PN Final (A+ Solution guide)
Expertise
Professionalism has been historically
difficult to define. Early definitions of Older of professionalism only look at knowledge and expertise
professionalism include which of the
following characteristics?
She may lose her RN license for driving without a license
A registered nurse (RN) who usually uses
public transportation has not renewed her Driving without a license is deemed an unprofessional and illegal behavior for which
driver's license. During a recent car trip a nurse may lose his or her license
with a friend, she took over driving when
her friend became tired. Which of the
following is true?
Nurses function autonomously within their scope of practice
Rather than being assistants to doctors, nurses are able to function autonomously
An RN visits a middle school class to within their scope of practice. Nurses formulate and deliver a plan of care for clients,
discuss the profession of nursing. Which of utilizing nursing judgment and critical thinking skills to make decisions in client care
the following statements is true of nursing?
Nurses may lose their licenses for unprofessional actions
An RN is reviewing professional behavior
expectations with a group of new nurses. State boards on nursing elaborate the expected professional behaviors, and nurses
Which of the following statements should can lose their licenses for unprofessional or illegal behavior
be included in the teaching?
"Commitment to others means I should be honest and accountable for my actions"
An RN is explaining to a student nurse
what professionalism in nursing means. Commitment to others involves accountability for one's actions, lifelong learning,
Which of the following statements, if made and commitment to colleagues
by the student nurse, demonstrates
teaching has been successful?
Virginia Henderson
As the definition of nursing evolved, which
of the following nurse theorists focused on Virginia Henderson's definition of nursing focused on its uniqueness
the uniqueness of nursing?
Nurses have the skills needed to care for diverse populations
Recent polls have placed nursing as one of
the most trusted professions because of Nurses are one of the most trusted professions because they have the knowledge,
which of the following? expertise, and ability to care for diverse populations
Ensure the safety of the public
The purpose of the NCLEX examination is to ensure the safety of the public by
The main purpose of the NCLEX establishing a minimum standard to indicate that an individual has the knowledge
examination is which of the following? and skills necessary to practice nursing safely and effectively
A. If her home state participates in the compact agreement, she may practice in
other states participating in the agreement, but should renew her license in her
home state
A recent nursing school graduate is
preparing to take the NCLEX. The The state in which the nurse lives is considered her home state. Although the nurse
graduate knows which of the following is may practice nursing in other states participating in the compact, she should renew
true? her RN license in her home state
Disabled children
The Social Security Act of 1935 impacted
public health nursing because it contained The Social Security Act of 1935 strengthened public health services, particularly for
provisions for care for which of the dependent mothers and children, the blind, and disabled children
following vulnerable populations?
Development of specialty care disciplines
The decades between the 1960s and
1980s brought about many changes in Specialty care disciplines developed because of advances in intensive care,
nursing. Which of the following is a reason neurosurgical techniques, and cardiothoracic surgery
for advances in nursing?
Page 1
, PN Final (A+ Solution guide)
After the Vietnam War, many nurses were frustrated with the lack of independent
functioning of nurses when they returned home
Which of the following is a challenge the During the Vietnam War, many nurses functioned independently in mobile hospital
profession of nursing faced? units performing lifesaving procedures for wounded soldiers. Many felt restricted by
the lack of independent practice when they returned home
Practice active and assertive communication techniques
A nurse supervisor is planning an
educational session for her staff regarding Active and assertive communication will assist each generation to value the others'
improving teamwork among different skills and perspectives
generations. Which of the following
recommendations will reduce potential
generational conflicts?
A 2010 Institute of Medicine report encouraged nurses to practice to the full extent
Which of the following is a reason for of their education
increasing the use of advanced practice
nurses?
Multiple generations in the workforce
Which of the following is a reason for Multiple generations in the workforce today with multiple viewpoints can lead to
conflicts in professional nursing today? conflict
Values are an individual's feelings about situations
Which of the following best describes the
ethical concept of values? Values are how individuals feel about ideas, situations, and concepts
Intrinsic values are basic needs for sustaining life
Which of the following best describes
intrinsic values? Intrinsic values are related to sustaining life, such as food and water
Continuous reinforcement
Values are learned through which of the Children learn values through continuous reinforcement by watching their parents,
following methods? friends, teachers, and religious leaders
As a standard for measuring actions, ethical principles may be the basis for laws
Which of the following statements about Ethical principles are a standard for measuring actions. They may form the basis for
ethical principles and laws is true? laws, but are not laws themselves
Autonomy
Autonomy is an individual's right to make his or her own decisions
A registered nurse (RN) is caring for a
patient who is one of Jehovah's Witnesses
and has refused a blood transfusion even
though her hemoglobin is dangerously low.
