Semester 1 Exam 200-Question Practice Test
with Answers & Rationales| Free Pdf Access.
Based on the search results, I can provide sample practice questions covering key topics
from this course. However, I was unable to locate a complete 200-question
exam with explanations in the search results. The materials available contain smaller
question sets (approximately 100-150 questions across various documents). Below is a
comprehensive selection of practice questions with verified answers and rationales
extracted from the available sources.
Section 1: Professional Nursing Roles & Historical
Foundations
Question 1: Which historical figure is credited with establishing the first nursing school
and professional nursing standards?
A) Clara Barton
B) Florence Nightingale
C) Dorothea Dix
D) Lillian Wald
Answer: B) Florence Nightingale
,Rationale: Florence Nightingale established the first nursing school at St. Thomas'
Hospital in London and is considered the founder of modern nursing, emphasizing
sanitation, data collection, and professional standards .
Question 2: The American Nurses Association (ANA) defines nursing as the protection,
promotion, and optimization of health and abilities, prevention of illness and injury, and:
A) Administration of all medications prescribed by physicians
B) Alleviation of suffering through the diagnosis and treatment of human response
C) Management of all healthcare facilities
D) Provision of surgical assistance in the operating room
Answer: B) Alleviation of suffering through the diagnosis and treatment of human
response
Rationale: The ANA's definition includes alleviation of suffering through the diagnosis
and treatment of human response, highlighting nursing's unique focus on patient
responses to health problems .
Question 3: Which of the following is a core competency for professional nursing
practice as identified by the Institute of Medicine (IOM)?
A) Provide patient-centered care
B) Work in interdisciplinary teams
C) Employ evidence-based practice
D) All of the above
Answer: D) All of the above
,Rationale: The IOM identified five core competencies: provide patient-centered care,
work in interdisciplinary teams, employ evidence-based practice, apply quality
improvement, and utilize informatics .
Question 4: The nurse is caring for a patient who is expressing fear about an upcoming
surgery. Which action best demonstrates the role of the nurse as a patient advocate?
A) Telling the patient that everything will be fine
B) Notifying the provider of the patient's concerns
C) Administering a PRN anxiolytic without assessment
D) Avoiding the topic to prevent further anxiety
Answer: B) Notifying the provider of the patient's concerns
Rationale: Patient advocacy involves protecting patients' rights and ensuring their
concerns are heard. Notifying the provider of the patient's expressed fears supports the
patient's autonomy and voice .
Section 2: Delegation, Nursing Process & Legal/Ethical
Principles
Question 5: What are the steps in the Nursing Process according to the ANA?
A) Assessment, Diagnosis, Outcomes Identification, Planning, Implementation,
Evaluation
B) Assessment, Planning, Implementation, Evaluation
C) Diagnosis, Planning, Implementation, Evaluation
D) Assessment, Diagnosis, Planning, Implementation, Evaluation
, Answer: A) Assessment, Diagnosis, Outcomes Identification, Planning,
Implementation, Evaluation
Rationale: The nursing process is a systematic problem-solving method that includes:
Assessment (RN collects data), Diagnosis (RN analyzes data to determine
actual/potential problems), Outcomes Identification (RN identifies expected outcomes),
Planning (RN develops strategies), Implementation (RN coordinates and delivers care),
and Evaluation (RN evaluates progress toward outcomes) .
Question 6: The nurse is preparing to delegate a task to an unlicensed assistive
personnel (UAP). Which task is appropriate to delegate?
A) Administering oral medications
B) Performing a sterile wound dressing change
C) Ambulating a stable patient
D) Assessing a patient's breath sounds
Answer: C) Ambulating a stable patient
Rationale: Delegation requires assigning tasks within the UAP's scope of practice.
Ambulating a stable patient is appropriate. Assessment, medication administration, and
sterile procedures require licensed nursing judgment and are not delegable .
Question 7: The "five rights" of delegation include:
A) Right task, right circumstance, right person, right direction/communication, right
supervision/evaluation
B) Right patient, right medication, right dose, right route, right time