Chapter 1: Nursing Today
(Topics: Nursing as a Profession, Historical Influences, Nursing Education, and
Professional Roles)
1. Multiple-Choice Question: Question: Which of the following best defines
the concept of nursing as a profession?
A) Performing tasks assigned by doctors
B) Providing care that promotes health and prevents illness
C) Administering medications according to physician's orders
D) Collecting data and making clinical judgments without involving patients
Answer: B) Providing care that promotes health and prevents illness
Rationale: Nursing is a profession that emphasizes the promotion of health,
prevention of illness, and the care of individuals across the lifespan. This
concept involves holistic care and a collaborative approach, rather than
solely following physician orders or performing isolated tasks.
2. True/False Question: Question: Florence Nightingale is often referred to
as the founder of modern nursing because of her contributions to
establishing nursing as a profession.
Answer: True
Rationale: Florence Nightingale is widely recognized for elevating nursing
from a domestic service to a profession through her work during the
Crimean War and her establishment of formal nursing education programs.
3. Matching Question: Match the nursing role to its description:
A) Caregiver
B) Advocate
C) Educator
D) Communicator
1. Provides information to help patients make informed decisions
2. Protects patients' rights and supports their decisions
3. Ensures effective patient care and relationships with healthcare team
members
4. Assists patients in meeting physical, emotional, and spiritual needs
Answer:
A-4) Caregiver assists patients in meeting physical, emotional, and spiritual
needs.
B-2) Advocate protects patients' rights and supports their decisions.
C-1) Educator provides information to help patients make informed
, decisions.
D-3) Communicator ensures effective patient care and relationships with
healthcare team members.
Rationale: Each of these roles represents core functions of nursing, where
the nurse engages in advocacy, education, caregiving, and communication as
essential components of patient care.
4. Short-Answer Question: Question: What are the key historical events that
shaped the development of modern nursing as a profession?
Answer: Key historical events include the establishment of formal nursing
education by Florence Nightingale, nursing's role during the Crimean War
and other wars (e.g., World War I and II), the rise of public health nursing,
and the expansion of nursing science and research in the 20th century.
Rationale: Understanding historical milestones helps nurses appreciate the
evolution of the profession and its foundations in education, research, and
service during key historical periods.
Chapter 1: Nursing Today
1. Multiple-Choice Question:
Question: Which of the following is NOT considered a primary focus of nursing?
A) Health promotion
B) Illness prevention
C) Disease diagnosis
D) Care of the dying
Answer: C) Disease diagnosis
Rationale: While nursing involves assessments and recognizing signs and
symptoms of diseases, the formal diagnosis of diseases is the responsibility of
physicians or other advanced practice providers. Nursing primarily focuses on
health promotion, illness prevention, and providing care throughout life stages.
2. Multiple-Choice Question:
Question: What is the primary role of a nurse when acting as a patient advocate?
A) Directing the patient to follow medical orders
B) Informing patients of their rights and ensuring they are upheld
,C) Providing technical nursing care
D) Prescribing medications for the patient
Answer: B) Informing patients of their rights and ensuring they are upheld
Rationale: The nurse as an advocate supports the patient's autonomy, ensures their
rights are respected, and helps navigate the healthcare system to meet their needs.
3. True/False Question:
Question: The role of the professional nurse is to work independently from other
healthcare professionals in planning and delivering patient care.
Answer: False
Rationale: Nurses collaborate with other healthcare professionals to provide
holistic and comprehensive care. Interdisciplinary teamwork is a key component of
modern healthcare delivery.
4. True/False Question:
Question: The primary purpose of nursing education is to prepare students to
perform technical tasks accurately.
Answer: False
Rationale: Nursing education prepares students to provide comprehensive care,
which includes critical thinking, communication, and understanding ethical
responsibilities, beyond just performing technical tasks.
5. Matching Question:
Match the nursing trend to its description:
A) Evidence-Based Practice (EBP)
B) Autonomy
C) Nursing Informatics
D) Patient-Centered Care
1. Use of research to guide clinical decision-making
2. Ability to initiate independent nursing interventions
3. Focuses on the patient's needs, preferences, and values
4. Use of information and technology in nursing practice
,Answer:
A-1) Evidence-Based Practice uses research to guide clinical decision-making.
