NR 547 Chamberlain Final Exam Mastery Guide 2026/2027: Definitive Exam Preparation: Complete Study Guide, Targeted Practice Questions, and Final Test Bank Review

A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should be included as restorative care services? (Select all that apply) A. Home health care B. Rehabilitation facilities C. Diagnostic centers D. Skilled nursing facilities E. Oncology centers Correct Answer: A, B, D Rationale: Restorative care focuses on helping clients regain function or maintain optimal health after illness or injury. Home health care provides ongoing recovery support in the community. Rehabilitation facilities specialize in restoring physical, cognitive, or functional abilities after injury or illness. Skilled nursing facilities also provide restorative services for clients requiring continued recovery or long-term support. Diagnostic centers and oncology centers primarily focus on diagnosis and disease treatment rather than restoration of function. Question 2: Which healthcare financing mechanisms are federally funded? (Select all that apply) A. Preferred provider organization (PPO) B. Medicare C. Long-term care insurance D. Exclusive provider organization (EPO) E. Medicaid Correct Answer: B, E Rationale: Medicare and Medicaid are federally funded government programs designed to provide healthcare coverage for eligible populations such as older adults, low-income individuals, and certain disabled clients. PPOs, EPOs, and private longterm care insurance are private or employer-based insurance models and are not federally funded. Question 3: A nurse manager is developing strategies to address obesity in the population. Which intervention represents a primary health care strategy? A. Obesity screening during routine visits B. Providing bariatric rehabilitation beds C. Teaching surgical staff about bariatric procedures D. Educating nurses about postoperative complications Correct Answer: A. Obesity screening during routine visits Rationale: Primary prevention focuses on early detection and prevention before disease progression. Routine screening during primary care visits allows early identification and intervention for obesity risk. The other options focus on secondary or tertiary care, which involve treatment, rehabilitation, or complication management. Question 4: Which responsibility is specifically associated with state nursing licensing boards? A. Monitoring evidence-based practice B. Ensuring provider compliance with regulations C. Setting facility accreditation standards D. Approving medication safety for administration Correct Answer: B. Ensuring provider compliance with regulations Rationale: State licensing boards regulate nursing practice by ensuring healthcare providers comply with professional standards and state laws. Evidence-based practice monitoring and accreditation are typically handled by professional organizations and accrediting bodies, while medication safety falls under agencies like the FDA. Question 5: A nurse is caring for multiple clients. Which situations require referral to a social worker? (Select all that apply) A. Request for hospice care at home B. Asking about community resources for older adults C. Requesting baptism before surgery D. Request for an electric wheelchair after discharge E. Difficulty understanding nebulizer use Correct Answer: A, B, D Rationale: Social workers assist with psychosocial support, discharge planning, financial resources, and access to community services. Hospice care coordination, community resource access, and durable medical equipment needs fall under their role. Spiritual needs and medication teaching are addressed by chaplains or nurses. Question 6: A client with rheumatoid arthritis has difficulty self-feeding. Which interprofessional referral is most appropriate? A. Social worker B. Nursing assistant C. Registered dietitian D. Occupational therapist Correct Answer: D. Occupational therapist Rationale: Occupational therapists specialize in improving daily living activities such as feeding, dressing, and grooming through adaptive devices and techniques. Dietitians focus on nutrition, while social workers address psychosocial needs, and nursing assistants provide direct care but do not design adaptive strategies. Question 7: Which healthcare team members can help a postoperative client understand medication effects? (Select all that apply) A. Provider B. Certified nursing assistant C. Pharmacist D. Registered nurse E. Respiratory therapist Correct Answer: A, C, D Rationale: Providers prescribe medications and explain treatment plans. Pharmacists specialize in drug mechanisms, side effects, and interactions. Registered nurses reinforce teaching and monitor patient response. Nursing assistants and respiratory therapists do not provide medication education. Question 8: A client with dysphagia after a stroke should be referred to which professional? A. Social worker B. Nursing assistant C. Occupational therapist D. Speech-language pathologist Correct Answer: D. Speech-language pathologist Rationale: Speech-language pathologists assess and treat swallowing disorders (dysphagia) and communication impairments. They determine safe swallowing techniques and diet modifications. Other team members may support care but do not manage swallowing rehabilitation. Question 9: A client refuses surgery despite coronary artery blockages. This decision reflects which ethical principle? A. Fidelity B. Autonomy C. Justice D. Nonmaleficence Correct Answer: B. Autonomy Rationale: Autonomy respects a client’s right to make independent healthcare decisions, even if refusal may increase health risks. Fidelity refers to keeping promises, justice to fairness, and nonmaleficence to avoiding harm. Question 10: A nurse administers pain medication before ambulation. This action reflects which ethical principle? A. Fidelity B. Autonomy C. Justice D. Beneficence Correct Answer: D. Beneficence Rationale: Beneficence involves actions that promote good and support client wellbeing, such as preventing pain during movement. It differs from autonomy (choice), justice (fairness), and fidelity (trust and commitment).