PROFESSIONALISM EXAM L TEST-
BANK CLINICAL SKILLS EXAM
QUESTIONS AND ANSWERS
Which practice can be traced back to the Chinese and is used in the current practice
of nursing?
A) Bathing and bandaging wounds
B) Obstetrical care
C) Medication administration
D) Physical examination - Answer-d
Palestinians developed sick houses that were connected to rest houses that cared
for travelers and the destitute that are the equivalent to what types of current
facilities?
A) Places of worship
B) Hospitals
C) Surgical centers
D) Long-term care facilities - Answer-d
When a client is in pain and extremely uncomfortable, some nurses may read to
them stories the client enjoys, recite calming hymns, or sing/play musical
instruments to help distract the clients focus on their pain. Looking back in history,
which ancient civilization began these holistic nursing practices?
A) Egypt
B) India
C) Babylonia
D) Persia - Answer-b
In current nursing times, when a client has a fever, nurses usually remove blankets,
keep room temperature lower and force fluids. These same concepts were
developed by which ancient health care provider in Greece?
A) Aretaeus
B) Hippocrates
C) Galen
D) Herophilos - Answer-a
While providing nursing care in Turkey in the 1850s, Florence Nightingale
implemented which measures, still in practice today, which lowered the mortality rate
of 40% to 2%. Select all that apply.
A) proper room ventilation
B) applying herbs on open wounds
C) nutritious meals
D) cleaning of the facility [rooms]
E) incorporation of prayer and meditation at the bedside - Answer-a, c, d
A nursing unit assigns their RN staff to plan individualized care for each client and
actually implement the plan, along with providing health education for their assigned
,group of clients/families. What type of nursing care delivery model is being practiced
on this nursing unit?
A) team nursing
B) primary nursing
C) progressive client care
D) skilled nursing - Answer-b
A nurse currently working in an ICU is studying to obtain certification in critical care.
When looking at further one's education, the nurse should also consider obtaining
which collegial degree if the nurse wants to impact client outcomes?
A) Associate degree in Nursing (ADN)
B) Bachelor degree in Nursing (BSN)
C) Master's degree in Nursing (MSN)
D) Doctorate in Nursing Practice (DNP) - Answer-b
A nurse arrives on the unit having a prescribed set of values and beliefs and begins
the assessment on the assigned client. These values and beliefs influence thoughts,
feelings, and which quality of the nurse provides care to the client?
A) ideas
B) views
C) communication
D) perception - Answer-d
The nurse receives a phone report on a client being transferred to the intensive care
unit.
This nurse will take care of the client for the rest of the shift. Upon arriving to the unit,
the nurse follows a series of steps to get the client admitted. What kind of thinking
does
the nurse exhibit if the nurse recognizes the interconnectedness of the results of the
admission process, getting the client a food tray for dinner, and administering
medications once the client is admitted?
A) whole-systems thinking
B) relational thinking
C) quantum science thinking
D) holistic thinking - Answer-b
A nurse discusses a client's request to use an alternative therapy for a skin rash.
While
visiting with this client, the telephone rings, the nurse's pager goes off, and a code
blue
is called in another client's room on the floor. Which describes the use of the client
being aware of their medical care and alternative therapies?
A) technology
B) safety
C) consumerism
D) global community - Answer-c
A nurse applies for a position on the cardiac care unit of a major suburban hospital.
The nurse shares with the manager their nursing philosophy stating that, "A client is
a human being in need of care while in the hospital. It is my hope that I can provide
,quality nursing care with attention to the body, mind, and spirit of the individual,
moving him or her on a continuum to a state of health, and working with the
environment to accomplish this task." What four elements are included in the nurse's
philosophy?
A) person, health, nursing, and environment
B) personal knowledge, empirics, aesthetics, and ethics
C) individual, environment, mission, and reflective thinking
D) health, empirics, environment, and personal knowledge - Answer-a
A client, who is dying of cancer, wishes to have hospital personnel provide only
comfort measures. Respecting the client's request, the nurse is implementing which
moral principle central to nursing?
A) beneficence (to do good)
B) compassion (caring)
C) double effect (lesser evil)
D) principalism (orientation) - Answer-a
A new graduate nurse enters the profession and begins the work of developing a
personal nursing philosophy. The efforts they make to intellectually and effectively
grow in this arena involves self-discovery. According to Carper as one of the patterns
of knowing, which characteristic will this nurse continue to develop over time?
A) personal knowledge
B) values
C) beliefs
D) feelings - Answer-a
When dealing with an ethical decision regarding a complex client care issue, the
nurse uses a traditional approach instead of a theoretical approach to assist in
decision making. Which concept is used frequently in the traditional approach to
ethical decision making that focuses on bringing about the greatest good?