After providing information about all the
alternatives available and risks and
benefits of each, the health-care provider
allows the patient to determine which
course of treatment she would prefer. The
RN knows this is an example of which
ethical principle?
Confidentiality
An RN cared for a state senator during the The principle of confidentiality requires nurses to hold health-care information and
day shift. Later that day he was having anything patients tell them in the strictest confidence
dinner with friends when the news
mentioned the senator had been
hospitalized. The RN's friends asked if he
knew what was wrong with the senator.
Which ethical principle should the RN
consider when replying?
Page 2
, PN Final (A+ Solution guide)
Virtue ethics focuses on moral character, rather than rules for behavior
When considering virtue ethics, which of
the following is true? Virtue ethics focuses on qualities and moral character rather than rules or duties
Nursing ethics focus on the experiences and needs of nurses
Which of the following statements is true Nursing ethics not only focus on the experiences and needs of nurses, but also on
regarding nursing ethics? the nurses' perceptions of these experiences
Moral suffering
A recent ethical issue has resulted in
Moral suffering occurs when a situation results in a feeling of uneasiness or concern
uneasiness and discomfort for several
because of behaviors or circumstances that challenge one's own morals and beliefs
nurses on a unit. The unit manager has
decided to discuss the issues at the next
team meeting. The situation has resulted in
which of the following for some of the
nurses?
Assessment
An RN's current patient and family have The nursing process can be used to find a solution to an ethical dilemma. The first
presented her with an ethical dilemma. step is assessment and identification of the problem
What is the first step the RN should take to
find a workable solution to the problem?
Planning
An RN is working through an ethical
dilemma involving a patient on his unit. He During the planning phase, goals of treatment are established, decision makers are
has just identified the decision makers identified, and all options are reviewed
involved. Which step best describes the
current stage the RN is working through?
The institution is unable to honor the patient's request
An RN knows that sometimes, when
working through an ethical dilemma, the A patient may make a request that is not possible within the institution. When this
decision makers are unable to arrive at a occurs, a solution may not be possible within the institution and the patient may
mutually agreed upon decision. Which of need to be transferred to a different institution that may be able to honor the request
the following is a reason why an
agreement cannot be reached?
Assist patients to achieve a peaceful death
The primary goal of nursing is to keep people alive and well, or if this is not possible
An RN recognizes which of the following as to at least assist them to live as comfortably as possible and achieve a peaceful
a primary goal of nursing? death
Beneficence and nonmaleficence
This is correct. Beneficence is the principle of doing good to benefit others.
Although technology has seen many Nonmaleficence is the principle of doing no harm to others. Technological advances
advances, which two ethical principles may can cause the principles of beneficence and nonmaleficence to develop into an
be in conflict because of technology? ethical dilemma
The director should follow her institution's formal process for reporting and handling
A unit director at a local hospital knows practices that jeopardize patient safety
even leadership may face ethical
dilemmas. Which of the following should Incompetence jeopardizes patient safety. Therefore, the formal process for handling
the director take into consideration when these practices should be followed
dealing with an employee who is
incompetent?
Statutory laws
Which of the following laws govern nursing Statutory laws are those created by various legislative bodies, such as state
practice? legislatures. Laws that govern nursing practice are statutory laws
Page 3
Expertise
Professionalism has been historically
difficult to define. Early definitions of Older of professionalism only look at knowledge and expertise
professionalism include which of the
following characteristics?
She may lose her RN license for driving without a license
A registered nurse (RN) who usually uses
public transportation has not renewed her Driving without a license is deemed an unprofessional and illegal behavior for which
driver's license. During a recent car trip a nurse may lose his or her license
with a friend, she took over driving when
her friend became tired. Which of the
following is true?
Nurses function autonomously within their scope of practice
Rather than being assistants to doctors, nurses are able to function autonomously
An RN visits a middle school class to within their scope of practice. Nurses formulate and deliver a plan of care for clients,
discuss the profession of nursing. Which of utilizing nursing judgment and critical thinking skills to make decisions in client care
the following statements is true of nursing?
Nurses may lose their licenses for unprofessional actions
An RN is reviewing professional behavior
expectations with a group of new nurses. State boards on nursing elaborate the expected professional behaviors, and nurses
Which of the following statements should can lose their licenses for unprofessional or illegal behavior
be included in the teaching?
"Commitment to others means I should be honest and accountable for my actions"
An RN is explaining to a student nurse
what professionalism in nursing means. Commitment to others involves accountability for one's actions, lifelong learning,
Which of the following statements, if made and commitment to colleagues
by the student nurse, demonstrates
teaching has been successful?
