Deck 1: Nursing, Theory, and Professional Practice

Question 1

The nurse is preparing to discharge a patient admitted with fever of unknown origin. The patient states, "I never got past the fifth grade in school. Don't read much. Never saw much sense in it. But I do OK. I can read most stuff. But my doctor explains things good, and doesn't think that my sickness is serious." The nurse should:

A) Provide discharge medication information from a professional source to provide the most information.
B) Expect that the patient may return to the hospital if the discharge process is poorly done.
C) Assume that the physician and the patient have a good rapport and that the physician will clarify everything.
D) Defer offering the patient the opportunity to get the influenza vaccine because of the rapport that he has with his physician.

Answer 1

Expect that the patient may return to the hospital if the discharge process is poorly done.

Question 2

A newly licensed registered nurse is curious about the scope of care that she has in caring for patients undergoing conscious sedation. Which would be the best source of information?

A) National Student Nurses Association
B) Nurse Practice Act
C) ANA Standards of Professional Performance
D) National League for Nursing

Answer 2

Nurse Practice Act

Question 3

During a staff meeting, the nurse manager announces that the hospital will be seeking Magnet status. In order to explain the requirements for this award, the nurse manager will contact the:

A) American Nurses Association (ANA).
B) American Nurses Credentialing Center (ANCC).
C) National League for Nursing (NLN).
D) Joint Commission.

Answer 3

American Nurses Credentialing Center (ANCC).

Question 4

The nursing student is writing a paper about the direct patient care role of advanced practice nurses. Which of the following advanced practice roles would the student include in the report?

A) Nurse Administrator
B) Clinical Nurse Leader
C) Clinical Nurse Specialist
D) Nurse Educator

Question 5

The nursing student is taking a class in Nursing Research. In class she has learned that the most abstract level of knowledge is the:

A) Metaparadigm.
B) Philosophy.
C) Conceptual framework.
D) Nursing theory.

Question 6

A nursing class volunteers to serve hot meals at a local homeless shelter on a Saturday afternoon. This focus on serving the community is called:

A) Altruism.
B) Accountability.
C) Autonomy.
D) Advocate.

Question 7

A patient is being discharged from the hospital with wound care dressing changes. The nurse recommends a referral for home health nursing care. The nurse is using which standard of practice?

A) Assessment
B) Diagnosis
C) Planning
D) Implementation

Question 8

The prospective student is considering options for beginning a career in nursing. Which degree would best match the student's desire to conduct research at the university level?

A) Associate Degree in Nursing (ADN)
B) Bachelor of Science in Nursing (BSN)
C) Doctor of Nursing Practice (DNP)
D) Doctor of Philosophy in Nursing (PhD)

Question 9

The nurse is caring for a patient who refuses two units of packed red blood cells. The nurse notifies the health care provider of the patient's decision. The nurse is acting in the role of the:

A) Manager.
B) Change agent.
C) Advocate.
D) Educator.

Question 10

A nursing student is preparing study notes from a recent lecture in nursing history. The student would credit Florence Nightingale for which definition of nursing?

A) The imbalance between the patient and the environment decreases the capacity for health.
B) The nurse needs to focus on interpersonal processes between nurse and patient.
C) The nurse assists the patient with essential functions toward independence.
D) Human beings are interacting in continuous motion as energy fields.

Question 11

The nursing instructor is researching the five proficiencies regarded as essential for students and professionals. Which organization, if explored by the instructor, would be found to have added safety as a sixth competency?

A) Quality and Safety Education for Nurses (QSEN)
B) Institute of Medicine (IOM)
C) American Association of Colleges of Nursing (AACN)
D) National League for Nursing (NLN)

Question 12

Which nursing theorist described the relationship between the nurse and the patient as an interpersonal and therapeutic process?

A) Virginia Henderson
B) Betty Neuman
C) Imogene King
D) Hildegard Peplau

Question 13

The nurse is determining the patient care assignments for a nursing unit. Which of the following responsibilities may be delegated to the licensed practical nurse?

