NR222 HEALTH AND WELLNESS FINAL EXAM
QUESTIONS AND ANSWERS 2025
* Health care reform will bring changes in the emphasis of care. Which of the following
models is expected from health care reform? - CORRECT ANSWER-Moving from an
acute illness to a health promotion, illness prevention model.
Health care reform also affects how health care is delivered. There is greater emphasis
on health promotion, disease prevention, and management of illness.
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? - CORRECT ANSWER-
Nurse researcher.
The nurse researcher investigates problems by applying evidence-based practice or by
conducting research to improve nursing care and further define and expand the scope
of nursing practice. He or she often works in an academic setting, hospital, or
independent professional or community service agency.
An 18-year-old woman is in the emergency department with fever and cough. The nurse
obtains her vital signs, listens to her lung and heart sounds, determines her level of
comfort, and collects blood and sputum samples for analysis. Which standard of
practice is performed? - CORRECT ANSWER-Assessment.
Assessment is the collection of comprehensive data pertinent to the patient's health
and/or the situation.
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 them. The nurse is acting as the patient's: -
CORRECT ANSWER-Advocate.
An advocate protects the patient's human and legal right to make choices about his or
her care. An advocate may also provide additional information to help a patient decide
whether or not to accept a treatment or find an interpreter to help family members
communicate their concerns.
,A nurse meets with the registered dietician and physical therapist to develop a plan of
care that focuses on improving nutrition and mobility for a patient. This is an example of
which Quality and Safety in the Education of Nurses (QSEN) competency? - CORRECT
ANSWER-Teamwork and collaboration.
This is an example of the competency of teamwork and collaboration. This competency
focuses on the nurse functioning effectively within nursing and interprofessional teams,
fostering open communication, mutual respect, and shared decision making to achieve
quality patient care.
Match the advance practice nurse specialty with the statement about the role. -
CORRECT ANSWER-Clinical nurse specialist
Expert clinician in a specialized area of practice such as adult diabetes
Nurse anesthetist
Provides care and services under the supervision of an anesthesiologist.
Nurse practitioner
Provides comprehensive care, usually in a primary care setting, directly managing the
medical care of patients who are healthy or who have chronic conditions.
Nurse-midwife
Provides independent care including pregnancy and gynecological services.
The examination for registered nurse (RN) licensure is exactly the same in every state
in the United States. This examination: - CORRECT ANSWER-Provides a minimal
standard of knowledge for an RN in practice.
RN candidates must pass the NCLEX-RN® to attain licensure. Regardless of
educational preparation, the examination for RN licensure is exactly the same in every
state in the United States.
You are preparing a presentation for your classmates regarding the clinical care
coordination conference for a patient with terminal cancer. As part of the preparation
you have your classmates read the Nursing Code of Ethics for Professional Registered
Nurses. Your instructor asks the class why this document is important. Which of the
following statements best describes this code? - CORRECT ANSWER-Defines the
principles of right and wrong to provide patient care.
,When giving care, it is essential to provide a specified service according to standards of
practice and to follow a code of ethics. The code of ethics is the philosophical ideals of
right and wrong that define the principles you will use to provide care to your patients. It
serves as a guide for carrying out nursing responsibilities to provide quality nursing care
and the ethical obligations of the profession.
Nurses in an acute care hospital are attending a unit based 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? - CORRECT ANSWER-In-service education.
In-service education programs are instruction or training provided by a health care
agency or institution. An in-service program is held in the institution and is designed to
increase the knowledge, skills, and competencies of nurses and other health care
professionals employed by the institution.
The nurse spends time with the patient and family reviewing the dressing change
procedure for the patient's wound. The patient's spouse demonstrates how to change
the dressing. The nurse is acting in which professional role? - CORRECT ANSWER-
Educator.
The nurse is demonstrating the role of educator. An educator explains concepts and
facts about health, describes the reason for routine care activities, demonstrates
procedures such as home care activities, reinforces learning or patient behavior, and
evaluates the patient's progress in learning through return demonstration.
Which of the following Internet resources available can assist consumers when
comparing quality care measures? - CORRECT ANSWER-Hospital Compare.
