Complete Questions with Correct Answers
and Detailed Rationales - Latest Update 2026
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Section 1: Professional Nursing Roles & Historical Foundations
Question 1: Which historical figure is credited with establishing the first nursing school and professional nursing
standards?
A) Clara Barton
B) Florence Nightingale
C) Dorothea Dix
D) Lillian Wald
Answer: B
Florence Nightingale established the first nursing school at St. Thomas' Hospital in London and is considered the
founder of modern nursing, emphasizing sanitation, data collection, and professional standards.
Question 2: The American Nurses Association (ANA) defines nursing as the protection, promotion, and
optimization of health and abilities, prevention of illness and injury, and:
A) Administration of all medications prescribed by physicians
B) Alleviation of suffering through the diagnosis and treatment of human response
C) Management of all healthcare facilities
D) Provision of surgical assistance in the operating room
Answer: B
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,The ANA's definition includes alleviation of suffering through the diagnosis and treatment of human response,
highlighting nursing's unique focus on patient responses to health problems.
Question 3: Which of the following is a core competency for professional nursing practice as identified by the
Institute of Medicine (IOM)?
A) Provide patient-centered care
B) Work in interdisciplinary teams
C) Employ evidence-based practice
D) All of the above
Answer: D
The IOM identified five core competencies: provide patient-centered care, work in interdisciplinary teams, employ
evidence-based practice, apply quality improvement, and utilize informatics.
Question 4: The nurse is caring for a patient who is expressing fear about an upcoming surgery. Which action best
demonstrates the role of the nurse as a patient advocate?
A) Telling the patient that everything will be fine
B) Notifying the provider of the patient's concerns
C) Administering a PRN anxiolytic without assessment
D) Avoiding the topic to prevent further anxiety
Answer: B
Patient advocacy involves protecting patients' rights and ensuring their concerns are heard. Notifying the provider
of the patient's expressed fears supports the patient's autonomy and voice.
Question 5: Florence Nightingale's contributions to nursing included:
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,A) The development of the first nursing theory
B) The use of statistical data to improve sanitation and patient outcomes
C) The establishment of the American Red Cross
D) The creation of the first nurse practitioner role
Answer: B
Nightingale used statistical data (e.g., mortality rates) to demonstrate the impact of sanitation on patient
outcomes. She also established nursing as a respected profession.
Question 6: The nurse is caring for a patient who is refusing a blood transfusion due to religious beliefs. Which
action is most appropriate?
A) Respect the patient's decision and explore alternatives
B) Administer the blood transfusion without consent
C) Contact the patient's family to override the decision
D) Report the patient to the ethics committee
Answer: A
Patients have the right to refuse treatment based on religious beliefs. The nurse should respect the decision,
document it, and collaborate with the healthcare team to explore alternatives.
Question 7: Which organization is responsible for establishing the scope and standards of nursing practice?
A) National League for Nursing (NLN)
B) American Nurses Association (ANA)
C) Joint Commission
D) American Medical Association (AMA)
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, Answer: B
The ANA establishes the scope and standards of nursing practice, defining the responsibilities and accountabilities
of professional nurses.
Question 8: A newly licensed nurse is orienting to a medical-surgical unit. Which statement reflects a correct
understanding of the nurse's role as a member of the healthcare team?
A) "I will follow all physician orders without question."
B) "I will collaborate with other disciplines to provide holistic care."
C) "I will make all decisions independently without consulting others."
D) "I will only communicate with the physician, not other team members."
Answer: B
Professional nurses collaborate with interdisciplinary team members (physicians, social workers, pharmacists,
therapists) to provide comprehensive, patient-centered care.
Question 9: The nurse is caring for a patient who is at risk for falls. Which intervention demonstrates patient safety
advocacy?
A) Placing the patient in restraints without a provider order
B) Implementing fall precautions (bed alarm, non-slip socks, frequent rounding)
C) Leaving the patient unattended in the bathroom
D) Telling the patient to call for help but not checking on them
Answer: B
Patient safety advocacy includes implementing evidence-based interventions to prevent harm, such as fall
precautions. Restraints require a provider order and are a last resort.
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