ADN 110 FINAL EXAM QUESTIONS AND VERIFIED
ANSWERS
What should the nurse consider before implementation of all nursing interventions?
(select all that apply)
a. potential communication barriers
b. diverse cultural practices
c. scope of nursing practices
d. functional status of the patient
e. time of most recent shift change - Answers - a, b, c, d
Cultural practices, functional status, communication barriers, and scope of practice
influence whether an intervention should or may be implemented. Shift change time is
not necessary to consider before implementation of most interventions.
Which intervention would be most important for the nurse to include in a patient's care
plan if the patient is unable to complete ADLs without becoming fatigued?
a. instruct the patient to shower and shave simultaneously
b. discourage the patient from bathing while hospitalized
c. encourage the patient to rest between bathing activities
d. ask the patient's spouse to assist with all bathing - Answers - Answer: C
When patients are unable to complete their personal care without fatigue, it is best to
encourage them to rest between activities. All patients should be encouraged to wash
during hospitalization and to complete as much of their personal care as independently
as possible. Patients who tire easily should not be encouraged to shower and shave
simultaneously but should space out personal care while seated.
In comparing the American Nurses Association (ANA) and the International Council of
Nurse (ICN) definitions of nursing, what component does the ICN mention that is not
included in the ANA's definition and is indicative of a more global focus?
a. Advocacy
b. Health Promotion
c. Shaping health policy
d. Prevention of illness - Answers - Answer: C
The ICN's definition of nursing expands on the ANA's definition by providing for the
concept of shaping health policy as a responsibility of nursing.
A profession has specific characteristics. In regard to how nursing meets these
characteristics, which criteria are consistent and standardized processes? (select all
that apply)
a. Code of ethics
b. Licensing
c. Body of knowledge
d. Educational preparation
,e. Altruism - Answers - Answers: A, B, C, E
Nursing as a profession has a code of ethics, licensing, a body of knowledge, and
altruism. Because there are multiple paths of education for nursing and not a standard
entry into practice, this is one criterion of a profession that is not standard and
consistent.
What specific aspect of a profession does the development of theories provide?
a. Altruism
b. Body of knowledge
c. Autonomy
d. Accountability - Answers - Answer: B
Theories establish a specific nursing body of knowledge that is unique to the discipline,
which is one criterion of a profession.
Health care workers are discussing a diverse group of patients respectfully and are
being responsive to the health beliefs and practices of these patients. What important
aspect of nursing professional practice are they exhibiting?
a. Autonomy
b. Accountability
c. Cultural competence
d. Autocratic leadership - Answers - Answer: C
The nurse and other health care workers are exhibiting cultural competence by being
responsive to patients' health beliefs and practices that are influenced by the individual's
culture.
A nurse makes a medication error, immediately assesses the patient, and reports the
error to the nurse manager and the primary care provider. Which characteristic of a
professional is the nurse demonstrating?
a. Autonomy
b. Collaboration
c. Accountability
d. Altruism - Answers - Answer: C
The nurse is demonstrating accountability by taking responsibility for the error and
reporting it after an initial assessment of the patient. Criteria of a profession include
altruism (public service over personal gain), autonomy (independence), accountability,
and diversity; however, in this case, the nurse is demonstrating accountability. Although
collaboration is important for the health care team, it is not a criterion for a profession.
Which are included in the ANA standards? (select all that apply)
a. Standards of professional performance
b. Code of ethics
c. Standards of practice
d. Legal scope of practice
e. Licensure requirements - Answers - Answers: A, C
,ANA standards have two parts: One is standards of professional performance, and the
other is standards of practice. ANA has a separate document that is a code of ethics.
Nurse practice acts are a legal scope of practice.
Which core competency of advanced practice nursing is the Master of Science in
Nursing (MSN) nurse educator exhibiting when counseling a student in therapeutic
communication techniques?
a. Leadership
b. Ethical decision making
c. Direct clinical practice
d. Expert coaching - Answers - Answer: D
A nurse educator who is teaching and counseling students is practicing expert coaching
and guidance. A nurse educator with a master's degree practices the other
competencies of leadership and ethical decision making in other situations. Although a
nurse educator may also work as a nurse involved in direct patient care, this is not part
of the educator role.
Which statements describe a component discussed in nursing theories? (select all that
apply)
a. Optimal functioning of the patient
b. Interaction with components of the environment
c. The conceptual makeup of the administration of the hospital
d. The illness and health concept
e. Safety aspect of medication administration - Answers - Answers: A, B, D
There are four components that a nursing theory discusses: (1) the patient, (2) health,
(3) environment, and (4) nursing—not the hospital administration.
Which factors affect the nursing shortage? (select all that apply)
a. Aging faculty
b. Increasing elderly population
c. Job satisfaction due to adequate number of nurses
d. Aging nursing workforce
e. Greater autonomy for nurses - Answers - Answers: A, B, D
The nursing workforce and nursing faculty are aging. The entire population is aging,
which increases the need for more nurses. The insufficient number of nurses leads to
job dissatisfaction and burnout.
