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d - ANSW-You are participating in a clinical care coordination conference for a patient with terminal
cancer. You talk with your colleagues about using the nursing code of ethics for professional registered
nurses to guide care decisions. A nonnursing colleague asks about this code. Which of the following
statements best describes this code?
a. Improves self-health care
b. protects the patient's confidentiality
c. ensures identical care to all patients
d. defines the principles of right and wrong to provide patient care
c - ANSW-An 18-yr old woman is in the emergency department with fever and cough. The nurse obtains
her vital signs, auscultates her lung sounds, listens to her heart sounds, determines her level of comfort,
and collects blood and sputum samples analysis. Which standard of practice performed?
a. Diagnosis
b. Evaluation
c. Assessment
d. Implementation
d - ANSW-A patient in the emergency department has developed wheezing and shortness of breath. The
nurse gives the ordered medicated nebulizer treatment now and in 4 hours. Which standard of practice
is performed
a. Planning
b. Evaluation
c. Assessment
d. Implementation
b - ANSW-A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on
oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The nurse
explains the risk and benefits of the surgery to the family and discusses the patient's wishes with the
family. The nurse is acting as the patient's:
a. Educator
b. Advocate
c. Caregiver
d. Case Manager
c - ANSW-Evidence-based practice is defined as:
a. Nursing care based on tradition
b. Scholarly inquiry of nursing and biomedical current literature
c. A problem-solving approach that integrates best current evidence with clinical practice
d. Quality nursing care provided in an efficient and economically sound manner
d - ANSW-The examination for registered nurse licensure is exactly the same in every state in the United
States. This examination:
,a. Guarantees safe nursing care for all patients
b. Ensures standard nursing care for all patients
c. Ensures that honest and ethical care is provided
d. Provides a minimal standard of knowledge for a registered nurse in practice
a, b, c, d - ANSW-Contemporary nursing requires that the nurse had knowledge and skills for a variety of
professional roles and responsibilities. Which of the following are examples? (Select all that apply)
a. Caregiver
b. Autonomy and accountability
c. Patient Advocate
d. Health promotion
e. Lobbyist
a - ANSW-Advanced practice registered nurses generally:
a. Function independently
b. Function as unit directors
c. Work in acute care settings
d. Work in the university setting
a - ANSW-Health care reform will bring changes in the emphasis of care. Which of the following models
in expected from health care reform?
a. Moving from an acute illness to a health promotion, illness prevention model
b. Moving from illness prevention to a health promotion model
c. Moving from an acute illness to a disease management model
d. Moving from a chronic care to an illness prevention model
b, c - ANSW-Which of the following nursing roles may have prescriptive authority in their practice?
(Select all that apply)
a. Critical Care Nurse
b. Nurse Practitioner
c. Certified Clinical Nurse Specialist
d. Charge Nurse
d - ANSW-A critical nurse is using a computerized decision support system to correctly position her
ventilated patients to reduce pneumonia caused by accumulated respiratory secretions. This is an
example of which Quality and Safety in the Education of Nurses (QSEN) competency?
a. Patient-centered care
b. Safety
c. Teamwork and collaboration
d. Informatics
b - ANSW-A nurse is caring for an older-adult couple in a community-based assisted living facility. During
the family assessment, he notes that the couple has many expired medications and multiple medications
for their respective chronic illnesses. They note that they go to two different health care providers. The
nurse begins to work with the couple to determine what they know about their medications and helps
them decide on one care provider rather than two. This is an example of which QSEN competency?
a. Patient-centered care
, b. Safety
c. Teamwork and collaboration
d. Informatics
d - ANSW-The nurses on an acute care medical floor notice an increase in pressure ulcer formation in
their patents. A nurse consultant decides to compare two types of treatment. The first is the procedure
currently used to assess for pressure ulcer risk. The second uses a new assessment instrument to identify
at-risk patients. Given this information, the nurse consultant exemplifies which career?
a. Clinical Nurse Specialist
b. Nurse Administrator
c. Nurse Educator
d. Nurse Researcher
c - ANSW-Nurses at a community hospital are in an education program to learn how to use a new
pressure-relieving device for patients at risk for pressure ulcers. This is which type of education?
a. Continuing education
b. Graduate education
c. In-service education
d. Professional Registered Nurse Education
d - ANSW-Which of the following are components of paradigm of nursing?
a. The person, health, environment, and theory
b. Health, theory, concepts, and environment
c. Nurses, physicians, health, and patient needs
d. The person, health, environment/situation, and nursing
b - ANSW-A theory is a set of concepts, definitions, relationships, and assumptions that:
a. formulate legislation
b. explain phenomenon
c. measure nursing functions
d. reflect the domain of nursing practice
b - ANSW-A patient with diabetes is controlling the disease with insulin and diet. The nursing health care
provider is focusing efforts to teach the patient self-management. Which of the following nursing
theories is useful in promoting self management?
a. Neuman
b. Orem
c. Roy
d. Peplau
a, b, c - ANSW-Which of the following apply to Peplau's theory when establishing the nurse-patient
relationship? (Select all that apply)
a. An interaction between the nurse and patient must develop.
b. The patient's needs must be clarified and described.
c. The nurse-patient relationship is influenced by patient and nurse preconceptions.
d. The nurse-patient relationship is influenced only by the nurse's preconceptions.
d - ANSW-Theory-based nursing practice uses a theoretical approach for nursing care. This approach
moves nursing forward as a science. This suggests that: