Chamberlain University
1 MAXE · 222 RN
★ ★
C College of Nursing & Public Health
EST. 1889
E X C E L L E N C E · I N N O V AT I O N · I N T E G R I T Y · W O R L D C L A S S S E R V I C E
NR 222 Exam 1 — Chamberlain University
FO U N DAT I O N S O F N U RS I N G P RACT I C E
INSTITUTION Chamberlain University COURSE CODE NR 222
PROGRAM Bachelor of Science in Nursing ACADEMIC YEAR
EXAM TITLE NR 222 Exam 1 — Chamberlain TOTAL QUESTIONS 158 Questions
University
COURSE TITLE Foundations of Nursing Practice FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question unless otherwise instructed.
▸ All questions are based on nursing fundamentals, ethics, health promotion, and developmental
theories.
▸ Correct answers and clinical rationales appear below each question.
▸ Select all that apply (SATA) questions require all correct options to be selected.
▸ Use the rationales to reinforce key nursing concepts and evidence-based practice.
, SECTION I — NURSING FUNDAMENTALS & PRACTICE Questions 1 – 158
1. According to Benner's Model of Novice to Expert, a nurse who has been in practice for 2-3
years and can see the "big picture" and plan for future events is at which level?
A. Novice
B. Advanced Beginner
C. Competent
D. Proficient
E. Expert
CORRECT ANSWER D — Proficient
RATIONALE According to Benner's Model, the Proficient level is reached after 2-3 years of
practice. At this stage, the nurse can see the "big picture" and plan for future
events, demonstrating a holistic understanding of patient care.
2. Which of the following is the correct ANA definition of nursing?
A. The protection, promotion, and optimization of health and abilities, prevention of illness
and injury, alleviation of suffering through the diagnosis and treatment of human
response, and advocacy in the care of individuals, families, communities, and populations
B. The diagnosis and treatment of disease and injury
C. The provision of comfort and care to the sick
D. The administration of medications and treatments prescribed by physicians
CORRECT ANSWER A — The protection, promotion, and optimization of health and abilities,
prevention of illness and injury, alleviation of suffering through the
diagnosis and treatment of human response, and advocacy in the care of
individuals, families, communities, and populations
RATIONALE The American Nurses Association (ANA) defines nursing as the protection,
promotion, and optimization of health and abilities, prevention of illness and
injury, alleviation of suffering through the diagnosis and treatment of human
response, and advocacy in the care of individuals, families, communities, and
populations.
,3. Which of the following is NOT one of the ANA Standards of Nursing Practice?
A. Assessment
B. Diagnosis
C. Prescription Writing
D. Planning
E. Evaluation
CORRECT ANSWER C — Prescription Writing
RATIONALE The ANA Standards of Nursing Practice include: Assessment, Diagnosis, Outcomes
Identification, Planning, Implementation, and Evaluation. Prescription writing is
not a standard of nursing practice; it falls under the scope of practice for
advanced practice registered nurses with prescriptive authority.
4. What is the essential element of professional nursing that involves the initiation of
independent nursing interventions without medical orders?
A. Accountability
B. Autonomy
C. Advocacy
D. Authority
CORRECT ANSWER B — Autonomy
RATIONALE Autonomy is an essential element of professional nursing that involves the
initiation of independent nursing interventions without medical orders. It reflects
the nurse's ability to make independent clinical judgments and decisions.
, 5. Which type of Advanced Practice Registered Nurse (APRN) provides direct client care in
primary care settings, focusing on health promotion, illness prevention, early diagnosis,
and treatment of common health problems?
A. Clinical Nurse Specialist (CNS)
B. Nurse Practitioner (NP)
C. Certified Nurse-Midwife (CNM)
D. Certified Registered Nurse Anesthetist (CRNA)
CORRECT ANSWER B — Nurse Practitioner (NP)
RATIONALE Nurse Practitioners (NPs) are APRNs who provide direct client care in primary care
settings, focusing on health promotion, illness prevention, early diagnosis, and
treatment of common health problems. They are prepared to provide
comprehensive care across the lifespan.
6. Who is recognized as the founder of modern nursing and the first practicing nurse
epidemiologist?
A. Clara Barton
B. Mary Mahoney
C. Florence Nightingale
D. Mary Adelaide Nutting
CORRECT ANSWER C — Florence Nightingale
RATIONALE Florence Nightingale is recognized as the founder of modern nursing. She started
the first organized program to train nurses and was the first practicing nurse
epidemiologist, connecting sanitation with cholera and dysentery.
