ATI/HESI/NCLEX PREPARATION | EVIDENCE-BASED NURSING REVIEW
BUNDLE| QUESTIONS WITH VERIFIED ANSWERS | COMPLETE
NURSING CONCEPTS, INFECTION CONTROL, ASSESSMENT & CLINICAL
SKILLS REVIEW
CHAPTER 1
1. 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 STATEMENT BEST DESCRIBES THIS CODE?
1. IMPROVES SELF-HEALTH CARE
2. PROTECTS THE PATIENT'S CONFIDENTIALITY
3. ENSURES IDENTICAL CARE TO ALL PATIENTS
4. DEFINES THE PRINCIPLES OF RIGHT AND WRONG TO PROVIDE PATIENT CARE
ANSWER>> 4. 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 AS A GUIDE TO THE ETHICAL OBLIGATIONS OF THE PROFESSION.
2. 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:
,1. EDUCATOR.
2. ADVOCATE.
3. CAREGIVER.
4. COMMUNICATOR
ANSWER>> 2. 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 TO ACCEPT A TREATMENT OR MAY FIND
AN INTERPRETER TO HELP FAMILY MEMBERS COMMUNICATE THEIR CONCERNS
3. THE NURSE SPENDS TIME WITH A PATIENT AND FAMILY REVIEWING A DRESSING CHANGE
PROCEDURE FOR THE PATIENT'S WOUND. THE PATIENT'S SPOUSE DEMONSTRATES HOW TO
CHANGE THE DRESSING. THE NURSE IS ACTING IN WHICH PROFESSIONAL ROLE?
1. EDUCATOR
2. ADVOCATE
3. CAREGIVER
4. COMMUNICATOR
ANSWER>> 1. THE NURSE IS DEMONSTRATING THE ROLE OF EDUCATOR. AN EDUCATOR
EXPLAINS CONCEPTS AND FACTS ABOUT HEALTH, DESCRIBES THE REASON FOR ROUTINE CARE
ACTIVITIES, DEMONSTRATES PROCEDURES SUCH AS HOME-CARE ACTIVITIES, REINFORCES
LEARNING OR PATIENT BEHAVIOR, AND EVALUATES THE PATIENT'S PROGRESS IN LEARNING
THROUGH RETURN DEMONSTRATION.
4. THE EXAMINATION FOR REGISTERED NURSE (RN) LICENSURE IS THE SAME IN EVERY STATE IN
THE UNITED STATES. THIS EXAMINATION:
,1. GUARANTEES SAFE NURSING CARE FOR ALL PATIENTS.
2. ENSURES STANDARD NURSING CARE FOR ALL PATIENTS.
3. PROVIDES A MINIMAL STANDARD OF KNOWLEDGE FOR AN RN IN PRACTICE.
4. GUARANTEES STANDARDIZED EDUCATION ACROSS ALL PRELICENSURE PROGRAMS.
ANSWER>> 3. 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
5. CONTEMPORARY NURSING REQUIRES THAT THE NURSE HAS KNOWLEDGE AND SKILLS FOR A
VARIETY OF PROFESSIONAL ROLES AND RESPONSIBILITIES. WHICH OF THE FOLLOWING ARE
EXAMPLES OF THESE ROLES AND RESPONSIBILITIES? (SELECT ALL THAT APPLY.)
1. CAREGIVER
2. AUTONOMY
3. PATIENT ADVOCATE
4. HEALTH PROMOTION
5. GENETIC COUNSELOR
ANSWER>> 1, 2, 3, 4. EACH OF THESE ROLES OR SKILLS INCLUDES ACTIVITIES FOR THE
PROFESSIONAL NURSE. EACH OF THESE IS USED IN DIRECT CARE OR IS PART OF THE
PROFESSIONALISM THAT GUIDES NURSING PRACTICE.
6. MATCH THE ADVANCED PRACTICE NURSE SPECIALTY WITH THE STATEMENT ABOUT THE ROLE.
1. CLINICAL NURSE
SPECIALIST
, 2. NURSE ANESTHETIST
3. NURSE PRACTITIONER
4. NURSE-MIDWIFE
A. PROVIDES INDEPENDENT CARE, INCLUDING
PREGNANCY AND GYNECOLOGICAL SERVICES
B. EXPERT CLINICIAN IN A SPECIALIZED AREA
OF PRACTICE SUCH AS ADULT DIABETES CARE
C. PROVIDES COMPREHENSIVE CARE, USUALLY IN A PRIMARY CARE SETTING, DIRECTLY
MANAGING THE MEDICAL CARE OF PATIENTS
WHO ARE HEALTHY OR HAVE CHRONIC CONDITIONS
D. PROVIDES CARE AND SERVICES UNDER THE
SUPERVISION OF AN ANESTHESIOLOGIST
ANSWER>> 1B, 2D, 3C, 4A. THE ROLE STATEMENTS DESCRIBE THE ACTIVITIES
PERFORMED AND THE ROLE OF THE ADVANCED PRACTICE NURSE SPECIALTY. NURSE MIDWIVES
CARE FOR WOMEN WHO ARE PREGNANT OR HAVE WOMEN'S HEALTH NEEDS. CLINICAL NURSE
SPECIALISTS TYPICALLY SEE HOSPITALIZED PATIENTS WITH A SPECIFIC TYPE OF ILLNESS OR
HEALTH PROBLEM. NURSE PRACTITIONERS USUALLY PRACTICE IN A PRIMARY CARE SETTING
AND CARE FOR PATIENTS WHO ARE HEALTHY OR HAVE MINOR ACUTE OR STABLE CHRONIC
CONDITIONS. CERTIFIED NURSE ANESTHETISTS CARE FOR PATIENTS DURING THE SURGICAL
EXPERIENCE AND ADMINISTER ANESTHESIA DURING SURGERY.
7. HEALTH CARE REFORM WILL BRING CHANGES IN THE EMPHASIS OF CARE. WHICH OF THESE
MODELS IS EXPECTED FROM HEALTH CARE REFORM?
1. MOVING FROM AN ACUTE ILLNESS TO A HEALTH PROMOTION, ILLNESS PREVENTION MODEL
2. MOVING FROM AN ILLNESS PREVENTION TO A HEALTH PROMOTION MODEL