Hospital Consumer Assessment of Healthcare.
Both of these are Internet sites that collect patient data to document hospitals' quality of
care and patient satisfaction. WebMD is an Internet source that is disease/condition
specific. The Magnet Recognition Program is a hospital-initiated recognition that
assesses quality of nursing care and patient safety.
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? - CORRECT ANSWER-Implementation.
Implementation is completing coordinating care and the prescribed plan of care.
, Contemporary nursing requires that the nurse has knowledge and skills for a variety of
professional roles and responsibilities. Which of the following are examples? -
CORRECT ANSWER-Caregiver.
Autonomy and accountability.
Patient advocate.
Health promotion.
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? - CORRECT ANSWER-Informatics.
Using decision support systems is one example of using informatics and gaining
competency in informatics.
* Which statement made by a nurse shows that the nurse is engaging in an activity to
help cope with secondary traumatic stress and burnout? - CORRECT ANSWER-"I am
enjoying my quilting group that meets each week at my church."
Nurses experience secondary traumatic stress and burnout. Personal strategies to help
prevent or cope with secondary traumatic stress or burnout include healthy eating,
making time for yourself to pursue personal interests, getting plenty of sleep, and
regular exercise and relaxation.
* The nurse assesses the following risk factors for coronary artery disease (CAD) in a
female patient. Which factors are classified as genetic and physiological? - CORRECT
ANSWER-Mother died from CAD at age 48.
History of hypertension.
Elevated cholesterol level.
Genetic and physiological risk factors include those related to heredity, genetic
predisposition to an illness, or those that involve the physical functioning of the body.
Certain physical conditions such as being pregnant or overweight place increased
stress on physiological systems (e.g., the circulatory system), increasing susceptibility
to illness in these areas. A person with a family history of diabetes mellitus is at risk for
developing the disease later in life because of a hereditary and genetic predisposition to
the disease.
* Based on the transtheoretical model of change, what is the most appropriate response
to a patient who states: "Me, stop smoking? I've been smoking since I was 16!" -
QUESTIONS AND ANSWERS 2025
* Health care reform will bring changes in the emphasis of care. Which of the following
models is expected from health care reform? - CORRECT ANSWER-Moving from an
acute illness to a health promotion, illness prevention model.
Health care reform also affects how health care is delivered. There is greater emphasis
on health promotion, disease prevention, and management of illness.
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? - CORRECT ANSWER-
Nurse researcher.
The nurse researcher investigates problems by applying evidence-based practice or by
conducting research to improve nursing care and further define and expand the scope
of nursing practice. He or she often works in an academic setting, hospital, or
independent professional or community service agency.
An 18-year-old woman is in the emergency department with fever and cough. The nurse
obtains her vital signs, listens to her lung and heart sounds, determines her level of
comfort, and collects blood and sputum samples for analysis. Which standard of
practice is performed? - CORRECT ANSWER-Assessment.
Assessment is the collection of comprehensive data pertinent to the patient's health
and/or the situation.
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 them. The nurse is acting as the patient's: -
CORRECT ANSWER-Advocate.
An advocate protects the patient's human and legal right to make choices about his or
her care. An advocate may also provide additional information to help a patient decide
whether or not to accept a treatment or find an interpreter to help family members
communicate their concerns.
,A nurse meets with the registered dietician and physical therapist to develop a plan of
care that focuses on improving nutrition and mobility for a patient. This is an example of
which Quality and Safety in the Education of Nurses (QSEN) competency? - CORRECT
ANSWER-Teamwork and collaboration.
This is an example of the competency of teamwork and collaboration. This competency
focuses on the nurse functioning effectively within nursing and interprofessional teams,
fostering open communication, mutual respect, and shared decision making to achieve
quality patient care.
Match the advance practice nurse specialty with the statement about the role. -
CORRECT ANSWER-Clinical nurse specialist
Expert clinician in a specialized area of practice such as adult diabetes
Nurse anesthetist
Provides care and services under the supervision of an anesthesiologist.