A) contextualism
B) principalism
C) deontology
D) utilitarianism - Answer-d
A nurse is involved in an ethical decision-making process involving a client who does
not wish to receive blood products for religious reasons. The client's laboratory
values are dangerously low and without the blood, the client likely will to go into
shock. The nurse at the ethics committee meeting states that "The client should have
the blood regardless of personal reasons as without it the client may die. The
committee should recommend disregarding the client's wishes as they do not know
what is best for them." This example represents what kind of fallacy?
A) Arguing that because everybody does something, that something must be good.
B) Making someone accept the conclusion of another based on force alone.
C) Appealing to inappropriate authority to justify a decision.
D) Refusing to allow evidence to be shared if it contradicts one's personal position. -
Answer-b
A 75-year-old client comes to the clinic to be examined for a decreased sensation in
their right foot. The client is an insulin-dependent diabetic and was diagnosed with
, the condition 15 years ago. Which contextual element applies to this client and
affects nursing practice?
A) subcultural elements
B) economic elements
C) cultural elements
D) demographic elements - Answer-d
A nurse is caring for a homeless client with a history of diabetes who has a large foot
wound. The health care provider prescribes sterile dressing changes and other
treatments to prevent progression of the wound. Which contextual element may
apply to this client's ability to obtain supplies and to have access to health care to
prevent future amputation?
A) economic elements
B) cultural elements
C) demographic elements
D) subcultural elements - Answer-a
A hospice nurse is caring for a terminally ill client who is requesting minimal pain
medication be administered while their family is visiting. Which ethical principle is
designed to avoid using fallacies in ethical decision making?
A) Not allowing the client to share in the health care decision.
B) Serving the client in a manner that promotes harm.
C) Devaluing the client's self-determination.
D) Respecting the client's rights and treatment options. - Answer-d
A client has been admitted to the coronary care unit (CCU) following myocardial
infarction (MI). Which environmental element will affect the nurse and the client when
care is being providing in the CCU?
A) frequent interruptions
B) insurance coverage
C) age of onset
D) health condition - Answer-a
A client with end-stage renal disease has decided to discontinue dialysis treatment.
They have discussed this wish with their family. Which ethical principle is this client
exercising?
A) benevolence
B) autonomy
C) authority
D) independence - Answer-b
A nurse working on an oncology unit has administered a high dose of narcotics to a
terminally ill client with pancreatic cancer metastasized to the brain, liver, and bone.
Shortly after the administration of the narcotic, the client passes away. During
discussions with the hospital's ethics committee, the nurse notes that this decision
was the lesser of two evils. Which ethical decision-making principle is the nurse
using in this situation?
A) double effect
B) client advocacy
C) principalism
BANK CLINICAL SKILLS EXAM
QUESTIONS AND ANSWERS
Which practice can be traced back to the Chinese and is used in the current practice
of nursing?
A) Bathing and bandaging wounds
B) Obstetrical care
C) Medication administration
D) Physical examination - Answer-d
Palestinians developed sick houses that were connected to rest houses that cared
for travelers and the destitute that are the equivalent to what types of current
facilities?
A) Places of worship
B) Hospitals
C) Surgical centers
D) Long-term care facilities - Answer-d
When a client is in pain and extremely uncomfortable, some nurses may read to
them stories the client enjoys, recite calming hymns, or sing/play musical
instruments to help distract the clients focus on their pain. Looking back in history,
which ancient civilization began these holistic nursing practices?
A) Egypt
B) India
C) Babylonia
D) Persia - Answer-b
In current nursing times, when a client has a fever, nurses usually remove blankets,
keep room temperature lower and force fluids. These same concepts were
developed by which ancient health care provider in Greece?
A) Aretaeus
B) Hippocrates
C) Galen
D) Herophilos - Answer-a
While providing nursing care in Turkey in the 1850s, Florence Nightingale
implemented which measures, still in practice today, which lowered the mortality rate
of 40% to 2%. Select all that apply.
A) proper room ventilation
B) applying herbs on open wounds
C) nutritious meals
D) cleaning of the facility [rooms]
E) incorporation of prayer and meditation at the bedside - Answer-a, c, d
A nursing unit assigns their RN staff to plan individualized care for each client and
actually implement the plan, along with providing health education for their assigned
,group of clients/families. What type of nursing care delivery model is being practiced
on this nursing unit?
A) team nursing
B) primary nursing
C) progressive client care
D) skilled nursing - Answer-b
A nurse currently working in an ICU is studying to obtain certification in critical care.
When looking at further one's education, the nurse should also consider obtaining
which collegial degree if the nurse wants to impact client outcomes?
A) Associate degree in Nursing (ADN)
B) Bachelor degree in Nursing (BSN)
C) Master's degree in Nursing (MSN)
D) Doctorate in Nursing Practice (DNP) - Answer-b
A nurse arrives on the unit having a prescribed set of values and beliefs and begins
the assessment on the assigned client. These values and beliefs influence thoughts,
feelings, and which quality of the nurse provides care to the client?
A) ideas
B) views
C) communication
D) perception - Answer-d
The nurse receives a phone report on a client being transferred to the intensive care
unit.
