Nursing Competency Exam With Correct
Questions And Answers 2024
The .admitting .nurse .explains .the .process .of .signing .forms .to .allow .for .the .client's
.insurance .company .to .be .billed .for .services. .If .the .insurance .fails .to .pay .for .services, .the
.client .is .responsible .for .payment. .This .is .an .example .of .which .of .the .following?
a. .Contract .law
b. .Tort .law
c. .Statutory .law
d. .Administrative .law .- .correct .answer.Contract .Law
Before .the .nurse .can .apply .for .licensure .renewal, .the .state .board .of .nursing .requires .30
.hours .of .continuing .education .in .nursing .in-service .or .education. .This .practice
.exemplifies .which .of .the .following?
a. .Licensure
b. .Competency
c. .Credentialing
d. .Certification .- .correct .answer.Credentialing
A .high .school .graduate .wants .to .attend .nursing .school .that .is .highly .regarded .for .its
.program. .Which .of .the .following .entities .must .accredit .or .approve .nursing .programs?
a. .State .Board .of .Nursing
b. .NLNAC
c. .CCNE
d. .ANA .- .correct .answer.State .Board .of .Nursing
The .client .presents .her .hand .when .the .nurse .makes .this .statement: ."I .need .to .start .an .IV
.so .you .can .get .your .antibiotics." .This .is .an .example .of .which .of .the .following
a. .Informed .consent
b. .Express .consent
c. .Implied .consent
d. .Compliance .- .correct .answer.Implied .Consent
A .nurse .is .caring .for .a .client .in .the .emergency .department .who .was .brought .in .by .her
.adult .child .for .vague, .flu-like .symptoms. .While .helping .the .client .to .change .into .a .gown,
,.the .nurse .notices .numerous .bruises .on .the .client's .back .and .arms. .When .questioned, .the
.client .is .distracted .and .ambiguous .with .her .answers. .The .nurse .should:
a. .Report .the .situation .to .law .enforcement.
b. .Report .the .situation .to .social .services.
c. .Question .the .adult .child .who .brought .the .client .to .the .ED.
d. .File .a .written .report .in .the .client's .chart. .- .correct .answer.Report .the .situation .to .Social
.services
A .nurse .is .working .with .a .local .agency .to .provide .care .to .the .inadequately .insured .by
.helping .to .staff .an .after-hours .clinic. .This .nurse .is .demonstrating .which .of .the .following
.professional .values?
a. .Human .dignity
b. .Altruism
c. .Social .justice
d. .Integrity .- .correct .answer.Social .Justice
A .client .has .chosen .to .discontinue .hemodialysis. .His .family .is .not .supportive .of .his
.decision. .The .nurse .who .uses .the .theory .of .principles-based .reasoning .would .make
.which .of .the .following .statements?
a. ."This .client .is .of .sound .mind .and .is .capable .of .making .his .own .decisions .regarding
.health .care. .It .really .is .his .decision .to .make."
b. ."I .need .to .try .and .help .the .family .understand .the .client's .decision .so .they .can .work
.through .this .situation .together."
c. ."This .client's .health .is .so .deteriorated .that .the .treatment .is .not .saving .his .life. .It .is
.prolonging .the .ultimate .outcome, .which .is .his .death."
d. ."The .client .understands .his .decision .and .the .advanced .stage .of .his .disease. .If .he .quits
.treatment, .he .will .die." .- .correct .answer.A.
