Stem: Which statement best distinguishes nursing as a
profession rather than an occupation?
Options:
A. Nursing primarily provides tasks delegated by physicians.
B. Nursing is guided by a distinct body of knowledge and a code
of ethics.
C. Nursing relies mostly on unstandardized on-the-job training.
D. Nursing duties are limited to bedside tasks only.
Correct Answer: B — distinct knowledge & ethics
Rationale:
Correct (2–3 sentences): Nursing is defined as a profession
characterized by a specialized body of knowledge, autonomous
practice within standards, and a code of ethics that guides care
(Ch. 1 — Section: Nursing Today — page not available). This
supports professional implementation and accountability (ANA
5th Ed., Standard 5: Implementation).
A (incorrect): Suggests subservience to physicians, which
underestimates nursing autonomy.
B (incorrect): (This is the correct option — retained for
structure.)
C (incorrect): On-the-job training alone does not define a
profession; formal education and standards do.
,D (incorrect): Nursing encompasses assessment, planning,
leadership, education, and advocacy beyond bedside tasks.
Teaching Point: Nursing’s professionalism rests on knowledge,
autonomy, and ethics.
Question #: NT-002
Stem: A faculty member asks students why Florence Nightingale
is considered foundational to modern nursing. The best
response is:
Options:
A. She professionalized nursing through sanitation, record-
keeping, and education.
B. She introduced modern pharmacology to nursing practice.
C. She mandated that nurses perform only physician-directed
orders.
D. She invented the first nursing licensure exam.
Correct Answer: A — sanitation, records, education
Rationale:
Correct (2–3 sentences): Nightingale’s work emphasized
sanitation, systematic record-keeping, and formal education —
core elements that professionalized nursing and improved
outcomes (Ch. 1 — Section: Historical Influences — page not
available). This underpins evaluating quality of nursing
interventions (ANA Standard 6).
A (incorrect): Correct (restated as correct).
, B (incorrect): Nightingale did not found modern pharmacology.
C (incorrect): She advanced nursing autonomy rather than
limiting responsibilities.
D (incorrect): She did not create a licensure exam; licensure
developed later.
Teaching Point: Nightingale’s reforms shaped professional
nursing standards.
Question #: NT-003
Stem: A hospital adopts an electronic health record (EHR).
Which nursing action best demonstrates competent
implementation?
Options:
A. Using EHR only when physicians request written notes.
B. Entering accurate, timely assessment data and reconciling
medications.
C. Continuing to rely primarily on paper records for crucial
decisions.
D. Allowing unlicensed assistive personnel to document
subjective findings.
Correct Answer: B — accurate, timely data entry
Rationale:
Correct (2–3 sentences): Competent use of EHRs includes
timely, accurate documentation and medication reconciliation
to support safe, coordinated care (Ch. 1 — Section: