NUR 318 Exam #1 – UPDATED Questions with 100% Verified Answers
NUR 318 Exam #1 – UPDATED Questions with
100% Verified Answers
Science › Medicine › Nursing
Section 1: Nurse, Patient, Nursing (Q1–Q13)
Question & Answer
Q1 Which key element is included in the scope of professional practice identity?
a. Adhering to a fixed level of practice b. Finding out ways to get done faster with
assigned tasks as the key focus of care c. Maintaining professional boundaries d.
Remaining at the level of practice upon graduating from nursing school
A ANS: C
The scope of professional identity includes five attributes, doing, and being, acting ethically,
flourishing and changing identities. By maintaining professional boundaries, the nurse would be
acting ethically. Adhering to a fixed level of practice would not be prudent for it would not allow the
nurse to achieve attributes. Finding out ways to get done faster with assigned tasks would be in
opposition to the attribute of "being" as the key focus is to do the right thing even when no one is
looking. A nurse who remains at the level of practice upon graduation from nursing school would be
in opposition to the attribute of flourishing.
Q2 A new registered nurse asks the registered nurse (RN) preceptor what could be done to
become more professional. What is the preceptor's best response?
a. "Attend nursing educational meetings." b. "Listen to other nurses." c. "Read the
agency newsletter." d. "Pass the licensing exam."
A ANS: A Knowledge and commitment are essential components of professionalism. Attending nursing
educational meetings can promote collaborative learning with peers and maintenance of
competence in an ever-changing healthcare environment. Listening can promote professionalism,
and communication is certainly a component of professionalism; however, there is also a social
sense to listening, and without the educational/learning component, this is not the best answer. An
agency newsletter could include information about professional opportunities, but it is not the best
answer. The new nurse would have already passed the licensing exam, the legal requirement to be
considered a nurse.
Q3 The qualities of leadership, clinical expertise and judgment, mentorship, and lifelong
learning would best describe which type of nurse?
a. Administrator b. Certified nurse specialist c. Practitioner d. Professional
A ANS: D
The qualities listed are those of a professional nurse. The other options are all nurses who may have
these qualities, but the focus of their title includes qualities not essential for the professional nurse.
The administrator would have management qualities; the clinical nurse specialist would have
specialty area knowledge; and the practitioner would meet legal requirements as a healthcare
provider.
Page 1 of 24
,NUR 318 Exam #1 – UPDATED Questions with 100% Verified Answers
Question & Answer
Q4 The American Nurses Association (ANA) outlines expectations of nurse's self-care habits
in which type of documentation?
a. Nurse Practice Acts b. Board of Nursing c. Code of Ethics d. Hospital Facility Protocols
A ANS: C
The ANA focuses on the importance of nurses to develop their own personal self-care habits as part
of their ethical code. This information is presented in the ANA Code of Ethics. Nurse Practice Acts
define the scope of practice relative to the specific type of health professional. The Board of Nursing
provides minimum competency requirements for specific types of health professionals and
identifies licensing, academic and practice requirements. Hospital facilities provide policies and
protocols related to members of the interdisciplinary healthcare team.
Q5 Which nursing action best exemplifies clinical judgment?
a. A nurse after performing an assessment seeks out additional information related to a
finding. b. A nurse documents finding in the medical record in a timely manner. c. A
nurse contacts the physician to provide the results of an imaging study for a patient. d.
A nurse comforts a patient who is on hospice care.
A ANS: A
Clinical judgment represents a comprehensive well thought out series of action whereby the nurse
incorporates assessment data in the context of norms and values. The nurse seeking out additional
information to clarify a finding is demonstrating clinical judgment. A nurse who is documenting
assessment data in the patients' medical record in a timely manner is being efficient. A nurse
contacting the physician to provide results of an imaging test is demonstrating effective
communication. A nurse comforting a patient who is on hospice care is demonstrating compassion.