A .nurse .is .having .difficulty .with .the .decision .for .aggressive .cancer .therapy .in .an .elderly
.client, .wondering .if .the .therapy .will .be .more .harmful .than .the .disease .and .knowing .that
.the .client .will .be .subjected .to .harmful .chemicals. .This .nurse .is .struggling .with .which .of .the
.following .principles?
a. .Autonomy
b. .Justice
c. .Beneficence
d. .Nonmaleficence .- .correct .answer.Nonmaleficence
A .student .nurse .accidentally .left .the .call .light .outside .the .reach .of .an .elderly .client. .Luckily
.another .nurse .found .the .situation .and .was .able .to .rectify .the .matter .before .something
.happened. .The .student .responded, ."I .know .better. .I .should've .double .checked .where .the
.light .was .before .I .left .the .room." .This .student .tis .demonstrating .which .of .the .following?
a. .Justice
b. .Fidelity
c. .Responsibility
d. .Accountability .- .correct .answer.Accountability
,A .home .health .client .has .been .prescribed .nutritional .supplements .three .times .a .day. .The
.formula .is .expensive, .and .the .client .tells .the .home .health .nurse .that .she .is .taking .them
.three .times .a .day, .but .diluting .them .so .she .can .use .only .one .can, .not .three, .per .day. .As .a
.client .advocate, .the .nurse .should:
a. .Help .the .client .look .for .available .community .resources .that .may .be .of .assistance.
b. .Tell .the .client .that .she .needs .to .take .the .prescribed .amount.
c. .Report .the .situation .to .the .physician.
d. .Weigh .the .client .on .a .weekly .basis .to .monitor .weight .gain .or .loss. .- .correct .answer.A.
A .new .graduate .nurse .is .working .in .a .busy .emergency .department .of .a .hospital, .situated
.in .a .culturally .diverse .area .of .the .city. .In .striving .to .be .culturally .sensitive, .the .nurse .will:
a. .Try .to .learn .about .the .attitudes .toward .health .care .and .traditions .of .the .different
.cultures .in .that .area.
b. .Understand .and .attend .to .the .total .context .of .the .client's .situation, .suing .knowledge,
.attitudes, .and .skills.
c. .Possess .the .underlying .background .knowledge .that .will .provide .these .clients .with .the
.best .possible .health .care.
d. .Strive .to .be .culturally .sensitive, .culturally .appropriate, .and .culturally .competent. .-
.correct .answer.A.
The .nurse .is .working .with .clients .form .different .cultural .backgrounds .than .the .nurse's
.own. .Which .of .the .following .situations .would .illustrate .prejudice .on .the .nurse's .part?
a. .Assuming .that .all .members .of .each .culture .are .alike
b. .Understanding .that .all .culture .members .will .have .the .same .beliefs
c. .Bringing .previous .negative .information .and .experiences .into .this .situation
d. .Taking .general .knowledge .from .literature .and .applying .it .to .the .situation .- .correct
.answer.C
A .new .graduate .nurse .is .moving .from .a .small .rural .college .town .to .a .metropolitan .area .to
.begin .work .in .a .county .hospital. .The .nurse .has .had .limited .prior .experience .with .the
.various .cultural .groups .that .are .served .by .the .hospital. .This .nurse .is .at .risk .for .which .of
.the .following?
a. .Prejudice
b. .Stereotyping
c. .Discrimination
d. .Culture .shock .- .correct .answer.D
A .Chinese .client .is .hospitalized .with .a .fever .of .unknown .origin .and .follows .a .very
.traditional, .cultural .view .of .illness. .Which .of .the .following .foods .will .the .client .prefer?
a. .Hot .tea
b. .Soup .and .coffee
c. .Spicy .meat
d. .Cold .liquids .- .correct .answer.D
, A .community .health .nurse .works .with .a .variety .of .cultures .providing .health .care .services
.that .include .preventive .care, .acute .treatment, .and .education. .Of .the .following .clients,
.which .is .most .likely .to .use .folk .medicine?