Nurse practitioner
Provides comprehensive care, usually in a primary care setting, directly managing the
medical care of patients who are healthy or who have chronic conditions.
Nurse-midwife
Provides independent care including pregnancy and gynecological services.
The examination for registered nurse (RN) licensure is exactly the same in every state
in the United States. This examination: - CORRECT ANSWER-Provides a minimal
standard of knowledge for an RN in practice.
RN candidates must pass the NCLEX-RN® to attain licensure. Regardless of
educational preparation, the examination for RN licensure is exactly the same in every
state in the United States.
You are preparing a presentation for your classmates regarding the clinical care
coordination conference for a patient with terminal cancer. As part of the preparation
you have your classmates read the Nursing Code of Ethics for Professional Registered
Nurses. Your instructor asks the class why this document is important. Which of the
following statements best describes this code? - CORRECT ANSWER-Defines the
principles of right and wrong to provide patient care.
,When giving care, it is essential to provide a specified service according to standards of
practice and to follow a code of ethics. The code of ethics is the philosophical ideals of
right and wrong that define the principles you will use to provide care to your patients. It
serves as a guide for carrying out nursing responsibilities to provide quality nursing care
and the ethical obligations of the profession.
Nurses in an acute care hospital are attending a unit based 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? - CORRECT ANSWER-In-service education.
In-service education programs are instruction or training provided by a health care
agency or institution. An in-service program is held in the institution and is designed to
increase the knowledge, skills, and competencies of nurses and other health care
professionals employed by the institution.
The nurse spends time with the patient and family reviewing the dressing change
procedure for the patient's wound. The patient's spouse demonstrates how to change
the dressing. The nurse is acting in which professional role? - CORRECT ANSWER-
Educator.
The nurse is demonstrating the role of educator. An educator explains concepts and
facts about health, describes the reason for routine care activities, demonstrates
procedures such as home care activities, reinforces learning or patient behavior, and
evaluates the patient's progress in learning through return demonstration.
Which of the following Internet resources available can assist consumers when
comparing quality care measures? - CORRECT ANSWER-Hospital Compare.
Hospital Consumer Assessment of Healthcare.
Both of these are Internet sites that collect patient data to document hospitals' quality of
care and patient satisfaction. WebMD is an Internet source that is disease/condition
specific. The Magnet Recognition Program is a hospital-initiated recognition that
assesses quality of nursing care and patient safety.
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? - CORRECT ANSWER-Implementation.
Implementation is completing coordinating care and the prescribed plan of care.
, Contemporary nursing requires that the nurse has knowledge and skills for a variety of
professional roles and responsibilities. Which of the following are examples? -
CORRECT ANSWER-Caregiver.
Autonomy and accountability.
Patient advocate.
Health promotion.
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? - CORRECT ANSWER-Informatics.
Using decision support systems is one example of using informatics and gaining
competency in informatics.
* Which statement made by a nurse shows that the nurse is engaging in an activity to
help cope with secondary traumatic stress and burnout? - CORRECT ANSWER-"I am
enjoying my quilting group that meets each week at my church."
Nurses experience secondary traumatic stress and burnout. Personal strategies to help
prevent or cope with secondary traumatic stress or burnout include healthy eating,
making time for yourself to pursue personal interests, getting plenty of sleep, and
regular exercise and relaxation.
* The nurse assesses the following risk factors for coronary artery disease (CAD) in a
female patient. Which factors are classified as genetic and physiological? - CORRECT
ANSWER-Mother died from CAD at age 48.
History of hypertension.
Elevated cholesterol level.
Genetic and physiological risk factors include those related to heredity, genetic
predisposition to an illness, or those that involve the physical functioning of the body.
Certain physical conditions such as being pregnant or overweight place increased
stress on physiological systems (e.g., the circulatory system), increasing susceptibility
to illness in these areas. A person with a family history of diabetes mellitus is at risk for
developing the disease later in life because of a hereditary and genetic predisposition to
the disease.
* Based on the transtheoretical model of change, what is the most appropriate response
to a patient who states: "Me, stop smoking? I've been smoking since I was 16!" -
