Mastering Adult Health
Nursing: 300 Essential
Questions Answers and
Rationales for Exam
Success
1. Which statement by a nursing student indicates an
understanding of prioritization using Maslow's
Hierarchy of Needs?
A) "I will address the patient's anxiety about surgery
before administering pain medication."
B) "I will ensure the patient's airway is patent before
addressing their need for sleep."
C) "I will complete documentation before responding to
a patient's call light."
D) "I will provide emotional support before assessing
vital signs."
Answer: B) "I will ensure the patient's airway is patent
before addressing their need for sleep."
Rationale: According to Maslow's Hierarchy, physiological
needs (airway, breathing, circulation) take priority over
,safety, love/belonging, esteem, and self-actualization. A
patent airway is the highest priority for survival.
2. How do nurses and other health care professionals
collaborate to promote best patient outcomes?
A) By working independently and documenting their
findings
B) Through QSEN competencies, including clinical
judgment, systems thinking, health equity, and ethics
C) By delegating all tasks to unlicensed assistive
personnel
D) By following provider orders without question
Answer: B) Through QSEN competencies, including
clinical judgment, systems thinking, health equity, and
ethics.
Rationale: The QSEN (Quality and Safety Education for
Nurses) competencies emphasize collaboration through
clinical judgment, systems thinking, health equity, and
ethical practice to promote best patient outcomes.
3. A nurse identifies that a postoperative patient is at
risk for falls. This is an example of which type of
nursing diagnosis?
,A) Actual
B) Risk
C) Wellness
D) Collaborative
Answer: B) Risk
Rationale: A risk nursing diagnosis describes a human
response to health conditions that may develop in a
vulnerable individual. "Risk for falls" indicates the patient
is susceptible to falls but has not yet experienced one.
4. A medical-surgical nurse is aware of the scope of
practice as defined by the state where the nurse
provides care. The nurse's compliance with the nurse
practice act demonstrates adherence to which of the
following?
A) National Council of Nursings guidelines for care
B) National League for Nursings Code of Conduct
C) American Nurses Associations Social Policy Statement
D) Department of Health and Human Services White
Paper on Nursing
Answer: C) American Nurses Associations Social Policy
Statement
, Rationale: Nurses have a responsibility to carry out their
role as described in the Social Policy Statement, which
defines nursing's scope of practice.
5. A nurse is speaking to a group of prospective
nursing students about what it is like to be a nurse.
What is one characteristic the nurse would cite as
necessary to possess to be an effective nurse?
A) Sensitivity to cultural differences
B) Team-focused approach to problem-solving
C) Strict adherence to routine
D) Ability to face criticism
Answer: A) Sensitivity to cultural differences
Rationale: To promote an effective nurse-patient
relationship and positive outcomes of care, nursing care
must be culturally competent, appropriate, and sensitive
to cultural differences.
6. A group of nursing students are participating in a
community health clinic. When providing care in this
context, what should the students teach participants
about disease prevention?
Nursing: 300 Essential
Questions Answers and
Rationales for Exam
Success
1. Which statement by a nursing student indicates an
understanding of prioritization using Maslow's
Hierarchy of Needs?
A) "I will address the patient's anxiety about surgery
before administering pain medication."
B) "I will ensure the patient's airway is patent before
addressing their need for sleep."
C) "I will complete documentation before responding to
a patient's call light."
D) "I will provide emotional support before assessing
vital signs."
Answer: B) "I will ensure the patient's airway is patent
before addressing their need for sleep."
Rationale: According to Maslow's Hierarchy, physiological
needs (airway, breathing, circulation) take priority over
,safety, love/belonging, esteem, and self-actualization. A
patent airway is the highest priority for survival.
2. How do nurses and other health care professionals
collaborate to promote best patient outcomes?
A) By working independently and documenting their
findings
B) Through QSEN competencies, including clinical
judgment, systems thinking, health equity, and ethics
C) By delegating all tasks to unlicensed assistive
personnel
D) By following provider orders without question
Answer: B) Through QSEN competencies, including
clinical judgment, systems thinking, health equity, and
ethics.
Rationale: The QSEN (Quality and Safety Education for
Nurses) competencies emphasize collaboration through
clinical judgment, systems thinking, health equity, and
ethical practice to promote best patient outcomes.
3. A nurse identifies that a postoperative patient is at
risk for falls. This is an example of which type of
nursing diagnosis?
,A) Actual
B) Risk
C) Wellness
D) Collaborative
Answer: B) Risk
Rationale: A risk nursing diagnosis describes a human
response to health conditions that may develop in a
vulnerable individual. "Risk for falls" indicates the patient
is susceptible to falls but has not yet experienced one.
4. A medical-surgical nurse is aware of the scope of
practice as defined by the state where the nurse
provides care. The nurse's compliance with the nurse
practice act demonstrates adherence to which of the
following?
A) National Council of Nursings guidelines for care
B) National League for Nursings Code of Conduct
C) American Nurses Associations Social Policy Statement
D) Department of Health and Human Services White
Paper on Nursing
Answer: C) American Nurses Associations Social Policy
Statement
, Rationale: Nurses have a responsibility to carry out their
role as described in the Social Policy Statement, which
defines nursing's scope of practice.
5. A nurse is speaking to a group of prospective
nursing students about what it is like to be a nurse.
What is one characteristic the nurse would cite as
necessary to possess to be an effective nurse?
A) Sensitivity to cultural differences
B) Team-focused approach to problem-solving
C) Strict adherence to routine
D) Ability to face criticism
Answer: A) Sensitivity to cultural differences
Rationale: To promote an effective nurse-patient
relationship and positive outcomes of care, nursing care
must be culturally competent, appropriate, and sensitive
to cultural differences.
6. A group of nursing students are participating in a
community health clinic. When providing care in this
context, what should the students teach participants
about disease prevention?