NR 222 Final Exam Health And Wellness Newest Exam Preparation With
Complete 300+ Questions And Correct Answers With Rationales | Already
Graded A+||Brand New Version!!|Chamberlaine College
Question 1
Health care reform is significantly changing the landscape of nursing and medical delivery in the
United States. Which of the following models is the primary focus and expected outcome of
current health care reform efforts?
A) Increasing the number of specialty acute care hospitals
B) Shifting from a health promotion model to a specialized acute care model
C) Moving from an acute illness model to a health promotion and illness prevention model
D) Focus on increasing technological interventions for end-stage diseases
E) Prioritizing tertiary care over primary and secondary prevention
Correct Answer: C) Moving from an acute illness model to a health promotion and illness
prevention model
Rationale: Health care reform aims to reduce the overall burden of disease and healthcare
costs by shifting the focus of delivery systems. Instead of primarily treating patients once
they become acutely ill (the traditional medical model), the emphasis is now on health
promotion, disease prevention, and the effective management of chronic illnesses to prevent
acute exacerbations.
Question 2
Nurses on a medical-surgical unit observe a spike in the development of pressure ulcers. A nurse
decides to initiate a study comparing the efficacy of the current assessment tool against a newly
developed instrument to identify at-risk patients. This nurse is functioning in which professional
role?
A) Nurse administrator
B) Nurse educator
C) Nurse researcher
D) Case manager
E) Patient advocate
Correct Answer: C) Nurse researcher
Rationale: A nurse researcher investigates clinical problems to improve the quality of
nursing care. By applying evidence-based practice and conducting formal research studies
to compare treatments or assessment tools, the researcher helps expand the scope of
nursing knowledge and ensures that care is based on scientific evidence rather than
tradition alone.
Question 3
A patient presents to the emergency department with a high fever and a productive cough. The
nurse records vital signs, auscultates breath sounds, and initiates the collection of sputum and
, 2
blood samples. According to the American Nurses Association (ANA), which standard of
practice is being demonstrated?
A) Diagnosis
B) Planning
C) Assessment
D) Implementation
E) Evaluation
Correct Answer: C) Assessment
Rationale: Assessment is the first step of the nursing process and is defined as the collection
of comprehensive data pertinent to the patient's health or situation. This includes physical
examination findings, subjective reports of symptoms, and the gathering of laboratory
specimens to establish a baseline for care.
Question 4
A nurse is caring for a patient with end-stage COPD who expresses a desire to return home with
palliative oxygen. However, the patient's family insists on an experimental surgical procedure.
The nurse mediates by explaining the risks and benefits of the surgery to the family while firmly
supporting the patient's right to choose comfort care. This is an example of which role?
A) Caregiver
B) Manager
C) Advocate
) Educator
E) Communicator
Correct Answer: C) Advocate
Rationale: As a patient advocate, the nurse protects the patient's human and legal rights
and provides assistance in asserting those rights. Advocacy involves ensuring that the
patient has the information necessary to make informed decisions and supporting those
decisions even when they conflict with the wishes of family members or other healthcare
providers.
Question 5
A registered nurse collaborates with a physical therapist and a registered dietician to create a
specialized plan for a patient with malnutrition and mobility issues. This interprofessional
cooperation addresses which Quality and Safety Education for Nurses (QSEN) competency?
A) Patient-centered care
B) Quality improvement
C) Teamwork and collaboration
D) Evidence-based practice
E) Safety
, 3
Correct Answer: C) Teamwork and collaboration
Rationale: The QSEN competency of teamwork and collaboration emphasizes the ability of
the nurse to function effectively within nursing and interprofessional teams. It involves
fostering open communication, mutual respect, and shared decision-making among
different disciplines to achieve the highest quality of patient care.
Question 6
Which Advanced Practice Registered Nurse (APRN) is specifically trained to provide
independent, comprehensive care for pregnant women, including gynecological services and
newborn care?
A) Clinical Nurse Specialist (CNS)
B) Certified Nurse Practitioner (CNP)
C) Certified Nurse-Midwife (CNM)
D) Certified Registered Nurse Anesthetist (CRNA)
E) Nurse Administrator
Correct Answer: C) Certified Nurse-Midwife (CNM)
Rationale: A Certified Nurse-Midwife (CNM) provides independent care for women during
normal pregnancy, labor, and delivery, as well as care for the newborn. Their scope of
practice also includes routine gynecological services, family planning, and treatment of
common minor gynecological problems.
Question 7
What is the primary significance of the National Council Licensure Examination for Registered
Nurses (NCLEX-RN) being standardized across all states?
A) It allows nurses to practice in any country without further testing.
B) It ensures that all nurses have the same level of advanced clinical skill.
