NSG 310 Exam 3 - Introduction to Professional Nursing Comprehensive Review Examination
NSG 310 Exam 3
Introduction to Professional Nursing
Comprehensive Review Examination
100 Questions | All Topics | Random Distribution
Instructions: Select the best answer for each question. Each question has four answer choices (A, B, C, D). Only one
answer is correct. Read each question carefully before selecting your response.
1. A nurse is caring for a patient who has difficulty performing self-care activities following a stroke. The nurse
provides partial assistance while encouraging the patient to do as much as possible independently. Which Orem
nursing system is being implemented?
A. Wholly compensatory system, because the nurse performs all self-care activities for the patient
B. Partially compensatory system, because both the nurse and patient perform self-care measures
[CORRECT]
C. Supportive-educative system, because the nurse teaches the patient to perform self-care independently
D. Wholly compensatory system, because the patient cannot perform any self-care activities safely
Correct Answer: B
Rationale: Correct because the partially compensatory nursing system involves both the nurse and the patient
performing self-care activities, with the nurse compensating for the patient's limitations. This matches Orem's
definition of the partially compensatory system as appropriate when the patient can perform some but not all
self-care actions.
Scenario Clinical Scenario
2. The hospital's risk management department becomes involved in the case. Which statement best describes the
primary purpose of a risk management program in a healthcare organization?
A. Punishing nurses who make medication errors to prevent future occurrences
B. Identifying, evaluating, and reducing risks to patients, staff, and visitors through systematic analysis
[CORRECT]
C. Providing legal defense for the organization against all malpractice lawsuits filed by patients
D. Eliminating the need for individual professional liability insurance for nursing staff
Correct Answer: B
Rationale: Correct because risk management programs focus on proactive identification and mitigation of potential
risks through quality improvement, incident reporting, and systematic analysis of adverse events. This matches the
standard definition of healthcare risk management and supports patient safety initiatives.
3. Which healthcare reimbursement model pays healthcare providers a fixed amount per patient per year
regardless of the services provided?
1
, NSG 310 Exam 3 - Introduction to Professional Nursing Comprehensive Review Examination
A. Fee-for-service reimbursement model
B. Capitation payment model [CORRECT]
C. Value-based purchasing model
D. Diagnosis-related group (DRG) payment model
Correct Answer: B
Rationale: Correct because capitation is a payment model where providers receive a fixed amount per enrolled patient
per period, regardless of the volume or type of services delivered. This matches the definition of capitation as a
prospective payment method used in managed care organizations.
4. Which component of the SBAR communication tool involves stating the current situation and reason for
communication?
A. S (Situation) involves describing what is currently happening [CORRECT]
B. B (Background) involves explaining the patient's medical history and relevant context
C. A (Assessment) involves sharing the nurse's clinical judgment about the situation
D. R (Recommendation) involves suggesting specific actions or requests
Correct Answer: A
Rationale: Correct because the Situation component of SBAR is a concise statement describing what is happening
right now and the reason for the communication. This matches the standard SBAR communication framework
developed by the U.S. Navy and adopted by healthcare for standardized handoff communication.
Scenario Clinical Scenario
5. The nurse decides to speak with the hospital's ethics committee about this case. Which role does the ethics
committee serve in this situation?
A. Making the final decision about withdrawing life support regardless of family wishes
B. Providing a structured forum for examining ethical dimensions and facilitating resolution of moral
conflicts [CORRECT]
C. Replacing the legal authority of the designated healthcare proxy in all end-of-life decisions
D. Enforcing institutional policies about organ donation timelines and protocols
Correct Answer: B
Rationale: Correct because ethics committees serve as advisory bodies that provide a structured, multidisciplinary
approach to analyzing ethical dilemmas and facilitating dialogue among stakeholders. This matches the standard role
of institutional ethics committees in acute care settings and supports the ANA Code of Ethics regarding ethical
decision-making processes.
Clinical Mini-Case: Patient Rights and Informed Consent
6. A 54-year-old patient is scheduled for a colonoscopy. The physician explains the procedure, risks, benefits, and
alternatives. The patient signs the consent form. Ten minutes before the procedure, the patient says, 'I changed my
mind. I don't want to do this.' Which action by the nurse is most appropriate?
