COVERAGE AREAS MOST TESTED ON NUR 290 EXAM AND FINAL EXAM
1. Professional Nursing Practice, Nursing History, and Contemporary Roles of the
Registered Nurse
2. Nursing Ethics, Legal Principles, Advocacy, and Patient Rights
3. Evidence-Based Practice, Nursing Research, and Quality Improvement
4. Nursing Process, Clinical Judgment, and Critical Thinking
5. Health Care Delivery Systems, Safety, and Informatics
6. Communication, Therapeutic Relationships, and Patient Education
7. Cultural Competence, Diversity, Equity, and Social Determinants of Health
8. Health Promotion, Wellness, and Disease Prevention Across the Lifespan
9. Vital Signs, Infection Control, and Fundamental Nursing Skills
10. Documentation, Delegation, Prioritization, and Leadership
Nur 290 Exam Nur 290 Final Exam
1. A nursing student is reviewing the historical foundations of professional nursing and
asks which contribution Florence Nightingale made that most directly improved
patient outcomes during the Crimean War. Which response is most accurate?
, A. She established the first university-based nurse practitioner program in Europe
B. She used statistical data collection to demonstrate that sanitation reforms reduced
mortality
C. She created the first national health insurance system for soldiers and their families
D. She developed the first curriculum for licensed practical nursing in the United
States
Answer: B
Notes:
Nightingale documented mortality data and showed that improved sanitation
dramatically reduced death rates, linking nursing to evidence and statistics.
University-based nurse practitioner programs came much later and are not attributed
to Nightingale.
National health insurance systems were not created by Nightingale.
Licensed practical nursing curricula in the U.S. developed later and not by Nightingale.
2. During a discussion of contemporary nursing roles, an instructor asks the student to
identify the best example of the registered nurse functioning as a patient advocate.
Which action should the student select?
A. Administering a prescribed medication without questioning the dose
, B. Documenting vital signs exactly as measured by the unlicensed assistive personnel
C. Speaking up when a patient's cultural or religious preferences conflict with a
proposed plan of care
D. Completing all charting at the end of the shift to save time during care
Answer: C
Notes:
Advocacy includes protecting patient autonomy, values, and preferences, including
cultural and religious needs.
Giving medications without questioning unsafe orders is not advocacy and can be
unsafe.
Documenting another person's measurements without verification may be acceptable
only per policy, but it is not advocacy.
Delaying charting compromises accuracy and safety; it is not advocacy.
3. A nurse is asked to explain the difference between ethics and law in professional
nursing practice. Which statement best reflects the correct distinction?
A. Ethics are enforced by courts, while laws are personal opinions that cannot be
enforced
B. Laws are based only on religious beliefs, while ethics are based only on hospital
, policy
C. Ethics guide moral conduct and decision-making, while laws are formal rules
enforced by government
D. Ethics apply only to physicians, while laws apply only to nurses and pharmacists
Answer: C
Notes:
Ethics are principles and standards of right conduct; they guide professional decision-
making.
Laws are formal rules enacted and enforced by governmental authority.
Ethics are not enforced by courts in the same way laws are, and laws are not merely
personal opinions.
Ethics apply to all health professionals, not only physicians.
4. A patient refuses a blood transfusion because of religious beliefs, and the nurse
supports the patient's decision after ensuring informed consent and understanding.
Which ethical principle is the nurse primarily demonstrating?
A. Beneficence
B. Autonomy
C. Nonmaleficence
1. Professional Nursing Practice, Nursing History, and Contemporary Roles of the
Registered Nurse
2. Nursing Ethics, Legal Principles, Advocacy, and Patient Rights
3. Evidence-Based Practice, Nursing Research, and Quality Improvement
4. Nursing Process, Clinical Judgment, and Critical Thinking
5. Health Care Delivery Systems, Safety, and Informatics
6. Communication, Therapeutic Relationships, and Patient Education
7. Cultural Competence, Diversity, Equity, and Social Determinants of Health
8. Health Promotion, Wellness, and Disease Prevention Across the Lifespan
9. Vital Signs, Infection Control, and Fundamental Nursing Skills
10. Documentation, Delegation, Prioritization, and Leadership
Nur 290 Exam Nur 290 Final Exam
1. A nursing student is reviewing the historical foundations of professional nursing and
asks which contribution Florence Nightingale made that most directly improved
patient outcomes during the Crimean War. Which response is most accurate?
, A. She established the first university-based nurse practitioner program in Europe
B. She used statistical data collection to demonstrate that sanitation reforms reduced
mortality
C. She created the first national health insurance system for soldiers and their families
D. She developed the first curriculum for licensed practical nursing in the United
States
Answer: B
Notes:
Nightingale documented mortality data and showed that improved sanitation
dramatically reduced death rates, linking nursing to evidence and statistics.
University-based nurse practitioner programs came much later and are not attributed
to Nightingale.
National health insurance systems were not created by Nightingale.
Licensed practical nursing curricula in the U.S. developed later and not by Nightingale.
2. During a discussion of contemporary nursing roles, an instructor asks the student to
identify the best example of the registered nurse functioning as a patient advocate.
Which action should the student select?
A. Administering a prescribed medication without questioning the dose
, B. Documenting vital signs exactly as measured by the unlicensed assistive personnel
C. Speaking up when a patient's cultural or religious preferences conflict with a
proposed plan of care
D. Completing all charting at the end of the shift to save time during care
Answer: C
Notes:
Advocacy includes protecting patient autonomy, values, and preferences, including
cultural and religious needs.
Giving medications without questioning unsafe orders is not advocacy and can be
unsafe.
Documenting another person's measurements without verification may be acceptable
only per policy, but it is not advocacy.
Delaying charting compromises accuracy and safety; it is not advocacy.
3. A nurse is asked to explain the difference between ethics and law in professional
nursing practice. Which statement best reflects the correct distinction?
A. Ethics are enforced by courts, while laws are personal opinions that cannot be
enforced
B. Laws are based only on religious beliefs, while ethics are based only on hospital
, policy
C. Ethics guide moral conduct and decision-making, while laws are formal rules
enforced by government
D. Ethics apply only to physicians, while laws apply only to nurses and pharmacists
Answer: C
Notes:
Ethics are principles and standards of right conduct; they guide professional decision-
making.
Laws are formal rules enacted and enforced by governmental authority.
Ethics are not enforced by courts in the same way laws are, and laws are not merely
personal opinions.
Ethics apply to all health professionals, not only physicians.
4. A patient refuses a blood transfusion because of religious beliefs, and the nurse
supports the patient's decision after ensuring informed consent and understanding.
Which ethical principle is the nurse primarily demonstrating?
A. Beneficence
B. Autonomy
C. Nonmaleficence
