NP1 Exam 1 Review Questions and Answers with Complete Solutions
You are preparing presentation for you classmates D
regarding the clinical care coordination conference for a
patient with terminal cancer. As part of the preparation you
have your classmates read the Nursing Code of Ethics for
Professional Registered Nurses. Your instructor asks the
class why this document is important. Which of the
following statements best describes this code?
a. improves self-health care
b. protects the patient's confidentiality
c. ensures identical care to all patients
d. defines the principles of right and wrong to provide
patient care
An 18-year old woman is in the emergency department C
with fever and cough. The nurse obtains her vital signs,
listens to her lung and heart sounds, determines her level
of comfort, and collects blood and sputum samples for
analysis. Which standard of practice is performed?
a. diagnosis
b. evaluation
c. assessment
d. implementation
A patient in the emergency department has developed D
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
A nurse is caring for a patient with end-stage lung disease. B
The patient wants to go home on oxygen and be
comfortable. The family wants the patient to have a new
surgical procedure. The nurse explains the risk and
benefits of the surgery to the family and discusses the
patient's wishes with them. The nurse is acting as the
patient's:
a. educator
b. advocate
c. caregiver
d. case manager
The nurse spends time with the patient and family A
reviewing the dressing change procedure for the patient's
wound. The patient's spouse demonstrates how to change
the dressing. The nurse is acting in which professional
role?
a. educator
b. advocate
c. caregiver
d. case manager
The examination for registered nurse (RN) licensure is D
exactly the same in every state in the United States. This
examination:
a. guarantees safe nursing for all patients
b. ensures standard nursing care for patients
c. ensures that honest and ethical care is provided
d. provides a minimal standard of knowledge for an RN in
practice
, NP1 Exam 1 Review Questions and Answers with Complete Solutions
Contemporary nursing requires that the nurse has A, B, C, D
knowledge and skills for a variety of professional roles and
responsibilities. Which of the following are examples?
(Select all that apply.)
A. Caregiver
B. Autonomy and accountability
C. Patient advocate
D. Health promotion
E. Lobbyist
Match the advanced practice nurse specialty with the 1B, 2D, 3C, 4A
statement about the role.
1. Clinical nurse specialist
2. Nurse anesthetist
3. Nurse practitioner
4. Nurse-midwife
a. Provides independent care, including pregnancy and
gynecological services
b. Expert clinician in a specialized area of practice such as
adult diabetes care
c. Provides comprehensive care, usually in a primary care
setting, directly managing the medical care of patients who
are healthy or have chronic conditions
d. Provides care and services under the supervision of an
anesthesiologist
Healthcare reform will bring changes in the emphasis of A
care. Which of the following models is expected from
health care reform?
a. moving from an acute illness to a health promotion,
illness prevention model
b. moving from an illness prevention to a health promotion
model
c. moving from an acute illness to a disease management
model
d. moving from a chronic care to an illness prevention
model
A nurse meets with the registered dietician and physical C
therapist to develop a plan of care that focuses on
improving nutrition and mobility for a patient. This is an
example of which Quality and Safety in the Education of
Nurses (QSEN) competency?
a. patient-centered care
b. safety
c. teamwork and collaboration
d. informatics
A critical care nurse is using a computerized decision D
support system to correctly position her ventilated patients
to reduce pneumonia caused by accumulated respiratory
secretions. This is an example of which Quality and Safety
in the Education of Nurses (QSEN) competency?
a. patient-centered care
b. safety
c. teamwork and collaboration
d. informatics
, NP1 Exam 1 Review Questions and Answers with Complete Solutions
The nurses on an acute care medical floor notice an D
increase in pressure ulcer formation in their patients. A
nurse consultant decides to compare two types of
treatment. The first is the procedure currently used to
assess for pressure ulcer risk. The second uses a new
assessment instrument to identify at-risk patients. Given
this information, the nurse consultant exemplifies which
career?
a. clinical nurse specialist
b. nurse administrator
c. nurse educator
d. nurse researcher
Nurses in an acute care hospital are attending a unit C
based education program to learn how to use a new
pressure-relieving device for patients at risk for pressure
ulcers. This is which type of education?
a. continuing education
b. graduate education
c. in-service education
d. professional registered nurse education
Which of the following Internet resources can help B and D
consumers compare quality care measures? (Select all
that apply)
a. WebMD
b. Hospital Compare
c. Magnet Recognition Program
d. Hospital Consumer Assessment of Healthcare
e. The American Hospital Association's webpage
A community center is presenting a nurse-led program on B
the Patient Protection and Affordable Care Act. Which
statement made by a participate indicates a need for the
further teaching?
a. "my small company will now have to offer the 75
employees health insurance or pay a penalty"
b. "as long as my son is a full-time student in college, I will
be able to keep him on my health insurance until he is 26
year olds"
c. "I signed up for the state health insurance exchange
before the designated deadline to make sure I had health
insurance"
d. "since I have now been diagnosed with diabetes, my
health insurance plan cannot charge me higher premiums"
Which activity performed by a nurse is related to D
maintaining competency in nursing practice?
