APUS NURS310 Midterm Exam (pdf) | 2026/2027 | Assessment
Evaluation Clinical Decision-Making Q&A | Nursing
1. What is meant by full-spectrum nursing?
A) Nurses focus exclusively on technical skills and procedures
B) Clients are treated by nurses who use well-rounded skills such as critical
thinking and communication in addition to technical skills and safe and
effective care
C) Nurses observe, compare, contrast, and evaluate a client's condition to
determine if change has occurred
D) Quality and safety competencies are in place for all healthcare
professionals to demonstrate complete understanding in nursing education
Correct Answer: Clients are treated by nurses who use well-rounded skills
such as critical thinking and communication in addition to technical skills and
safe and effective care
Rationale: Full-spectrum nursing involves using a combination of critical
thinking, communication, and technical skills to provide safe and effective
care.
2. A nursing student recognizes that a client's laboratory results are
abnormal but does not know the reason why. In which stage of informal
learning is this student?
A) Advanced beginner
B) Competence
C) Proficient
D) Novice
Correct Answer: Novice
Rationale: The novice learner is focused on tasks with little clinical
experience and is still learning the rules.
3. What is the difference between skilled care and custodial care?
,A) Skilled care focuses on short-term rehabilitation, while custodial care
focuses on activities of daily living and other daily needs clients would
typically do themselves
B) Skilled care designed to bridge the gap between independence and
institutionalization for older adults and custodial care is temporary care
C) Skilled care allows for focused care on an outpatient basis, while custodial
care provides in-home care
D) Skilled care provides services to at-risk populations, and custodial care
focuses on avoidance of disease, infection, and other comorbidities
Correct Answer: Skilled care focuses on short-term rehabilitation, while
custodial care focuses on activities of daily living and other daily needs
clients would typically do themselves
Rationale: Skilled care involves short-term rehabilitation and skilled nursing
services, whereas custodial care assists with activities of daily living.
4. Providing direct client care, diagnosing and treating diseases, conducting
preoperative client screening, and educating clients and families on disease
management are all roles of the nurse. Which of these is NOT a function of
the nurse?
A) Providing direct client care
B) Diagnosing and treating diseases
C) Conducting preoperative client screening
D) Educating clients and families on disease management
Correct Answer: Diagnosing and treating diseases
Rationale: Diagnosing and treating diseases is the primary role of a
physician, not a nurse. Nurses provide care, screen, and educate.
5. Florence Nightingale is considered the founder of modern nursing. Which
of the following contributions is she known for?
A) Establishing the first nursing school in the United States
,B) Opening St. Thomas Hospital in London, which set up the first nurses'
training school
C) Publishing the Brown Report on nursing education
D) Establishing sanitary nursing care units during the Crimean War
Correct Answer: Opening St. Thomas Hospital in London, which set up the
first nurses' training school
Rationale: Florence Nightingale opened St. Thomas Hospital in London, which
set up the first nurses' training school to staff hospitals and provide care.
6. Which report recommended that basic schools of nursing be placed in
universities and colleges and that the minimum preparation for entry into
professional nursing practice be the BSN?
A) The Flexner Report
B) The Goldmark Report
C) The Brown Report
D) The National League for Nursing Report
Correct Answer: The Brown Report
Rationale: The Brown Report, also known as "Nursing for the Future" (1948),
recommended that basic schools of nursing be placed in universities and
colleges and that the minimum preparation for entry into professional
nursing practice be the BSN.
7. What was the original name of the National League for Nursing (NLN)?
A) The American Society of Superintendents
B) The National Association of Nurses
C) The American Nursing Association
D) The Society of Nursing Educators
Correct Answer: The American Society of Superintendents
Rationale: The NLN's former name was "The American Society of
Superintendents".
, 8. Which degree program graduates the largest number of nurses today?
A) Diploma program
B) Associate's Degree (ADN)
C) Bachelor's Degree (BSN)
D) Master's Degree (MSN)
Correct Answer: Associate's Degree (ADN)
Rationale: Associate's Degree programs graduate the largest number of
nurses today.
9. What is the primary reason for the nursing shortage?
A) Limited clinical sites, faculty, and classroom space
B) Nurses getting older and retiring
C) Nursing school enrollment not growing fast enough to meet demand
D) All of the above
Correct Answer: All of the above
Rationale: Reasons for the nursing shortage include nurses aging and
retiring, a national faculty shortage, limited clinical sites, and nursing school
enrollment not keeping pace with demand.
