FINAL REVIEW QUESTIONS FOR NR222
HEALTH & WELLNESS WITH CORRECT
SOLUTIONS
You are participating in a clinical care coordination conference for a patient with terminal
cancer. You talk with your colleagues about using the nursing code of ethics for
professional registered nurses to guide care decisions. A nonnursing colleague asks
about this code. 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 - ANSWER-D.
Defines the principles of right and wrong to provide patient care.
An 18-year-old woman is in the emergency department with fever and cough. The nurse
obtains her vital signs, auscultates her lung sounds, listens to her 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 - ANSWER-C. Assessment
A patient in the emergency department has developed 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 - ANSWER-D. Implementation
A nurse is caring for a patient with end-stage lung disease. 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 the family. The nurse is acting as the patient's:
A. Educator
B. Advocate
C. Caregiver
,D. Case manager - ANSWER-B. Advocate
Evidence-based practice is defined as:
A. Nursing care based on tradition
B. Scholarly inquiry of nursing and biomedical research literature
C. A problem-solving approach that integrates best current evidence with clinical
practice
D. Quality nursing care provided in an efficient and economically sound manner -
ANSWER-C. A problem-solving approach that integrates best current evidence with
clinical practice.
The examination for registered nurse licensure is exactly the same in every state in the
United States. This examination:
A. Guarantees safe nursing care for all patients
B. Ensures standard nursing care for all patients
C. Ensures that honest and ethical care is provided
D. Provides a minimal standard of knowledge for a registered nurse in practice -
ANSWER-D. Provides a minimal standard of knowledge for a registered nurse in
practice
Contemporary nursing requires that the nurse has 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 - ANSWER-A. Caregiver
B. Autonomy and accountability
C. Patient advocate
Advanced practice registered nurses generally:
A. Function independently
B. Function as unit directors
C. Work in acute care settings
D. Work in the university setting - ANSWER-A. Function independently
Health care reform will bring changes in the emphasis of 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 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 - ANSWER-A. Moving
from an acute illness to a health promotion, illness prevention model
Which of the following nursing roles may have prescriptive authority in their practice?
(Select all that apply.)
A. Critical care nurse
B. Nurse practitioner
C. Certified clinical nurse specialist
D. Charge nurse - ANSWER-B. Nurse practitioner
A critical care nurse is using a computerized decision 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 - ANSWER-D. Informatics
A nurse is caring for an older-adult couple in a community-based assisted living facility.
During the family assessment he notes that the couple has many expired medications
and multiple medications for their respective chronic illnesses. They note that they go to
two different health care providers. The nurse begins to work with the couple to
determine what they know about their medications and helps them decide on one care
provider rather than two. 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 - ANSWER-B. Safety
The nurses on an acute care medical floor notice an 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 - ANSWER-D. Nurse researcher
, Nurses at a community hospital are in an 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 - ANSWER-C. In-service education
Which of the following are components of the paradigm of nursing?
A. The person, health, environment, and theory
B. Health, theory, concepts, and environment
C. Nurses, physicians, health, and patient needs
D. The person, health, environment/situation, and nursing - ANSWER-D. The person,
health, environment/situation, and nursing
A patient is admitted to an acute care area. The patient is an active business man who
is worried about getting back to work. He has had severe diarrhea and vomiting for the
last week. He is weak, and his breathing is labored. Using Maslow's hierarchy of needs,
identify this patient's immediate priority.
A. Self-actualization
B. Air, water, and nutrition
C. Safety
D. Esteem and self-esteem needs - ANSWER-B. Air, water, and nutrition
Match the following theories with their definitions.
A. Grand theory
B. Middle-range theory
C. Descriptive theory
D. Prescriptive theory
1. Addresses specific phenomena and reflect practice
2. First level in theory development and describes a phenomenon
3. Provides a structural framework for broad concepts about nursing
4. Linked to outcomes (consequences of specific nursing interventions) - ANSWER-A.
Grand theory is 3. Provides a structural framework for broad concepts about nursing.
B. Middle-range theory is 1. Addresses specific phenomena and reflect practice.
C. Descriptive theory is 2. First level in theory development and describes a
phenomenon.