A. Remind the patient that they already signed the consent form and cannot back out
B. Notify the physician and document the patient's withdrawal of consent [CORRECT]
C. Proceed with the procedure since the consent form has already been signed
D. Explain to the patient that they will need to wait six months to reschedule
2
, NSG 310 Exam 3 - Introduction to Professional Nursing Comprehensive Review Examination
Correct Answer: B
Rationale: Correct because informed consent is a continuous process and patients have the right to withdraw consent
at any time before a procedure. Priority is respecting patient autonomy and notifying the physician immediately
about the withdrawal of consent.
7. Which statement best describes the nursing research dissemination process?
A. Research dissemination refers exclusively to publishing findings in peer-reviewed academic journals
B. Research dissemination involves communicating research findings through multiple channels
including publications, presentations, and clinical integration [CORRECT]
C. Research dissemination occurs only after a study has been replicated and verified by multiple
independent researchers
D. Research dissemination is the process of collecting data from study participants through surveys and
interviews
Correct Answer: B
Rationale: Correct because research dissemination involves sharing research findings with the broader nursing and
healthcare community through publications, conferences, clinical guidelines, and policy briefs to translate evidence
into practice. This matches the definition of knowledge translation and dissemination in nursing science.
8. A nurse is uncertain about whether a specific nursing intervention falls within their scope of practice. Which
resource should the nurse consult first?
A. The hospital policy and procedure manual
B. The state Nurse Practice Act and Board of Nursing position statements [CORRECT]
C. A colleague who has performed the intervention before without negative consequences
D. The physician who ordered the intervention for the patient
Correct Answer: B
Rationale: Correct because the Nurse Practice Act and Board of Nursing position statements are the primary legal
references for determining scope of practice. This matches the recommended best practice for nurses facing
scope-of-practice questions in any clinical setting.
9. Which contribution of Florence Nightingale had the most significant and lasting impact on modern nursing
practice?
A. Establishing the first baccalaureate nursing program in the United States
B. Introducing the concept that environmental factors directly influence patient outcomes and recovery
[CORRECT]
C. Developing the first nursing theory specific to psychiatric and mental health nursing
D. Creating the first standardized nursing licensure examination process
Correct Answer: B
Rationale: Correct because Nightingale's Environmental Theory established the foundational concept that
manipulating the patient's environment (ventilation, light, warmth, cleanliness, noise) promotes healing. This matches
the core tenet of her work during the Crimean War and remains the basis for modern evidence-based practice in
patient care environments.
Scenario Clinical Scenario
3
NSG 310 Exam 3
Introduction to Professional Nursing
Comprehensive Review Examination
100 Questions | All Topics | Random Distribution
Instructions: Select the best answer for each question. Each question has four answer choices (A, B, C, D). Only one
answer is correct. Read each question carefully before selecting your response.
1. A nurse is caring for a patient who has difficulty performing self-care activities following a stroke. The nurse
provides partial assistance while encouraging the patient to do as much as possible independently. Which Orem
nursing system is being implemented?
A. Wholly compensatory system, because the nurse performs all self-care activities for the patient
B. Partially compensatory system, because both the nurse and patient perform self-care measures
[CORRECT]
C. Supportive-educative system, because the nurse teaches the patient to perform self-care independently
D. Wholly compensatory system, because the patient cannot perform any self-care activities safely
Correct Answer: B
Rationale: Correct because the partially compensatory nursing system involves both the nurse and the patient
performing self-care activities, with the nurse compensating for the patient's limitations. This matches Orem's
definition of the partially compensatory system as appropriate when the patient can perform some but not all
self-care actions.
Scenario Clinical Scenario
2. The hospital's risk management department becomes involved in the case. Which statement best describes the
primary purpose of a risk management program in a healthcare organization?
A. Punishing nurses who make medication errors to prevent future occurrences
B. Identifying, evaluating, and reducing risks to patients, staff, and visitors through systematic analysis
[CORRECT]
C. Providing legal defense for the organization against all malpractice lawsuits filed by patients
D. Eliminating the need for individual professional liability insurance for nursing staff
Correct Answer: B
Rationale: Correct because risk management programs focus on proactive identification and mitigation of potential
risks through quality improvement, incident reporting, and systematic analysis of adverse events. This matches the
standard definition of healthcare risk management and supports patient safety initiatives.
3. Which healthcare reimbursement model pays healthcare providers a fixed amount per patient per year
regardless of the services provided?
1
, NSG 310 Exam 3 - Introduction to Professional Nursing Comprehensive Review Examination
A. Fee-for-service reimbursement model
B. Capitation payment model [CORRECT]
C. Value-based purchasing model
D. Diagnosis-related group (DRG) payment model
Correct Answer: B
Rationale: Correct because capitation is a payment model where providers receive a fixed amount per enrolled patient
per period, regardless of the volume or type of services delivered. This matches the definition of capitation as a
prospective payment method used in managed care organizations.