A) Initiating the nursing care plans
B) Formulating nursing diagnoses
C) Assessing a newly admitted patient
D) Administering oral medications

Question 14

A nurse is caring for a patient who lost a large amount of blood during childbirth. The nurse provides the opportunity for the patient to maintain her activity level while providing adequate periods of rest and encouragement. Which nursing theory would the nurse most likely choose as a framework for addressing the fatigue associated with the low blood count?

A) Watson Human Caring Theory
B) Parse's Theory of Human Becoming
C) Roy's Adaptation Model
D) Rogers' Science of Unitary Human Beings

Question 15

The nurse manager is interviewing graduate nurses to fill existing staffing vacancies. When hiring graduate nurses, the nurse manager realizes that they will probably not be considered "competent" until:

A) They graduate and pass NCLEX.
B) They have worked 2 to 3 years.
C) Their last year of nursing school.
D) They are actually hired.

Question 16

The nurse administers a medication to the patient and then realizes that the medication had been discontinued. The error is immediately reported to the physician. The nurse is complying with the standards of professional performance known as:

A) Ethics.
B) Socialization.
C) Altruism.
D) Autonomy.

Question 17

A group of students are discussing the impact of non-nursing theories in clinical practice. The students would be correct if they chose which theory to prioritize patient care?

A) Erikson's Psychosocial Theory
B) Paul's Critical Thinking Theory
C) Maslow's Hierarchy of Needs
D) Rosenstock's Health Belief Model

Question 18

The nursing student develops a plan of care based on a recently published article describing the effects of bedrest on a patient's calcium blood levels. In creating the plan of care, the nursing student has the obligation to:

A) Critically appraise the evidence and determine validity.
B) Ensure that the plan of care does not alter current practice.
C) Change the process even when there is no problem identified.
D) Maintain the plan of care regardless of initial outcome.

Question 19

Which nurse established the American Red Cross during the Civil War?

A) Dorothea Dix
B) Linda Richards
C) Lena Higbee
D) Clara Barton

Question 20

The nurse is delegating frequent blood pressure (BP) measurements for a patient admitted with a gunshot wound to a licensed practical nurse (LPN). When delegating, the nurse understands that:

A) He/she may assume that the LPN is able to perform this task appropriately.
B) The LPN is ultimately responsible for the patient findings and assessment.
C) The LPN may perform the tasks assigned without further supervision.
D) He/she retains ultimate responsibility for patient care and supervision is needed.

Question 21

Which statement contributes to the understanding that nursing is considered a profession? (Select all that apply.)

A) Nursing requires specialized training.
B) Nursing has a specialized body of knowledge.
C) The ANA regulates nursing practice.
D) Nurses make independent decisions within their scope of practice.
E) Once licensure is complete, no further education is required.

Question 22

The nurse is conducting a health assessment on a patient from a foreign country. Which of the following should be addressed during the interview? (Select all that apply.)

A) Food preferences
B) Religious practices
C) Health beliefs
D) Family orientation
E) Politics

Question 23

The nurse documents that patient laboratory results often take 4 hours to populate into the electronic medical record. The lengthy time frame has contributed to delayed antibiotic administration. From this point, what should the nurse do to produce change using the evidence-based process? (Select all that apply.)

A)Assess the need for change and identify a problem.
B)Reconstruct the information into an answerable question.
C)Review pertinent journal articles from the literature search.
D)Apply the findings to clinical practice through collaboration.

Question 24

The Institute of Medicine (IOM) Report identified several goals for nursing in the United States. The IOM suggested that: (Select all that apply.)

A) Nurses should practice to the full extent of their education.
B) Nursing education should demonstrate seamless progression.
C) Nurses should continue to be subservient to physicians in the hospital setting.
D) Policy making requires better data collection and information infrastructure.
E) Higher levels of education should not be sought by practicing nurses.

Question 25

The nurse is caring for a patient admitted for the removal of an infected appendix. Which actions by the nurse would indicate an understanding of the 2012 hospital safety goals? (Select all that apply.)

A) Places an identification band on the right arm
B) Marks the surgical site with a black-felt pen
C) Checks medications three times before administration.
D) Washes hands between patients and/or when soiled.
E) Removes allergy bands prior to transfer to surgery.