HEALTH & WELLNESS WITH CORRECT
SOLUTIONS
You are participating in a clinical care coordination conference for a patient with terminal
cancer. You talk with your colleagues about using the nursing code of ethics for
professional registered nurses to guide care decisions. A nonnursing colleague asks
about this code. 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 - ANSWER-D.
Defines the principles of right and wrong to provide patient care.
An 18-year-old woman is in the emergency department with fever and cough. The nurse
obtains her vital signs, auscultates her lung sounds, listens to her 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 - ANSWER-C. Assessment
A patient in the emergency department has developed 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 - ANSWER-D. Implementation
A nurse is caring for a patient with end-stage lung disease. 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 the family. The nurse is acting as the patient's:
A. Educator
B. Advocate
C. Caregiver
,D. Case manager - ANSWER-B. Advocate
Evidence-based practice is defined as:
A. Nursing care based on tradition
B. Scholarly inquiry of nursing and biomedical research literature
C. A problem-solving approach that integrates best current evidence with clinical
practice
D. Quality nursing care provided in an efficient and economically sound manner -
ANSWER-C. A problem-solving approach that integrates best current evidence with
clinical practice.
The examination for registered nurse licensure is exactly the same in every state in the
United States. This examination:
A. Guarantees safe nursing care for all patients
B. Ensures standard nursing care for all patients
C. Ensures that honest and ethical care is provided
D. Provides a minimal standard of knowledge for a registered nurse in practice -
ANSWER-D. Provides a minimal standard of knowledge for a registered nurse in
practice
Contemporary nursing requires that the nurse has 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 - ANSWER-A. Caregiver
B. Autonomy and accountability
C. Patient advocate
Advanced practice registered nurses generally:
A. Function independently
B. Function as unit directors
C. Work in acute care settings
D. Work in the university setting - ANSWER-A. Function independently
Health care reform will bring changes in the emphasis of 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 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 - ANSWER-A. Moving
from an acute illness to a health promotion, illness prevention model
Which of the following nursing roles may have prescriptive authority in their practice?
(Select all that apply.)
A. Critical care nurse
B. Nurse practitioner
C. Certified clinical nurse specialist
D. Charge nurse - ANSWER-B. Nurse practitioner
A critical care nurse is using a computerized decision 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 - ANSWER-D. Informatics
A nurse is caring for an older-adult couple in a community-based assisted living facility.
During the family assessment he notes that the couple has many expired medications
and multiple medications for their respective chronic illnesses. They note that they go to
two different health care providers. The nurse begins to work with the couple to
determine what they know about their medications and helps them decide on one care
provider rather than two. 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 - ANSWER-B. Safety
The nurses on an acute care medical floor notice an 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 - ANSWER-D. Nurse researcher
, Nurses at a community hospital are in an 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 - ANSWER-C. In-service education
Which of the following are components of the paradigm of nursing?
A. The person, health, environment, and theory
B. Health, theory, concepts, and environment
C. Nurses, physicians, health, and patient needs
D. The person, health, environment/situation, and nursing - ANSWER-D. The person,
health, environment/situation, and nursing
A patient is admitted to an acute care area. The patient is an active business man who
is worried about getting back to work. He has had severe diarrhea and vomiting for the
last week. He is weak, and his breathing is labored. Using Maslow's hierarchy of needs,
identify this patient's immediate priority.
A. Self-actualization
B. Air, water, and nutrition
C. Safety
D. Esteem and self-esteem needs - ANSWER-B. Air, water, and nutrition
Match the following theories with their definitions.
A. Grand theory
B. Middle-range theory
C. Descriptive theory
D. Prescriptive theory
1. Addresses specific phenomena and reflect practice
2. First level in theory development and describes a phenomenon
3. Provides a structural framework for broad concepts about nursing
4. Linked to outcomes (consequences of specific nursing interventions) - ANSWER-A.
Grand theory is 3. Provides a structural framework for broad concepts about nursing.
B. Middle-range theory is 1. Addresses specific phenomena and reflect practice.
C. Descriptive theory is 2. First level in theory development and describes a
phenomenon.
