, TEST BANK FOR NURSING MANAGEMENT AND
PROFESSIONAL CONCEPT 2ND EDITION | OPEN RN |
LATEST UPDATE 2026
Part I: Chapter 1 - Overview of Management and
Professional Issues
1. A newly licensed Registered Nurse (RN) is practicing in a state where the Nurse
Practice Act has recently been amended. Which entity has the ultimate legal
authority to define the scope of nursing practice for this RN?
A. The American Nurses Association (ANA)
B. The State Legislature
C. The State Board of Nursing (SBON)
D. The facility’s Chief Nursing Officer (CNO)
•
Correct Answer: B
• Rationale: While the Board of Nursing (SBON) regulates and enforces the rules,
the State Legislature is the body that enacts the Nurse Practice Act into law,
which defines the legal scope of practice. The ANA provides professional
standards but not legal authority, and facility policies cannot override state law.
• Reference: Chapter 1.1, State Boards of Nursing and Nurse Practice Acts.
2. A nurse is explaining the "Who" of nursing practice according to the ANA's
Nursing: Scope and Standards of Practice. Which description best captures this
definition?
A. Any individual providing hands-on care to a patient.
B. Nurses who are actively employed in a clinical setting.
C. Individuals who have been educated, titled, and maintain active licensure.
D. Any healthcare worker acting under the direction of a physician.
, •
Correct Answer: C
• Rationale: The ANA defines the "who" specifically as nurses who have been
properly educated, carry the appropriate title, and maintain an active licensure
to practice.
• Reference: Chapter 1.1, Overview.
3. The ANA defines the "What" of nursing as the "diagnosis and treatment of
human responses." Which of the following is an example of a "human response"
that an RN is responsible for treating?
A. A myocardial infarction.
B. Congestive heart failure.
C. Shortness of breath related to anxiety.
D. Type 1 Diabetes Mellitus.
•
Correct Answer: C
• Rationale: Medical diagnoses (A, B, D) are treated by providers. Nursing
focuses on the human response to those conditions, such as anxiety, pain, or
difficulty breathing.
• Reference: Chapter 1.1, Overview.
4. A nurse is reviewing the ANA Standards of Professional Performance. Which
activity is specifically categorized under these standards rather than the
Standards of Practice?
A. Performing a physical assessment on a new admission.
B. Establishing a nursing diagnosis for a client with skin breakdown.
C. Engaging in scholarly inquiry and evidence-based practice.
D. Evaluating the effectiveness of a pain medication.
•
Correct Answer: C
• Rationale: The Standards of Professional Performance describe competent
behavior in the professional role, such as ethics, education, and scholarly
inquiry. Options A, B, and D are part of the nursing process (Standards of
Practice).
• Reference: Chapter 1.1, ANA’s Standards of Professional Performance.
, 5. Which document establishes the ethical framework for nursing practice across
all roles, levels, and settings in the United States?
A. The Nightingale Pledge
B. The Code of Ethics for Nurses With Interpretive Statements
C. The Patient’s Bill of Rights
D. The Hospital Association Bylaws
•
Correct Answer: B
• Rationale: The ANA’s Code of Ethics for Nurses With Interpretive
Statements is the definitive resource that sets the ethical framework for all
nursing practice in the U.S..
• Reference: Chapter 1.1, Overview.
6. A Registered Nurse moves from Wisconsin to Florida and begins working in an
Intensive Care Unit. Which statement is true regarding the nurse’s legal scope of
practice?
A. The nurse follows the Wisconsin Nurse Practice Act since that is where they were
originally licensed.
B. The nurse must follow the federal nursing standards, which are the same in every
state.
C. The nurse must legally follow the regulations set by the Florida Nurse Practice Act.
D. The nurse follows the policies of the hospital, as they override state regulations in
emergencies.
•
Correct Answer: C
• Rationale: RNs must legally follow the regulations set by the Nurse Practice
Act of the state in which they are currently providing care.
• Reference: Chapter 1.1, State Boards of Nursing and Nurse Practice Acts.
7. The ANA's Standards of Professional Practice are demonstrated through which
critical thinking model?
