1
, 2
Chapter 01: Professional Nursing x x x
Test Bank MULTIPL x x
E CHOICE
x
1. The nurse teaches a student nurse about how to apply the nursing process when providing patient care. Whi
x x x x x x x x x x x x x x x x x
ch statement, if made by the student nurse, indicates that teaching was successful?
x x x x x x x x x x x x
a. The nursing process is a scientific-based method of diagnosing the patients health care problems.
x x x x x x x x x x x x x
b. The nursing process is a problem-solving tool used to identify and treat patients health care needs.
x x x x x x x x x x x x x x x
c. The nursing process is based on nursing theory that incorporates the biopsychosocial nature of hu
x x x x x x x x x x x x x x
mans.
d. The nursing process is used primarily to explain nursing interventions to other health care pro
x x x x x x x x x x x x x x
fessionals.
ANS: B x
The nursing process is a problem-
x x x x x
solving approach to the identification and treatment of patients problems. Diagnosis is only one phase of the nurs
x x x x x x x x x x x x x x x x x
ing process. The primary use of the nursing process is in patient care, not to establish nursing theory or explain
x x x x x x x x x x x x x x x x x x x
xnursing interventions to other health care professionals.
x x x x x x
DIF: Cognitive Level: Understand (comprehension)
x x x x
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
x x x x x x x x x x
2. The nurse describes to a student nurse how to use evidence-
x x x x x x x x x x
based practice guidelines when caring for patients. Which statement, if made by the nurse, would be the
x x x x x x x x x x x x x x x x x
most accurate? x
a. Inferences from clinical research studies are used as a guide.
x x x x x x x x x
b. Patient care is based on clinical judgment, experience, and traditions.
x x x x x x x x x
c. Data are evaluated to show that the patient outcomes are consistently met.
x x x x x x x x x x x
d. Recommendations are based on research, clinical expertise, and patient preferences. x x x x x x x x x
ANS: D x
Evidence-based practice (EBP) is the use of the best research- x x x x x x x x x
based evidence combined with clinician expertise. Clinical judgment based on the nurses clinical experience
x x x x x x x x x x x x x
xis part of EBP, but clinical decision making should also incorporate current research and research-
x x x x x x x x x x x x x x
based guidelines. Evaluation of patient outcomes is important, but interventions should be based on research
x x x x x x x x x x x x x x x
from randomized control studies with a large number of subjects.
x x x x x x x x x
, 3
DIF: Cognitive Level: Remember (knowledge)
x x x x
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
x x x x x x x x x x
, 4
3. The nurse completes an admission database and explains that the plan of care and discharge goals will be devel
x x x x x x x x x x x x x x x x x x
oped with the patients input. The patient states, How is this different from what the doctor does? Which response
x x x x x x x x x x x x x x x x x x x
would be most appropriate for the nurse to make?
x x x x x x x x
a. The role of the nurse is to administer medications and other treatments prescribed by your doctor.
x x x x x x x x x x x x x x x
b. The nurses job is to help the doctor by collecting information and communicating any problems that
x x x x x x x x x x x x x x x
occur.
x
c. Nurses perform many of the same procedures as the doctor, but nurses are with the patients for a long
x x x x x x x x x x x x x x x x x x
er time than the doctor.
x x x x
d. In addition to caring for you while you are sick, the nurses will assist you to develop an indi
x x x x x x x x x x x x x x x x x x
vidualized plan to maintain your health. x x x x x
ANS: D x
This response is consistent with the American Nurses Association (ANA) definition of nursing, which desc
x x x x x x x x x x x x x x
ribes the role of nurses in promoting health. The other responses describe some of the dependent and collaborativ
x x x x x x x x x x x x x x x x x
e functions of the nursing role but do not accurately describe the nurses role in the health care system.
x x x x x x x x x x x x x x x x x x
DIF: Cognitive Level: Understand (comprehension)
x x x x
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
x x x x x x x x x x
4. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer on the left hip Whic
x x x x x x x x x x x x x x x x x x x x x x x
h nursing diagnosis is most appropriate?
x x x x x
a. Impaired physical mobility related to left-sided paralysis
x x x x x x
b. Risk for impaired tissue integrity related to left-sided weakness
x x x x x x x x
c. Impaired skin integrity related to altered circulation and pressure
x x x x x x x x
d. Ineffective tissue perfusion related to inability to move independently A
x x x x x x x x x
NS: Cx
The patients major problem is the impaired skin integrity as demonstrated by the presence of a pressure ulcer. The
x x x x x x x x x x x x x x x x x x x
nurse is able to treat the cause of altered circulation and pressure by frequently repositioning the patient. Although l
x x x x x x x x x x x x x x x x x x
eft-
sided weakness is a problem for the patient, the nurse cannot treat the weakness. The risk for diagnosis is not a
x x x x x x x x x x x x x x x x x x x x
ppropriate for this patient, who already has impaired tissue integrity. The patient does have ineffective tissue perfu
x x x x x x x x x x x x x x x x
sion, but the impaired skin integrity diagnosis indicates more clearly what the health problem is.
x x x x x x x x x x x x x x
DIF: Cognitive Level: Apply (application)
x x x x
TOP: Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity
x x x x x x x
5. A patient has been admitted to the hospital for surgery and tells the nurse, I do not feel comfortable leaving my
x x x x x x x x x x x x x x x x x x x x x
children with my parents. Which action should the nurse take next?
