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RNSG 1517: Health Care Concepts I |Comprehensive Exam
Review with Questions, Answers & Detailed Rationales
Typical Focus Areas:
• Professional Nursing Practice
• Nursing Process (ADPIE)
• Patient Safety & Quality
• Infection Control
• Mobility & Immobility
• Tissue Integrity (Skin & Wound Care)
• Nutrition
• Elimination (Urinary & Bowel)
• Oxygenation & Perfusion
• Fluid & Electrolytes
• Acid-Base Balance
• Comfort & Pain Management
• Sleep & Rest
• Sensory Perception
• Caring, Communication, and Documentation
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• Legal & Ethical Issues in Nursing
SECTION 1: FOUNDATIONS OF PROFESSIONAL NURSING
Question 1
A nurse is caring for a patient who asks about the role of the
nurse as a patient advocate. Which action best demonstrates
advocacy?
A. Explaining hospital policy to the patient and enforcing all
rules
B. Supporting the patient’s right to make informed decisions
about care
C. Encouraging the patient to follow the provider's orders
without question
D. Asking the family to make decisions for the patient
Answer: B
Rationale: Advocacy involves protecting and supporting the
patient’s rights, including the right to make informed decisions.
The nurse provides information and supports the patient's
choices, even if they differ from the family’s or provider’s
wishes.
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Question 2
A nurse is providing care for a patient from a different cultural
background. Which action demonstrates cultural competence?
A. Assuming the patient will follow traditional practices
B. Asking the patient about their values, beliefs, and
preferences regarding care
C. Treating all patients exactly the same regardless of culture
D. Avoiding discussion of cultural differences
Answer: B
Rationale: Cultural competence involves assessing and
respecting the individual patient’s values, beliefs, and
preferences rather than making assumptions. The nurse should
provide care that is culturally sensitive and individualized.
Question 3
The nurse is explaining the difference between licensure and
certification to a nursing student. Which statement is accurate?
A. Licensure is voluntary; certification is mandatory.
B. Licensure is granted by the state and is legally required to
practice.
C. Certification is required for all nursing positions.
D. Licensure is granted by the employer.
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Answer: B
Rationale: Licensure is a legal credential granted by the state
and is required to practice nursing. Certification is typically
voluntary and demonstrates advanced knowledge in a specialty
area.
Question 4
A nurse is reviewing the ANA Standards of Nursing Practice.
Which standard is being demonstrated when the nurse
develops a plan of care based on identified patient problems?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
Answer: C
Rationale: The planning standard involves developing a patient-
centered plan of care that includes goals and interventions
based on the nursing diagnoses identified during the diagnosis
phase.
Question 5
A nurse is caring for a patient who has a living will. The nurse
understands that a living will:
RNSG 1517: Health Care Concepts I |Comprehensive Exam
Review with Questions, Answers & Detailed Rationales
Typical Focus Areas:
• Professional Nursing Practice
• Nursing Process (ADPIE)
• Patient Safety & Quality
• Infection Control
• Mobility & Immobility
• Tissue Integrity (Skin & Wound Care)
• Nutrition
• Elimination (Urinary & Bowel)
• Oxygenation & Perfusion
• Fluid & Electrolytes
• Acid-Base Balance
• Comfort & Pain Management
• Sleep & Rest
• Sensory Perception
• Caring, Communication, and Documentation
, Page |2
• Legal & Ethical Issues in Nursing
SECTION 1: FOUNDATIONS OF PROFESSIONAL NURSING
Question 1
A nurse is caring for a patient who asks about the role of the
nurse as a patient advocate. Which action best demonstrates
advocacy?
A. Explaining hospital policy to the patient and enforcing all
rules
B. Supporting the patient’s right to make informed decisions
about care
C. Encouraging the patient to follow the provider's orders
without question
D. Asking the family to make decisions for the patient
Answer: B
Rationale: Advocacy involves protecting and supporting the
patient’s rights, including the right to make informed decisions.
The nurse provides information and supports the patient's
choices, even if they differ from the family’s or provider’s
wishes.
, Page |3
Question 2
A nurse is providing care for a patient from a different cultural
background. Which action demonstrates cultural competence?
A. Assuming the patient will follow traditional practices
B. Asking the patient about their values, beliefs, and
preferences regarding care
C. Treating all patients exactly the same regardless of culture
D. Avoiding discussion of cultural differences
Answer: B
Rationale: Cultural competence involves assessing and
respecting the individual patient’s values, beliefs, and
preferences rather than making assumptions. The nurse should
provide care that is culturally sensitive and individualized.
Question 3
The nurse is explaining the difference between licensure and
certification to a nursing student. Which statement is accurate?
A. Licensure is voluntary; certification is mandatory.
B. Licensure is granted by the state and is legally required to
practice.
C. Certification is required for all nursing positions.
D. Licensure is granted by the employer.
, Page |4
Answer: B
Rationale: Licensure is a legal credential granted by the state
and is required to practice nursing. Certification is typically
voluntary and demonstrates advanced knowledge in a specialty
area.
Question 4
A nurse is reviewing the ANA Standards of Nursing Practice.
Which standard is being demonstrated when the nurse
develops a plan of care based on identified patient problems?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
Answer: C
Rationale: The planning standard involves developing a patient-
centered plan of care that includes goals and interventions
based on the nursing diagnoses identified during the diagnosis
phase.
Question 5
A nurse is caring for a patient who has a living will. The nurse
understands that a living will:
