NSG 310 Exam 1
1. Proficiency: A nurse who has been practicing for 4 years demonstrates compe-
tence, speed, and flexibility when performing clinical skills. According to Benner, the
nurse is practicing at which developmental stage?
a. Advanced beginner
b. Competency
c. Proficiency
d. Expert
2. Role clarity: The new graduate nurse is unsure how to operate a new intravenous
pump. After reading the directions, the nurse seeks the assistance of a more
experienced nurse and asks for a demonstration on how to operate the pump. What
behavior is being exhibited by the new graduate nurse?
a. Role pressure
b. Role clarity
c. Role conflict
d. Role overload
3. Patient advocate: The nurse offers a patient's family a list of community re-
sources and support groups and encourages them to become involved in the local
Lupus chapter. This is an example of which professional nursing role responsibility?
a. Patient advocate
b. Teaching
c. Caregiver
d. Consultant
4. State board of nursing: Where are the professional role competencies for nurses
found?
a. Flexner's Criteria
b. The American Nurses Association Bill of Rights for Registered Nurses
c. State Boards of Nursing
d. Benner's Stages of Clinical Competence
5. Advanced practice roles: What general description best identifies the group of
relatively new roles that include: advanced practice nurses, clinical nurse leader,
Doctor of Nursing practice, and PhD-prepared nurse researcher?
a. Professional roles
b. Advanced practice roles
, NSG 310 Exam 1
c. Multidisciplinary practice roles
d. Contemporary roles
6. physical space, climate, open communication, team collaboration, manage-
able workload: What does the literature suggest paying attention to in regard to
creating safe, supportive work environments?
7. Child custody case: Which of the following is an example of civil law?
a. Possession of marijuana
b. Assault and battery
c. Giving alcohol to a minor
d. Child custody case
8. practicing while impaired: The most common reason that nurses are disciplined
by the state board of nursing is:
a. making medication errors
b. following unsafe nursing practice
c. practicing while impaired
d. abandonment of patients
9. Proximate cause: The nurse forgets to give the patient a dose of antibiotic. Later
in the shift, the patient goes into cardiac arrest and dies. What element is lacking to
support malpractice?
a. Duty of care
b. Breach of duty
c. Specific injury
d. Proximate cause
10. Acute care: Analysis of cases of reported negligence from 1995 to 2001 demon-
strated that the majority of cases occurred in which patient care setting?
a. Acute care
b. Psychiatric units
c. Nursing homes and long-term care facilities
d. Home health
11. communicate with the patient: A competent resident in a long-term care facility
refuses an ordered antidepressant medication. The nurse believes the patient needs
the medication because he is clearly showing signs of depression and dissolves the
medication in juice without telling the patient. This illustrates negligence by failure
to:
, NSG 310 Exam 1
a. follow the standard of care
b. assess and monitor a patient
c. communicate with a patient
d. document
12. Notify the physician/provider of these findings before giving the medica-
tion: 12.
The nurse giving medications to a pediatric patient notes that an order for a medica-
tion is considerably larger than the usual dose. The nurse looks up the medication
in a pharmacology book and finds the prescribed dose is too large. Which action
should the nurse take?
a. Document the findings in the chart after giving the medication.
b. Call the nursing supervisor and ask what to do next.
c. Call the pharmacist to obtain the usual dosage.
d. Notify the physician/provider of these findings before giving the medication
13. accountability: Which of the following nursing responsibilities can never be
delegated?
a. Complex tasks
b. Evaluation
c. Medication administration
d. Accountability
14. Record the urine output, and report to me if they have not voided within 4
hours.: The RN asked a nursing assistant to monitor several postoperative patients.
Which of the following instructions to the nursing assistant demonstrate appropriate
delegation?
a. "Take vital signs every 2 hours, and report to me anything outside of the norms."
b. "Assess pain using a 10-point scale, and record the score on the chart."
c. "Record the urine output, and report to me if they have not voided within 4 hours."
d. "Record the amount of draining on the dressing on the bedside record."
15. The RN is ultimately responsible for acts he or she delegates: The RN dele-
gates changing a sterile dressing over a central line to a licensed practical/vocational
nurse (LPN/LVN). The LPN/LVN contaminated the site during the dressing change,
and an infection developed in the patient. Which of the following statements is true?
a. The LPN/LVN is guilty of malpractice.
b. The RN is ultimately responsible for acts he or she delegates.