10. What is meant by full-spectrum nursing?
A) Clients are treated by nurses who use well-rounded skills such as critical
thinking and communication in addition to technical skills and safe and
effective care
B) Nurses consider an issue and attempt to find a satisfactory solution to
achieve the best outcomes
C) Nurses observe, compare, contrast, and evaluate a client's condition to
determine if change has occurred
Evaluation Clinical Decision-Making Q&A | Nursing
1. What is meant by full-spectrum nursing?
A) Nurses focus exclusively on technical skills and procedures
B) Clients are treated by nurses who use well-rounded skills such as critical
thinking and communication in addition to technical skills and safe and
effective care
C) Nurses observe, compare, contrast, and evaluate a client's condition to
determine if change has occurred
D) Quality and safety competencies are in place for all healthcare
professionals to demonstrate complete understanding in nursing education
Correct Answer: Clients are treated by nurses who use well-rounded skills
such as critical thinking and communication in addition to technical skills and
safe and effective care
Rationale: Full-spectrum nursing involves using a combination of critical
thinking, communication, and technical skills to provide safe and effective
care.
2. A nursing student recognizes that a client's laboratory results are
abnormal but does not know the reason why. In which stage of informal
learning is this student?
A) Advanced beginner
B) Competence
C) Proficient
D) Novice
Correct Answer: Novice
Rationale: The novice learner is focused on tasks with little clinical
experience and is still learning the rules.
3. What is the difference between skilled care and custodial care?
,A) Skilled care focuses on short-term rehabilitation, while custodial care
focuses on activities of daily living and other daily needs clients would
typically do themselves
B) Skilled care designed to bridge the gap between independence and
institutionalization for older adults and custodial care is temporary care
C) Skilled care allows for focused care on an outpatient basis, while custodial
care provides in-home care
D) Skilled care provides services to at-risk populations, and custodial care
focuses on avoidance of disease, infection, and other comorbidities
Correct Answer: Skilled care focuses on short-term rehabilitation, while
custodial care focuses on activities of daily living and other daily needs
clients would typically do themselves
Rationale: Skilled care involves short-term rehabilitation and skilled nursing
services, whereas custodial care assists with activities of daily living.
4. Providing direct client care, diagnosing and treating diseases, conducting
preoperative client screening, and educating clients and families on disease
management are all roles of the nurse. Which of these is NOT a function of
the nurse?
A) Providing direct client care
B) Diagnosing and treating diseases
C) Conducting preoperative client screening
D) Educating clients and families on disease management
Correct Answer: Diagnosing and treating diseases
Rationale: Diagnosing and treating diseases is the primary role of a
physician, not a nurse. Nurses provide care, screen, and educate.
5. Florence Nightingale is considered the founder of modern nursing. Which
of the following contributions is she known for?
A) Establishing the first nursing school in the United States
,B) Opening St. Thomas Hospital in London, which set up the first nurses'
training school
C) Publishing the Brown Report on nursing education
D) Establishing sanitary nursing care units during the Crimean War
Correct Answer: Opening St. Thomas Hospital in London, which set up the
first nurses' training school
Rationale: Florence Nightingale opened St. Thomas Hospital in London, which
set up the first nurses' training school to staff hospitals and provide care.
6. Which report recommended that basic schools of nursing be placed in
universities and colleges and that the minimum preparation for entry into
professional nursing practice be the BSN?
A) The Flexner Report
B) The Goldmark Report
C) The Brown Report
D) The National League for Nursing Report
Correct Answer: The Brown Report
Rationale: The Brown Report, also known as "Nursing for the Future" (1948),
recommended that basic schools of nursing be placed in universities and
colleges and that the minimum preparation for entry into professional
nursing practice be the BSN.
7. What was the original name of the National League for Nursing (NLN)?
A) The American Society of Superintendents
B) The National Association of Nurses
C) The American Nursing Association
D) The Society of Nursing Educators
Correct Answer: The American Society of Superintendents
Rationale: The NLN's former name was "The American Society of
Superintendents".
, 8. Which degree program graduates the largest number of nurses today?
A) Diploma program
B) Associate's Degree (ADN)
C) Bachelor's Degree (BSN)
D) Master's Degree (MSN)
Correct Answer: Associate's Degree (ADN)
Rationale: Associate's Degree programs graduate the largest number of
nurses today.
9. What is the primary reason for the nursing shortage?
A) Limited clinical sites, faculty, and classroom space
B) Nurses getting older and retiring
C) Nursing school enrollment not growing fast enough to meet demand
D) All of the above
Correct Answer: All of the above
Rationale: Reasons for the nursing shortage include nurses aging and
retiring, a national faculty shortage, limited clinical sites, and nursing school
enrollment not keeping pace with demand.
10. What is meant by full-spectrum nursing?
A) Clients are treated by nurses who use well-rounded skills such as critical
thinking and communication in addition to technical skills and safe and
effective care
B) Nurses consider an issue and attempt to find a satisfactory solution to
achieve the best outcomes
C) Nurses observe, compare, contrast, and evaluate a client's condition to
determine if change has occurred
