NRSG 257 EXAM 1 QUESTIONS AND
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT RATED A+
Determining Scope of Practice
When you are uncertain if a procedure—such as an IV push—is within your legal
scope, you must rely on definitive regulatory and institutional authorities.
Nurse Practice Act (NPA): This is the state-level legislation that serves as
the legal foundation for nursing practice. It dictates the boundaries of what a
nurse is legally permitted to do.
Hospital Policy and Procedure: Institutions establish internal standards
that must align with the NPA but often provide more specific guidance or
limitations based on safety, training, and the facility's risk management
protocols.
Why others are excluded: The ordering physician and the pharmacist are
members of the healthcare team, but they do not have the legal authority to expand
or interpret your scope of practice. That authority resides solely with the state
regulatory board.
Educational Hierarchy in Nursing
Understanding the educational preparation of team members helps define their role
and scope. From highest to lowest level of academic preparation, the typical order
is:
1. DNP (Doctor of Nursing Practice): Terminal clinical degree.
2. BSN (Bachelor of Science in Nursing): Baccalaureate degree.
3. ADN (Associate Degree in Nursing): Associate degree.
4. UAP (Unlicensed Assistive Personnel): Individuals such as CNAs or
PCTs, who typically complete short-term certification courses rather than
formal degree programs.
Delegation and Accountability
Delegation is a complex clinical skill governed by the "Five Rights of Delegation"
(Right Task, Right Circumstance, Right Person, Right Direction/Communication,
Right Supervision).
The "First" Step: Before delegating a task to an Unlicensed Assistive
Personnel (UAP/NAP), the nurse’s primary responsibility regarding the
person being delegated to is ensuring competency.
Why competency matters: Even if a UAP has performed a task before, the
nurse must have verified that the UAP has demonstrated the skill correctly
, and safely according to facility standards, usually during their initial
orientation or annual skills validation.
What type of credentialing indicated that the individual has achieved a high level
of expertise and knowledge in an area of nursing practice
A. Licensure
B. Certification
C. Professionalism
D. Registration -ANSWER ✔✔b
What is the most significant professional benefit to a student who belongs to the
National Student Nurses Association
A. receiving membership benefits such as the "imprint" newsletter
B. Experiencing firsthand the operation, activities, and professionalism of a
national organization
C. Opportunity for scholarships
D. Joining an elite group that has power and control over its member -ANSWER
✔✔B
Which contribution by Florence Nightingale had the greatest impact on nursing
education?
A. Recognizing the formal, systematic education in both theory and practice was
essential for the education of nurses
B. advocating all nurses be educated in universities
C. Requiring physicians and hospitals to recognize that clinical practice knowledge
needed to be gained in a classroom
D. Enforcing the requirement that all nursing instructors had a masters degree -
ANSWER ✔✔a
What is the primary goal of the state board of nursing in establishing licensure of
nurses?
A. Guarantee high quality nurses
B. Increase revenues for the state
C. Set a minimum level of competency to protect the public
D. Maintain high numbers in the profession -ANSWER ✔✔C
You are a nurse on a surgical unit. You are doing assignments for a shift. Which
patient do you assign to the LPN?
A. the patient transferred out of ICU 1 hour ago
B. The patient who requires teaching on 2 new medications before discharge
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT RATED A+
Determining Scope of Practice
When you are uncertain if a procedure—such as an IV push—is within your legal
scope, you must rely on definitive regulatory and institutional authorities.
Nurse Practice Act (NPA): This is the state-level legislation that serves as
the legal foundation for nursing practice. It dictates the boundaries of what a
nurse is legally permitted to do.
Hospital Policy and Procedure: Institutions establish internal standards
that must align with the NPA but often provide more specific guidance or
limitations based on safety, training, and the facility's risk management
protocols.
Why others are excluded: The ordering physician and the pharmacist are
members of the healthcare team, but they do not have the legal authority to expand
or interpret your scope of practice. That authority resides solely with the state
regulatory board.
Educational Hierarchy in Nursing
Understanding the educational preparation of team members helps define their role
and scope. From highest to lowest level of academic preparation, the typical order
is:
1. DNP (Doctor of Nursing Practice): Terminal clinical degree.
2. BSN (Bachelor of Science in Nursing): Baccalaureate degree.
3. ADN (Associate Degree in Nursing): Associate degree.
4. UAP (Unlicensed Assistive Personnel): Individuals such as CNAs or
PCTs, who typically complete short-term certification courses rather than
formal degree programs.
Delegation and Accountability
Delegation is a complex clinical skill governed by the "Five Rights of Delegation"
(Right Task, Right Circumstance, Right Person, Right Direction/Communication,
Right Supervision).
The "First" Step: Before delegating a task to an Unlicensed Assistive
Personnel (UAP/NAP), the nurse’s primary responsibility regarding the
person being delegated to is ensuring competency.
Why competency matters: Even if a UAP has performed a task before, the
nurse must have verified that the UAP has demonstrated the skill correctly
, and safely according to facility standards, usually during their initial
orientation or annual skills validation.
What type of credentialing indicated that the individual has achieved a high level
of expertise and knowledge in an area of nursing practice
A. Licensure
B. Certification
C. Professionalism
D. Registration -ANSWER ✔✔b
What is the most significant professional benefit to a student who belongs to the
National Student Nurses Association
A. receiving membership benefits such as the "imprint" newsletter
B. Experiencing firsthand the operation, activities, and professionalism of a
national organization
C. Opportunity for scholarships
D. Joining an elite group that has power and control over its member -ANSWER
✔✔B
Which contribution by Florence Nightingale had the greatest impact on nursing
education?
A. Recognizing the formal, systematic education in both theory and practice was
essential for the education of nurses
B. advocating all nurses be educated in universities
C. Requiring physicians and hospitals to recognize that clinical practice knowledge
needed to be gained in a classroom
D. Enforcing the requirement that all nursing instructors had a masters degree -
ANSWER ✔✔a
What is the primary goal of the state board of nursing in establishing licensure of
nurses?
A. Guarantee high quality nurses
B. Increase revenues for the state
C. Set a minimum level of competency to protect the public
D. Maintain high numbers in the profession -ANSWER ✔✔C
You are a nurse on a surgical unit. You are doing assignments for a shift. Which
patient do you assign to the LPN?
A. the patient transferred out of ICU 1 hour ago
B. The patient who requires teaching on 2 new medications before discharge
