NURS 1871 Exam 1| NURS 1871 CSCC Exam
1 - Questions and Answers
You are preparing a presentation for your classmates regarding the clinical care coordination conference
J J J J J J J J J J J J J
for a patient with terminal cancer. As part of the preparation you have your classmates read the Nursing
J J J J J J J J J J J J J J J J J J
Code of Ethics for Professional Registered Nurses. Your instructor asks the class why this document is
J J J J J J J J J J J J J J J J
important. Which statement best describes this code?
J J J J J J J
1. Improves self-health care
J J J
2. Protects the patient's confidentiality
J J J J
3. Ensures identical care to all patients
J J J J J J
4. Defines the principles of right and wrong to provide patient care - correct answer4
J J J J J J J J J J J J J J
A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and be
J J J J J J J J J J J J J J J J J J J J
comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risk and
J J J J J J J J J J J J J J J J J J
benefits of the surgery to the family and discusses the patient's wishes with them. The nurse is acting as the
J J J J J J J J J J J J J J J J J J J J
patient's:
J
1. Educator.
J
2. Advocate.
J
3. Caregiver.
J
4. Communicator. - correct answer2
J J J J
The nurse spends time with a patient and family reviewing a dressing change procedure for the patient's
J J J J J J J J J J J J J J J J
wound. The patient's spouse demonstrates how to change the dressing. The nurse is acting in which
J J J J J J J J J J J J J J J J
professional role?
J J
1. Educator
J
2. Advocate
J
3. Caregiver
J
4. Communicator - correct answer1
J J J J
,The examination for registered nurse (RN) licensure is the same in every state in the United States. This
J J J J J J J J J J J J J J J J J
examination:
J
1. Guarantees safe nursing care for all patients.
J J J J J J J
2. Ensures standard nursing care for all patients.
J J J J J J J
3. Provides a minimal standard of knowledge for an RN in practice.
J J J J J J J J J J J
4. Guarantees standardized education across all prelicensure programs. - correct answer3
J J J J J J J J J J
Contemporary nursing requires that the nurse has knowledge and skills for a variety of professional roles
J J J J J J J J J J J J J J J
and responsibilities. Which of the following are examples of these roles and responsibilities? (Select all that
J J J J J J J J J J J J J J J J
apply.)
J
1. CaregiverJ
2. Autonomy J
3. Patient advocate
J J
4. Health promotion
J J
5. Genetic counselor - correct answer1, 2, 3, 4
J J J J J J J J
Match the advanced practice nurse specialty with the statement about the role.
J J J J J J J J J J J
1. Clinical nurse specialist
J J J
2. Nurse anesthetist
J J
3. Nurse practitioner
J J
4. Nurse-midwife
J
J
a. Provides independent care, including pregnancy and gynecological services
J J J J J J J J
b. Expert clinician in a specialized area of practice such as adult diabetes care
J J J J J J J J J J J J J
c. Provides comprehensive care, usually in a primary care setting, directly managing the medical care of
J J J J J J J J J J J J J J J
patients who are healthy or have chronic conditions
J J J J J J J J
d. Provides care and services under the supervision of an anesthesiologist - correct answer1b, 2d, 3c, 4a
J J J J J J J J J J J J J J J J
Health care reform will bring changes in the emphasis of care. Which of these models is expected from
J J J J J J J J J J J J J J J J J
health care reform?
J J J
1. Moving from an acute illness to a health promotion, illness prevention model
J J J J J J J J J J J J
,2. Moving from an illness prevention to a health promotion model
J J J J J J J J J J
3. Moving from hospital-based to community-based care
J J J J J J
4. Moving from an acute illness to a disease management model - correct answer1
J J J J J J J J J J J J J
A nurse meets with the registered dietitian and physical therapist to develop a plan of care that focuses on
J J J J J J J J J J J J J J J J J J
improving nutrition and mobility for a patient. This is an example of which Quality and Safety in the
J J J J J J J J J J J J J J J J J J
Education of Nurses (QSEN) competency?