1. Proficiency: A nurse who has been practicing for 4 years demonstrates compe-
tence, speed, and flexibility when performing clinical skills. According to Benner, the
nurse is practicing at which developmental stage?
a. Advanced beginner
b. Competency
c. Proficiency
d. Expert
2. Role clarity: The new graduate nurse is unsure how to operate a new intravenous
pump. After reading the directions, the nurse seeks the assistance of a more
experienced nurse and asks for a demonstration on how to operate the pump. What
behavior is being exhibited by the new graduate nurse?
a. Role pressure
b. Role clarity
c. Role conflict
d. Role overload
3. Patient advocate: The nurse offers a patient's family a list of community re-
sources and support groups and encourages them to become involved in the local
Lupus chapter. This is an example of which professional nursing role responsibility?
a. Patient advocate
b. Teaching
c. Caregiver
d. Consultant
4. State board of nursing: Where are the professional role competencies for nurses
found?
a. Flexner's Criteria
b. The American Nurses Association Bill of Rights for Registered Nurses
c. State Boards of Nursing
d. Benner's Stages of Clinical Competence
5. Advanced practice roles: What general description best identifies the group of
relatively new roles that include: advanced practice nurses, clinical nurse leader,
Doctor of Nursing practice, and PhD-prepared nurse researcher?
a. Professional roles
b. Advanced practice roles
, NSG 310 Exam 1
c. Multidisciplinary practice roles
d. Contemporary roles
6. physical space, climate, open communication, team collaboration, manage-
able workload: What does the literature suggest paying attention to in regard to
creating safe, supportive work environments?
7. Child custody case: Which of the following is an example of civil law?
a. Possession of marijuana
b. Assault and battery
c. Giving alcohol to a minor
d. Child custody case
8. practicing while impaired: The most common reason that nurses are disciplined
by the state board of nursing is:
a. making medication errors
b. following unsafe nursing practice
c. practicing while impaired
d. abandonment of patients
9. Proximate cause: The nurse forgets to give the patient a dose of antibiotic. Later
in the shift, the patient goes into cardiac arrest and dies. What element is lacking to
support malpractice?
a. Duty of care
b. Breach of duty
c. Specific injury
d. Proximate cause
10. Acute care: Analysis of cases of reported negligence from 1995 to 2001 demon-
strated that the majority of cases occurred in which patient care setting?
a. Acute care
b. Psychiatric units
c. Nursing homes and long-term care facilities
d. Home health
11. communicate with the patient: A competent resident in a long-term care facility
refuses an ordered antidepressant medication. The nurse believes the patient needs
the medication because he is clearly showing signs of depression and dissolves the
medication in juice without telling the patient. This illustrates negligence by failure
to:
, NSG 310 Exam 1
a. follow the standard of care
b. assess and monitor a patient
c. communicate with a patient
d. document
12. Notify the physician/provider of these findings before giving the medica-
tion: 12.
The nurse giving medications to a pediatric patient notes that an order for a medica-
tion is considerably larger than the usual dose. The nurse looks up the medication
in a pharmacology book and finds the prescribed dose is too large. Which action
should the nurse take?
a. Document the findings in the chart after giving the medication.
b. Call the nursing supervisor and ask what to do next.
c. Call the pharmacist to obtain the usual dosage.
d. Notify the physician/provider of these findings before giving the medication
13. accountability: Which of the following nursing responsibilities can never be
delegated?
a. Complex tasks
b. Evaluation
c. Medication administration
d. Accountability
14. Record the urine output, and report to me if they have not voided within 4
hours.: The RN asked a nursing assistant to monitor several postoperative patients.
Which of the following instructions to the nursing assistant demonstrate appropriate
delegation?
a. "Take vital signs every 2 hours, and report to me anything outside of the norms."
b. "Assess pain using a 10-point scale, and record the score on the chart."
c. "Record the urine output, and report to me if they have not voided within 4 hours."
d. "Record the amount of draining on the dressing on the bedside record."
15. The RN is ultimately responsible for acts he or she delegates: The RN dele-
gates changing a sterile dressing over a central line to a licensed practical/vocational
nurse (LPN/LVN). The LPN/LVN contaminated the site during the dressing change,
and an infection developed in the patient. Which of the following statements is true?
a. The LPN/LVN is guilty of malpractice.
b. The RN is ultimately responsible for acts he or she delegates.
