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CORE DOMAINS
Professional Nursing Concepts and Standards
Nursing Theory and Frameworks
Ethical and Legal Foundations of Practice
Health Promotion and Disease Prevention
Evidence-Based Practice and Research Literacy
Health Policy and Healthcare Delivery Systems
Interprofessional Collaboration and Communication
Patient-Centered Care and Cultural Competence
TABLE OF CONTENTS
Introduction ....................................................... Page 1
Core Domains ..................................................... Page 1
Section 1: Questions 1–35 .................................... Page 2
Section 2: Questions 36–70 .................................. Page 8
Section 3: Questions 71–105 ................................ Page 14
Section 4: Questions 106–140 .............................. Page 20
Section 5: Questions 141–200 .............................. Page 26
Answer Key Summary .......................................... Page 35
, INTRODUCTION
The purpose of this comprehensive assessment is to evaluate the foundational
knowledge and clinical reasoning skills essential for students entering advanced
nursing coursework. This exam assesses mastery of core nursing concepts,
including ethical frameworks, health policy, and the application of nursing theory
to clinical practice. The questions follow a multiple-choice and scenario-based
format designed to mirror professional licensing standards. There is a heavy
emphasis on practical application and professional decision-making, requiring the
examinee to integrate theoretical knowledge with real-world healthcare challenges
to ensure safe, high-quality, and patient-centered care.
SECTION 1: QUESTIONS 1–35
Which nursing theorist is primarily associated with the "Self-Care Deficit" theory,
emphasizing that nursing is required when an individual is unable to perform self-
care?
A. Jean Watson
B. Martha Rogers
🔴 C. Dorothea Orem
D. Florence Nightingale
🔴 Explanation: Dorothea Orem’s theory focuses on the patient’s ability to perform
self-care and the nurse's role in intervening when a deficit exists.
A nurse is faced with a situation where a patient refuses a life-saving blood
transfusion due to religious beliefs. Which ethical principle is the nurse upholding
by supporting the patient's decision?
A. Beneficence
🔴 B. Autonomy
C. Justice
D. Nonmaleficence
,🔴 Explanation: Autonomy refers to the right of the patient to make their own
healthcare decisions, even if those decisions conflict with medical advice.
What is the primary focus of "Healthy People" initiatives established by the
government?
A. Increasing hospital profit margins
🔴 B. Health promotion and disease prevention
C. Training more specialized surgeons
D. Reducing the number of nursing schools
🔴 Explanation: Healthy People initiatives are national objectives aimed at
improving the health of all Americans through prevention and health promotion.
A nurse is participating in a research study and ensures that all participants have
signed a document explaining the risks and benefits. This is an example of:
🔴 A. Informed consent
B. Quantitative analysis
C. Peer review
D. Paternalism
🔴 Explanation: Informed consent is the process of providing participants with
essential information about a study so they can make a voluntary decision to join.
Which of the following is considered a "never event" in a hospital setting?
A. A patient developing a mild rash from a known allergy
🔴 B. Surgery performed on the wrong body part
C. A patient requesting a different meal
, D. A delay in discharging a patient due to transport issues
🔴 Explanation: Never events are serious, largely preventable patient safety
incidents that should never occur in a healthcare setting.
In the nursing process, which step involves the formal systematic identification of
patient problems?
A. Assessment
🔴 B. Diagnosis
C. Planning
D. Evaluation
🔴 Explanation: The nursing diagnosis phase involves analyzing assessment data to
identify actual or potential health problems.
Which document provides the legal framework for nursing practice within a
specific state?
A. The ANA Code of Ethics
🔴 B. State Nurse Practice Act
C. Hospital Policy Manual
D. The Patient's Bill of Rights
🔴 Explanation: Each state has its own Nurse Practice Act (NPA) that defines the
scope of practice and legal boundaries for nurses.
A nurse manager is using "Transformational Leadership" to improve unit morale.
What is a key characteristic of this style?
🔴 A. Inspiring and motivating staff through a shared vision