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SECTION 1: PROFESSIONAL ROLES AND RESPONSIBILITIES (Questions 1-15)
Q1: A new graduate nurse is preparing for the NCLEX-RN examination. Which organization
develops and administers the NCLEX-RN?
• A. American Nurses Association (ANA)
• B. National Council of State Boards of Nursing (NCSBN). [CORRECT]
• C. The Joint Commission (TJC)
• D. Centers for Medicare and Medicaid Services (CMS)
Rationale: The NCLEX-RN examination is developed and administered by the National Council
of State Boards of Nursing (NCSBN) (B). The ANA (A) is a professional organization that
establishes standards of practice. TJC (C) accredits healthcare organizations. CMS (D)
administers Medicare and Medicaid programs.
Q2: A nurse is considering joining a professional organization that focuses specifically on
nursing education and accreditation of nursing programs. Which organization should the nurse
join?
• A. American Nurses Association (ANA)
• B. National League for Nursing (NLN). [CORRECT]
• C. Sigma Theta Tau International
• D. American Association of Critical-Care Nurses (AACN)
Rationale: The National League for Nursing (NLN) (B) is dedicated to excellence in nursing
education and provides accreditation for nursing programs. The ANA (A) represents all nurses
broadly. Sigma Theta Tau (C) is an honor society. AACN (D) is a specialty organization for
critical care nurses.
Q3: A new graduate nurse is reviewing the Nurse Practice Act in their state. Which statement
best describes the purpose of the Nurse Practice Act?
, • A. To establish hospital policies and procedures
• B. To define the legal scope of nursing practice and protect the public. [CORRECT]
• C. To determine salary scales for nurses
• D. To mandate specific nurse-to-patient ratios
Rationale: Nurse Practice Acts are state laws that define the legal scope of nursing practice, set
requirements for licensure, and protect the public by ensuring minimum competency standards
(B). They do not establish hospital policies (A), determine salaries (C), or mandate staffing ratios
(D), though some states have separate safe staffing laws.
Q4: A nurse is implementing an evidence-based practice (EBP) project. According to the EBP
process, which step comes immediately after "Ask" (formulating a PICOT question)?
• A. Apply the evidence to practice
• B. Appraise the evidence
• C. Acquire the best evidence. [CORRECT]
• D. Assess the outcomes
Rationale: The five steps of EBP in order are: Ask (PICOT question), Acquire (search for best
evidence), Appraise (critically evaluate evidence), Apply (integrate evidence with clinical
expertise and patient preferences), and Assess (evaluate outcomes) (C). Therefore, Acquire
follows Ask in the sequence.
Q5: A nurse is moving from State A to State B and wants to practice nursing without obtaining a
new license. Which agreement allows for this privilege?
• A. Nurse Licensure Compact (NLC). [CORRECT]
• B. Interstate Medical Licensure Compact
• C. Universal Nursing Agreement
• D. Federal Nursing License Reciprocity Act
Rationale: The Nurse Licensure Compact (NLC) (A) allows nurses to have one multistate
license, giving them the ability to practice in their home state and other compact states
physically, telephonically, and electronically. Both states must be NLC members for this
privilege. There is no Universal Nursing Agreement (C) or Federal Nursing License Reciprocity
Act (D).
, Q6: A nurse is reviewing quality improvement data on their unit. Which of the following is a
nursing-sensitive indicator reported to the National Database of Nursing Quality Indicators
(NDNQI)?
• A. Hospital readmission rates for heart failure
• B. Patient falls with injury. [CORRECT]
• C. Surgical site infection rates
• D. Medication administration error rates by pharmacists
Rationale: Patient falls with injury (B) is a nursing-sensitive indicator reported to NDNQI, as
nursing care directly impacts this outcome. Hospital readmission rates (A) and surgical site
infections (C) are medical quality indicators. Medication errors by pharmacists (D) are pharmacy
quality indicators.
Q7: A nurse is participating in a quality improvement project using the PDSA cycle. What does
the "S" in PDSA represent?
• A. Standardize
• B. Study. [CORRECT]
• C. Sustain
• D. Survey
Rationale: PDSA stands for Plan-Do-Study-Act (B). The Study phase involves analyzing the
data collected during the Do phase to determine if the change resulted in improvement. This
cyclical methodology allows for small-scale testing of changes before full implementation.
Q8: A new graduate nurse is confused about the difference between quality improvement and
nursing research. Which statement best distinguishes these two activities?
• A. Research tests hypotheses to generate new knowledge; quality improvement tests
changes to improve local processes. [CORRECT]
• B. Quality improvement requires IRB approval; research does not
• C. Research is conducted only by PhD-prepared nurses; quality improvement is
conducted by staff nurses
• D. Quality improvement generates generalizable knowledge; research improves local care