QUESTIONS AND 100% VERIFIED ANSWERS| LATEST| 2025/2026
Chapter 1 — Nursing: Profession, Roles, and Standards
1. A nurse is preparing a teaching plan for a newly licensed nurse about the
scope of professional nursing practice. Which statement best describes the
primary focus of professional nursing?
A. Diagnosing and prescribing treatment for common conditions.
B. Caring for the person, family, and community to achieve optimal health and
functioning.
C. Providing clerical support for the healthcare team.
D. Supervising all ancillary staff and delegating all clinical tasks.
Answer: B
2. Which action is most consistent with the nursing code of ethics?
A. Reporting a colleague for suspected substance abuse to the appropriate
authority.
B. Sharing a patient’s personal health information with family without consent.
C. Refusing to care for an assigned patient due to busy schedule.
D. Accepting a gift of cash from a grateful patient.
Answer: A
3. A nurse practices using evidence-based practice (EBP). Which example best
demonstrates EBP?
A. Following unit tradition for wound care.
B. Using the newest journal article and clinical guidelines plus clinical expertise
when deciding on care.
,C. Always relying on what the most senior nurse says.
D. Searching only for textbooks published more than 10 years ago.
Answer: B
4. Select all that apply: Which activities are within the responsibility of a
registered nurse when delegating tasks to nursing assistants? (Select all that
apply)
A. Assessing the patient’s needs and determining whether delegation is
appropriate.
B. Delegating the task without ensuring the assistant’s competency.
C. Providing clear instructions and expected outcomes.
D. Supervising and evaluating the outcome of the delegated task.
E. Delegating medication administration requiring clinical judgment.
Answer: A, C, D
5. A nurse documents care incompletely. The primary risk is:
A. Increasing the patient’s length of stay.
B. Creating a legal vulnerability for the nurse and facility.
C. Automatically causing medication errors.
D. Causing immediate harm to the patient.
Answer: B
6.: A nurse in a busy med-surg unit is asked to float to the telemetry unit for
the shift. The nurse has basic telemetry experience but limited recent
exposure. Which action should the nurse take first?
A. Accept the assignment and manage as best as possible.
B. Refuse and request to remain on med-surg.
,C. Inform the charge nurse of competency limits and request orientation or
assistance.
D. Work on both units simultaneously.
Answer: C
7. Which item best identifies a professional boundary violation?
A. Providing a patient with educational materials.
B. Accepting a small, inexpensive gift that the patient insists will be given.
C. Exchanging personal contact information with a patient for social connection
after discharge.
D. Discussing a patient’s progress with the healthcare team during rounds.
Answer: C
8. The nurse manager wants to measure staff adherence to hand hygiene
policy. Which quality improvement approach is most appropriate?
A. Implement random audits, give feedback, and use Plan-Do-Study-Act cycles.
B. Suspend staff who fail once.
C. Post the policy without monitoring.
D. Change the policy monthly.
Answer: A
9.: Which statements accurately describe delegation? (Select all that apply)
A. Delegation eliminates the delegator’s responsibility for the task.
B. Delegation is transferring authority while retaining accountability.
C. Delegation decisions should consider patient condition and staff competency.
D. Delegation is appropriate for tasks requiring nursing judgment.
Answer: B, C
, 10. A nurse accepts a research grant to study pressure ulcer prevention.
Which step is required before beginning the study?
A. Publish the protocol immediately.
B. Obtain Institutional Review Board (IRB) approval.
C. Begin recruitment of staff participants.
D. Share patient identifiers with the research team without consent.
Answer: B
11.: A medication order reads: Morphine 0.05 mg/kg IV PRN for severe pain.
The patient weighs 176 lb. How many milligrams should be given per dose?
(Round to two decimal places.)
Working:Convert lb to kg: 176 ÷ 2.2 = 80 kg. Dose = 0.05 mg/kg × 80 kg = 4 mg.
Answer: 4.00 mg
12. Which action best demonstrates cultural competence?
A. Expecting all patients to follow the same dietary plan.
B. Asking about cultural preferences and incorporating them into the plan when
safe.
C. Avoiding discussion of cultural beliefs to prevent offense.
D. Insisting that family members not be present during procedures.
Answer: B
13. A nurse is using an evidence summary about catheter-associated urinary
tract infection (CAUTI) prevention. The strongest evidence comes from which
type of study?
A. Case report.
B. Randomized controlled trial (RCT) and systematic review of RCTs.