proficient nurse perceives a patient’s clinical
situation
as a whole, is able to assess an entire situation, and can readily transfer knowledge gained
from
multiple previous experiences to a situation. A competent nurse understands the
organization and
specific care required by the type of patients (e.g., surgical, oncology, or orthopedic
patients).
This nurse is a competent practitioner who is able to anticipate nursing care and establish
, longrange
goals. A nurse who has
had some level of experience with the situation is an advanced beginner. This experience
may
only
be observational in nature, but the nurse is able to identify meaningful aspects or
principles of nursing
care.
4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink
more fluids.
The nurse then encourages the patient to drink more fluids. Which concept is the nurse
demonstrating?
a.Licensure
b.Autonomy
c.Certification
d.Accountability
Autonomy is an essential element of professional nursing that involves the initiation of
independent nursing interventions without medical orders. To obtain licensure in the
United
States, the RN candidate must pass the NCLEX-RN®. Beyond the NCLEX-RN®, the
nurse
may choose to work toward certification in a specific area of nursing practice.
Accountability
means that you are responsible, professionally and legally, for the type and quality of
nursing
care provided.
5. A nurse prepares the budget and policies for an intensive care unit. Which role is the
nurse implementing?
b. Manager
A manager coordinates the activities of members of the nursing staff in delivering
nursing care
and has personnel, policy, and budgetary responsibility for a specific nursing unit or
facility. As
an educator, you explain concepts and facts about health, describe the reason for routine
care
activities, demonstrate procedures such as self-care activities, reinforce learning or
patient
behavior, and evaluate the patient’s progress in learning. As a patient advocate, you
protect your
patient’s human and legal rights and provide assistance in asserting these rights if the
need
arises. As a caregiver, you help patients maintain and regain health, manage disease and
symptoms, and attain a maximal level function and independence through the healing
process.
6. The nurse has been working in the clinical setting for several years as an advanced
practice
