Chamberlain University
1 MAXE · 222 RN
★ ★
C College of Nursing & Public Health
EST. 1889
E X C E L L E N C E · I N N O V AT I O N · I N T E G R I T Y · W O R L D C L A S S S E R V I C E
NR 222 Exam 1 Practice Questions
FO U N DAT I O N S O F N U RS I N G P RACT I C E
INSTITUTION Chamberlain University COURSE CODE NR 222
PROGRAM Bachelor of Science in Nursing ACADEMIC YEAR
EXAM TITLE NR 222 Exam 1 Practice Questions TOTAL QUESTIONS 85 Questions
COURSE TITLE Foundations of Nursing Practice FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question unless otherwise instructed.
▸ All questions are based on nursing fundamentals, ethics, and health promotion.
▸ Correct answers and clinical rationales appear below each question.
▸ Select all that apply (SATA) questions require all correct options to be selected.
▸ Use the rationales to reinforce key nursing concepts and evidence-based practice.
, SECTION I — NURSING FUNDAMENTALS & PRACTICE Questions 1 – 85
1. A patient with a 20-year history of diabetes mellitus had a lower leg amputation. Which
statement made by the patient indicates that he is experiencing a problem with body
image?
A. "I just don't have any energy to get out of bed in the morning."
B. "I've been attending church regularly with my wife since I got out of the hospital."
C. "My wife has taken over paying the bills since I've been in the hospital."
D. "I don't go out very much because everyone stares at me."
CORRECT ANSWER D — "I don't go out very much because everyone stares at me."
RATIONALE The amputation resulted in a change in physical appearance that caused a
change in body image. Reactions of patients and families to changes in body
image depend on the type of changes (e.g., loss of a limb or an organ), their
adaptive capacity, the rate at which changes take place, and the support services
available. When a change in body image such as results from a leg amputation
occurs, the patient generally adjusts in the following phases: shock, withdrawal,
acknowledgment, acceptance, and rehabilitation. The patient's statement
indicates he is in the stage of withdrawal.
2. Which of the following statements about theory-based nursing practice is incorrect?
A. Contributes to evidence-based practice
B. Provides a systematic process for designing nursing interventions
C. Is not linked to nursing outcomes
D. Guides the nurse's assessment
CORRECT ANSWER C — Is not linked to nursing outcomes
RATIONALE Theory-based nursing practice does reflect nursing outcomes. For example,
prescriptive theories address specific nursing interventions and predict the
patient response. Theory-based practice contributes to evidence-based practice,
provides a systematic process for designing nursing interventions, and guides the
nurse's assessment.
,3. Advanced practice registered nurses generally:
A. Function independently
B. Function as unit directors
C. Work in acute care settings
D. Work in the university setting
CORRECT ANSWER A — Function independently
RATIONALE Advanced practice registered nurse functions independently as a clinician,
educator, case manager, consultant, and researcher within his or her area of
practice to plan or improve the quality of nursing care for the patient and family.
4. A nurse needs to teach a young woman newly diagnosed with asthma how to manage her
disease. Which of the following topics does the nurse teach first?
A. How to use an inhaler during an asthma attack
B. The need to avoid people who smoke to prevent asthma attacks
C. Where to purchase a medical alert bracelet that says she has asthma
D. The importance of maintaining a healthy diet and exercising regularly
CORRECT ANSWER A — How to use an inhaler during an asthma attack
RATIONALE It is important to start with essential life-saving information when teaching
people because they usually remember what you tell them first.
5. A theory is a set of concepts, definitions, relationships, and assumptions that:
A. Formulate legislation.
B. Explain a phenomenon.
C. Measure nursing functions.
D. Reflect the domain of nursing practice.
CORRECT ANSWER B — Explain a phenomenon.
RATIONALE Theories are designed to explain a phenomenon such as self-care or caring. A
theory is a way of seeing through a "set of relatively concrete and specific
concepts" and the propositions that describe or link the concepts.
, 6. To practice in today's health care environment, nurses need a strong scientific knowledge
base from nursing and other disciplines such as the physical, social, and behavioral
sciences. This statement identifies the need for which of the following?
A. Systems theories
B. Developmental theories
C. Interdisciplinary theories
D. Health and wellness models
CORRECT ANSWER C — Interdisciplinary theories
RATIONALE As the health system evolves and the health care needs of the patient focus on
health promotion, illness prevention, and treatment, more disciplines are
involved in patient care. To be effective in practice nurses need to be aware of
theoretical approaches of care arising from other disciplines and from nursing.
7. A patient in the emergency department has developed wheezing and shortness of breath.
The nurse gives the ordered medicated nebulizer treatment now and in 4 hours. Which
standard of practice is performed?
A. Planning
B. Evaluation
C. Assessment
D. Implementation
CORRECT ANSWER D — Implementation
RATIONALE Implementation is completing coordinating care and the prescribed plan of care.