Q6 Nursing demonstrates dedication to improving public health through which avenue?
a. Changing healthcare standards b. Legal regulations c. Scope of practice d. Technology
A ANS: C
Through the scope of practice, specialized knowledge, and code of ethics, the discipline of nursing
has demonstrated its dedication to improving public health. The changing healthcare environment
is one of the challenges to nursing, not an indicator of dedication. Legal regulations are generally
promulgated by legislators rather than nurses to protect the public. A highly technological
environment is considered a challenge to nursing rather than an indicator of dedication.
Q7 Components of a professional identity in nursing include which attributes? (Select all
that apply.)
a. Doing b. Being c. Acting ethically d. Flourishing e. Culture
A ANS: A, B, C, D
The scope of professional identity in nursing includes: doing, being, acting ethically, flourishing and
changing identities. Cultural sensitivity is important to professional nursing; however, culture is an
inherent quality of nurses and patients, not a component of the professional identity.
Page 2 of 24
, NUR 318 Exam #1 – UPDATED Questions with 100% Verified Answers
Question & Answer
Q8 A patient suffered a brain injury from a motor vehicle accident and has no brain activity.
The patient has a living will which states no heroic measures. The family requests that
no additional heroic measures be instituted for their son. The nurse respects this
decision in keeping with which principle?
a. Accountability b. Autonomy c. Nonmaleficence d. Veracity
A ANS: B
Patients and families must be treated in a way that respects their autonomy and their ability to
express their wishes and make informed choices about their treatment. Accountability is inherent in
the nurse's ethical obligation to uphold the highest standards of practice and care, assume full
personal and professional responsibility for every action, and commit to maintaining quality in the
skill and knowledge base of the profession. Nonmaleficence is a principle that implies a duty not to
inflict harm. In ethical terms, nonmaleficence means to abstain from injuring others and to help
others further their own well-being by removing harm and eliminating threats. Veracity means
telling the truth as a moral and ethical requirement.
Q9 A male patient suffered a brain injury from a motor vehicle accident and has no brain
activity. The spouse has come up to see the patient every day for the past 2 months.
She asks the nurse, "Do you think when he moves his hands he is responding to my
voice?" The nurse feels bad because she believes the movements are involuntary, and
the prognosis is grim for this patient. She states, "He can hear you, and it appears he
did respond to your voice." The nurse is violating which principle of ethics?
a. Autonomy b. Veracity c. Utilitarianism d. Deontology
A ANS: B
Veracity is the principle of telling the truth in a given situation. Autonomy is the principle of respect
for the individual person; this concept states that humans have incalculable worth or moral dignity.
Utilitarianism is an approach that is rooted in the assumption that an action or practice is right if it
leads to the greatest possible balance of good consequences or to the least possible balance of bad
consequences. Giving the spouse false reassurance is not a good consequence. Deontological
theory claims that a decision is right only if it conforms to an overriding moral duty and wrong only
if it violates that moral duty. Persons are to be treated as ends in themselves and never as means
to the ends of others.
Q10 The nurse is faced with an ethical issue. When assessing the ethical issue, which action
should the nurse perform first?
a. Ask, "What is the issue?" b. Identify all possible alternatives. c. Select the best option
from a list of alternatives. d. Justify the choice of action or inaction.
A ANS: A
The first step in the situational assessment procedure is to find out the technical and scientific facts
and assess the human dimension of the situation—the feelings, emotions, attitudes, and opinions.
Trying to understand the full picture of a situation is time consuming and requires examination from
many different perspectives, but it is worth the time and effort that is required to understand an
issue fully before moving forward in the assessment procedure. Identifying alternatives is the
second step in the situation assessment procedure. A set of alternatives cannot be established until
an assessment has been completed. Selecting the best option is actually the third step in the
situation assessment procedure. Options cannot be selected until an assessment has been done to
define the issue. Justifying the action or inaction is the final step in the situational assessment
procedure. No justification can be made until the assessment and action phases have been
completed.
