Caring Complete Test Bank Q&A Study Guide (2026/2027)
Chapter 1: The Nursing Profession & Healthcare Delivery
Q1: A nurse is explaining the concept of "quality and safety education
for nurses" (QSEN) to a nursing student. Which statement by the
student indicates a correct understanding of the "Patient-Centered
Care" competency?
A) "I will make all clinical decisions for the patient to ensure their
safety."
B) "I will recognize the patient as the source of control and full partner
in their care."
C) "I will prioritize minimizing the hospital's length of stay to reduce
costs."
D) "I will use standard protocols to treat all patients with the same
diagnosis identically."
CORRECT ANSWER>: B) "I will recognize the patient as the source of
control and full partner in their care."
Rationale: Patient-centered care involves recognizing the patient as the
source of control and a full partner in providing compassionate,
coordinated care based on respect for the patient's preferences, values,
and needs.
,Q2: Which of the following healthcare delivery models focuses on
providing a seamless transition of care across different settings, from
hospital to home, to prevent readmissions?
A) Primary nursing
B) Case management
C) Team nursing
D) Functional nursing
CORRECT ANSWER>: B) Case management.
Rationale: Case management involves a collaborative process of
assessment, planning, facilitation, and advocacy to meet an individual's
health needs through communication and available resources to
promote quality, cost-effective outcomes.
Chapter 2: The Nursing Process & Critical Thinking (Thinking)
Q3: During which phase of the nursing process does the nurse establish
measurable, realistic goals and identify specific nursing interventions?
A) Assessment
B) Diagnosis
C) Planning
D) Implementation
CORRECT ANSWER>: C) Planning.
Rationale: In the planning phase, the nurse analyzes the assessment
data, prioritizes nursing diagnoses, establishes measurable patient-
,centered goals/outcomes, and determines the specific interventions
needed to achieve those goals.
Q4: A nurse writes the following nursing diagnosis: "Risk for Impaired
Skin Integrity related to immobility." This is an example of which type of
nursing diagnosis?
A) Actual
B) Risk
C) Health promotion
D) Syndrome
CORRECT ANSWER>: B) Risk.
Rationale: A risk nursing diagnosis is a clinical judgment that a patient is
more vulnerable to develop a problem than others in the same or
similar situation. It is supported by risk factors, not signs and symptoms.
Q5: A nurse administers a prescribed analgesic to a patient and returns
30 minutes later to evaluate the patient's pain level. Which step of the
nursing process is the nurse executing?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
CORRECT ANSWER>: D) Evaluation.
, Rationale: Evaluation is the final step of the nursing process, where the
nurse determines if the patient has met the desired outcomes/goals of
care and if the nursing interventions were effective.
Chapter 3: Legal and Ethical Aspects of Nursing
Q6: A patient scheduled for a cholecystectomy refuses to sign the
consent form after the physician has explained the procedure. What is
the nurse's most appropriate initial action?
A) Remind the patient that the surgery is medically necessary.
B) Notify the operating room to cancel the surgery.
C) Ask the patient to explain their concerns and notify the physician.
D) Sign the consent form as a witness to the patient's refusal.
CORRECT ANSWER>: C) Ask the patient to explain their concerns and
notify the physician.
Rationale: The nurse acts as a patient advocate by ensuring informed
consent is voluntary. The nurse should assess the patient's
understanding and concerns, clarify any misconceptions, and notify the
physician so the physician can address the patient's concerns before the
procedure.
Q7: Which ethical principle is the nurse upholding when they
administer an antiemetic to a patient who is vomiting, even though the
patient did not explicitly ask for it?
A) Autonomy