B-2) Autonomy involves the ability to initiate independent nursing interventions.
C-4) Nursing Informatics refers to using information and technology in nursing
practice.
D-3) Patient-Centered Care focuses on the patient's needs, preferences, and values.
6. Short-Answer Question:
Question: Describe the concept of accountability in nursing.
Answer: Accountability means that nurses are responsible for their actions and the
outcomes of those actions, ensuring safe, ethical, and evidence-based care for
patients.
Rationale: Accountability is fundamental in nursing practice, emphasizing
responsibility for one's decisions and care delivery.
7. Multiple-Choice Question:
Question: Which nursing theorist is known for developing the theory of self-care?
A) Virginia Henderson
B) Dorothea Orem
C) Florence Nightingale
D) Jean Watson
Answer: B) Dorothea Orem
Rationale: Dorothea Orem developed the theory of self-care, emphasizing the
patient’s ability to perform self-care activities and the role of the nurse in assisting
when necessary.
8. Multiple-Choice Question:
Question: The role of a nurse as an educator involves which of the following
activities?
A) Performing physical assessments
B) Administering medication
C) Teaching patients about their conditions and treatments
D) Diagnosing medical conditions
,Answer: C) Teaching patients about their conditions and treatments
Rationale: As educators, nurses are responsible for providing patients with the
knowledge needed to manage their health, including instructions on medications,
treatment plans, and preventive measures.
9. True/False Question:
Question: Nurses are expected to advocate for changes in health policy to improve
patient care and the healthcare system.
Answer: True
Rationale: Nurses play a crucial role in advocating for policy changes that benefit
patient care, public health, and nursing practice standards.
10. Short-Answer Question:
Question: Explain the significance of licensure in nursing.
Answer: Licensure ensures that nurses have the necessary education and
competencies to provide safe and effective care, protecting the public by upholding
professional standards.
Rationale: Nursing licensure is a legal requirement that validates the nurse’s
qualification to practice.
11. Multiple-Choice Question:
Question: Which of the following is an example of primary care prevention?
A) Administering insulin to a diabetic patient
B) Performing a routine mammogram
C) Providing nutritional education to prevent obesity
D) Offering rehabilitation for a stroke patient
Answer: C) Providing nutritional education to prevent obesity
Rationale: Primary prevention focuses on activities that prevent disease or injury
before it occurs, such as health education and lifestyle modifications.
12. True/False Question:
Question: Nursing interventions are actions taken to improve, restore, or maintain
,a patient’s health.
Answer: True
Rationale: Nursing interventions are planned and implemented actions that
address specific patient needs to improve outcomes.
13. Multiple-Choice Question:
Question: Which of the following roles includes the ability to make autonomous
decisions and provide care based on nursing diagnoses?
A) Certified Nursing Assistant
B) Licensed Practical Nurse
C) Registered Nurse
D) Nurse Administrator
Answer: C) Registered Nurse
Rationale: Registered nurses are licensed to assess patients, formulate nursing
diagnoses, and implement independent care plans.
14. Matching Question:
Match the following nursing organizations with their functions:
A) American Nurses Association (ANA)
B) National League for Nursing (NLN)
C) International Council of Nurses (ICN)
D) National Student Nurses Association (NSNA)
1. Sets standards for nursing education programs
2. Represents nurses on a global scale
3. Establishes guidelines for professional nursing practice
4. Prepares students for nursing careers and leadership
Answer:
A-3) The ANA establishes guidelines for professional nursing practice.
B-1) The NLN sets standards for nursing education programs.
C-2) The ICN represents nurses on a global scale.
D-4) The NSNA prepares students for nursing careers and leadership.
,15. Multiple-Choice Question:
Question: Which factor contributed most significantly to the development of
professional nursing roles in the 20th century?
A) Advancement in medical technology
B) The demand for nurses during wartime
C) The influence of the feminist movement
D) The expansion of nursing education and research
Answer: D) The expansion of nursing education and research
Rationale: The professionalization of nursing was significantly advanced by the
growth of formal nursing education programs and the development of nursing
research, which established evidence-based practices.
16. Short-Answer Question:
Question: What is the significance of Evidence-Based Practice (EBP) in nursing?
Answer: EBP ensures that nursing interventions are based on the best available
research evidence, leading to higher quality care and better patient outcomes.
Rationale: EBP integrates clinical expertise with the latest research to inform
decision-making in nursing practice.
17. True/False Question:
Question: A nurse manager’s primary role is to provide direct patient care.
Answer: False
Rationale: A nurse manager focuses on overseeing nursing staff, managing
resources, and ensuring efficient and high-quality patient care, rather than directly
providing patient care.
18. Multiple-Choice Question:
Question: What type of care is provided by nurses in hospice settings?
A) Diagnostic care
B) Curative care
C) Palliative care
D) Preventive care
,Answer: C) Palliative care
Rationale: Hospice care involves palliative care, which focuses on providing
comfort and quality of life for patients with terminal illnesses.
19. Matching Question:
Match the following care settings to their descriptions:
A) Acute care
B) Primary care
C) Tertiary care
D) Home care
1. Provides specialized consultative services
2. Delivers health promotion and disease prevention services
3. Provides short-term treatment for severe conditions
4. Offers medical services in the patient’s residence
Answer:
A-3) Acute care provides short-term treatment for severe conditions.
B-2) Primary care delivers health promotion and disease prevention services.
C-1) Tertiary care provides specialized consultative services.
D-4) Home care offers medical services in the patient’s residence.
20. Multiple-Choice Question:
Question: Which of the following trends is currently influencing the role of
nursing in healthcare?
A) Decreasing demand for nursing services
B) Increasing use of robotics in patient care
C) Growing emphasis on health promotion and disease prevention
D) Elimination of nursing licensure requirements
Answer: C) Growing emphasis on health promotion and disease prevention
Rationale: There is an increasing focus on preventive care and health promotion,
leading to a shift in nursing roles towards wellness and prevention.
Chapter 2: The Health Care Delivery System
,1. Multiple-Choice Question:
Question: Which of the following is a key characteristic of a primary health care
setting?
A) Focuses on acute and specialized care
B) Includes emergency care and trauma treatment
C) Provides preventive and wellness services
D) Offers long-term and rehabilitative care
Answer: C) Provides preventive and wellness services
Rationale: Primary care is focused on health promotion, disease prevention, and
providing basic services to patients to maintain wellness.
2. Multiple-Choice Question:
Question: Which type of care setting is most appropriate for a patient recovering
from a stroke needing rehabilitation?
A) Acute care
B) Primary care
C) Tertiary care
D) Restorative care
Answer: D) Restorative care
Rationale: Restorative care involves rehabilitative services that help individuals
regain independence and function after an acute illness or injury.
3. True/False Question:
Question: Medicare is a federal health insurance program that primarily serves
individuals over the age of 65.
Answer: True
Rationale: Medicare is a U.S. federal program that provides health insurance to
people aged 65 and older, as well as certain younger people with disabilities.
4. True/False Question:
Question: Medicaid provides insurance coverage primarily for individuals with
, low income and resources.
Answer: True
Rationale: Medicaid is a joint federal and state program designed to help low-
income individuals and families with medical costs.
5. Matching Question:
Match the following levels of health care to their description:
A) Primary care
B) Secondary care
C) Tertiary care
D) Restorative care
1. Specialized care often requiring a referral
2. Basic health care focusing on preventive measures
3. Care aimed at rehabilitation and recovery
4. Advanced, highly specialized medical services
Answer:
A-2) Primary care focuses on preventive measures and basic health care.
B-1) Secondary care involves specialized care often requiring a referral.
C-4) Tertiary care offers advanced, highly specialized services.
D-3) Restorative care aims at rehabilitation and recovery.
6. Short-Answer Question:
Question: What is the primary goal of tertiary care?
Answer: The primary goal of tertiary care is to provide specialized, advanced
treatment for complex medical conditions that require expert care and technology.
Rationale: Tertiary care involves highly specialized care such as surgery,
neurology, and oncology, typically provided in hospitals with specialized facilities.
7. Multiple-Choice Question:
Question: Which of the following best describes the role of a nurse in secondary
care?