A. The Medical Model
B. The Nursing Process
PROFESSIONAL CONCEPT 2ND EDITION | OPEN RN |
LATEST UPDATE 2026
Part I: Chapter 1 - Overview of Management and
Professional Issues
1. A newly licensed Registered Nurse (RN) is practicing in a state where the Nurse
Practice Act has recently been amended. Which entity has the ultimate legal
authority to define the scope of nursing practice for this RN?
A. The American Nurses Association (ANA)
B. The State Legislature
C. The State Board of Nursing (SBON)
D. The facility’s Chief Nursing Officer (CNO)
•
Correct Answer: B
• Rationale: While the Board of Nursing (SBON) regulates and enforces the rules,
the State Legislature is the body that enacts the Nurse Practice Act into law,
which defines the legal scope of practice. The ANA provides professional
standards but not legal authority, and facility policies cannot override state law.
• Reference: Chapter 1.1, State Boards of Nursing and Nurse Practice Acts.
2. A nurse is explaining the "Who" of nursing practice according to the ANA's
Nursing: Scope and Standards of Practice. Which description best captures this
definition?
A. Any individual providing hands-on care to a patient.
B. Nurses who are actively employed in a clinical setting.
C. Individuals who have been educated, titled, and maintain active licensure.
D. Any healthcare worker acting under the direction of a physician.
, •
Correct Answer: C
• Rationale: The ANA defines the "who" specifically as nurses who have been
properly educated, carry the appropriate title, and maintain an active licensure
to practice.
• Reference: Chapter 1.1, Overview.
3. The ANA defines the "What" of nursing as the "diagnosis and treatment of
human responses." Which of the following is an example of a "human response"
that an RN is responsible for treating?
A. A myocardial infarction.
B. Congestive heart failure.
C. Shortness of breath related to anxiety.
D. Type 1 Diabetes Mellitus.
•
Correct Answer: C
• Rationale: Medical diagnoses (A, B, D) are treated by providers. Nursing
focuses on the human response to those conditions, such as anxiety, pain, or
difficulty breathing.
• Reference: Chapter 1.1, Overview.
4. A nurse is reviewing the ANA Standards of Professional Performance. Which
activity is specifically categorized under these standards rather than the
Standards of Practice?
A. Performing a physical assessment on a new admission.
B. Establishing a nursing diagnosis for a client with skin breakdown.
C. Engaging in scholarly inquiry and evidence-based practice.
D. Evaluating the effectiveness of a pain medication.
•
Correct Answer: C
• Rationale: The Standards of Professional Performance describe competent
behavior in the professional role, such as ethics, education, and scholarly
inquiry. Options A, B, and D are part of the nursing process (Standards of
Practice).
• Reference: Chapter 1.1, ANA’s Standards of Professional Performance.
, 5. Which document establishes the ethical framework for nursing practice across
all roles, levels, and settings in the United States?
A. The Nightingale Pledge
B. The Code of Ethics for Nurses With Interpretive Statements
C. The Patient’s Bill of Rights
D. The Hospital Association Bylaws
•
Correct Answer: B
• Rationale: The ANA’s Code of Ethics for Nurses With Interpretive
Statements is the definitive resource that sets the ethical framework for all
nursing practice in the U.S..
• Reference: Chapter 1.1, Overview.
6. A Registered Nurse moves from Wisconsin to Florida and begins working in an
Intensive Care Unit. Which statement is true regarding the nurse’s legal scope of
practice?
A. The nurse follows the Wisconsin Nurse Practice Act since that is where they were
originally licensed.
B. The nurse must follow the federal nursing standards, which are the same in every
state.
C. The nurse must legally follow the regulations set by the Florida Nurse Practice Act.
D. The nurse follows the policies of the hospital, as they override state regulations in
emergencies.
•
Correct Answer: C
• Rationale: RNs must legally follow the regulations set by the Nurse Practice
Act of the state in which they are currently providing care.
• Reference: Chapter 1.1, State Boards of Nursing and Nurse Practice Acts.
7. The ANA's Standards of Professional Practice are demonstrated through which
critical thinking model?
A. The Medical Model
B. The Nursing Process
