terminal cancer. You talk with your colleagues about using the nursing code of ethics
for professional registered nurses to guide care decisions. A nonnursing colleague
asks about this code. 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 - D. 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 for
your patients. The code serves as a guide for carrying out nursing responsibilities to
provide quality nursing care and the ethical obligations of the profession.
An 18-year-old woman is in the emergency department with fever and cough. The
nurse obtains her vital signs, auscultates her lung sounds, listens to her 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 - C. Assessment
Assessment is the collection of comprehensive data pertinent to the patient's health
and/or the situation.
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 - D. Implementation
Implementation is completing coordinating care and the prescribed plan of care.
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 the family. The nurse is acting as the
patient's:
,A. Educator
B. Advocate
C. Caregiver
D. Case manager - B. 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.
Evidence-based practice is defined as:
A. Nursing care based on tradition
B. Scholarly inquiry of nursing and biomedical research literature
C. A problem-solving approach that integrates best current evidence with clinical
practice
D. Quality nursing care provided in an efficient and economically sound manner - C.
A problem-solving approach that integrates best current evidence with clinical
practice
Evidence-based practice integrates best current evidence with clinical expertise and
patient/family preferences and values for delivery of optimal health care.
The examination for registered nurse licensure is exactly the same in every state in
the United States. This examination:
A. Guarantees safe nursing care for all patients
B. Ensures standard nursing care for all patients
C. Ensures that honest and ethical care is provided
D. Provides a minimal standard of knowledge for a registered nurse in practice - D.
Provides a minimal standard of knowledge for a registered nurse in practice
Registered nurse (RN) candidates must pass the NCLEX-RN® that the individual
State Boards of Nursing administer. Regardless of educational preparation, the
examination for RN licensure is exactly the same in every state in the United States.
This provides a standardized minimum knowledge base for nurses.
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 - A. Caregiver
B. Autonomy and accountability
C. Patient advocate
, D. Health promotion
E. Lobbyist
Each of these roles includes activities for the professional nurse. Each of these is
used in direct care or is part of professionalism that guides nursing practice. Some
nurses are lobbyists, but being a lobbyist is not expected of all professional nurses
Advanced practice registered nurses generally:
A. Function independently
B. Function as unit directors
C. Work in acute care settings
D. Work in the university setting - A. Function independently
Advanced practice registered nurse functions independently as a clinician, educator,
case manager, consultant, and researcher within his or her area of practice to plan
or improve the quality of nursing care for the patient and family.
Health care 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 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 - A. 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.
Which of the following nursing roles may have prescriptive authority in their practice?
(Select all that apply.)
A. Critical care nurse
B. Nurse practitioner
C. Certified clinical nurse specialist
D. Charge nurse - B. Nurse practitioner
Nurse practitioners and certified clinical nurse specialists encompass the role and
preparation of the advanced practice registered nurse. According to the American
Nurses Association standards of practice, prescriptive authority may be granted to
these nurses.
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