a. .The .client .who .speaks .little .English .and .does .not .have .a .job
b. .A .family .who .has .numerous .relatives .in .a .Spanish-American .sector .of .the .city
c. .A .female .client .whose .culture .is .one .of .male .dominance
d. .A .Chinese .client .who .has .a .small, .family .run .business .in .the .area. .- .correct .answer.A
A .client, .after .being .taught .of .the .clinical .manifestations .of .inflammation .to .enable .early
.detection .of .a .complication .of .a .surgical .wound .states, ."I .will .look .at .the .wound .four .times
.a .day .and .tell .my .surgeon .if .it .looks .red .or .swollen." .Her .statement .is .an .example .of:
a. .Attitudes
b. .Application
c. .Analysis
d. .Evaluation .- .correct .answer.B
There .are .many .factors .assessed .before .teaching .the .client .to .learn .insulin .injection .sites,
.but .the .most .important .factor .for .the .nurse .to .assess .first .is .the;
a. .Previous .knowledge .level .of .the .client
b. .Willingness .of .the .client .to .want .to .learn .the .injection .sites
c. .Financial .resources .available .to .the .client .for .the .equipment
d. .Intelligence .and .developmental .level .of .the .individual .client .- .correct .answer.B
Clients .give .various .responses .to .teaching .sessions, .for .the .nurse, .an .example .of .an
.evaluation .of .a .psychomotor .skill .is:
a. .Client .states .side .effects .of .a .medication
b. .Client .responds .appropriately .to .eye .contact
c. .Client .independently .plans .an .exercise .program
d. .Client .demonstrates .the .proper .use .of .a .walking .cane .- .correct .answer.D
Different .topics .are .presented .in .the .information .sessions .that .are .held .in .the .outpatient
.clinic. .In .planning .for .a .session .on .health .maintenance/illness .prevention, .the .nurse
.should .select .a .topic .on:
a. .Use .of .assistive .devices, .such .as .canes
b. .Self-help .devices .for .post-CVA .clients
c. .Stress .management .techniques .for .working .parents
d. .Environmental .alterations .for .clients .in .wheelchairs .- .correct .answer.C
The .nurse .has .completed .an .assessment .on .the .client .and .identified .the .following .nursing
.diagnoses. .Which .one .of .the .following .nursing .diagnoses .indicates .a .need .to .postpone
.teaching .that .was .planned?
a. .Activity .intolerance .related .to .pain
b. .Ineffective .management .of .treatment .regimen
c. .Noncompliance .with .prescribed .exercise .plan
d. .Knowledge .deficit .regarding .impending .surgery .- .correct .answer.A
Questions And Answers 2024
The .admitting .nurse .explains .the .process .of .signing .forms .to .allow .for .the .client's
.insurance .company .to .be .billed .for .services. .If .the .insurance .fails .to .pay .for .services, .the
.client .is .responsible .for .payment. .This .is .an .example .of .which .of .the .following?
a. .Contract .law
b. .Tort .law
c. .Statutory .law
d. .Administrative .law .- .correct .answer.Contract .Law
Before .the .nurse .can .apply .for .licensure .renewal, .the .state .board .of .nursing .requires .30
.hours .of .continuing .education .in .nursing .in-service .or .education. .This .practice
.exemplifies .which .of .the .following?
a. .Licensure
b. .Competency
c. .Credentialing
d. .Certification .- .correct .answer.Credentialing
A .high .school .graduate .wants .to .attend .nursing .school .that .is .highly .regarded .for .its
.program. .Which .of .the .following .entities .must .accredit .or .approve .nursing .programs?
a. .State .Board .of .Nursing
b. .NLNAC
c. .CCNE
d. .ANA .- .correct .answer.State .Board .of .Nursing
The .client .presents .her .hand .when .the .nurse .makes .this .statement: ."I .need .to .start .an .IV
.so .you .can .get .your .antibiotics." .This .is .an .example .of .which .of .the .following
a. .Informed .consent
b. .Express .consent
c. .Implied .consent
d. .Compliance .- .correct .answer.Implied .Consent
A .nurse .is .caring .for .a .client .in .the .emergency .department .who .was .brought .in .by .her
.adult .child .for .vague, .flu-like .symptoms. .While .helping .the .client .to .change .into .a .gown,
,.the .nurse .notices .numerous .bruises .on .the .client's .back .and .arms. .When .questioned, .the
.client .is .distracted .and .ambiguous .with .her .answers. .The .nurse .should:
a. .Report .the .situation .to .law .enforcement.
b. .Report .the .situation .to .social .services.