A) Preventing illness through vaccinations
B) Managing patients in rehabilitation centers
(Topics: Nursing as a Profession, Historical Influences, Nursing Education, and
Professional Roles)
1. Multiple-Choice Question: Question: Which of the following best defines
the concept of nursing as a profession?
A) Performing tasks assigned by doctors
B) Providing care that promotes health and prevents illness
C) Administering medications according to physician's orders
D) Collecting data and making clinical judgments without involving patients
Answer: B) Providing care that promotes health and prevents illness
Rationale: Nursing is a profession that emphasizes the promotion of health,
prevention of illness, and the care of individuals across the lifespan. This
concept involves holistic care and a collaborative approach, rather than
solely following physician orders or performing isolated tasks.
2. True/False Question: Question: Florence Nightingale is often referred to
as the founder of modern nursing because of her contributions to
establishing nursing as a profession.
Answer: True
Rationale: Florence Nightingale is widely recognized for elevating nursing
from a domestic service to a profession through her work during the
Crimean War and her establishment of formal nursing education programs.
3. Matching Question: Match the nursing role to its description:
A) Caregiver
B) Advocate
C) Educator
D) Communicator
1. Provides information to help patients make informed decisions
2. Protects patients' rights and supports their decisions
3. Ensures effective patient care and relationships with healthcare team
members
4. Assists patients in meeting physical, emotional, and spiritual needs
Answer:
A-4) Caregiver assists patients in meeting physical, emotional, and spiritual
needs.
B-2) Advocate protects patients' rights and supports their decisions.
C-1) Educator provides information to help patients make informed
, decisions.
D-3) Communicator ensures effective patient care and relationships with
healthcare team members.
Rationale: Each of these roles represents core functions of nursing, where
the nurse engages in advocacy, education, caregiving, and communication as
essential components of patient care.
4. Short-Answer Question: Question: What are the key historical events that
shaped the development of modern nursing as a profession?
Answer: Key historical events include the establishment of formal nursing
education by Florence Nightingale, nursing's role during the Crimean War
and other wars (e.g., World War I and II), the rise of public health nursing,
and the expansion of nursing science and research in the 20th century.
Rationale: Understanding historical milestones helps nurses appreciate the
evolution of the profession and its foundations in education, research, and
service during key historical periods.
Chapter 1: Nursing Today
1. Multiple-Choice Question:
Question: Which of the following is NOT considered a primary focus of nursing?
A) Health promotion
B) Illness prevention
C) Disease diagnosis
D) Care of the dying
Answer: C) Disease diagnosis
Rationale: While nursing involves assessments and recognizing signs and
symptoms of diseases, the formal diagnosis of diseases is the responsibility of
physicians or other advanced practice providers. Nursing primarily focuses on
health promotion, illness prevention, and providing care throughout life stages.
2. Multiple-Choice Question:
Question: What is the primary role of a nurse when acting as a patient advocate?
A) Directing the patient to follow medical orders
B) Informing patients of their rights and ensuring they are upheld
,C) Providing technical nursing care
D) Prescribing medications for the patient
Answer: B) Informing patients of their rights and ensuring they are upheld
Rationale: The nurse as an advocate supports the patient's autonomy, ensures their
rights are respected, and helps navigate the healthcare system to meet their needs.
3. True/False Question:
Question: The role of the professional nurse is to work independently from other
healthcare professionals in planning and delivering patient care.
Answer: False
Rationale: Nurses collaborate with other healthcare professionals to provide
holistic and comprehensive care. Interdisciplinary teamwork is a key component of
modern healthcare delivery.
4. True/False Question:
Question: The primary purpose of nursing education is to prepare students to
perform technical tasks accurately.
Answer: False
Rationale: Nursing education prepares students to provide comprehensive care,
which includes critical thinking, communication, and understanding ethical
responsibilities, beyond just performing technical tasks.
5. Matching Question:
Match the nursing trend to its description:
A) Evidence-Based Practice (EBP)
B) Autonomy
C) Nursing Informatics
D) Patient-Centered Care
1. Use of research to guide clinical decision-making
2. Ability to initiate independent nursing interventions
3. Focuses on the patient's needs, preferences, and values
4. Use of information and technology in nursing practice
,Answer:
A-1) Evidence-Based Practice uses research to guide clinical decision-making.
