NR 222 EXAM 1 PRACTICE QUESTIONS AND ANSWERS | COMPLETE NR
222 EXAM 1 PRACTICE TEST STUDY GUIDE 2026/2027
You are participating in a clinical care coordination conference for a patient with terminal cancer. You talk
with your colleagues about using the nursing code of ethics for professional registered nurses to guide
care decisions. A no nursing colleague asks about this code. Which of the following statements best
describes this code?
A. Improves self-health care
B. Protects the patient's confidentiality
C. Ensures identical care to all patients
D. Defines the principles of right and wrong to provide patient care - ANS ✔✔D. Defines the principles of
right and wrong to provide patient care
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 for your patients. The code serves as a guide for carrying out
nursing responsibilities to provide quality nursing care and the ethical obligations of the profession.
An 18-year-old woman is in the emergency department with fever and cough. The nurse obtains her vital
signs, auscultates her lung sounds, listens to her heart sounds, determines her level of comfort, and
collects blood and sputum samples for analysis. Which standard of practice is performed?
A. Diagnosis
B. Evaluation
C. Assessment
D. Implementation - ANS ✔✔C. Assessment
Assessment is the collection of comprehensive data pertinent to the patient's health and/or the
situation.
A patient in the emergency department has developed wheezing and shortness of breath. The nurse
gives the ordered medicated nebulizer treatment now and in 4 hours. Which standard of practice is
performed?
A. Planning
B. Evaluation
C. Assessment
D. Implementation - ANS ✔✔D. Implementation
Implementation is completing coordinating care and the prescribed plan of care.
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 the family. The
nurse is acting as the patient's:
,A. Educator
B. Advocate
C. Caregiver
D. Case manager - ANS ✔✔B. Advocate
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 or not to accept a
treatment or find an interpreter to help family members communicate their concerns.
Evidence-based practice is defined as:
A. Nursing care based on tradition
B. Scholarly inquiry of nursing and biomedical research literature
C. A problem-solving approach that integrates best current evidence with clinical practice
D. Quality nursing care provided in an efficient and economically sound manner - ANS ✔✔C. A problem-
solving approach that integrates best current evidence with clinical practice
Evidence-based practice integrates best current evidence with clinical expertise and patient/family
preferences and values for delivery of optimal health care.
The examination for registered nurse licensure is exactly the same in every state in the United States.
This examination:
A. Guarantees safe nursing care for all patients
B. Ensures standard nursing care for all patients
C. Ensures that honest and ethical care is provided
D. Provides a minimal standard of knowledge for a registered nurse in practice - ANS ✔✔D. Provides a
minimal standard of knowledge for a registered nurse in practice
Registered nurse (RN) candidates must pass the NCLEX-RN® that the individual State Boards of Nursing
administer. Regardless of educational preparation, the examination for RN licensure is exactly the same
in every state in the United States. This provides a standardized minimum knowledge base for nurses.
Contemporary nursing requires that the nurse has knowledge and skills for a variety of professional roles
and responsibilities. Which of the following are examples? (Select all that apply.)
A. Caregiver
B. Autonomy and accountability
C. Patient advocate
D. Health promotion
E. Lobbyist - ANS ✔✔A. Caregiver
B. Autonomy and accountability
C. Patient advocate
D. Health promotion
E. Lobbyist
, Each of these roles includes activities for the professional nurse. Each of these is used in direct care or is
part of professionalism that guides nursing practice. Some nurses are lobbyists, but being a lobbyist is
not expected of all professional nurses
Advanced practice registered nurses generally:
A. Function independently
B. Function as unit directors
C. Work in acute care settings
D. Work in the university setting - ANS ✔✔A. Function independently
Advanced practice registered nurse functions independently as a clinician, educator, case manager,
consultant, and researcher within his or her area of practice to plan or improve the quality of nursing
care for the patient and family.
Health care reform will bring changes in the emphasis of care. Which of the following models is expected
from health care reform?
A. Moving from an acute illness to a health promotion, illness prevention model
B. Moving from illness prevention to a health promotion model
C. Moving from an acute illness to a disease management model
D. Moving from a chronic care to an illness prevention model - ANS ✔✔A. Moving from an acute illness
to a health promotion, illness prevention model
Health care reform also affects how health care is delivered. There is greater emphasis on health
promotion, disease prevention, and management of illness.
Which of the following nursing roles may have prescriptive authority in their practice? (Select all that
apply.)
A. Critical care nurse
B. Nurse practitioner
C. Certified clinical nurse specialist
D. Charge nurse - ANS ✔✔B. Nurse practitioner
Nurse practitioners and certified clinical nurse specialists encompass the role and preparation of the
advanced practice registered nurse. According to the American Nurses Association standards of practice,
prescriptive authority may be granted to these nurses.
A critical care nurse is using a computerized decision support system to correctly position her ventilated
patients to reduce pneumonia caused by accumulated respiratory secretions. This is an example of which
Quality and Safety in the Education of Nurses (QSEN) competency?