a. asking another nurse about how to change the settings
on a medication pump
b. regularly attending unit staff meetings
c. participating as a member of the professional nursing
council
d. attending a review course in preparation for a
certification examination
, NP1 Exam 1 Review Questions and Answers with Complete Solutions
A patient tells a nurse that she is enrolled in a preferred C
provider organization (PPO) but does not understand what
this is. What is the nurse's best explanation of a PPO?
a. this health plan is for people who cannot afford their own
health insurance
b. this health plan is operated by the government to
provide healthcare to older adults
c. this health plan gives you a list of physicians and
hospital from which you can choose
d. this is a fee-for-service plan in which you can choose
any physician or hospital
Which of the following are examples of a nurse A, B, and E
participating in primary care activities? (Select all that
apply)
a. providing prenatal teaching on nutrition to a pregnant
woman during the first trimester
b. assessing the nutritional status of older adults who
come to the community center for lunch
c. working with patients in a cardiac rehabilitation program
d. providing home wound care to a patient
e. teaching a class to parents at the local grade school
about the importance of immunizations
Nurses on a nursing unit are discussing the processes that A
led up to a near-miss error on the clinical unit. They are
outlining strategies that will prevent this in the future. This
is an example of nurses working on what issue in the
health care system?
a. patient safety
b. evidence-based practice
c. patient satisfaction
d. maintenance of competency
Which of the following statements is true regarding Magnet D
status recognition for a hospital?
a. nursing is run by a Magnet manager who makes
decisions for the nursing units
b. nurses in Magnet hospitals make all of the decisions on
the clinical units
c. Magnet is a term that is used to describe hospitals that
are able to hire the nurses they need
d. Magnet is a special designation for hospitals that
achieve excellence in nursing practice
A group of staff nurses notice an increased incidence of C
medication errors on their unit. After further investigation it
is determined that the nurses are not consistently
identifying the patient correctly. A change is needed
quickly. What type of quality improvement method would
be most appropriate?
a. PDSA
b. Six Sigma
c. Rapid-improvement event (RIE)
d. A randomized controlled trial
Which of the following are characteristics of managed care A, D, E
systems? (Select all that apply)
a. provider receives a predetermined payment for each
patient in the program
b. payment is based on a set fee for each service provided
c. system includes a voluntary prescription drug program
for an additional cost
d. system tried to reduce costs while keeping patients
healthy
e. focus of care is on prevention and early intervention
You are preparing presentation for you classmates D
regarding the clinical care coordination conference for a
patient with terminal cancer. As part of the preparation you
have your classmates read the Nursing Code of Ethics for
Professional Registered Nurses. Your instructor asks the
class why this document is important. Which of the
following statements best describes this code?
a. improves self-health care
b. protects the patient's confidentiality
c. ensures identical care to all patients
d. defines the principles of right and wrong to provide
patient care
An 18-year old woman is in the emergency department C
with fever and cough. The nurse obtains her vital signs,
listens to her lung and heart sounds, determines her level
of comfort, and collects blood and sputum samples for
analysis. Which standard of practice is performed?
a. diagnosis
b. evaluation
c. assessment
d. implementation
A patient in the emergency department has developed D
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
A nurse is caring for a patient with end-stage lung disease. B
The patient wants to go home on oxygen and be
comfortable. The family wants the patient to have a new
surgical procedure. The nurse explains the risk and
benefits of the surgery to the family and discusses the
patient's wishes with them. The nurse is acting as the
patient's:
a. educator
b. advocate
c. caregiver
d. case manager
The nurse spends time with the patient and family A
reviewing the dressing change procedure for the patient's
wound. The patient's spouse demonstrates how to change
the dressing. The nurse is acting in which professional
role?
a. educator
b. advocate
c. caregiver
d. case manager
The examination for registered nurse (RN) licensure is D
exactly the same in every state in the United States. This
examination:
a. guarantees safe nursing for all patients
b. ensures standard nursing care for patients
c. ensures that honest and ethical care is provided
d. provides a minimal standard of knowledge for an RN in
practice
, NP1 Exam 1 Review Questions and Answers with Complete Solutions
Contemporary nursing requires that the nurse has A, B, C, D
knowledge and skills for a variety of professional roles and
responsibilities. Which of the following are examples?
(Select all that apply.)
A. Caregiver
B. Autonomy and accountability
C. Patient advocate
D. Health promotion
E. Lobbyist
Match the advanced practice nurse specialty with the 1B, 2D, 3C, 4A
statement about the role.