A nurse has performed a physical examination of the patient and reviewed the
laboratory results and diagnostics on the patient's chart. The nurse is performing which
specific nursing function?
a. Diagnosis
b. Assessment
c. Education
d. Advocacy - Answers - Answer: B
The nurse is performing the first step in the nursing process—assessment.
, A hospitalized patient experiences a sharp, stabbing pain while visiting with his spouse.
Both the patient and his wife become very concerned, and the patient's call light is
activated. What referent initiated communication between the patient and the nurse?
a. Interaction between the patient and his wife
b. Concern on the part of the patient's spouse
c. Pain experienced by the patient
d. Activation of the call light - Answers - Answer: C
Pain is the referent that initiated the communication process. The interaction between
the patient and his wife was the result of the patient's pain as was the concern of the
patient's spouse. The call light could be considered a channel through which the
patient's interaction with the nurse began.
Which factors influence whether a message is effectively communicated? (select all that
apply)
a. Timing of the conversation
b. Educational level of participants
c. Mode of communication used
d. Physical environment of discussion - Answers - Answers: A, B, C, D
Timing of a conversation dramatically influences the receptivity of the receiver. The
educational level of those seeking to communicate has an impact on the type of
language and technical terminology that can be used in conversation. Using more than
one mode of communication can enhance the effectiveness of a message. Making sure
the environment is devoid of excess noise and distraction can facilitate a greater
understanding of shared information.
If a patient is grimacing, what assessment statement or question would be most
beneficial to identifying the underlying cause of the nonverbal communication?
a. "Did you lose something?"
b. "You appear to be having pain."
c. "I will turn off the lights and let you rest."
d. "May I get you something to relieve your tension?" - Answers - Answer: B
Grimacing is a common nonverbal sign of pain. Sharing an observation encourages the
patient to elaborate on nonverbal communication. Asking the patient whether something
is lost indicates that the nurse has not attended to the nonverbal cues of the patient. It is
important to do an assessment of the patient before initiating any interventions.
What action by the nurse would most ensure accurate interpretation of patient
communication?
a. Providing feedback regarding the conveyed message
b. Writing down the patient's conversational highlights
c. Assuming significant cultural differences exist
d. Verifying the patient's emotional state - Answers - Answer: A
Feedback is the most effective way to avoid misinterpretation of a message. It helps
ensure that the message sent is perceived by the receiver in a way that is consistent
with the intention of the sender. Writing down conversational highlights is a form of
documentation that can still be misinterpreted unless feedback is sought. Avoid making
ANSWERS
What should the nurse consider before implementation of all nursing interventions?
(select all that apply)
a. potential communication barriers
b. diverse cultural practices
c. scope of nursing practices
d. functional status of the patient
e. time of most recent shift change - Answers - a, b, c, d
Cultural practices, functional status, communication barriers, and scope of practice
influence whether an intervention should or may be implemented. Shift change time is
not necessary to consider before implementation of most interventions.
Which intervention would be most important for the nurse to include in a patient's care
plan if the patient is unable to complete ADLs without becoming fatigued?
a. instruct the patient to shower and shave simultaneously
b. discourage the patient from bathing while hospitalized
c. encourage the patient to rest between bathing activities
d. ask the patient's spouse to assist with all bathing - Answers - Answer: C
When patients are unable to complete their personal care without fatigue, it is best to
encourage them to rest between activities. All patients should be encouraged to wash
during hospitalization and to complete as much of their personal care as independently
as possible. Patients who tire easily should not be encouraged to shower and shave
simultaneously but should space out personal care while seated.
In comparing the American Nurses Association (ANA) and the International Council of
Nurse (ICN) definitions of nursing, what component does the ICN mention that is not
included in the ANA's definition and is indicative of a more global focus?
a. Advocacy
b. Health Promotion
c. Shaping health policy
d. Prevention of illness - Answers - Answer: C
The ICN's definition of nursing expands on the ANA's definition by providing for the
concept of shaping health policy as a responsibility of nursing.
A profession has specific characteristics. In regard to how nursing meets these
characteristics, which criteria are consistent and standardized processes? (select all
that apply)
a. Code of ethics
b. Licensing
c. Body of knowledge
d. Educational preparation
,e. Altruism - Answers - Answers: A, B, C, E
Nursing as a profession has a code of ethics, licensing, a body of knowledge, and
altruism. Because there are multiple paths of education for nursing and not a standard
entry into practice, this is one criterion of a profession that is not standard and
consistent.
What specific aspect of a profession does the development of theories provide?
a. Altruism
b. Body of knowledge
c. Autonomy
d. Accountability - Answers - Answer: B
Theories establish a specific nursing body of knowledge that is unique to the discipline,
which is one criterion of a profession.
Health care workers are discussing a diverse group of patients respectfully and are
being responsive to the health beliefs and practices of these patients. What important
aspect of nursing professional practice are they exhibiting?
a. Autonomy
b. Accountability
c. Cultural competence
d. Autocratic leadership - Answers - Answer: C
The nurse and other health care workers are exhibiting cultural competence by being
responsive to patients' health beliefs and practices that are influenced by the individual's
culture.