4. Which component of the SBAR communication tool involves stating the current situation and reason for
communication?
A. S (Situation) involves describing what is currently happening [CORRECT]
B. B (Background) involves explaining the patient's medical history and relevant context
C. A (Assessment) involves sharing the nurse's clinical judgment about the situation
D. R (Recommendation) involves suggesting specific actions or requests
Correct Answer: A
Rationale: Correct because the Situation component of SBAR is a concise statement describing what is happening
right now and the reason for the communication. This matches the standard SBAR communication framework
developed by the U.S. Navy and adopted by healthcare for standardized handoff communication.
Scenario Clinical Scenario
5. The nurse decides to speak with the hospital's ethics committee about this case. Which role does the ethics
committee serve in this situation?
A. Making the final decision about withdrawing life support regardless of family wishes
B. Providing a structured forum for examining ethical dimensions and facilitating resolution of moral
conflicts [CORRECT]
C. Replacing the legal authority of the designated healthcare proxy in all end-of-life decisions
D. Enforcing institutional policies about organ donation timelines and protocols
Correct Answer: B
Rationale: Correct because ethics committees serve as advisory bodies that provide a structured, multidisciplinary
approach to analyzing ethical dilemmas and facilitating dialogue among stakeholders. This matches the standard role
of institutional ethics committees in acute care settings and supports the ANA Code of Ethics regarding ethical
decision-making processes.
Clinical Mini-Case: Patient Rights and Informed Consent
6. A 54-year-old patient is scheduled for a colonoscopy. The physician explains the procedure, risks, benefits, and
alternatives. The patient signs the consent form. Ten minutes before the procedure, the patient says, 'I changed my
mind. I don't want to do this.' Which action by the nurse is most appropriate?
A. Remind the patient that they already signed the consent form and cannot back out
B. Notify the physician and document the patient's withdrawal of consent [CORRECT]
C. Proceed with the procedure since the consent form has already been signed
D. Explain to the patient that they will need to wait six months to reschedule
2
, NSG 310 Exam 3 - Introduction to Professional Nursing Comprehensive Review Examination
Correct Answer: B
Rationale: Correct because informed consent is a continuous process and patients have the right to withdraw consent
at any time before a procedure. Priority is respecting patient autonomy and notifying the physician immediately
about the withdrawal of consent.
7. Which statement best describes the nursing research dissemination process?
A. Research dissemination refers exclusively to publishing findings in peer-reviewed academic journals
B. Research dissemination involves communicating research findings through multiple channels
including publications, presentations, and clinical integration [CORRECT]
C. Research dissemination occurs only after a study has been replicated and verified by multiple
independent researchers
D. Research dissemination is the process of collecting data from study participants through surveys and
interviews
Correct Answer: B
Rationale: Correct because research dissemination involves sharing research findings with the broader nursing and
healthcare community through publications, conferences, clinical guidelines, and policy briefs to translate evidence
into practice. This matches the definition of knowledge translation and dissemination in nursing science.
8. A nurse is uncertain about whether a specific nursing intervention falls within their scope of practice. Which
resource should the nurse consult first?
A. The hospital policy and procedure manual
B. The state Nurse Practice Act and Board of Nursing position statements [CORRECT]
C. A colleague who has performed the intervention before without negative consequences
D. The physician who ordered the intervention for the patient
Correct Answer: B
Rationale: Correct because the Nurse Practice Act and Board of Nursing position statements are the primary legal
references for determining scope of practice. This matches the recommended best practice for nurses facing
scope-of-practice questions in any clinical setting.
9. Which contribution of Florence Nightingale had the most significant and lasting impact on modern nursing
practice?
A. Establishing the first baccalaureate nursing program in the United States
B. Introducing the concept that environmental factors directly influence patient outcomes and recovery
[CORRECT]
C. Developing the first nursing theory specific to psychiatric and mental health nursing
D. Creating the first standardized nursing licensure examination process
Correct Answer: B
Rationale: Correct because Nightingale's Environmental Theory established the foundational concept that
manipulating the patient's environment (ventilation, light, warmth, cleanliness, noise) promotes healing. This matches
the core tenet of her work during the Crimean War and remains the basis for modern evidence-based practice in
patient care environments.
Scenario Clinical Scenario
3
