WITH DETAILED AND CORRECT ANSWERS
ACTUAL EXAM (SCORE A) CHAMBERLAIN
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
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