x x x x x x x x x x
, 2
Chapter 01: Professional Nursing x x x
Test Bank MULTIPL x x
E CHOICE
x
1. The nurse teaches a student nurse about how to apply the nursing process when providing patient care. Whi
x x x x x x x x x x x x x x x x x
ch statement, if made by the student nurse, indicates that teaching was successful?
x x x x x x x x x x x x
a. The nursing process is a scientific-based method of diagnosing the patients health care problems.
x x x x x x x x x x x x x
b. The nursing process is a problem-solving tool used to identify and treat patients health care needs.
x x x x x x x x x x x x x x x
c. The nursing process is based on nursing theory that incorporates the biopsychosocial nature of hu
x x x x x x x x x x x x x x
mans.
d. The nursing process is used primarily to explain nursing interventions to other health care pro
x x x x x x x x x x x x x x
fessionals.
ANS: B x
The nursing process is a problem-
x x x x x
solving approach to the identification and treatment of patients problems. Diagnosis is only one phase of the nurs
x x x x x x x x x x x x x x x x x
ing process. The primary use of the nursing process is in patient care, not to establish nursing theory or explain
x x x x x x x x x x x x x x x x x x x
xnursing interventions to other health care professionals.
x x x x x x
DIF: Cognitive Level: Understand (comprehension)
x x x x
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
x x x x x x x x x x
2. The nurse describes to a student nurse how to use evidence-
x x x x x x x x x x
based practice guidelines when caring for patients. Which statement, if made by the nurse, would be the
x x x x x x x x x x x x x x x x x
most accurate? x
a. Inferences from clinical research studies are used as a guide.
x x x x x x x x x
b. Patient care is based on clinical judgment, experience, and traditions.
x x x x x x x x x
c. Data are evaluated to show that the patient outcomes are consistently met.
x x x x x x x x x x x
d. Recommendations are based on research, clinical expertise, and patient preferences. x x x x x x x x x
ANS: D x
Evidence-based practice (EBP) is the use of the best research- x x x x x x x x x
based evidence combined with clinician expertise. Clinical judgment based on the nurses clinical experience
x x x x x x x x x x x x x
xis part of EBP, but clinical decision making should also incorporate current research and research-
x x x x x x x x x x x x x x
based guidelines. Evaluation of patient outcomes is important, but interventions should be based on research
x x x x x x x x x x x x x x x
from randomized control studies with a large number of subjects.
x x x x x x x x x
, 3
DIF: Cognitive Level: Remember (knowledge)
x x x x
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
x x x x x x x x x x
, 4
3. The nurse completes an admission database and explains that the plan of care and discharge goals will be devel
x x x x x x x x x x x x x x x x x x
oped with the patients input. The patient states, How is this different from what the doctor does? Which response
x x x x x x x x x x x x x x x x x x x
would be most appropriate for the nurse to make?
x x x x x x x x
a. The role of the nurse is to administer medications and other treatments prescribed by your doctor.
x x x x x x x x x x x x x x x
b. The nurses job is to help the doctor by collecting information and communicating any problems that
x x x x x x x x x x x x x x x
occur.
x
c. Nurses perform many of the same procedures as the doctor, but nurses are with the patients for a long
x x x x x x x x x x x x x x x x x x
er time than the doctor.
x x x x
d. In addition to caring for you while you are sick, the nurses will assist you to develop an indi
x x x x x x x x x x x x x x x x x x
vidualized plan to maintain your health. x x x x x
ANS: D x
This response is consistent with the American Nurses Association (ANA) definition of nursing, which desc
x x x x x x x x x x x x x x
ribes the role of nurses in promoting health. The other responses describe some of the dependent and collaborativ
x x x x x x x x x x x x x x x x x
e functions of the nursing role but do not accurately describe the nurses role in the health care system.
x x x x x x x x x x x x x x x x x x
DIF: Cognitive Level: Understand (comprehension)
x x x x
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
x x x x x x x x x x
4. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer on the left hip Whic
x x x x x x x x x x x x x x x x x x x x x x x
h nursing diagnosis is most appropriate?
x x x x x
a. Impaired physical mobility related to left-sided paralysis
x x x x x x
b. Risk for impaired tissue integrity related to left-sided weakness
x x x x x x x x
c. Impaired skin integrity related to altered circulation and pressure
x x x x x x x x
d. Ineffective tissue perfusion related to inability to move independently A
x x x x x x x x x
NS: Cx
The patients major problem is the impaired skin integrity as demonstrated by the presence of a pressure ulcer. The
x x x x x x x x x x x x x x x x x x x
nurse is able to treat the cause of altered circulation and pressure by frequently repositioning the patient. Although l
x x x x x x x x x x x x x x x x x x
eft-
sided weakness is a problem for the patient, the nurse cannot treat the weakness. The risk for diagnosis is not a
x x x x x x x x x x x x x x x x x x x x
ppropriate for this patient, who already has impaired tissue integrity. The patient does have ineffective tissue perfu
x x x x x x x x x x x x x x x x
sion, but the impaired skin integrity diagnosis indicates more clearly what the health problem is.
x x x x x x x x x x x x x x
DIF: Cognitive Level: Apply (application)
x x x x
TOP: Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity
x x x x x x x
5. A patient has been admitted to the hospital for surgery and tells the nurse, I do not feel comfortable leaving my
x x x x x x x x x x x x x x x x x x x x x
children with my parents. Which action should the nurse take next?
x x x x x x x x x x
