NR 222 HEALTH AND WELLNESS EXAM
BANK Comprehensive Review 200+
Questions with Answers & Rationales
SECTION 1: NURSING FOUNDATIONS & PROFESSIONALISM (Questions 1-30)
1. Which of the following best describes the focus of nursing according to the
ANA?
A) Diagnosis and cure of human diseases
B) Diagnosis and treatment of human responses to health and illness
C) Carrying out physician orders without question
D) Providing comfort measures only
Answer: B
Rationale: The ANA defines nursing as "the diagnosis and treatment of human
responses to actual or potential health problems." Nurses address the whole
person, not just disease.
2. A nurse files an incident report after making a medication error. This action
best reflects which nursing concept?
A) Autonomy
B) Accountability
C) Advocacy
D) Confidentiality
Answer: B
Rationale: Accountability means taking responsibility for one's actions,
including reporting errors and participating in quality improvement.
1
,3. Which statement accurately describes the Nursing Code of Ethics?
A) A legal document enforced by state boards of nursing
B) A set of philosophical principles defining right and wrong in patient care
C) A hospital policy manual for nursing procedures
D) A reimbursement guide for insurance claims
Answer: B
Rationale: The Code of Ethics provides ethical principles and guidelines for
professional nursing practice, serving as a social contract with the public.
4. A nurse discusses a patient's medical condition with a friend outside of work.
This violates which federal law?
A) Patient Self-Determination Act
B) Civil Rights Act
C) Health Insurance Portability and Accountability Act (HIPAA)
D) Americans with Disabilities Act
Answer: C
Rationale: HIPAA protects patient health information privacy and
confidentiality. Discussing patient information outside the healthcare setting
violates this law.
5. A nurse moves from one state to another to begin a new job. The most
important factor for the nurse to consider is:
A) The new hospital's clinical ladder system
B) The requirement for continuing education units
C) The Nurse Practice Act of the new state
D) The standards of nursing practice nationwide
Answer: C
2
,Rationale: Each state has its own Nurse Practice Act that defines the legal
scope of nursing practice. Nurses must practice according to the laws of the
state where they are licensed.
6. The NCLEX-RN examination is the same in every state because it:
A) Guarantees safe nursing care for all patients
B) Ensures standard nursing care across all settings
C) Provides a minimal standard of knowledge for RN practice
D) Tests ethical nursing behaviors only
Answer: C
Rationale: NCLEX-RN provides a standardized minimum knowledge base for
entry-level RN practice across all states.
7. A nurse assesses a patient's vital signs, auscultates lung sounds, and
collects blood samples. Which standard of practice is being performed?
A) Diagnosis
B) Assessment
C) Planning
D) Implementation
Answer: B
Rationale: Assessment involves collecting comprehensive data about the
patient's health status through observation, interview, and physical
examination.
8. After developing a care plan, a nurse administers medications and provides
patient education. This represents which phase of the nursing process?
A) Assessment
B) Diagnosis
C) Planning
3
, D) Implementation
Answer: D
Rationale: Implementation is the phase where the nurse carries out the planned
interventions to achieve patient outcomes.
9. Which nursing role is demonstrated when a nurse explains surgical risks and
benefits to a family and supports the patient's treatment wishes?
A) Caregiver
B) Educator
C) Advocate
D) Manager
Answer: C
Rationale: Advocacy involves protecting the patient's rights, supporting their
decisions, and ensuring they have information to make informed choices.
10. Evidence-based practice is best defined as:
A) Nursing care based on tradition and unit routines
B) Following physician orders without question
C) A problem-solving approach integrating best current evidence with clinical
expertise
D) Using only randomized controlled trials to guide care
Answer: C
Rationale: EBP integrates research evidence, clinical expertise, and patient
preferences to guide optimal care decisions.