Page 3 of 24
NUR 318 Exam #1 – UPDATED Questions with
100% Verified Answers
Science › Medicine › Nursing
Section 1: Nurse, Patient, Nursing (Q1–Q13)
Question & Answer
Q1 Which key element is included in the scope of professional practice identity?
a. Adhering to a fixed level of practice b. Finding out ways to get done faster with
assigned tasks as the key focus of care c. Maintaining professional boundaries d.
Remaining at the level of practice upon graduating from nursing school
A ANS: C
The scope of professional identity includes five attributes, doing, and being, acting ethically,
flourishing and changing identities. By maintaining professional boundaries, the nurse would be
acting ethically. Adhering to a fixed level of practice would not be prudent for it would not allow the
nurse to achieve attributes. Finding out ways to get done faster with assigned tasks would be in
opposition to the attribute of "being" as the key focus is to do the right thing even when no one is
looking. A nurse who remains at the level of practice upon graduation from nursing school would be
in opposition to the attribute of flourishing.
Q2 A new registered nurse asks the registered nurse (RN) preceptor what could be done to
become more professional. What is the preceptor's best response?
a. "Attend nursing educational meetings." b. "Listen to other nurses." c. "Read the
agency newsletter." d. "Pass the licensing exam."
A ANS: A Knowledge and commitment are essential components of professionalism. Attending nursing
educational meetings can promote collaborative learning with peers and maintenance of
competence in an ever-changing healthcare environment. Listening can promote professionalism,
and communication is certainly a component of professionalism; however, there is also a social
sense to listening, and without the educational/learning component, this is not the best answer. An
agency newsletter could include information about professional opportunities, but it is not the best
answer. The new nurse would have already passed the licensing exam, the legal requirement to be
considered a nurse.
Q3 The qualities of leadership, clinical expertise and judgment, mentorship, and lifelong
learning would best describe which type of nurse?
a. Administrator b. Certified nurse specialist c. Practitioner d. Professional
A ANS: D
The qualities listed are those of a professional nurse. The other options are all nurses who may have
these qualities, but the focus of their title includes qualities not essential for the professional nurse.
The administrator would have management qualities; the clinical nurse specialist would have
specialty area knowledge; and the practitioner would meet legal requirements as a healthcare
provider.
Page 1 of 24
,NUR 318 Exam #1 – UPDATED Questions with 100% Verified Answers
Question & Answer
Q4 The American Nurses Association (ANA) outlines expectations of nurse's self-care habits
in which type of documentation?
a. Nurse Practice Acts b. Board of Nursing c. Code of Ethics d. Hospital Facility Protocols
A ANS: C
The ANA focuses on the importance of nurses to develop their own personal self-care habits as part
of their ethical code. This information is presented in the ANA Code of Ethics. Nurse Practice Acts
define the scope of practice relative to the specific type of health professional. The Board of Nursing
provides minimum competency requirements for specific types of health professionals and
identifies licensing, academic and practice requirements. Hospital facilities provide policies and
protocols related to members of the interdisciplinary healthcare team.
Q5 Which nursing action best exemplifies clinical judgment?
a. A nurse after performing an assessment seeks out additional information related to a
finding. b. A nurse documents finding in the medical record in a timely manner. c. A
nurse contacts the physician to provide the results of an imaging study for a patient. d.
A nurse comforts a patient who is on hospice care.
A ANS: A
Clinical judgment represents a comprehensive well thought out series of action whereby the nurse
incorporates assessment data in the context of norms and values. The nurse seeking out additional
information to clarify a finding is demonstrating clinical judgment. A nurse who is documenting
assessment data in the patients' medical record in a timely manner is being efficient. A nurse
contacting the physician to provide results of an imaging test is demonstrating effective
communication. A nurse comforting a patient who is on hospice care is demonstrating compassion.