This nurse will take care of the client for the rest of the shift. Upon arriving to the unit,
the nurse follows a series of steps to get the client admitted. What kind of thinking
does
the nurse exhibit if the nurse recognizes the interconnectedness of the results of the
admission process, getting the client a food tray for dinner, and administering
medications once the client is admitted?
A) whole-systems thinking
B) relational thinking
C) quantum science thinking
D) holistic thinking - Answer-b
A nurse discusses a client's request to use an alternative therapy for a skin rash.
While
visiting with this client, the telephone rings, the nurse's pager goes off, and a code
blue
is called in another client's room on the floor. Which describes the use of the client
being aware of their medical care and alternative therapies?
A) technology
B) safety
C) consumerism
D) global community - Answer-c
A nurse applies for a position on the cardiac care unit of a major suburban hospital.
The nurse shares with the manager their nursing philosophy stating that, "A client is
a human being in need of care while in the hospital. It is my hope that I can provide
,quality nursing care with attention to the body, mind, and spirit of the individual,
moving him or her on a continuum to a state of health, and working with the
environment to accomplish this task." What four elements are included in the nurse's
philosophy?
A) person, health, nursing, and environment
B) personal knowledge, empirics, aesthetics, and ethics
C) individual, environment, mission, and reflective thinking
D) health, empirics, environment, and personal knowledge - Answer-a
A client, who is dying of cancer, wishes to have hospital personnel provide only
comfort measures. Respecting the client's request, the nurse is implementing which
moral principle central to nursing?
A) beneficence (to do good)
B) compassion (caring)
C) double effect (lesser evil)
D) principalism (orientation) - Answer-a
A new graduate nurse enters the profession and begins the work of developing a
personal nursing philosophy. The efforts they make to intellectually and effectively
grow in this arena involves self-discovery. According to Carper as one of the patterns
of knowing, which characteristic will this nurse continue to develop over time?
A) personal knowledge
B) values
C) beliefs
D) feelings - Answer-a
When dealing with an ethical decision regarding a complex client care issue, the
nurse uses a traditional approach instead of a theoretical approach to assist in
decision making. Which concept is used frequently in the traditional approach to
ethical decision making that focuses on bringing about the greatest good?
A) contextualism
B) principalism
C) deontology
D) utilitarianism - Answer-d
A nurse is involved in an ethical decision-making process involving a client who does
not wish to receive blood products for religious reasons. The client's laboratory
values are dangerously low and without the blood, the client likely will to go into
shock. The nurse at the ethics committee meeting states that "The client should have
the blood regardless of personal reasons as without it the client may die. The
committee should recommend disregarding the client's wishes as they do not know
what is best for them." This example represents what kind of fallacy?
A) Arguing that because everybody does something, that something must be good.
B) Making someone accept the conclusion of another based on force alone.
C) Appealing to inappropriate authority to justify a decision.
D) Refusing to allow evidence to be shared if it contradicts one's personal position. -
Answer-b
A 75-year-old client comes to the clinic to be examined for a decreased sensation in
their right foot. The client is an insulin-dependent diabetic and was diagnosed with
, the condition 15 years ago. Which contextual element applies to this client and
affects nursing practice?
A) subcultural elements
B) economic elements
C) cultural elements
D) demographic elements - Answer-d
A nurse is caring for a homeless client with a history of diabetes who has a large foot
wound. The health care provider prescribes sterile dressing changes and other
treatments to prevent progression of the wound. Which contextual element may
apply to this client's ability to obtain supplies and to have access to health care to
prevent future amputation?
A) economic elements
B) cultural elements
C) demographic elements
D) subcultural elements - Answer-a
A hospice nurse is caring for a terminally ill client who is requesting minimal pain
medication be administered while their family is visiting. Which ethical principle is
designed to avoid using fallacies in ethical decision making?
A) Not allowing the client to share in the health care decision.
B) Serving the client in a manner that promotes harm.
C) Devaluing the client's self-determination.
D) Respecting the client's rights and treatment options. - Answer-d
A client has been admitted to the coronary care unit (CCU) following myocardial
infarction (MI). Which environmental element will affect the nurse and the client when
care is being providing in the CCU?
A) frequent interruptions
B) insurance coverage
C) age of onset
D) health condition - Answer-a
A client with end-stage renal disease has decided to discontinue dialysis treatment.
They have discussed this wish with their family. Which ethical principle is this client
exercising?
A) benevolence
B) autonomy
C) authority
D) independence - Answer-b
A nurse working on an oncology unit has administered a high dose of narcotics to a
terminally ill client with pancreatic cancer metastasized to the brain, liver, and bone.
Shortly after the administration of the narcotic, the client passes away. During
discussions with the hospital's ethics committee, the nurse notes that this decision
was the lesser of two evils. Which ethical decision-making principle is the nurse
using in this situation?
A) double effect
B) client advocacy
C) principalism