A nurse makes a medication error, immediately assesses the patient, and reports the
error to the nurse manager and the primary care provider. Which characteristic of a
professional is the nurse demonstrating?
a. Autonomy
b. Collaboration
c. Accountability
d. Altruism - Answers - Answer: C
The nurse is demonstrating accountability by taking responsibility for the error and
reporting it after an initial assessment of the patient. Criteria of a profession include
altruism (public service over personal gain), autonomy (independence), accountability,
and diversity; however, in this case, the nurse is demonstrating accountability. Although
collaboration is important for the health care team, it is not a criterion for a profession.
Which are included in the ANA standards? (select all that apply)
a. Standards of professional performance
b. Code of ethics
c. Standards of practice
d. Legal scope of practice
e. Licensure requirements - Answers - Answers: A, C
,ANA standards have two parts: One is standards of professional performance, and the
other is standards of practice. ANA has a separate document that is a code of ethics.
Nurse practice acts are a legal scope of practice.
Which core competency of advanced practice nursing is the Master of Science in
Nursing (MSN) nurse educator exhibiting when counseling a student in therapeutic
communication techniques?
a. Leadership
b. Ethical decision making
c. Direct clinical practice
d. Expert coaching - Answers - Answer: D
A nurse educator who is teaching and counseling students is practicing expert coaching
and guidance. A nurse educator with a master's degree practices the other
competencies of leadership and ethical decision making in other situations. Although a
nurse educator may also work as a nurse involved in direct patient care, this is not part
of the educator role.
Which statements describe a component discussed in nursing theories? (select all that
apply)
a. Optimal functioning of the patient
b. Interaction with components of the environment
c. The conceptual makeup of the administration of the hospital
d. The illness and health concept
e. Safety aspect of medication administration - Answers - Answers: A, B, D
There are four components that a nursing theory discusses: (1) the patient, (2) health,
(3) environment, and (4) nursing—not the hospital administration.
Which factors affect the nursing shortage? (select all that apply)
a. Aging faculty
b. Increasing elderly population
c. Job satisfaction due to adequate number of nurses
d. Aging nursing workforce
e. Greater autonomy for nurses - Answers - Answers: A, B, D
The nursing workforce and nursing faculty are aging. The entire population is aging,
which increases the need for more nurses. The insufficient number of nurses leads to
job dissatisfaction and burnout.
A nurse has performed a physical examination of the patient and reviewed the
laboratory results and diagnostics on the patient's chart. The nurse is performing which
specific nursing function?
a. Diagnosis
b. Assessment
c. Education
d. Advocacy - Answers - Answer: B
The nurse is performing the first step in the nursing process—assessment.
, A hospitalized patient experiences a sharp, stabbing pain while visiting with his spouse.
Both the patient and his wife become very concerned, and the patient's call light is
activated. What referent initiated communication between the patient and the nurse?
a. Interaction between the patient and his wife
b. Concern on the part of the patient's spouse
c. Pain experienced by the patient
d. Activation of the call light - Answers - Answer: C
Pain is the referent that initiated the communication process. The interaction between
the patient and his wife was the result of the patient's pain as was the concern of the
patient's spouse. The call light could be considered a channel through which the
patient's interaction with the nurse began.
Which factors influence whether a message is effectively communicated? (select all that
apply)
a. Timing of the conversation
b. Educational level of participants
c. Mode of communication used
d. Physical environment of discussion - Answers - Answers: A, B, C, D
Timing of a conversation dramatically influences the receptivity of the receiver. The
educational level of those seeking to communicate has an impact on the type of
language and technical terminology that can be used in conversation. Using more than
one mode of communication can enhance the effectiveness of a message. Making sure
the environment is devoid of excess noise and distraction can facilitate a greater
understanding of shared information.
If a patient is grimacing, what assessment statement or question would be most
beneficial to identifying the underlying cause of the nonverbal communication?
a. "Did you lose something?"
b. "You appear to be having pain."
c. "I will turn off the lights and let you rest."
d. "May I get you something to relieve your tension?" - Answers - Answer: B
Grimacing is a common nonverbal sign of pain. Sharing an observation encourages the
patient to elaborate on nonverbal communication. Asking the patient whether something
is lost indicates that the nurse has not attended to the nonverbal cues of the patient. It is
important to do an assessment of the patient before initiating any interventions.
What action by the nurse would most ensure accurate interpretation of patient
communication?
a. Providing feedback regarding the conveyed message
b. Writing down the patient's conversational highlights
c. Assuming significant cultural differences exist
d. Verifying the patient's emotional state - Answers - Answer: A
Feedback is the most effective way to avoid misinterpretation of a message. It helps
ensure that the message sent is perceived by the receiver in a way that is consistent
with the intention of the sender. Writing down conversational highlights is a form of
documentation that can still be misinterpreted unless feedback is sought. Avoid making
