NUR 520 EXAM 2 PRACTICE EXAM
Q&A (PDF) | 2026/27 RATED A+ |
INSTANT PDF DOWNLOAD
SECTION 1: FOUNDATIONAL COMPETENCIES &
PROFESSIONAL NURSING PRACTICE (QUESTIONS 1-
15)
1. A nurse is caring for a patient who refuses a prescribed
medication. Which action best demonstrates respect for
patient autonomy?
A) Administer the medication via another route without the
patient's knowledge
B) Document the refusal and notify the healthcare provider
C) Ask a family member to convince the patient to take the
medication
D) Hide the medication in the patient's food
Correct Answer: B
Rationale: Patient autonomy is a fundamental ethical
principle that respects the patient's right to make
decisions about their own healthcare. When a patient
refuses medication, the nurse must respect that decision,
document the refusal, and notify the provider.
,Administering medication without consent or through
deception violates autonomy and constitutes battery.
2. Which of the following best defines evidence-based
practice in nursing?
A) Following traditional nursing routines passed down through
generations
B) Using clinical expertise, patient preferences, and the best
available research evidence to guide patient care
C) Implementing policies set by hospital administration without
question
D) Relying solely on physician orders for all patient care
decisions
Correct Answer: B
Rationale: Evidence-based practice integrates the best
available research evidence with clinical expertise and
patient values and preferences. It is a problem-solving
approach to clinical decision-making that moves beyond
tradition or authority.
3. The nurse is caring for a postoperative patient who
reports pain rated 8/10. Which action demonstrates
appropriate clinical judgment?
,A) Administer the prescribed PRN analgesic and reassess pain in
30 minutes
B) Tell the patient that pain is expected after surgery and to
wait
C) Document the pain report and continue with routine care
D) Call the provider for a new order without administering the
current PRN medication
Correct Answer: A
Rationale: Clinical judgment involves assessing the
patient's condition, implementing appropriate
interventions (such as administering prescribed
analgesia), and evaluating the effectiveness of those
interventions. Reassessment is a critical component of the
nursing process.
4. Who is considered the founder of modern professional
nursing?
A) Clara Barton
B) Dorothea Dix
C) Florence Nightingale
D) Lillian Wald
Correct Answer: C
, Rationale: Florence Nightingale established the first
scientifically based nursing school at St. Thomas' Hospital
in London in 1860. She defined nursing as separate from
medicine and used statistical analysis to improve
sanitation. Her work laid the foundation for professional
nursing as we know it today.
5. The American Nurses Association (ANA) was established
in which year?
A) 1860
B) 1896
C) 1911
D) 1945
Correct Answer: C
Rationale: The ANA was founded in 1911 as the national
professional organization representing all registered
nurses. It establishes the Scope and Standards of Practice
and advances nursing's professional interests.
6. Mary Eliza Mahoney, the first African American
professional nurse, co-founded which organization?
Q&A (PDF) | 2026/27 RATED A+ |
INSTANT PDF DOWNLOAD
SECTION 1: FOUNDATIONAL COMPETENCIES &
PROFESSIONAL NURSING PRACTICE (QUESTIONS 1-
15)
1. A nurse is caring for a patient who refuses a prescribed
medication. Which action best demonstrates respect for
patient autonomy?
A) Administer the medication via another route without the
patient's knowledge
B) Document the refusal and notify the healthcare provider
C) Ask a family member to convince the patient to take the
medication
D) Hide the medication in the patient's food
Correct Answer: B
Rationale: Patient autonomy is a fundamental ethical
principle that respects the patient's right to make
decisions about their own healthcare. When a patient
refuses medication, the nurse must respect that decision,
document the refusal, and notify the provider.
,Administering medication without consent or through
deception violates autonomy and constitutes battery.
2. Which of the following best defines evidence-based
practice in nursing?
A) Following traditional nursing routines passed down through
generations
B) Using clinical expertise, patient preferences, and the best
available research evidence to guide patient care
C) Implementing policies set by hospital administration without
question
D) Relying solely on physician orders for all patient care
decisions
Correct Answer: B
Rationale: Evidence-based practice integrates the best
available research evidence with clinical expertise and
patient values and preferences. It is a problem-solving
approach to clinical decision-making that moves beyond
tradition or authority.
3. The nurse is caring for a postoperative patient who
reports pain rated 8/10. Which action demonstrates
appropriate clinical judgment?
,A) Administer the prescribed PRN analgesic and reassess pain in
30 minutes
B) Tell the patient that pain is expected after surgery and to
wait
C) Document the pain report and continue with routine care
D) Call the provider for a new order without administering the
current PRN medication
Correct Answer: A
Rationale: Clinical judgment involves assessing the
patient's condition, implementing appropriate
interventions (such as administering prescribed
analgesia), and evaluating the effectiveness of those
interventions. Reassessment is a critical component of the
nursing process.
4. Who is considered the founder of modern professional
nursing?
A) Clara Barton
B) Dorothea Dix
C) Florence Nightingale
D) Lillian Wald
Correct Answer: C
, Rationale: Florence Nightingale established the first
scientifically based nursing school at St. Thomas' Hospital
in London in 1860. She defined nursing as separate from
medicine and used statistical analysis to improve
sanitation. Her work laid the foundation for professional
nursing as we know it today.
5. The American Nurses Association (ANA) was established
in which year?
A) 1860
B) 1896
C) 1911
D) 1945
Correct Answer: C
Rationale: The ANA was founded in 1911 as the national
professional organization representing all registered
nurses. It establishes the Scope and Standards of Practice
and advances nursing's professional interests.
6. Mary Eliza Mahoney, the first African American
professional nurse, co-founded which organization?