B-2) Autonomy involves the ability to initiate independent nursing interventions.
C-4) Nursing Informatics refers to using information and technology in nursing
practice.
D-3) Patient-Centered Care focuses on the patient's needs, preferences, and values.
6. Short-Answer Question:
Question: Describe the concept of accountability in nursing.
Answer: Accountability means that nurses are responsible for their actions and the
outcomes of those actions, ensuring safe, ethical, and evidence-based care for
patients.
Rationale: Accountability is fundamental in nursing practice, emphasizing
responsibility for one's decisions and care delivery.
7. Multiple-Choice Question:
Question: Which nursing theorist is known for developing the theory of self-care?
A) Virginia Henderson
B) Dorothea Orem
C) Florence Nightingale
D) Jean Watson
Answer: B) Dorothea Orem
Rationale: Dorothea Orem developed the theory of self-care, emphasizing the
patient’s ability to perform self-care activities and the role of the nurse in assisting
when necessary.
8. Multiple-Choice Question:
Question: The role of a nurse as an educator involves which of the following
activities?
A) Performing physical assessments
B) Administering medication
C) Teaching patients about their conditions and treatments
D) Diagnosing medical conditions
,Answer: C) Teaching patients about their conditions and treatments
Rationale: As educators, nurses are responsible for providing patients with the
knowledge needed to manage their health, including instructions on medications,
treatment plans, and preventive measures.
9. True/False Question:
Question: Nurses are expected to advocate for changes in health policy to improve
patient care and the healthcare system.
Answer: True
Rationale: Nurses play a crucial role in advocating for policy changes that benefit
patient care, public health, and nursing practice standards.
10. Short-Answer Question:
Question: Explain the significance of licensure in nursing.
Answer: Licensure ensures that nurses have the necessary education and
competencies to provide safe and effective care, protecting the public by upholding
professional standards.
Rationale: Nursing licensure is a legal requirement that validates the nurse’s
qualification to practice.
11. Multiple-Choice Question:
Question: Which of the following is an example of primary care prevention?
A) Administering insulin to a diabetic patient
B) Performing a routine mammogram
C) Providing nutritional education to prevent obesity
D) Offering rehabilitation for a stroke patient
Answer: C) Providing nutritional education to prevent obesity
Rationale: Primary prevention focuses on activities that prevent disease or injury
before it occurs, such as health education and lifestyle modifications.
12. True/False Question:
Question: Nursing interventions are actions taken to improve, restore, or maintain
,a patient’s health.
Answer: True
Rationale: Nursing interventions are planned and implemented actions that
address specific patient needs to improve outcomes.
13. Multiple-Choice Question:
Question: Which of the following roles includes the ability to make autonomous
decisions and provide care based on nursing diagnoses?
A) Certified Nursing Assistant
B) Licensed Practical Nurse
C) Registered Nurse
D) Nurse Administrator
Answer: C) Registered Nurse
Rationale: Registered nurses are licensed to assess patients, formulate nursing
diagnoses, and implement independent care plans.
14. Matching Question:
Match the following nursing organizations with their functions:
A) American Nurses Association (ANA)
B) National League for Nursing (NLN)
C) International Council of Nurses (ICN)
D) National Student Nurses Association (NSNA)
1. Sets standards for nursing education programs
2. Represents nurses on a global scale
3. Establishes guidelines for professional nursing practice
4. Prepares students for nursing careers and leadership
Answer:
A-3) The ANA establishes guidelines for professional nursing practice.
B-1) The NLN sets standards for nursing education programs.
C-2) The ICN represents nurses on a global scale.
D-4) The NSNA prepares students for nursing careers and leadership.
,15. Multiple-Choice Question:
Question: Which factor contributed most significantly to the development of
professional nursing roles in the 20th century?
A) Advancement in medical technology
B) The demand for nurses during wartime
C) The influence of the feminist movement
D) The expansion of nursing education and research
Answer: D) The expansion of nursing education and research
Rationale: The professionalization of nursing was significantly advanced by the
growth of formal nursing education programs and the development of nursing
research, which established evidence-based practices.
16. Short-Answer Question:
Question: What is the significance of Evidence-Based Practice (EBP) in nursing?
Answer: EBP ensures that nursing interventions are based on the best available
research evidence, leading to higher quality care and better patient outcomes.
Rationale: EBP integrates clinical expertise with the latest research to inform
decision-making in nursing practice.
17. True/False Question:
Question: A nurse manager’s primary role is to provide direct patient care.
Answer: False
Rationale: A nurse manager focuses on overseeing nursing staff, managing
resources, and ensuring efficient and high-quality patient care, rather than directly
providing patient care.
18. Multiple-Choice Question:
Question: What type of care is provided by nurses in hospice settings?
A) Diagnostic care
B) Curative care
C) Palliative care
D) Preventive care
,Answer: C) Palliative care
Rationale: Hospice care involves palliative care, which focuses on providing
comfort and quality of life for patients with terminal illnesses.
19. Matching Question:
Match the following care settings to their descriptions:
A) Acute care
B) Primary care
C) Tertiary care
D) Home care
1. Provides specialized consultative services
2. Delivers health promotion and disease prevention services
3. Provides short-term treatment for severe conditions
4. Offers medical services in the patient’s residence
Answer:
A-3) Acute care provides short-term treatment for severe conditions.
B-2) Primary care delivers health promotion and disease prevention services.
C-1) Tertiary care provides specialized consultative services.
D-4) Home care offers medical services in the patient’s residence.
20. Multiple-Choice Question:
Question: Which of the following trends is currently influencing the role of
nursing in healthcare?
A) Decreasing demand for nursing services
B) Increasing use of robotics in patient care
C) Growing emphasis on health promotion and disease prevention
D) Elimination of nursing licensure requirements
Answer: C) Growing emphasis on health promotion and disease prevention
Rationale: There is an increasing focus on preventive care and health promotion,
leading to a shift in nursing roles towards wellness and prevention.
Chapter 2: The Health Care Delivery System
,1. Multiple-Choice Question:
Question: Which of the following is a key characteristic of a primary health care
setting?
A) Focuses on acute and specialized care
B) Includes emergency care and trauma treatment
C) Provides preventive and wellness services
D) Offers long-term and rehabilitative care
Answer: C) Provides preventive and wellness services
Rationale: Primary care is focused on health promotion, disease prevention, and
providing basic services to patients to maintain wellness.
2. Multiple-Choice Question:
Question: Which type of care setting is most appropriate for a patient recovering
from a stroke needing rehabilitation?
A) Acute care
B) Primary care
C) Tertiary care
D) Restorative care
Answer: D) Restorative care
Rationale: Restorative care involves rehabilitative services that help individuals
regain independence and function after an acute illness or injury.
3. True/False Question:
Question: Medicare is a federal health insurance program that primarily serves
individuals over the age of 65.
Answer: True
Rationale: Medicare is a U.S. federal program that provides health insurance to
people aged 65 and older, as well as certain younger people with disabilities.
4. True/False Question:
Question: Medicaid provides insurance coverage primarily for individuals with
, low income and resources.
Answer: True
Rationale: Medicaid is a joint federal and state program designed to help low-
income individuals and families with medical costs.
5. Matching Question:
Match the following levels of health care to their description:
A) Primary care
B) Secondary care
C) Tertiary care
D) Restorative care
1. Specialized care often requiring a referral
2. Basic health care focusing on preventive measures
3. Care aimed at rehabilitation and recovery
4. Advanced, highly specialized medical services
Answer:
A-2) Primary care focuses on preventive measures and basic health care.
B-1) Secondary care involves specialized care often requiring a referral.
C-4) Tertiary care offers advanced, highly specialized services.
D-3) Restorative care aims at rehabilitation and recovery.
6. Short-Answer Question:
Question: What is the primary goal of tertiary care?
Answer: The primary goal of tertiary care is to provide specialized, advanced
treatment for complex medical conditions that require expert care and technology.
Rationale: Tertiary care involves highly specialized care such as surgery,
neurology, and oncology, typically provided in hospitals with specialized facilities.
7. Multiple-Choice Question:
Question: Which of the following best describes the role of a nurse in secondary
care?
A) Preventing illness through vaccinations
B) Managing patients in rehabilitation centers