1. Clinical nurse specialist
2. Nurse anesthetist
3. Nurse practitioner
4. Nurse-midwife
a. Provides independent care, including pregnancy and
gynecological services
b. Expert clinician in a specialized area of practice such as
adult diabetes care
c. Provides comprehensive care, usually in a primary care
setting, directly managing the medical care of patients who
are healthy or have chronic conditions
d. Provides care and services under the supervision of an
anesthesiologist
Healthcare reform will bring changes in the emphasis of A
care. Which of the following models is expected from
health care reform?
a. moving from an acute illness to a health promotion,
illness prevention model
b. moving from an illness prevention to a health promotion
model
c. moving from an acute illness to a disease management
model
d. moving from a chronic care to an illness prevention
model
A nurse meets with the registered dietician and physical C
therapist to develop a plan of care that focuses on
improving nutrition and mobility for a patient. This is an
example of which Quality and Safety in the Education of
Nurses (QSEN) competency?
a. patient-centered care
b. safety
c. teamwork and collaboration
d. informatics
A critical care nurse is using a computerized decision D
support system to correctly position her ventilated patients
to reduce pneumonia caused by accumulated respiratory
secretions. This is an example of which Quality and Safety
in the Education of Nurses (QSEN) competency?
a. patient-centered care
b. safety
c. teamwork and collaboration
d. informatics
, NP1 Exam 1 Review Questions and Answers with Complete Solutions
The nurses on an acute care medical floor notice an D
increase in pressure ulcer formation in their patients. A
nurse consultant decides to compare two types of
treatment. The first is the procedure currently used to
assess for pressure ulcer risk. The second uses a new
assessment instrument to identify at-risk patients. Given
this information, the nurse consultant exemplifies which
career?
a. clinical nurse specialist
b. nurse administrator
c. nurse educator
d. nurse researcher
Nurses in an acute care hospital are attending a unit C
based education program to learn how to use a new
pressure-relieving device for patients at risk for pressure
ulcers. This is which type of education?
a. continuing education
b. graduate education
c. in-service education
d. professional registered nurse education
Which of the following Internet resources can help B and D
consumers compare quality care measures? (Select all
that apply)
a. WebMD
b. Hospital Compare
c. Magnet Recognition Program
d. Hospital Consumer Assessment of Healthcare
e. The American Hospital Association's webpage
A community center is presenting a nurse-led program on B
the Patient Protection and Affordable Care Act. Which
statement made by a participate indicates a need for the
further teaching?
a. "my small company will now have to offer the 75
employees health insurance or pay a penalty"
b. "as long as my son is a full-time student in college, I will
be able to keep him on my health insurance until he is 26
year olds"
c. "I signed up for the state health insurance exchange
before the designated deadline to make sure I had health
insurance"
d. "since I have now been diagnosed with diabetes, my
health insurance plan cannot charge me higher premiums"
Which activity performed by a nurse is related to D
maintaining competency in nursing practice?
a. asking another nurse about how to change the settings
on a medication pump
b. regularly attending unit staff meetings
c. participating as a member of the professional nursing
council
d. attending a review course in preparation for a
certification examination
, NP1 Exam 1 Review Questions and Answers with Complete Solutions
A patient tells a nurse that she is enrolled in a preferred C
provider organization (PPO) but does not understand what
this is. What is the nurse's best explanation of a PPO?
a. this health plan is for people who cannot afford their own
health insurance
b. this health plan is operated by the government to
provide healthcare to older adults
c. this health plan gives you a list of physicians and
hospital from which you can choose
d. this is a fee-for-service plan in which you can choose
any physician or hospital
Which of the following are examples of a nurse A, B, and E
participating in primary care activities? (Select all that
apply)
a. providing prenatal teaching on nutrition to a pregnant
woman during the first trimester
b. assessing the nutritional status of older adults who
come to the community center for lunch
c. working with patients in a cardiac rehabilitation program
d. providing home wound care to a patient
e. teaching a class to parents at the local grade school
about the importance of immunizations
Nurses on a nursing unit are discussing the processes that A
led up to a near-miss error on the clinical unit. They are
outlining strategies that will prevent this in the future. This
is an example of nurses working on what issue in the
health care system?
a. patient safety
b. evidence-based practice
c. patient satisfaction
d. maintenance of competency
Which of the following statements is true regarding Magnet D
status recognition for a hospital?
a. nursing is run by a Magnet manager who makes
decisions for the nursing units
b. nurses in Magnet hospitals make all of the decisions on
the clinical units
c. Magnet is a term that is used to describe hospitals that
are able to hire the nurses they need
d. Magnet is a special designation for hospitals that
achieve excellence in nursing practice
A group of staff nurses notice an increased incidence of C
medication errors on their unit. After further investigation it
is determined that the nurses are not consistently
identifying the patient correctly. A change is needed
quickly. What type of quality improvement method would
be most appropriate?
a. PDSA
b. Six Sigma
c. Rapid-improvement event (RIE)
d. A randomized controlled trial
Which of the following are characteristics of managed care A, D, E
systems? (Select all that apply)
a. provider receives a predetermined payment for each
patient in the program
b. payment is based on a set fee for each service provided
c. system includes a voluntary prescription drug program
for an additional cost
d. system tried to reduce costs while keeping patients
healthy
e. focus of care is on prevention and early intervention