c. .Question .the .adult .child .who .brought .the .client .to .the .ED.
d. .File .a .written .report .in .the .client's .chart. .- .correct .answer.Report .the .situation .to .Social
.services
A .nurse .is .working .with .a .local .agency .to .provide .care .to .the .inadequately .insured .by
.helping .to .staff .an .after-hours .clinic. .This .nurse .is .demonstrating .which .of .the .following
.professional .values?
a. .Human .dignity
b. .Altruism
c. .Social .justice
d. .Integrity .- .correct .answer.Social .Justice
A .client .has .chosen .to .discontinue .hemodialysis. .His .family .is .not .supportive .of .his
.decision. .The .nurse .who .uses .the .theory .of .principles-based .reasoning .would .make
.which .of .the .following .statements?
a. ."This .client .is .of .sound .mind .and .is .capable .of .making .his .own .decisions .regarding
.health .care. .It .really .is .his .decision .to .make."
b. ."I .need .to .try .and .help .the .family .understand .the .client's .decision .so .they .can .work
.through .this .situation .together."
c. ."This .client's .health .is .so .deteriorated .that .the .treatment .is .not .saving .his .life. .It .is
.prolonging .the .ultimate .outcome, .which .is .his .death."
d. ."The .client .understands .his .decision .and .the .advanced .stage .of .his .disease. .If .he .quits
.treatment, .he .will .die." .- .correct .answer.A.
A .nurse .is .having .difficulty .with .the .decision .for .aggressive .cancer .therapy .in .an .elderly
.client, .wondering .if .the .therapy .will .be .more .harmful .than .the .disease .and .knowing .that
.the .client .will .be .subjected .to .harmful .chemicals. .This .nurse .is .struggling .with .which .of .the
.following .principles?
a. .Autonomy
b. .Justice
c. .Beneficence
d. .Nonmaleficence .- .correct .answer.Nonmaleficence
A .student .nurse .accidentally .left .the .call .light .outside .the .reach .of .an .elderly .client. .Luckily
.another .nurse .found .the .situation .and .was .able .to .rectify .the .matter .before .something
.happened. .The .student .responded, ."I .know .better. .I .should've .double .checked .where .the
.light .was .before .I .left .the .room." .This .student .tis .demonstrating .which .of .the .following?
a. .Justice
b. .Fidelity
c. .Responsibility
d. .Accountability .- .correct .answer.Accountability
,A .home .health .client .has .been .prescribed .nutritional .supplements .three .times .a .day. .The
.formula .is .expensive, .and .the .client .tells .the .home .health .nurse .that .she .is .taking .them
.three .times .a .day, .but .diluting .them .so .she .can .use .only .one .can, .not .three, .per .day. .As .a
.client .advocate, .the .nurse .should:
a. .Help .the .client .look .for .available .community .resources .that .may .be .of .assistance.
b. .Tell .the .client .that .she .needs .to .take .the .prescribed .amount.
c. .Report .the .situation .to .the .physician.
d. .Weigh .the .client .on .a .weekly .basis .to .monitor .weight .gain .or .loss. .- .correct .answer.A.
A .new .graduate .nurse .is .working .in .a .busy .emergency .department .of .a .hospital, .situated
.in .a .culturally .diverse .area .of .the .city. .In .striving .to .be .culturally .sensitive, .the .nurse .will:
a. .Try .to .learn .about .the .attitudes .toward .health .care .and .traditions .of .the .different
.cultures .in .that .area.
b. .Understand .and .attend .to .the .total .context .of .the .client's .situation, .suing .knowledge,
.attitudes, .and .skills.
c. .Possess .the .underlying .background .knowledge .that .will .provide .these .clients .with .the
.best .possible .health .care.
d. .Strive .to .be .culturally .sensitive, .culturally .appropriate, .and .culturally .competent. .-
.correct .answer.A.