1 MAXE · 222 RN
★ ★
C College of Nursing & Public Health
EST. 1889
E X C E L L E N C E · I N N O V AT I O N · I N T E G R I T Y · W O R L D C L A S S S E R V I C E
NR 222 Exam 1 Practice Questions
FO U N DAT I O N S O F N U RS I N G P RACT I C E
INSTITUTION Chamberlain University COURSE CODE NR 222
PROGRAM Bachelor of Science in Nursing ACADEMIC YEAR
EXAM TITLE NR 222 Exam 1 Practice Questions TOTAL QUESTIONS 85 Questions
COURSE TITLE Foundations of Nursing Practice FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question unless otherwise instructed.
▸ All questions are based on nursing fundamentals, ethics, and health promotion.
▸ Correct answers and clinical rationales appear below each question.
▸ Select all that apply (SATA) questions require all correct options to be selected.
▸ Use the rationales to reinforce key nursing concepts and evidence-based practice.
, SECTION I — NURSING FUNDAMENTALS & PRACTICE Questions 1 – 85
1. A patient with a 20-year history of diabetes mellitus had a lower leg amputation. Which
statement made by the patient indicates that he is experiencing a problem with body
image?
A. "I just don't have any energy to get out of bed in the morning."
B. "I've been attending church regularly with my wife since I got out of the hospital."
C. "My wife has taken over paying the bills since I've been in the hospital."
D. "I don't go out very much because everyone stares at me."
CORRECT ANSWER D — "I don't go out very much because everyone stares at me."
RATIONALE The amputation resulted in a change in physical appearance that caused a
change in body image. Reactions of patients and families to changes in body
image depend on the type of changes (e.g., loss of a limb or an organ), their
adaptive capacity, the rate at which changes take place, and the support services
available. When a change in body image such as results from a leg amputation
occurs, the patient generally adjusts in the following phases: shock, withdrawal,
acknowledgment, acceptance, and rehabilitation. The patient's statement
indicates he is in the stage of withdrawal.
2. Which of the following statements about theory-based nursing practice is incorrect?
A. Contributes to evidence-based practice
B. Provides a systematic process for designing nursing interventions
C. Is not linked to nursing outcomes
D. Guides the nurse's assessment
CORRECT ANSWER C — Is not linked to nursing outcomes
RATIONALE Theory-based nursing practice does reflect nursing outcomes. For example,
prescriptive theories address specific nursing interventions and predict the
patient response. Theory-based practice contributes to evidence-based practice,
provides a systematic process for designing nursing interventions, and guides the
nurse's assessment.
,3. Advanced practice registered nurses generally:
A. Function independently
B. Function as unit directors
C. Work in acute care settings
D. Work in the university setting
CORRECT ANSWER A — Function independently
RATIONALE Advanced practice registered nurse functions independently as a clinician,
educator, case manager, consultant, and researcher within his or her area of
practice to plan or improve the quality of nursing care for the patient and family.
4. A nurse needs to teach a young woman newly diagnosed with asthma how to manage her
disease. Which of the following topics does the nurse teach first?
A. How to use an inhaler during an asthma attack
B. The need to avoid people who smoke to prevent asthma attacks
C. Where to purchase a medical alert bracelet that says she has asthma
D. The importance of maintaining a healthy diet and exercising regularly
CORRECT ANSWER A — How to use an inhaler during an asthma attack
RATIONALE It is important to start with essential life-saving information when teaching
people because they usually remember what you tell them first.
5. A theory is a set of concepts, definitions, relationships, and assumptions that:
A. Formulate legislation.
B. Explain a phenomenon.
C. Measure nursing functions.
D. Reflect the domain of nursing practice.
CORRECT ANSWER B — Explain a phenomenon.
RATIONALE Theories are designed to explain a phenomenon such as self-care or caring. A
theory is a way of seeing through a "set of relatively concrete and specific
concepts" and the propositions that describe or link the concepts.
, 6. To practice in today's health care environment, nurses need a strong scientific knowledge
base from nursing and other disciplines such as the physical, social, and behavioral
sciences. This statement identifies the need for which of the following?
A. Systems theories
B. Developmental theories
C. Interdisciplinary theories
D. Health and wellness models
CORRECT ANSWER C — Interdisciplinary theories
RATIONALE As the health system evolves and the health care needs of the patient focus on
health promotion, illness prevention, and treatment, more disciplines are
involved in patient care. To be effective in practice nurses need to be aware of
theoretical approaches of care arising from other disciplines and from nursing.
7. A patient in the emergency department has developed wheezing and shortness of breath.
The nurse gives the ordered medicated nebulizer treatment now and in 4 hours. Which
standard of practice is performed?
A. Planning
B. Evaluation
C. Assessment
D. Implementation
CORRECT ANSWER D — Implementation
RATIONALE Implementation is completing coordinating care and the prescribed plan of care.
