NP1 EXAM 1 REVIEW QUESTIONS & ANSWERS
You are preparing presentation for you 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?
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
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?
a. diagnosis
b. evaluation
c. assessment
d. implementation - Answer -C
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
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:
a. educator
b. advocate
c. caregiver
d. case manager - Answer -B
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?
,a. educator
b. advocate
c. caregiver
d. case manager - Answer -A
The examination for registered nurse (RN) licensure is exactly the same in every state
in the United States. This examination:
a. guarantees safe nursing for all patients
b. ensures standard nursing care for patients
c. ensures that honest and ethical care is provided
d. provides a minimal standard of knowledge for an RN in practice - Answer -D
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, B, C, D
Match the advanced practice nurse specialty with the statement about the role.
1. Clinical nurse specialist
2. Nurse anesthetist
3. Nurse practitioner
4. Nurse-midwife
a. Provides independent care, including pregnancy and gynecological services
b. Expert clinician in a specialized area of practice such as adult diabetes care
c. Provides comprehensive care, usually in a primary care setting, directly managing the
medical care of patients who are healthy or have chronic conditions
d. Provides care and services under the supervision of an anesthesiologist - Answer -
1B, 2D, 3C, 4A
Healthcare 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 an 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
,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?
a. patient-centered care
b. safety
c. teamwork and collaboration
d. informatics - Answer -C
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
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
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?
a. continuing education
b. graduate education
c. in-service education
d. professional registered nurse education - Answer -C
Which of the following Internet resources can help consumers compare quality care
measures? (Select all that apply)
a. WebMD
b. Hospital Compare
c. Magnet Recognition Program
d. Hospital Consumer Assessment of Healthcare
, e. The American Hospital Association's webpage - Answer -B and D
A community center is presenting a nurse-led program on the Patient Protection and
Affordable Care Act. Which statement made by a participate indicates a need for the
further teaching?
a. "my small company will now have to offer the 75 employees health insurance or pay
a penalty"
b. "as long as my son is a full-time student in college, I will be able to keep him on my
health insurance until he is 26 year olds"
c. "I signed up for the state health insurance exchange before the designated deadline
to make sure I had health insurance"
d. "since I have now been diagnosed with diabetes, my health insurance plan cannot
charge me higher premiums" - Answer -B
Which activity performed by a nurse is related to maintaining competency in nursing
practice?
a. asking another nurse about how to change the settings on a medication pump
b. regularly attending unit staff meetings
c. participating as a member of the professional nursing council
d. attending a review course in preparation for a certification examination - Answer -D
A patient tells a nurse that she is enrolled in a preferred provider organization (PPO) but
does not understand what this is. What is the nurse's best explanation of a PPO?
a. this health plan is for people who cannot afford their own health insurance
b. this health plan is operated by the government to provide healthcare to older adults
c. this health plan gives you a list of physicians and hospital from which you can choose
d. this is a fee-for-service plan in which you can choose any physician or hospital -
Answer -C
Which of the following are examples of a nurse participating in primary care activities?
(Select all that apply)
a. providing prenatal teaching on nutrition to a pregnant woman during the first trimester
b. assessing the nutritional status of older adults who come to the community center for
lunch
c. working with patients in a cardiac rehabilitation program
d. providing home wound care to a patient
e. teaching a class to parents at the local grade school about the importance of
immunizations - Answer -A, B, and E
Nurses on a nursing unit are discussing the processes that led up to a near-miss error
on the clinical unit. They are outlining strategies that will prevent this in the future. This
is an example of nurses working on what issue in the health care system?
You are preparing presentation for you 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?
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
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?
a. diagnosis
b. evaluation
c. assessment
d. implementation - Answer -C
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
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:
a. educator
b. advocate
c. caregiver
d. case manager - Answer -B
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?
,a. educator
b. advocate
c. caregiver
d. case manager - Answer -A
The examination for registered nurse (RN) licensure is exactly the same in every state
in the United States. This examination:
a. guarantees safe nursing for all patients
b. ensures standard nursing care for patients
c. ensures that honest and ethical care is provided
d. provides a minimal standard of knowledge for an RN in practice - Answer -D
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, B, C, D
Match the advanced practice nurse specialty with the statement about the role.
1. Clinical nurse specialist
2. Nurse anesthetist
3. Nurse practitioner
4. Nurse-midwife
a. Provides independent care, including pregnancy and gynecological services
b. Expert clinician in a specialized area of practice such as adult diabetes care
c. Provides comprehensive care, usually in a primary care setting, directly managing the
medical care of patients who are healthy or have chronic conditions
d. Provides care and services under the supervision of an anesthesiologist - Answer -
1B, 2D, 3C, 4A
Healthcare 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 an 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
,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?
a. patient-centered care
b. safety
c. teamwork and collaboration
d. informatics - Answer -C
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
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
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?
a. continuing education
b. graduate education
c. in-service education
d. professional registered nurse education - Answer -C
Which of the following Internet resources can help consumers compare quality care
measures? (Select all that apply)
a. WebMD
b. Hospital Compare
c. Magnet Recognition Program
d. Hospital Consumer Assessment of Healthcare
, e. The American Hospital Association's webpage - Answer -B and D
A community center is presenting a nurse-led program on the Patient Protection and
Affordable Care Act. Which statement made by a participate indicates a need for the
further teaching?
a. "my small company will now have to offer the 75 employees health insurance or pay
a penalty"
b. "as long as my son is a full-time student in college, I will be able to keep him on my
health insurance until he is 26 year olds"
c. "I signed up for the state health insurance exchange before the designated deadline
to make sure I had health insurance"
d. "since I have now been diagnosed with diabetes, my health insurance plan cannot
charge me higher premiums" - Answer -B
Which activity performed by a nurse is related to maintaining competency in nursing
practice?
a. asking another nurse about how to change the settings on a medication pump
b. regularly attending unit staff meetings
c. participating as a member of the professional nursing council
d. attending a review course in preparation for a certification examination - Answer -D
A patient tells a nurse that she is enrolled in a preferred provider organization (PPO) but
does not understand what this is. What is the nurse's best explanation of a PPO?
a. this health plan is for people who cannot afford their own health insurance
b. this health plan is operated by the government to provide healthcare to older adults
c. this health plan gives you a list of physicians and hospital from which you can choose
d. this is a fee-for-service plan in which you can choose any physician or hospital -
Answer -C
Which of the following are examples of a nurse participating in primary care activities?
(Select all that apply)
a. providing prenatal teaching on nutrition to a pregnant woman during the first trimester
b. assessing the nutritional status of older adults who come to the community center for
lunch
c. working with patients in a cardiac rehabilitation program
d. providing home wound care to a patient
e. teaching a class to parents at the local grade school about the importance of
immunizations - Answer -A, B, and E
Nurses on a nursing unit are discussing the processes that led up to a near-miss error
on the clinical unit. They are outlining strategies that will prevent this in the future. This
is an example of nurses working on what issue in the health care system?
