Test Bank - Chapter 01
1. Which item in a medical record provides direction for individualized care and assures the delivery of accurate,
safe care through a definitive pathway that promotes the patient’s and the support persons’ progress toward
positive outcomes? [Multiple Choice]
a. Physician’s orders
b. Progress notes
c. Nursing care plan ✔
d. Client health history
ANS: C
The nursing care plan provides direction for individualized care and assures the delivery of accurate, safe care
through a definitive pathway that promotes the patient’s and the support persons’ progress toward positive
outcomes. DIF: Cognitive Level: Understanding OBJ: 1 TOP: Nursing Care Plan KEY: Nursing Process: Planning
The nursing care plan provides direction for individualized care and assures the delivery of accurate, safe care
through a definitive pathway that promotes the patient’s and the support persons’ progress toward positive
outcomes. DIF: Cognitive Level: Understanding OBJ: 1 TOP: Nursing Care Plan KEY: Nursing Process: Planning
2. The nurse is performing behaviours and actions that assist patients and significant others in meeting their
needs and the identified outcomes of the plan of care. Which term is correct for these nursing behaviours?
[Multiple Choice]
a. Assessments
b. Interventions ✔
c. Planning
d. Evaluation
ANS: B
Care interventions are those nursing behaviours and actions that assist patients and significant others in meeting
their needs and the identified outcomes of the plan of care. DIF: Cognitive Level: Remembering OBJ: 1 TOP:
Interventions KEY: Nursing Process: Planning
Care interventions are those nursing behaviours and actions that assist patients and significant others in meeting
their needs and the identified outcomes of the plan of care. DIF: Cognitive Level: Remembering OBJ: 1 TOP:
Interventions KEY: Nursing Process: Planning
3. The nurse understands the importance of being answerable for all actions and the possibility of being called on
to explain or justify them. Which term best describes this concept? [Multiple Choice]
,a. Reliability
b. Maturity
c. Accountability ✔
d. Liability
ANS: C
Accountability means that a person is answerable for their actions and may be called on to explain or justify them.
DIF: Cognitive Level: Remembering OBJ: 1 TOP: Accountability KEY: Nursing Process: N/A
Accountability means that a person is answerable for their actions and may be called on to explain or justify them.
DIF: Cognitive Level: Remembering OBJ: 1 TOP: Accountability KEY: Nursing Process: N/A
4. Which action is an example of an RPN/LPN exhibiting beneficence? [Multiple Choice]
a. Removes defective equipment from the patient’s room ✔
b. Willingly works extra shifts during a staff shortage
c. Adheres to agency policy
d. Joins the National Association for Practical Nurse Education and Service (NAPNES) and attends educational
seminars
ANS: A
Beneficence means promoting good and reducing harm. Removing defective equipment demonstrates that the
RPN/LPN is reducing possible harm to the patient. Working extra shifts, adhering to policy, and joining NAPNES
are personal values, not beneficence. DIF: Cognitive Level: Understanding OBJ: 3 TOP: Ethical Considerations KEY:
Nursing Process: N/A
Beneficence means promoting good and reducing harm. Removing defective equipment demonstrates that the
RPN/LPN is reducing possible harm to the patient. Working extra shifts, adhering to policy, and joining NAPNES
are personal values, not beneficence. DIF: Cognitive Level: Understanding OBJ: 3 TOP: Ethical Considerations KEY:
Nursing Process: N/A
5. An LPN/LVN is educating a group of nursing students regarding values demonstrated in their nursing practice.
Which area of the RPN/LPN’s life identifies where the base of these values is derived? [Multiple Choice]
a. Nursing school education
b. Family influence ✔
c. Peer relationships
d. Agency policies
,ANS: B
The family shapes values that are demonstrated in later life. These values may be enhanced or challenged by life
experiences, but the base is forged in the family. DIF: Cognitive Level: Remembering OBJ: 3 TOP: Ethical
Considerations KEY: Nursing Process: N/A
The family shapes values that are demonstrated in later life. These values may be enhanced or challenged by life
experiences, but the base is forged in the family. DIF: Cognitive Level: Remembering OBJ: 3 TOP: Ethical
Considerations KEY: Nursing Process: N/A
6. One obstetrical nurse remarks, “I don’t see how these young single women can keep on having babies without
being married. Everyone knows a child needs a father.” Which term identifies what this nurse is exhibiting?