1 MAXE · 222 RN
★ ★
C College of Nursing & Public Health
EST. 1889
E X C E L L E N C E · I N N O V AT I O N · I N T E G R I T Y · W O R L D C L A S S S E R V I C E
NR 222 Exam 1 — Chamberlain University
FO U N DAT I O N S O F N U RS I N G P RACT I C E
INSTITUTION Chamberlain University COURSE CODE NR 222
PROGRAM Bachelor of Science in Nursing ACADEMIC YEAR
EXAM TITLE NR 222 Exam 1 — Chamberlain TOTAL QUESTIONS 158 Questions
University
COURSE TITLE Foundations of Nursing Practice FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question unless otherwise instructed.
▸ All questions are based on nursing fundamentals, ethics, health promotion, and developmental
theories.
▸ Correct answers and clinical rationales appear below each question.
▸ Select all that apply (SATA) questions require all correct options to be selected.
▸ Use the rationales to reinforce key nursing concepts and evidence-based practice.
, SECTION I — NURSING FUNDAMENTALS & PRACTICE Questions 1 – 158
1. According to Benner's Model of Novice to Expert, a nurse who has been in practice for 2-3
years and can see the "big picture" and plan for future events is at which level?
A. Novice
B. Advanced Beginner
C. Competent
D. Proficient
E. Expert
CORRECT ANSWER D — Proficient
RATIONALE According to Benner's Model, the Proficient level is reached after 2-3 years of
practice. At this stage, the nurse can see the "big picture" and plan for future
events, demonstrating a holistic understanding of patient care.
2. Which of the following is the correct ANA definition of nursing?
A. The protection, promotion, and optimization of health and abilities, prevention of illness
and injury, alleviation of suffering through the diagnosis and treatment of human
response, and advocacy in the care of individuals, families, communities, and populations
B. The diagnosis and treatment of disease and injury
C. The provision of comfort and care to the sick
D. The administration of medications and treatments prescribed by physicians
CORRECT ANSWER A — The protection, promotion, and optimization of health and abilities,
prevention of illness and injury, alleviation of suffering through the
diagnosis and treatment of human response, and advocacy in the care of
individuals, families, communities, and populations
RATIONALE The American Nurses Association (ANA) defines nursing as the protection,
promotion, and optimization of health and abilities, prevention of illness and
injury, alleviation of suffering through the diagnosis and treatment of human
response, and advocacy in the care of individuals, families, communities, and
populations.
,3. Which of the following is NOT one of the ANA Standards of Nursing Practice?
A. Assessment
B. Diagnosis
C. Prescription Writing
D. Planning
E. Evaluation
CORRECT ANSWER C — Prescription Writing
RATIONALE The ANA Standards of Nursing Practice include: Assessment, Diagnosis, Outcomes
Identification, Planning, Implementation, and Evaluation. Prescription writing is
not a standard of nursing practice; it falls under the scope of practice for
advanced practice registered nurses with prescriptive authority.
4. What is the essential element of professional nursing that involves the initiation of
independent nursing interventions without medical orders?
A. Accountability
B. Autonomy
C. Advocacy
D. Authority
CORRECT ANSWER B — Autonomy
RATIONALE Autonomy is an essential element of professional nursing that involves the
initiation of independent nursing interventions without medical orders. It reflects
the nurse's ability to make independent clinical judgments and decisions.
, 5. Which type of Advanced Practice Registered Nurse (APRN) provides direct client care in
primary care settings, focusing on health promotion, illness prevention, early diagnosis,
and treatment of common health problems?
A. Clinical Nurse Specialist (CNS)
B. Nurse Practitioner (NP)
C. Certified Nurse-Midwife (CNM)
D. Certified Registered Nurse Anesthetist (CRNA)
CORRECT ANSWER B — Nurse Practitioner (NP)
RATIONALE Nurse Practitioners (NPs) are APRNs who provide direct client care in primary care
settings, focusing on health promotion, illness prevention, early diagnosis, and
treatment of common health problems. They are prepared to provide
comprehensive care across the lifespan.
6. Who is recognized as the founder of modern nursing and the first practicing nurse
epidemiologist?
A. Clara Barton
B. Mary Mahoney
C. Florence Nightingale
D. Mary Adelaide Nutting
CORRECT ANSWER C — Florence Nightingale
RATIONALE Florence Nightingale is recognized as the founder of modern nursing. She started
the first organized program to train nurses and was the first practicing nurse
epidemiologist, connecting sanitation with cholera and dysentery.