A. Patient-centered care
B. Safety
C. Teamwork and collaboration
D. Informatics - ANS ✔✔D. Informatics
222 EXAM 1 PRACTICE TEST STUDY GUIDE 2026/2027
You are participating in a clinical care coordination conference for a patient with terminal cancer. You talk
with your colleagues about using the nursing code of ethics for professional registered nurses to guide
care decisions. A no nursing colleague asks about this code. Which of the following statements best
describes this code?
A. Improves self-health care
B. Protects the patient's confidentiality
C. Ensures identical care to all patients
D. Defines the principles of right and wrong to provide patient care - ANS ✔✔D. Defines the principles of
right and wrong to provide patient care
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 for your patients. The code serves as a guide for carrying out
nursing responsibilities to provide quality nursing care and the ethical obligations of the profession.
An 18-year-old woman is in the emergency department with fever and cough. The nurse obtains her vital
signs, auscultates her lung sounds, listens to her heart sounds, determines her level of comfort, and
collects blood and sputum samples for analysis. Which standard of practice is performed?
A. Diagnosis
B. Evaluation
C. Assessment
D. Implementation - ANS ✔✔C. Assessment
Assessment is the collection of comprehensive data pertinent to the patient's health and/or the
situation.
A patient in the emergency department has developed wheezing and shortness of breath. The nurse
gives the ordered medicated nebulizer treatment now and in 4 hours. Which standard of practice is
performed?
A. Planning
B. Evaluation
C. Assessment
D. Implementation - ANS ✔✔D. Implementation
Implementation is completing coordinating care and the prescribed plan of care.
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 the family. The
nurse is acting as the patient's:
,A. Educator
B. Advocate
C. Caregiver
D. Case manager - ANS ✔✔B. Advocate
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 or not to accept a
treatment or find an interpreter to help family members communicate their concerns.
Evidence-based practice is defined as:
A. Nursing care based on tradition
B. Scholarly inquiry of nursing and biomedical research literature
C. A problem-solving approach that integrates best current evidence with clinical practice
D. Quality nursing care provided in an efficient and economically sound manner - ANS ✔✔C. A problem-
solving approach that integrates best current evidence with clinical practice
Evidence-based practice integrates best current evidence with clinical expertise and patient/family
preferences and values for delivery of optimal health care.
The examination for registered nurse licensure is exactly the same in every state in the United States.
This examination:
A. Guarantees safe nursing care for all patients
B. Ensures standard nursing care for all patients
C. Ensures that honest and ethical care is provided
D. Provides a minimal standard of knowledge for a registered nurse in practice - ANS ✔✔D. Provides a
minimal standard of knowledge for a registered nurse in practice
Registered nurse (RN) candidates must pass the NCLEX-RN® that the individual State Boards of Nursing
administer. Regardless of educational preparation, the examination for RN licensure is exactly the same
in every state in the United States. This provides a standardized minimum knowledge base for nurses.
Contemporary nursing requires that the nurse has knowledge and skills for a variety of professional roles
and responsibilities. Which of the following are examples? (Select all that apply.)
A. Caregiver
B. Autonomy and accountability
C. Patient advocate
D. Health promotion
E. Lobbyist - ANS ✔✔A. Caregiver
B. Autonomy and accountability
C. Patient advocate
D. Health promotion
E. Lobbyist
, Each of these roles includes activities for the professional nurse. Each of these is used in direct care or is
part of professionalism that guides nursing practice. Some nurses are lobbyists, but being a lobbyist is
not expected of all professional nurses
Advanced practice registered nurses generally:
A. Function independently
B. Function as unit directors
C. Work in acute care settings
D. Work in the university setting - ANS ✔✔A. Function independently
Advanced practice registered nurse functions independently as a clinician, educator, case manager,
consultant, and researcher within his or her area of practice to plan or improve the quality of nursing
care for the patient and family.
Health care reform will bring changes in the emphasis of care. Which of the following models is expected
from health care reform?
A. Moving from an acute illness to a health promotion, illness prevention model
B. Moving from illness prevention to a health promotion model
C. Moving from an acute illness to a disease management model
D. Moving from a chronic care to an illness prevention model - ANS ✔✔A. Moving from an acute illness
to a health promotion, illness prevention model
Health care reform also affects how health care is delivered. There is greater emphasis on health
promotion, disease prevention, and management of illness.
Which of the following nursing roles may have prescriptive authority in their practice? (Select all that
apply.)
A. Critical care nurse
B. Nurse practitioner
C. Certified clinical nurse specialist
D. Charge nurse - ANS ✔✔B. Nurse practitioner
Nurse practitioners and certified clinical nurse specialists encompass the role and preparation of the
advanced practice registered nurse. According to the American Nurses Association standards of practice,
prescriptive authority may be granted to these nurses.
A critical care nurse is using a computerized decision support system to correctly position her ventilated
patients to reduce pneumonia caused by accumulated respiratory secretions. This is an example of which
Quality and Safety in the Education of Nurses (QSEN) competency?
A. Patient-centered care
B. Safety
C. Teamwork and collaboration
D. Informatics - ANS ✔✔D. Informatics