The .nurse .is .working .with .clients .form .different .cultural .backgrounds .than .the .nurse's
.own. .Which .of .the .following .situations .would .illustrate .prejudice .on .the .nurse's .part?
a. .Assuming .that .all .members .of .each .culture .are .alike
b. .Understanding .that .all .culture .members .will .have .the .same .beliefs
c. .Bringing .previous .negative .information .and .experiences .into .this .situation
d. .Taking .general .knowledge .from .literature .and .applying .it .to .the .situation .- .correct
.answer.C
A .new .graduate .nurse .is .moving .from .a .small .rural .college .town .to .a .metropolitan .area .to
.begin .work .in .a .county .hospital. .The .nurse .has .had .limited .prior .experience .with .the
.various .cultural .groups .that .are .served .by .the .hospital. .This .nurse .is .at .risk .for .which .of
.the .following?
a. .Prejudice
b. .Stereotyping
c. .Discrimination
d. .Culture .shock .- .correct .answer.D
A .Chinese .client .is .hospitalized .with .a .fever .of .unknown .origin .and .follows .a .very
.traditional, .cultural .view .of .illness. .Which .of .the .following .foods .will .the .client .prefer?
a. .Hot .tea
b. .Soup .and .coffee
c. .Spicy .meat
d. .Cold .liquids .- .correct .answer.D
, A .community .health .nurse .works .with .a .variety .of .cultures .providing .health .care .services
.that .include .preventive .care, .acute .treatment, .and .education. .Of .the .following .clients,
.which .is .most .likely .to .use .folk .medicine?
a. .The .client .who .speaks .little .English .and .does .not .have .a .job
b. .A .family .who .has .numerous .relatives .in .a .Spanish-American .sector .of .the .city
c. .A .female .client .whose .culture .is .one .of .male .dominance
d. .A .Chinese .client .who .has .a .small, .family .run .business .in .the .area. .- .correct .answer.A
A .client, .after .being .taught .of .the .clinical .manifestations .of .inflammation .to .enable .early
.detection .of .a .complication .of .a .surgical .wound .states, ."I .will .look .at .the .wound .four .times
.a .day .and .tell .my .surgeon .if .it .looks .red .or .swollen." .Her .statement .is .an .example .of:
a. .Attitudes
b. .Application
c. .Analysis
d. .Evaluation .- .correct .answer.B
There .are .many .factors .assessed .before .teaching .the .client .to .learn .insulin .injection .sites,
.but .the .most .important .factor .for .the .nurse .to .assess .first .is .the;
a. .Previous .knowledge .level .of .the .client
b. .Willingness .of .the .client .to .want .to .learn .the .injection .sites
c. .Financial .resources .available .to .the .client .for .the .equipment
d. .Intelligence .and .developmental .level .of .the .individual .client .- .correct .answer.B
Clients .give .various .responses .to .teaching .sessions, .for .the .nurse, .an .example .of .an
.evaluation .of .a .psychomotor .skill .is:
a. .Client .states .side .effects .of .a .medication
b. .Client .responds .appropriately .to .eye .contact
c. .Client .independently .plans .an .exercise .program
d. .Client .demonstrates .the .proper .use .of .a .walking .cane .- .correct .answer.D
Different .topics .are .presented .in .the .information .sessions .that .are .held .in .the .outpatient
.clinic. .In .planning .for .a .session .on .health .maintenance/illness .prevention, .the .nurse
.should .select .a .topic .on:
a. .Use .of .assistive .devices, .such .as .canes
b. .Self-help .devices .for .post-CVA .clients
c. .Stress .management .techniques .for .working .parents
d. .Environmental .alterations .for .clients .in .wheelchairs .- .correct .answer.C
The .nurse .has .completed .an .assessment .on .the .client .and .identified .the .following .nursing
.diagnoses. .Which .one .of .the .following .nursing .diagnoses .indicates .a .need .to .postpone
.teaching .that .was .planned?
a. .Activity .intolerance .related .to .pain
b. .Ineffective .management .of .treatment .regimen
c. .Noncompliance .with .prescribed .exercise .plan
d. .Knowledge .deficit .regarding .impending .surgery .- .correct .answer.A
