NR222 Version 2 Health and Wellness
2026 Newest Actual Final Exam With
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* Health care reform will bring changes in the emphasis of care. Which
of the following models is expected from health care reform?
----Solution----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.
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?
----Solution----Nurse researcher.
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The nurse researcher investigates problems by applying evidence-based
practice or by conducting research to improve nursing care and further
define and expand the scope of nursing practice. He or she often works
in an academic setting, hospital, or independent professional or
community service agency.
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?
----Solution----Assessment.
Assessment is the collection of comprehensive data pertinent to the
patient's health and/or the situation.
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:
----Solution----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.
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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?
----Solution----Teamwork and collaboration.
This is an example of the competency of teamwork and collaboration.
This competency focuses on the nurse functioning effectively within
nursing and interprofessional teams, fostering open communication,
mutual respect, and shared decision making to achieve quality patient
care.
Match the advance practice nurse specialty with the statement about the
role.
----Solution----Clinical nurse specialist
Expert clinician in a specialized area of practice such as adult diabetes
Nurse anesthetist
Provides care and services under the supervision of an anesthesiologist.
Nurse practitioner
Provides comprehensive care, usually in a primary care setting, directly
managing the medical care of patients who are healthy or who have
chronic conditions.
Nurse-midwife
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Provides independent care including pregnancy and gynecological
services.
The examination for registered nurse (RN) licensure is exactly the same
in every state in the United States. This examination:
----Solution----Provides a minimal standard of knowledge for an RN in
practice.
RN candidates must pass the NCLEX-RN® to attain licensure.
Regardless of educational preparation, the examination for RN licensure
is exactly the same in every state in the United States.
You are preparing a presentation for your 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?
----Solution----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 to your patients. It serves as a guide for
carrying out nursing responsibilities to provide quality nursing care and
the ethical obligations of the profession.