J J J J J
1. Patient-centered care
J J
2. Safety
J
3. Teamwork and collaboration
J J J
4. Quality improvement - correct answer3
J J J J J
A critical care nurse is using a new research-based intervention to correctly position her ventilated patients
J J J J J J J J J J J J J J J
to reduce pneumonia caused by accumulated respiratory secretions. This is an example of which Quality
J J J J J J J J J J J J J J J
and Safety in the Education of Nurses (QSEN) competency?
J J J J J J J J J
1. Patient-centered care
J J
2. Evidence-based practice
J J
3. Teamwork and collaboration
J J J
4. Quality improvement - correct answer2
J J J J J
The nurses on an acute care medical floor notice an increase in pressure injury formation in their patients. A
J J J J J J J J J J J J J J J J J J
nurse consultant decides to compare two types of treatment. The first is the procedure currently used to
J J J J J J J J J J J J J J J J J
assess for pressure injury risk. The second uses a new assessment instrument to identify at-risk patients.
J J J J J J J J J J J J J J J J
Given this information, the nurse consultant exemplifies which career?
J J J J J J J J J
1. Clinical nurse specialist
J J J
2. Nurse administrator
J J
3. Nurse educator
J J
4. Nurse researcher - correct answer4
J J J J J
A patient discharged a week ago following a stroke is currently participating in rehabilitation sessions
J J J J J J J J J J J J J J
provided by nurses, physical therapists, and registered dietitians in an outpatient setting. In what level of
J J J J J J J J J J J J J J J J
prevention is the patient participating?
J J J J J
, 1. Primary prevention
J J
2. Secondary prevention
J J
3. Tertiary prevention
J J
4. Transtheoretical prevention - correct answer3
J J J J J
Based on the Transtheoretical Model of Change, what is the most appropriate response to a patient who
J J J J J J J J J J J J J J J J
states: "Me, stop smoking? I've been smoking since I was 16!"
J J J J J J J J J J J
1. "That's fine. Some people who smoke live a long life."
J J J J J J J J J J
2. "OK. I want you to decrease the number of cigarettes you smoke by one each day, and I'll see you in 1
J J J J J J J J J J J J J J J J J J J J J J
month."
J
3. "What do you think is the greatest reason why stopping smoking would be challenging for you?"
J J J J J J J J J J J J J J J J
4. "I'd like you to attend a smoking-cessation class this week and use nicotine replacement patches as
J J J J J J J J J J J J J J J J
directed." - correct answer3
J J J J
A nurse working on a medical patient care unit states, "I am having trouble sleeping, and I eat nonstop when
J J J J J J J J J J J J J J J J J J J
I get home. All I can think of when I get to work is how I can't wait for my shift to be over. I wish I felt happy
J J J J J J J J J J J J J J J J J J J J J J J J J J J J J
again." What are the best responses from the nurse manager? (Select all that apply.)
J J J J J J J J J J J J J J
1. "I'm sure this is just a phase you are going through. Hang in there. You'll feel better soon."
J J J J J J J J J J J J J J J J J J
2. "I know several nurses who feel this way every now and then. Tell me about the patients you have cared
J J J J J J J J J J J J J J J J J J J J
for recently. Did you find it difficult to care for them?"
J J J J J J J J J J J
3. "You can take diphenhydramine over the counter to help you sleep at night."
J J J J J J J J J J J J J
4. "Describe for me what you do with your time when you are not working."
J J J J J J J J J J J J J J
5. "The hospital just started a group where nurses get together to talk about their feelings. Would you like
J J J J J J J J J J J J J J J J J J
for me to e-mail the schedule to you?" - correct answer2, 4, 5
J J J J J J J J J J J J J
A patient has been laid off from his construction job and has many unpaid bills. He is going through a divorce
J J J J J J J J J J J J J J J J J J J J
from his marriage of 15 years and has been praying daily to help him through this difficult time. He does not
J J J J J J J J J J J J J J J J J J J J J
have a primary health care provider because he has never really been sick, and his parents never took him
J J J J J J J J J J J J J J J J J J J
to a physician when he was a child. Which external variables influence the patient's health practices?
J J J J J J J J J J J J J J J J
(Select all that apply.)