C) It provides a minimal standard of knowledge required for a registered nurse to practice safely.
D) It guarantees that every nurse has mastered every specialty area of medicine.
E) It eliminates the need for any further continuing education after graduation.
Correct Answer: C) It provides a minimal standard of knowledge required for a registered
nurse to practice safely.
Rationale: The NCLEX-RN provides a standardized measure of competency. Regardless of
where a nurse was educated, passing this exam ensures that they possess the minimum
knowledge base required to provide safe and effective nursing care to the public at an entry
level.
Question 8
When an instructor asks why the Nursing Code of Ethics is important to the profession, which
statement by a student indicates a correct understanding?
A) It provides a legal framework for suing hospitals for better pay.
, 4
B) It serves as a textbook for clinical procedures like starting IVs.
C) It defines the principles of right and wrong that guide the provision of patient care.
D) It is a list of tasks that only licensed practical nurses can perform.
E) It outlines the administrative structure of the American Nurses Association.
Correct Answer: C) It defines the principles of right and wrong that guide the provision of
patient care.
Rationale: The Code of Ethics for Nurses is a collective statement of the values, moral
obligations, and professional ideals of the nursing profession. It serves as a foundational
guide for ethical decision-making and defines the standard of conduct expected of every
professional nurse.
Question 9
An acute care facility holds a mandatory training session for its staff nurses on how to operate a
new type of intravenous infusion pump. This type of training is classified as:
A) Continuing education
B) Graduate education
C) In-service education
D) Advanced practice training
E) Primary prevention
Correct Answer: C) In-service education
Rationale: In-service education refers to instruction or training provided by a healthcare
agency or institution for its employees. It is specifically designed to increase the knowledge
and skills of the staff regarding specific workplace requirements, new technologies, or
updated policies within that specific institution.
Question 10
A nurse is teaching a patient's spouse how to perform sterile dressing changes for a surgical
wound. The spouse then performs a return demonstration while the nurse provides feedback. In
this scenario, the nurse is acting as:
A) Manager
B) Advocate
C) Educator
D) Researcher
E) Caregiver
Correct Answer: C) Educator
Rationale: In the role of educator, the nurse explains health concepts, demonstrates
procedures, and evaluates the patient's (or caregiver's) progress through return
demonstrations. The goal is to ensure the patient or family has the knowledge and skills to
manage their health needs effectively.
Complete 300+ Questions And Correct Answers With Rationales | Already
Graded A+||Brand New Version!!|Chamberlaine College
Question 1
Health care reform is significantly changing the landscape of nursing and medical delivery in the
United States. Which of the following models is the primary focus and expected outcome of
current health care reform efforts?
A) Increasing the number of specialty acute care hospitals
B) Shifting from a health promotion model to a specialized acute care model
C) Moving from an acute illness model to a health promotion and illness prevention model
D) Focus on increasing technological interventions for end-stage diseases
E) Prioritizing tertiary care over primary and secondary prevention
Correct Answer: C) Moving from an acute illness model to a health promotion and illness
prevention model
Rationale: Health care reform aims to reduce the overall burden of disease and healthcare
costs by shifting the focus of delivery systems. Instead of primarily treating patients once
they become acutely ill (the traditional medical model), the emphasis is now on health
promotion, disease prevention, and the effective management of chronic illnesses to prevent
acute exacerbations.
Question 2
Nurses on a medical-surgical unit observe a spike in the development of pressure ulcers. A nurse
decides to initiate a study comparing the efficacy of the current assessment tool against a newly
developed instrument to identify at-risk patients. This nurse is functioning in which professional
role?
A) Nurse administrator
B) Nurse educator
C) Nurse researcher
D) Case manager
E) Patient advocate
Correct Answer: C) Nurse researcher
Rationale: A nurse researcher investigates clinical problems to improve the quality of
nursing care. By applying evidence-based practice and conducting formal research studies
to compare treatments or assessment tools, the researcher helps expand the scope of
nursing knowledge and ensures that care is based on scientific evidence rather than
tradition alone.
Question 3
A patient presents to the emergency department with a high fever and a productive cough. The
nurse records vital signs, auscultates breath sounds, and initiates the collection of sputum and
, 2
blood samples. According to the American Nurses Association (ANA), which standard of
practice is being demonstrated?
A) Diagnosis
B) Planning
C) Assessment
D) Implementation
E) Evaluation
Correct Answer: C) Assessment
Rationale: Assessment is the first step of the nursing process and is defined as the collection
of comprehensive data pertinent to the patient's health or situation. This includes physical
examination findings, subjective reports of symptoms, and the gathering of laboratory
specimens to establish a baseline for care.