Q6 Nursing demonstrates dedication to improving public health through which avenue?
a. Changing healthcare standards b. Legal regulations c. Scope of practice d. Technology
A ANS: C
Through the scope of practice, specialized knowledge, and code of ethics, the discipline of nursing
has demonstrated its dedication to improving public health. The changing healthcare environment
is one of the challenges to nursing, not an indicator of dedication. Legal regulations are generally
promulgated by legislators rather than nurses to protect the public. A highly technological
environment is considered a challenge to nursing rather than an indicator of dedication.
Q7 Components of a professional identity in nursing include which attributes? (Select all
that apply.)
a. Doing b. Being c. Acting ethically d. Flourishing e. Culture
A ANS: A, B, C, D
The scope of professional identity in nursing includes: doing, being, acting ethically, flourishing and
changing identities. Cultural sensitivity is important to professional nursing; however, culture is an
inherent quality of nurses and patients, not a component of the professional identity.
Page 2 of 24
, NUR 318 Exam #1 – UPDATED Questions with 100% Verified Answers
Question & Answer
Q8 A patient suffered a brain injury from a motor vehicle accident and has no brain activity.
The patient has a living will which states no heroic measures. The family requests that
no additional heroic measures be instituted for their son. The nurse respects this
decision in keeping with which principle?
a. Accountability b. Autonomy c. Nonmaleficence d. Veracity
A ANS: B
Patients and families must be treated in a way that respects their autonomy and their ability to
express their wishes and make informed choices about their treatment. Accountability is inherent in
the nurse's ethical obligation to uphold the highest standards of practice and care, assume full
personal and professional responsibility for every action, and commit to maintaining quality in the
skill and knowledge base of the profession. Nonmaleficence is a principle that implies a duty not to
inflict harm. In ethical terms, nonmaleficence means to abstain from injuring others and to help
others further their own well-being by removing harm and eliminating threats. Veracity means
telling the truth as a moral and ethical requirement.
Q9 A male patient suffered a brain injury from a motor vehicle accident and has no brain
activity. The spouse has come up to see the patient every day for the past 2 months.
She asks the nurse, "Do you think when he moves his hands he is responding to my
voice?" The nurse feels bad because she believes the movements are involuntary, and
the prognosis is grim for this patient. She states, "He can hear you, and it appears he
did respond to your voice." The nurse is violating which principle of ethics?
a. Autonomy b. Veracity c. Utilitarianism d. Deontology
A ANS: B
Veracity is the principle of telling the truth in a given situation. Autonomy is the principle of respect
for the individual person; this concept states that humans have incalculable worth or moral dignity.
Utilitarianism is an approach that is rooted in the assumption that an action or practice is right if it
leads to the greatest possible balance of good consequences or to the least possible balance of bad
consequences. Giving the spouse false reassurance is not a good consequence. Deontological
theory claims that a decision is right only if it conforms to an overriding moral duty and wrong only
if it violates that moral duty. Persons are to be treated as ends in themselves and never as means
to the ends of others.
Q10 The nurse is faced with an ethical issue. When assessing the ethical issue, which action
should the nurse perform first?
a. Ask, "What is the issue?" b. Identify all possible alternatives. c. Select the best option
from a list of alternatives. d. Justify the choice of action or inaction.
A ANS: A
The first step in the situational assessment procedure is to find out the technical and scientific facts
and assess the human dimension of the situation—the feelings, emotions, attitudes, and opinions.
Trying to understand the full picture of a situation is time consuming and requires examination from
many different perspectives, but it is worth the time and effort that is required to understand an
issue fully before moving forward in the assessment procedure. Identifying alternatives is the
second step in the situation assessment procedure. A set of alternatives cannot be established until
an assessment has been completed. Selecting the best option is actually the third step in the
situation assessment procedure. Options cannot be selected until an assessment has been done to
define the issue. Justifying the action or inaction is the final step in the situational assessment
procedure. No justification can be made until the assessment and action phases have been
completed.
Page 3 of 24