[Multiple Choice]
a. Ethnocentrism ✔
b. Moral uncertainty
c. Values clarification
d. Professional concern
ANS: A
Ethnocentricity is the belief that one’s own culture and values are superior to those of another. Such statements
are based on values clarification and, perhaps, on moral outrage. DIF: Cognitive Level: Understanding OBJ: 3 TOP:
Ethical Considerations KEY: Nursing Process: N/A
Ethnocentricity is the belief that one’s own culture and values are superior to those of another. Such statements
are based on values clarification and, perhaps, on moral outrage. DIF: Cognitive Level: Understanding OBJ: 3 TOP:
Ethical Considerations KEY: Nursing Process: N/A
7. Which of the following indicate the correct steps in solving an ethical dilemma? [Multiple Choice]
a. Plan an approach, visualize the consequences, take action, evaluate the outcome, identify the problem
b. Take action, visualize the consequences, identify the problem, plan an approach, evaluate the outcome
c. Evaluate the outcome, plan an approach, visualize the consequences, take action, identify the problem ✔
d. Visualize the consequences, identify the problem, take action, evaluate the outcome, plan an approach
ANS: C
To solve an ethical dilemma, one must clearly identify the problem, plan an approach, visualize the consequences,
take action, and evaluate the outcome. DIF: Cognitive Level: Understanding OBJ: 3 TOP: Resolution of an Ethical
Dilemma KEY: Nursing Process: N/A
To solve an ethical dilemma, one must clearly identify the problem, plan an approach, visualize the consequences,
, take action, and evaluate the outcome. DIF: Cognitive Level: Understanding OBJ: 3 TOP: Resolution of an Ethical
Dilemma KEY: Nursing Process: N/A
8. An RPN/LPN charts that “the patient is drunk and acting in a crazy manner.” The team leader cautions the
RPN/LPN that this documentation is not appropriate. Which charges of commission of the intentional tort is this
an example of? [Multiple Choice]
a. Assault
b. Wrongful publication
c. Defamation of character ✔
d. Invasion of privacy
ANS: C
Charting or saying unsupported defamatory statements can lead to tort litigation. DIF: Cognitive Level:
Remembering OBJ: 4 TOP: Legal Considerations KEY: Nursing Process: N/A
Charting or saying unsupported defamatory statements can lead to tort litigation. DIF: Cognitive Level:
Remembering OBJ: 4 TOP: Legal Considerations KEY: Nursing Process: N/A
9. An RPN/LPN trimmed the toenails of a patient with diabetes too short, which results in a toe amputation from
infections. Which term identifies what the RPN/LPN guilty of ? [Multiple Choice]
a. Unintentional tort
b. Intentional tort
c. Negligence
d. Malpractice ✔
ANS: D
Malpractice occurs when an unintentional tort causes an injury to a patient. DIF: Cognitive Level: Understanding
OBJ: 4 TOP: Legal Considerations KEY: Nursing Process: N/A
Malpractice occurs when an unintentional tort causes an injury to a patient. DIF: Cognitive Level: Understanding
OBJ: 4 TOP: Legal Considerations KEY: Nursing Process: N/A
10. In which situation must an RPN/LPN ensure acquiring a signature on a surgical informed consent document?
[Multiple Choice]
a. The patient is not sedated. ✔
b. The physician is present.
c. The family member is a witness.
1. Which item in a medical record provides direction for individualized care and assures the delivery of accurate,
safe care through a definitive pathway that promotes the patient’s and the support persons’ progress toward
positive outcomes? [Multiple Choice]
a. Physician’s orders
b. Progress notes
c. Nursing care plan ✔
d. Client health history
ANS: C
The nursing care plan provides direction for individualized care and assures the delivery of accurate, safe care
through a definitive pathway that promotes the patient’s and the support persons’ progress toward positive
outcomes. DIF: Cognitive Level: Understanding OBJ: 1 TOP: Nursing Care Plan KEY: Nursing Process: Planning
The nursing care plan provides direction for individualized care and assures the delivery of accurate, safe care
through a definitive pathway that promotes the patient’s and the support persons’ progress toward positive
outcomes. DIF: Cognitive Level: Understanding OBJ: 1 TOP: Nursing Care Plan KEY: Nursing Process: Planning
2. The nurse is performing behaviours and actions that assist patients and significant others in meeting their
needs and the identified outcomes of the plan of care. Which term is correct for these nursing behaviours?
[Multiple Choice]
a. Assessments
b. Interventions ✔
c. Planning
d. Evaluation
ANS: B
Care interventions are those nursing behaviours and actions that assist patients and significant others in meeting
their needs and the identified outcomes of the plan of care. DIF: Cognitive Level: Remembering OBJ: 1 TOP:
Interventions KEY: Nursing Process: Planning
Care interventions are those nursing behaviours and actions that assist patients and significant others in meeting
their needs and the identified outcomes of the plan of care. DIF: Cognitive Level: Remembering OBJ: 1 TOP:
Interventions KEY: Nursing Process: Planning
3. The nurse understands the importance of being answerable for all actions and the possibility of being called on
to explain or justify them. Which term best describes this concept? [Multiple Choice]
,a. Reliability
b. Maturity
c. Accountability ✔
d. Liability
ANS: C
Accountability means that a person is answerable for their actions and may be called on to explain or justify them.
DIF: Cognitive Level: Remembering OBJ: 1 TOP: Accountability KEY: Nursing Process: N/A
Accountability means that a person is answerable for their actions and may be called on to explain or justify them.