Question 4
A nurse is caring for a patient with end-stage COPD who expresses a desire to return home with
palliative oxygen. However, the patient's family insists on an experimental surgical procedure.
The nurse mediates by explaining the risks and benefits of the surgery to the family while firmly
supporting the patient's right to choose comfort care. This is an example of which role?
A) Caregiver
B) Manager
C) Advocate
) Educator
E) Communicator
Correct Answer: C) Advocate
Rationale: As a patient advocate, the nurse protects the patient's human and legal rights
and provides assistance in asserting those rights. Advocacy involves ensuring that the
patient has the information necessary to make informed decisions and supporting those
decisions even when they conflict with the wishes of family members or other healthcare
providers.
Question 5
A registered nurse collaborates with a physical therapist and a registered dietician to create a
specialized plan for a patient with malnutrition and mobility issues. This interprofessional
cooperation addresses which Quality and Safety Education for Nurses (QSEN) competency?
A) Patient-centered care
B) Quality improvement
C) Teamwork and collaboration
D) Evidence-based practice
E) Safety
, 3
Correct Answer: C) Teamwork and collaboration
Rationale: The QSEN competency of teamwork and collaboration emphasizes the ability of
the nurse to function effectively within nursing and interprofessional teams. It involves
fostering open communication, mutual respect, and shared decision-making among
different disciplines to achieve the highest quality of patient care.
Question 6
Which Advanced Practice Registered Nurse (APRN) is specifically trained to provide
independent, comprehensive care for pregnant women, including gynecological services and
newborn care?
A) Clinical Nurse Specialist (CNS)
B) Certified Nurse Practitioner (CNP)
C) Certified Nurse-Midwife (CNM)
D) Certified Registered Nurse Anesthetist (CRNA)
E) Nurse Administrator
Correct Answer: C) Certified Nurse-Midwife (CNM)
Rationale: A Certified Nurse-Midwife (CNM) provides independent care for women during
normal pregnancy, labor, and delivery, as well as care for the newborn. Their scope of
practice also includes routine gynecological services, family planning, and treatment of
common minor gynecological problems.
Question 7
What is the primary significance of the National Council Licensure Examination for Registered
Nurses (NCLEX-RN) being standardized across all states?
A) It allows nurses to practice in any country without further testing.
B) It ensures that all nurses have the same level of advanced clinical skill.
C) It provides a minimal standard of knowledge required for a registered nurse to practice safely.
D) It guarantees that every nurse has mastered every specialty area of medicine.
E) It eliminates the need for any further continuing education after graduation.
Correct Answer: C) It provides a minimal standard of knowledge required for a registered
nurse to practice safely.
Rationale: The NCLEX-RN provides a standardized measure of competency. Regardless of
where a nurse was educated, passing this exam ensures that they possess the minimum
knowledge base required to provide safe and effective nursing care to the public at an entry
level.
Question 8
When an instructor asks why the Nursing Code of Ethics is important to the profession, which
statement by a student indicates a correct understanding?
A) It provides a legal framework for suing hospitals for better pay.
, 4
B) It serves as a textbook for clinical procedures like starting IVs.
C) It defines the principles of right and wrong that guide the provision of patient care.
D) It is a list of tasks that only licensed practical nurses can perform.
E) It outlines the administrative structure of the American Nurses Association.
Correct Answer: C) It defines the principles of right and wrong that guide the provision of
patient care.
Rationale: The Code of Ethics for Nurses is a collective statement of the values, moral
obligations, and professional ideals of the nursing profession. It serves as a foundational
guide for ethical decision-making and defines the standard of conduct expected of every
professional nurse.
Question 9
An acute care facility holds a mandatory training session for its staff nurses on how to operate a
new type of intravenous infusion pump. This type of training is classified as:
A) Continuing education
B) Graduate education
C) In-service education
D) Advanced practice training
E) Primary prevention
Correct Answer: C) In-service education
Rationale: In-service education refers to instruction or training provided by a healthcare
agency or institution for its employees. It is specifically designed to increase the knowledge
and skills of the staff regarding specific workplace requirements, new technologies, or
updated policies within that specific institution.
Question 10
A nurse is teaching a patient's spouse how to perform sterile dressing changes for a surgical
wound. The spouse then performs a return demonstration while the nurse provides feedback. In
this scenario, the nurse is acting as:
A) Manager
B) Advocate
C) Educator
D) Researcher
E) Caregiver
Correct Answer: C) Educator
Rationale: In the role of educator, the nurse explains health concepts, demonstrates
procedures, and evaluates the patient's (or caregiver's) progress through return
demonstrations. The goal is to ensure the patient or family has the knowledge and skills to
manage their health needs effectively.
