N138 ASSESSMENT EXAM WITH IN-DEPTH QUESTIONS &
MODEL ANSWERS (2025 NEWEST UPDATE VERSION
What are the primary work settings for RN's? CORRECT ANSWER>>>>1) Hospitals
63.2% (where most nurses work!)
An increase of 25% in the past decade (HRSA, 2013). 39.6% work in inpatient units in
community hospitals. Others work in specialty hospitals, long-term hospitals, and psychiatric
units. 1.1% of RNs work in VA hospitals
2) Ambulatory care (outpatient) 10.5%
Nurse-based practices, physician-based practices, and free-standing emergency and surgical
centers
3) Public and community health 7.8%
4) Home health 6.4%
5) Extended care facilities (e.g. SNFs) 5.3%
6) Others - 6.8% ... school nursing, nursing associations, local, state or federal governmental
agencies, state boards of nursing, or insurance companies
,What are the trends in nursing education? CORRECT ANSWER>>>>- The number of
diploma programs (hospital based) has steadily declined, educating only 4% of all new RNs in
2013
- Most nurses (53%) have initial ADN programs education
- 39% reported having an ADN and 36% having a BSN as their first degree or credential.
- Many ADN-prepared RNs eventually return to school to complete a BSN degree, often online
Currently, about 55% of RNs have BSN or higher degrees
- Globalization and the international migration of nurses has resulted in an increase of
internationally educated nurses (3.7% in 2004 to 5.6% in 2008).
How do BSN nurses affect outcomes to patients in hospitals? CORRECT
ANSWER>>>>Patients on surgical units with more BSN-prepared nurses had fewer
complications than patients on units with fewer BSN nurses.
Hospitals with a higher percentage of nurses with a BS in Nursing had both a higher standard of
patient care and a lower incidence of patient post-surgical mortality
Understand the variety of practice settings for nurses and the related practice styles,
philosophies, benefits and challenges CORRECT ANSWER>>>>1) Hospitals
- Within the last 150 years: Nursing practice shifted from informal home and community
settings to hospitals
_ Medical centers offer comprehensive specialty services, such as cancer centers, heart centers,
etc
, - Community-based hospitals have less severe patients; typically identify, stabilize and transport
those to high level of care
- Entry-level positions require RN licensure
- Bachelor's degrees are required to advance on the clinical ladder or to assume management
positions.
- Nurse managers often require a Master's degree.
2) Communities
- Lillian Wald was the founder of community nursing.
- Government and private agencies
- Home health and cost-effectiveness
- Knowledge and skills of the home health nurse
3) Medical Offices
- Nurses work in tandem with physicians, NPs, and their patients
- Office-based nursing activities
- Nursing knowledge and skills
- Communication skills
4) Workplace
- Occupational and environmental health nurses provide basic health care services, health
education, screenings, and emergency treatment to employees in the workplace
- "Good employee health reduces absenteeism, insurance costs, and worker errors, thereby
improving company profitability"
- Roles/responsibilities
MODEL ANSWERS (2025 NEWEST UPDATE VERSION
What are the primary work settings for RN's? CORRECT ANSWER>>>>1) Hospitals
63.2% (where most nurses work!)
An increase of 25% in the past decade (HRSA, 2013). 39.6% work in inpatient units in
community hospitals. Others work in specialty hospitals, long-term hospitals, and psychiatric
units. 1.1% of RNs work in VA hospitals
2) Ambulatory care (outpatient) 10.5%
Nurse-based practices, physician-based practices, and free-standing emergency and surgical
centers
3) Public and community health 7.8%
4) Home health 6.4%
5) Extended care facilities (e.g. SNFs) 5.3%
6) Others - 6.8% ... school nursing, nursing associations, local, state or federal governmental
agencies, state boards of nursing, or insurance companies
,What are the trends in nursing education? CORRECT ANSWER>>>>- The number of
diploma programs (hospital based) has steadily declined, educating only 4% of all new RNs in
2013
- Most nurses (53%) have initial ADN programs education
- 39% reported having an ADN and 36% having a BSN as their first degree or credential.
- Many ADN-prepared RNs eventually return to school to complete a BSN degree, often online
Currently, about 55% of RNs have BSN or higher degrees
- Globalization and the international migration of nurses has resulted in an increase of
internationally educated nurses (3.7% in 2004 to 5.6% in 2008).
How do BSN nurses affect outcomes to patients in hospitals? CORRECT
ANSWER>>>>Patients on surgical units with more BSN-prepared nurses had fewer
complications than patients on units with fewer BSN nurses.
Hospitals with a higher percentage of nurses with a BS in Nursing had both a higher standard of
patient care and a lower incidence of patient post-surgical mortality
Understand the variety of practice settings for nurses and the related practice styles,
philosophies, benefits and challenges CORRECT ANSWER>>>>1) Hospitals
- Within the last 150 years: Nursing practice shifted from informal home and community
settings to hospitals
_ Medical centers offer comprehensive specialty services, such as cancer centers, heart centers,
etc
, - Community-based hospitals have less severe patients; typically identify, stabilize and transport
those to high level of care
- Entry-level positions require RN licensure
- Bachelor's degrees are required to advance on the clinical ladder or to assume management
positions.
- Nurse managers often require a Master's degree.
2) Communities
- Lillian Wald was the founder of community nursing.
- Government and private agencies
- Home health and cost-effectiveness
- Knowledge and skills of the home health nurse
3) Medical Offices
- Nurses work in tandem with physicians, NPs, and their patients
- Office-based nursing activities
- Nursing knowledge and skills
- Communication skills
4) Workplace
- Occupational and environmental health nurses provide basic health care services, health
education, screenings, and emergency treatment to employees in the workplace
- "Good employee health reduces absenteeism, insurance costs, and worker errors, thereby
improving company profitability"
- Roles/responsibilities