J J J J
1. Difficulty paying his bills
J J J J
2. Praying daily
J J
3. Age of patient (46 years)
J J J J J
1 - Questions and Answers
You are preparing a presentation for your classmates regarding the clinical care coordination conference
J J J J J J J J J J J J J
for a patient with terminal cancer. As part of the preparation you have your classmates read the Nursing
J J J J J J J J J J J J J J J J J J
Code of Ethics for Professional Registered Nurses. Your instructor asks the class why this document is
J J J J J J J J J J J J J J J J
important. Which statement best describes this code?
J J J J J J J
1. Improves self-health care
J J J
2. Protects the patient's confidentiality
J J J J
3. Ensures identical care to all patients
J J J J J J
4. Defines the principles of right and wrong to provide patient care - correct answer4
J J J J J J J J J J J J J J
A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and be
J J J J J J J J J J J J J J J J J J J J
comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risk and
J J J J J J J J J J J J J J J J J J
benefits of the surgery to the family and discusses the patient's wishes with them. The nurse is acting as the
J J J J J J J J J J J J J J J J J J J J
patient's:
J
1. Educator.
J
2. Advocate.
J
3. Caregiver.
J
4. Communicator. - correct answer2
J J J J
The nurse spends time with a patient and family reviewing a dressing change procedure for the patient's
J J J J J J J J J J J J J J J J
wound. The patient's spouse demonstrates how to change the dressing. The nurse is acting in which
J J J J J J J J J J J J J J J J
professional role?
J J
1. Educator
J
2. Advocate
J
3. Caregiver
J
4. Communicator - correct answer1
J J J J
,The examination for registered nurse (RN) licensure is the same in every state in the United States. This
J J J J J J J J J J J J J J J J J
examination:
J
1. Guarantees safe nursing care for all patients.
J J J J J J J
2. Ensures standard nursing care for all patients.
J J J J J J J
3. Provides a minimal standard of knowledge for an RN in practice.
J J J J J J J J J J J
4. Guarantees standardized education across all prelicensure programs. - correct answer3
J J J J J J J J J J
Contemporary nursing requires that the nurse has knowledge and skills for a variety of professional roles
J J J J J J J J J J J J J J J
and responsibilities. Which of the following are examples of these roles and responsibilities? (Select all that
J J J J J J J J J J J J J J J J
apply.)
J
1. CaregiverJ
2. Autonomy J
3. Patient advocate
J J
4. Health promotion
J J
5. Genetic counselor - correct answer1, 2, 3, 4
J J J J J J J J
Match the advanced practice nurse specialty with the statement about the role.
J J J J J J J J J J J
1. Clinical nurse specialist
J J J
2. Nurse anesthetist
J J
3. Nurse practitioner
J J
4. Nurse-midwife
J
J
a. Provides independent care, including pregnancy and gynecological services
J J J J J J J J
b. Expert clinician in a specialized area of practice such as adult diabetes care
J J J J J J J J J J J J J
c. Provides comprehensive care, usually in a primary care setting, directly managing the medical care of
J J J J J J J J J J J J J J J
patients who are healthy or have chronic conditions
J J J J J J J J
d. Provides care and services under the supervision of an anesthesiologist - correct answer1b, 2d, 3c, 4a
J J J J J J J J J J J J J J J J
Health care reform will bring changes in the emphasis of care. Which of these models is expected from
J J J J J J J J J J J J J J J J J
health care reform?
J J J
1. Moving from an acute illness to a health promotion, illness prevention model
J J J J J J J J J J J J
,2. Moving from an illness prevention to a health promotion model
J J J J J J J J J J
3. Moving from hospital-based to community-based care
J J J J J J
4. Moving from an acute illness to a disease management model - correct answer1
J J J J J J J J J J J J J
A nurse meets with the registered dietitian and physical therapist to develop a plan of care that focuses on
J J J J J J J J J J J J J J J J J J
improving nutrition and mobility for a patient. This is an example of which Quality and Safety in the
J J J J J J J J J J J J J J J J J J
Education of Nurses (QSEN) competency?