DIF: Cognitive Level: Remembering OBJ: 1 TOP: Accountability KEY: Nursing Process: N/A
4. Which action is an example of an RPN/LPN exhibiting beneficence? [Multiple Choice]
a. Removes defective equipment from the patient’s room ✔
b. Willingly works extra shifts during a staff shortage
c. Adheres to agency policy
d. Joins the National Association for Practical Nurse Education and Service (NAPNES) and attends educational
seminars
ANS: A
Beneficence means promoting good and reducing harm. Removing defective equipment demonstrates that the
RPN/LPN is reducing possible harm to the patient. Working extra shifts, adhering to policy, and joining NAPNES
are personal values, not beneficence. DIF: Cognitive Level: Understanding OBJ: 3 TOP: Ethical Considerations KEY:
Nursing Process: N/A
Beneficence means promoting good and reducing harm. Removing defective equipment demonstrates that the
RPN/LPN is reducing possible harm to the patient. Working extra shifts, adhering to policy, and joining NAPNES
are personal values, not beneficence. DIF: Cognitive Level: Understanding OBJ: 3 TOP: Ethical Considerations KEY:
Nursing Process: N/A
5. An LPN/LVN is educating a group of nursing students regarding values demonstrated in their nursing practice.
Which area of the RPN/LPN’s life identifies where the base of these values is derived? [Multiple Choice]
a. Nursing school education
b. Family influence ✔
c. Peer relationships
d. Agency policies
,ANS: B
The family shapes values that are demonstrated in later life. These values may be enhanced or challenged by life
experiences, but the base is forged in the family. DIF: Cognitive Level: Remembering OBJ: 3 TOP: Ethical
Considerations KEY: Nursing Process: N/A
The family shapes values that are demonstrated in later life. These values may be enhanced or challenged by life
experiences, but the base is forged in the family. DIF: Cognitive Level: Remembering OBJ: 3 TOP: Ethical
Considerations KEY: Nursing Process: N/A
6. One obstetrical nurse remarks, “I don’t see how these young single women can keep on having babies without
being married. Everyone knows a child needs a father.” Which term identifies what this nurse is exhibiting?
[Multiple Choice]
a. Ethnocentrism ✔
b. Moral uncertainty
c. Values clarification
d. Professional concern
ANS: A
Ethnocentricity is the belief that one’s own culture and values are superior to those of another. Such statements
are based on values clarification and, perhaps, on moral outrage. DIF: Cognitive Level: Understanding OBJ: 3 TOP:
Ethical Considerations KEY: Nursing Process: N/A
Ethnocentricity is the belief that one’s own culture and values are superior to those of another. Such statements
are based on values clarification and, perhaps, on moral outrage. DIF: Cognitive Level: Understanding OBJ: 3 TOP:
Ethical Considerations KEY: Nursing Process: N/A
7. Which of the following indicate the correct steps in solving an ethical dilemma? [Multiple Choice]
a. Plan an approach, visualize the consequences, take action, evaluate the outcome, identify the problem
b. Take action, visualize the consequences, identify the problem, plan an approach, evaluate the outcome
c. Evaluate the outcome, plan an approach, visualize the consequences, take action, identify the problem ✔
d. Visualize the consequences, identify the problem, take action, evaluate the outcome, plan an approach
ANS: C
To solve an ethical dilemma, one must clearly identify the problem, plan an approach, visualize the consequences,
take action, and evaluate the outcome. DIF: Cognitive Level: Understanding OBJ: 3 TOP: Resolution of an Ethical
Dilemma KEY: Nursing Process: N/A
To solve an ethical dilemma, one must clearly identify the problem, plan an approach, visualize the consequences,
, take action, and evaluate the outcome. DIF: Cognitive Level: Understanding OBJ: 3 TOP: Resolution of an Ethical
Dilemma KEY: Nursing Process: N/A
8. An RPN/LPN charts that “the patient is drunk and acting in a crazy manner.” The team leader cautions the
RPN/LPN that this documentation is not appropriate. Which charges of commission of the intentional tort is this
an example of? [Multiple Choice]
a. Assault
b. Wrongful publication
c. Defamation of character ✔
d. Invasion of privacy
ANS: C
Charting or saying unsupported defamatory statements can lead to tort litigation. DIF: Cognitive Level:
Remembering OBJ: 4 TOP: Legal Considerations KEY: Nursing Process: N/A
Charting or saying unsupported defamatory statements can lead to tort litigation. DIF: Cognitive Level:
Remembering OBJ: 4 TOP: Legal Considerations KEY: Nursing Process: N/A
9. An RPN/LPN trimmed the toenails of a patient with diabetes too short, which results in a toe amputation from
infections. Which term identifies what the RPN/LPN guilty of ? [Multiple Choice]
a. Unintentional tort
b. Intentional tort
c. Negligence
d. Malpractice ✔
ANS: D
Malpractice occurs when an unintentional tort causes an injury to a patient. DIF: Cognitive Level: Understanding
OBJ: 4 TOP: Legal Considerations KEY: Nursing Process: N/A
Malpractice occurs when an unintentional tort causes an injury to a patient. DIF: Cognitive Level: Understanding
OBJ: 4 TOP: Legal Considerations KEY: Nursing Process: N/A
10. In which situation must an RPN/LPN ensure acquiring a signature on a surgical informed consent document?
[Multiple Choice]
a. The patient is not sedated. ✔
b. The physician is present.
c. The family member is a witness.
