Nurs Q&A | Nursing
1. Which of the following best describes the primary purpose of the State
Nurse Practice Act?
A) To establish the ethical code of conduct for all healthcare professionals
B) To regulate professional nursing practice and protect the public
C) To determine the salary and working conditions for registered nurses
D) To set the curriculum standards for all nursing education programs
Correct Answer: To regulate professional nursing practice and protect the
public
Rationale: The State Nurse Practice Act is legislation enacted by each state
to define the scope of nursing practice, establish licensure requirements, and
protect public safety. It grants authority to state boards of nursing to enforce
regulations. While ethics and education are related, the Act's primary legal
purpose is regulation and public protection.
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2. What is the primary function of the American Nurses Association (ANA)?
A) To accredit nursing education programs across the United States
B) To develop and publish standards of practice for the nursing profession
C) To license individual registered nurses in each state
D) To provide direct patient care in underserved communities
Correct Answer: To develop and publish standards of practice for the nursing
profession
,Rationale: The ANA is a professional organization that advances the nursing
profession by establishing standards of practice, promoting ethical conduct,
and advocating for nurses. State boards of nursing handle licensure, and
accreditation is managed by other bodies. The ANA's standards guide safe,
ethical, and competent nursing care.
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3. According to Benner's stages of nursing proficiency, which stage describes
a nurse who can see the "big picture" and responds with intuitive, holistic
understanding?
A) Novice
B) Advanced Beginner
C) Proficient
D) Expert
Correct Answer: Expert
Rationale: Benner's model describes five stages from novice to expert. The
Expert stage is characterized by intuitive grasp of clinical situations and the
ability to recognize patterns without wasting time on analytical reasoning.
Proficient nurses see the big picture but still rely on analytical thinking, while
novices follow rigid rules.
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4. Which nursing theorist is best known for the Environmental Theory, which
emphasized fresh air, cleanliness, and proper sanitation?
A) Jean Watson
B) Madeleine Leininger
,C) Florence Nightingale
D) Dorothea Orem
Correct Answer: Florence Nightingale
Rationale: Florence Nightingale's Environmental Theory focused on
manipulating the patient's environment to promote healing, including fresh
air, pure water, sanitation, and light. Her work during the Crimean War
dramatically reduced infection rates. Watson is known for caring science,
Leininger for transcultural care, and Orem for self-care deficit theory.
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5. A nurse is caring for a client who refuses a prescribed medication. The
nurse respects the client's decision after explaining the risks and benefits.
Which ethical principle is the nurse demonstrating?
A) Beneficence
B) Nonmaleficence
C) Autonomy
D) Justice
Correct Answer: Autonomy
Rationale: Autonomy refers to respecting a patient's right to make their own
healthcare decisions after receiving adequate information. The nurse
supports the client's self-determination even when the decision differs from
medical advice. Beneficence means doing good, nonmaleficence means
avoiding harm, and justice refers to fair distribution of resources.
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, 6. Which of the following tasks can be delegated to unlicensed assistive
personnel (UAP) by a registered nurse?
A) Evaluating the effectiveness of a pain management intervention
B) Performing a comprehensive admission assessment
C) Assisting a patient with ambulation and hygiene
D) Teaching a patient about a new diabetes medication
Correct Answer: Assisting a patient with ambulation and hygiene
Rationale: UAP can perform tasks that do not require nursing judgment, such
as basic hygiene, ambulation, and feeding. The RN cannot delegate tasks
that involve assessment, evaluation, teaching, or nursing judgment. The
mnemonic "EEAT" (Evaluate, Assess, Treat) reminds nurses what UAP cannot
do.
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7. According to the ANA Code of Ethics, what is the nurse's primary
commitment?
A) To the healthcare institution employing the nurse
B) To the physician's orders and treatment plan
C) To the patient, whether an individual, family, group, or community
D) To advancing nursing research and scholarship
Correct Answer: To the patient, whether an individual, family, group, or
community