J J J J J
1. Patient-centered care
J J
2. Safety
J
3. Teamwork and collaboration
J J J
4. Quality improvement - correct answer3
J J J J J
A critical care nurse is using a new research-based intervention to correctly position her ventilated patients
J J J J J J J J J J J J J J J
to reduce pneumonia caused by accumulated respiratory secretions. This is an example of which Quality
J J J J J J J J J J J J J J J
and Safety in the Education of Nurses (QSEN) competency?
J J J J J J J J J
1. Patient-centered care
J J
2. Evidence-based practice
J J
3. Teamwork and collaboration
J J J
4. Quality improvement - correct answer2
J J J J J
The nurses on an acute care medical floor notice an increase in pressure injury formation in their patients. A
J J J J J J J J J J J J J J J J J J
nurse consultant decides to compare two types of treatment. The first is the procedure currently used to
J J J J J J J J J J J J J J J J J
assess for pressure injury risk. The second uses a new assessment instrument to identify at-risk patients.
J J J J J J J J J J J J J J J J
Given this information, the nurse consultant exemplifies which career?
J J J J J J J J J
1. Clinical nurse specialist
J J J
2. Nurse administrator
J J
3. Nurse educator
J J
4. Nurse researcher - correct answer4
J J J J J
A patient discharged a week ago following a stroke is currently participating in rehabilitation sessions
J J J J J J J J J J J J J J
provided by nurses, physical therapists, and registered dietitians in an outpatient setting. In what level of
J J J J J J J J J J J J J J J J
prevention is the patient participating?
J J J J J
, 1. Primary prevention
J J
2. Secondary prevention
J J
3. Tertiary prevention
J J
4. Transtheoretical prevention - correct answer3
J J J J J
Based on the Transtheoretical Model of Change, what is the most appropriate response to a patient who
J J J J J J J J J J J J J J J J
states: "Me, stop smoking? I've been smoking since I was 16!"
J J J J J J J J J J J
1. "That's fine. Some people who smoke live a long life."
J J J J J J J J J J
2. "OK. I want you to decrease the number of cigarettes you smoke by one each day, and I'll see you in 1
J J J J J J J J J J J J J J J J J J J J J J
month."
J
3. "What do you think is the greatest reason why stopping smoking would be challenging for you?"
J J J J J J J J J J J J J J J J
4. "I'd like you to attend a smoking-cessation class this week and use nicotine replacement patches as
J J J J J J J J J J J J J J J J
directed." - correct answer3
J J J J
A nurse working on a medical patient care unit states, "I am having trouble sleeping, and I eat nonstop when
J J J J J J J J J J J J J J J J J J J
I get home. All I can think of when I get to work is how I can't wait for my shift to be over. I wish I felt happy
J J J J J J J J J J J J J J J J J J J J J J J J J J J J J
again." What are the best responses from the nurse manager? (Select all that apply.)
J J J J J J J J J J J J J J
1. "I'm sure this is just a phase you are going through. Hang in there. You'll feel better soon."
J J J J J J J J J J J J J J J J J J
2. "I know several nurses who feel this way every now and then. Tell me about the patients you have cared
J J J J J J J J J J J J J J J J J J J J
for recently. Did you find it difficult to care for them?"
J J J J J J J J J J J
3. "You can take diphenhydramine over the counter to help you sleep at night."
J J J J J J J J J J J J J
4. "Describe for me what you do with your time when you are not working."
J J J J J J J J J J J J J J
5. "The hospital just started a group where nurses get together to talk about their feelings. Would you like
J J J J J J J J J J J J J J J J J J
for me to e-mail the schedule to you?" - correct answer2, 4, 5
J J J J J J J J J J J J J
A patient has been laid off from his construction job and has many unpaid bills. He is going through a divorce
J J J J J J J J J J J J J J J J J J J J
from his marriage of 15 years and has been praying daily to help him through this difficult time. He does not
J J J J J J J J J J J J J J J J J J J J J
have a primary health care provider because he has never really been sick, and his parents never took him
J J J J J J J J J J J J J J J J J J J
to a physician when he was a child. Which external variables influence the patient's health practices?
J J J J J J J J J J J J J J J J
(Select all that apply.)
J J J J
1. Difficulty paying his bills
J J J J
2. Praying daily
J J
3. Age of patient (46 years)
J J J J J
