NURS 460 Final Exam Questions and
Solutions
The primary purpose of nursing licensure is to:
A. raise nursing to the level of a profession.
B. recognize the knowledge and skills of the professional nurse.
C. provide the public with protection against poorly trained nurses.
D. identify all persons who have graduated from a school of nursing. ✅C. provide the
public with protection against poorly trained nurses.
The right to identify oneself as a registered nurse (RN) is defined and protected by
which component of a state's nurse practice act?
A. Purpose of the act
B. Licensure requirements
C. Definition of nursing practice
D. Description of the nurse's scope of practice ✅A. Purpose of the act
The mutual recognition model of nursing regulation has been adopted by many states.
Which of the following situations was an initial factor in the formation of that model?
A. The introduction of the associate degree nursing program
B. The growing presence of nurse-managed telehealth services
C. The legal need to ensure nurses due process under the law
D. The need to clarify the responsibilities and rights of professional nurses ✅B. The
growing presence of nurse-managed telehealth services
Where can a registered nurse (RN) find the most reliable guidelines regarding the
appropriate delegation of activities or tasks to unlicensed nursing personnel?
A. The National Council of State Boards of Nursing (NCSBN)
B. The American Nurses Credentialing Center (ANCC)
C. The American Nurses Associate (ANA)
D. That state's Nurse Practice Act ✅D. That state's Nurse Practice Act
Although requirements governing the practice of advance practice nursing may vary
significantly, all states require:
A. a master's degree in nursing.
B. certification in the specialty area.
C. 10 years of practice in the specialty area.
D. a supervisory relationship with a physician. ✅B. certification in the specialty area.
The public's right to expect to receive treatment that meets the standards of nursing
care is protected by:
A. state law.
B. federal law.
, C. reporting law.
D. common law. ✅B. federal law.
Which nursing action best complies with the expectations for nursing care defined by
the "never events" identified by the 2012 Rules of Participation for Hospitals?
A. Requiring all unlicensed nursing personal to attend shift reports
B. Providing care when convenient for the client whenever possible
C. Attending an in-service on evidence-based practice on urinary catheter care
D. Reporting suspected elder abuse to the nursing manager immediately ✅C.
Attending an in-service on evidence-based practice on urinary catheter care
Which of the following situations fails to meet the criteria for establishing nursing
negligence or malpractice?
A. A nurse comes to work under the influence of alcohol.
B. The nurse leaves a client's bed in the raised position, resulting in a fall.
C. The nurse fails repeatedly to document a client's response to pain medication.
D. A nurse assigns first-time ambulation of a postop client to an aide and the client falls.
✅C. The nurse fails repeatedly to document a client's response to pain medication.
In what situation may a nurse deliver care that is not considered at the level of required
standard of care?
A. When directly ordered to do so by a physician
B. When the nursing area is considered understaffed
C. When the situation is determined to be an emergency
D. When the client refuses care that would meet the standard of care. ✅C. When the
situation is determined to be an emergency
A client who insists on leaving the hospital against medical advice (AMA) after being
properly advised signs the necessary form. In order to avoid legal consequences
regarding the client's decision, the nurse should:
A. objectively document all the details of the situation thoroughly but concisely in the
client's medical record.
B. notify the nursing supervisor of the client's decision and that all reasonable efforts
were made to dissuade the client from leaving.
C. have a member of the security staff escort the client off the facility's property and into
their private vehicle or public transportation
D. with the client's permission notify a contact person that the client is leaving the
hospital against medical advice. ✅A. objectively document all the details of the
situation thoroughly but concisely in the client's medical record.
Which of the following scenarios demonstrates a nurse engaging in value clarification?
A. A client is reassured by the nurse who states, "I will stay with you as long as you
want."
B. A novice nurse regularly asks a veteran nurse, "What would you do if you were in my
place?"
Solutions
The primary purpose of nursing licensure is to:
A. raise nursing to the level of a profession.
B. recognize the knowledge and skills of the professional nurse.
C. provide the public with protection against poorly trained nurses.
D. identify all persons who have graduated from a school of nursing. ✅C. provide the
public with protection against poorly trained nurses.
The right to identify oneself as a registered nurse (RN) is defined and protected by
which component of a state's nurse practice act?
A. Purpose of the act
B. Licensure requirements
C. Definition of nursing practice
D. Description of the nurse's scope of practice ✅A. Purpose of the act
The mutual recognition model of nursing regulation has been adopted by many states.
Which of the following situations was an initial factor in the formation of that model?
A. The introduction of the associate degree nursing program
B. The growing presence of nurse-managed telehealth services
C. The legal need to ensure nurses due process under the law
D. The need to clarify the responsibilities and rights of professional nurses ✅B. The
growing presence of nurse-managed telehealth services
Where can a registered nurse (RN) find the most reliable guidelines regarding the
appropriate delegation of activities or tasks to unlicensed nursing personnel?
A. The National Council of State Boards of Nursing (NCSBN)
B. The American Nurses Credentialing Center (ANCC)
C. The American Nurses Associate (ANA)
D. That state's Nurse Practice Act ✅D. That state's Nurse Practice Act
Although requirements governing the practice of advance practice nursing may vary
significantly, all states require:
A. a master's degree in nursing.
B. certification in the specialty area.
C. 10 years of practice in the specialty area.
D. a supervisory relationship with a physician. ✅B. certification in the specialty area.
The public's right to expect to receive treatment that meets the standards of nursing
care is protected by:
A. state law.
B. federal law.
, C. reporting law.
D. common law. ✅B. federal law.
Which nursing action best complies with the expectations for nursing care defined by
the "never events" identified by the 2012 Rules of Participation for Hospitals?
A. Requiring all unlicensed nursing personal to attend shift reports
B. Providing care when convenient for the client whenever possible
C. Attending an in-service on evidence-based practice on urinary catheter care
D. Reporting suspected elder abuse to the nursing manager immediately ✅C.
Attending an in-service on evidence-based practice on urinary catheter care
Which of the following situations fails to meet the criteria for establishing nursing
negligence or malpractice?
A. A nurse comes to work under the influence of alcohol.
B. The nurse leaves a client's bed in the raised position, resulting in a fall.
C. The nurse fails repeatedly to document a client's response to pain medication.
D. A nurse assigns first-time ambulation of a postop client to an aide and the client falls.
✅C. The nurse fails repeatedly to document a client's response to pain medication.
In what situation may a nurse deliver care that is not considered at the level of required
standard of care?
A. When directly ordered to do so by a physician
B. When the nursing area is considered understaffed
C. When the situation is determined to be an emergency
D. When the client refuses care that would meet the standard of care. ✅C. When the
situation is determined to be an emergency
A client who insists on leaving the hospital against medical advice (AMA) after being
properly advised signs the necessary form. In order to avoid legal consequences
regarding the client's decision, the nurse should:
A. objectively document all the details of the situation thoroughly but concisely in the
client's medical record.
B. notify the nursing supervisor of the client's decision and that all reasonable efforts
were made to dissuade the client from leaving.
C. have a member of the security staff escort the client off the facility's property and into
their private vehicle or public transportation
D. with the client's permission notify a contact person that the client is leaving the
hospital against medical advice. ✅A. objectively document all the details of the
situation thoroughly but concisely in the client's medical record.
Which of the following scenarios demonstrates a nurse engaging in value clarification?
A. A client is reassured by the nurse who states, "I will stay with you as long as you
want."
B. A novice nurse regularly asks a veteran nurse, "What would you do if you were in my
place?"