11. An advanced practice registered nurse (APRN) generally:
A) Functions independently as a clinician and educator
B) Works only under physician supervision
4
BANK Comprehensive Review 200+
Questions with Answers & Rationales
SECTION 1: NURSING FOUNDATIONS & PROFESSIONALISM (Questions 1-30)
1. Which of the following best describes the focus of nursing according to the
ANA?
A) Diagnosis and cure of human diseases
B) Diagnosis and treatment of human responses to health and illness
C) Carrying out physician orders without question
D) Providing comfort measures only
Answer: B
Rationale: The ANA defines nursing as "the diagnosis and treatment of human
responses to actual or potential health problems." Nurses address the whole
person, not just disease.
2. A nurse files an incident report after making a medication error. This action
best reflects which nursing concept?
A) Autonomy
B) Accountability
C) Advocacy
D) Confidentiality
Answer: B
Rationale: Accountability means taking responsibility for one's actions,
including reporting errors and participating in quality improvement.
1
,3. Which statement accurately describes the Nursing Code of Ethics?
A) A legal document enforced by state boards of nursing
B) A set of philosophical principles defining right and wrong in patient care
C) A hospital policy manual for nursing procedures
D) A reimbursement guide for insurance claims
Answer: B
Rationale: The Code of Ethics provides ethical principles and guidelines for
professional nursing practice, serving as a social contract with the public.
4. A nurse discusses a patient's medical condition with a friend outside of work.
This violates which federal law?
A) Patient Self-Determination Act
B) Civil Rights Act
C) Health Insurance Portability and Accountability Act (HIPAA)
D) Americans with Disabilities Act
Answer: C
Rationale: HIPAA protects patient health information privacy and
confidentiality. Discussing patient information outside the healthcare setting
violates this law.
5. A nurse moves from one state to another to begin a new job. The most
important factor for the nurse to consider is:
A) The new hospital's clinical ladder system
B) The requirement for continuing education units
C) The Nurse Practice Act of the new state
D) The standards of nursing practice nationwide
Answer: C
2
,Rationale: Each state has its own Nurse Practice Act that defines the legal
scope of nursing practice. Nurses must practice according to the laws of the
state where they are licensed.
6. The NCLEX-RN examination is the same in every state because it:
A) Guarantees safe nursing care for all patients
B) Ensures standard nursing care across all settings
C) Provides a minimal standard of knowledge for RN practice
D) Tests ethical nursing behaviors only
Answer: C
Rationale: NCLEX-RN provides a standardized minimum knowledge base for
entry-level RN practice across all states.
7. A nurse assesses a patient's vital signs, auscultates lung sounds, and
collects blood samples. Which standard of practice is being performed?
A) Diagnosis
B) Assessment
C) Planning
D) Implementation
Answer: B
Rationale: Assessment involves collecting comprehensive data about the
patient's health status through observation, interview, and physical
examination.
8. After developing a care plan, a nurse administers medications and provides
patient education. This represents which phase of the nursing process?
A) Assessment
B) Diagnosis
C) Planning
3
, D) Implementation
Answer: D
Rationale: Implementation is the phase where the nurse carries out the planned
interventions to achieve patient outcomes.
9. Which nursing role is demonstrated when a nurse explains surgical risks and
benefits to a family and supports the patient's treatment wishes?
A) Caregiver
B) Educator
C) Advocate
D) Manager
Answer: C
Rationale: Advocacy involves protecting the patient's rights, supporting their
decisions, and ensuring they have information to make informed choices.
10. Evidence-based practice is best defined as:
A) Nursing care based on tradition and unit routines
B) Following physician orders without question
C) A problem-solving approach integrating best current evidence with clinical
expertise
D) Using only randomized controlled trials to guide care
Answer: C
Rationale: EBP integrates research evidence, clinical expertise, and patient
preferences to guide optimal care decisions.
11. An advanced practice registered nurse (APRN) generally:
A) Functions independently as a clinician and educator
B) Works only under physician supervision
4