Virginia Henderson
As the definition of nursing evolved, which
of the following nurse theorists focused on Virginia Henderson's definition of nursing focused on its uniqueness
the uniqueness of nursing?
Nurses have the skills needed to care for diverse populations
Recent polls have placed nursing as one of
the most trusted professions because of Nurses are one of the most trusted professions because they have the knowledge,
which of the following? expertise, and ability to care for diverse populations
Ensure the safety of the public
The purpose of the NCLEX examination is to ensure the safety of the public by
The main purpose of the NCLEX establishing a minimum standard to indicate that an individual has the knowledge
examination is which of the following? and skills necessary to practice nursing safely and effectively
A. If her home state participates in the compact agreement, she may practice in
other states participating in the agreement, but should renew her license in her
home state
A recent nursing school graduate is
preparing to take the NCLEX. The The state in which the nurse lives is considered her home state. Although the nurse
graduate knows which of the following is may practice nursing in other states participating in the compact, she should renew
true? her RN license in her home state
Disabled children
The Social Security Act of 1935 impacted
public health nursing because it contained The Social Security Act of 1935 strengthened public health services, particularly for
provisions for care for which of the dependent mothers and children, the blind, and disabled children
following vulnerable populations?
Development of specialty care disciplines
The decades between the 1960s and
1980s brought about many changes in Specialty care disciplines developed because of advances in intensive care,
nursing. Which of the following is a reason neurosurgical techniques, and cardiothoracic surgery
for advances in nursing?
Page 1
, PN Final (A+ Solution guide)
After the Vietnam War, many nurses were frustrated with the lack of independent
functioning of nurses when they returned home
Which of the following is a challenge the During the Vietnam War, many nurses functioned independently in mobile hospital
profession of nursing faced? units performing lifesaving procedures for wounded soldiers. Many felt restricted by
the lack of independent practice when they returned home
Practice active and assertive communication techniques
A nurse supervisor is planning an
educational session for her staff regarding Active and assertive communication will assist each generation to value the others'
improving teamwork among different skills and perspectives
generations. Which of the following
recommendations will reduce potential
generational conflicts?
A 2010 Institute of Medicine report encouraged nurses to practice to the full extent
Which of the following is a reason for of their education
increasing the use of advanced practice
nurses?
Multiple generations in the workforce
Which of the following is a reason for Multiple generations in the workforce today with multiple viewpoints can lead to
conflicts in professional nursing today? conflict
Values are an individual's feelings about situations
Which of the following best describes the
ethical concept of values? Values are how individuals feel about ideas, situations, and concepts
Intrinsic values are basic needs for sustaining life
Which of the following best describes
intrinsic values? Intrinsic values are related to sustaining life, such as food and water
Continuous reinforcement
Values are learned through which of the Children learn values through continuous reinforcement by watching their parents,
following methods? friends, teachers, and religious leaders
As a standard for measuring actions, ethical principles may be the basis for laws
Which of the following statements about Ethical principles are a standard for measuring actions. They may form the basis for
ethical principles and laws is true? laws, but are not laws themselves
Autonomy
Autonomy is an individual's right to make his or her own decisions
A registered nurse (RN) is caring for a
patient who is one of Jehovah's Witnesses
and has refused a blood transfusion even
though her hemoglobin is dangerously low.
After providing information about all the
alternatives available and risks and
benefits of each, the health-care provider
allows the patient to determine which
course of treatment she would prefer. The
RN knows this is an example of which
ethical principle?
Confidentiality
An RN cared for a state senator during the The principle of confidentiality requires nurses to hold health-care information and
day shift. Later that day he was having anything patients tell them in the strictest confidence
dinner with friends when the news
mentioned the senator had been
hospitalized. The RN's friends asked if he
knew what was wrong with the senator.
Which ethical principle should the RN
consider when replying?
Page 2
, PN Final (A+ Solution guide)
Virtue ethics focuses on moral character, rather than rules for behavior
When considering virtue ethics, which of
the following is true? Virtue ethics focuses on qualities and moral character rather than rules or duties
Nursing ethics focus on the experiences and needs of nurses
Which of the following statements is true Nursing ethics not only focus on the experiences and needs of nurses, but also on
regarding nursing ethics? the nurses' perceptions of these experiences
Moral suffering
A recent ethical issue has resulted in
Moral suffering occurs when a situation results in a feeling of uneasiness or concern
uneasiness and discomfort for several
because of behaviors or circumstances that challenge one's own morals and beliefs
nurses on a unit. The unit manager has
decided to discuss the issues at the next
team meeting. The situation has resulted in
which of the following for some of the
nurses?
Assessment
An RN's current patient and family have The nursing process can be used to find a solution to an ethical dilemma. The first
presented her with an ethical dilemma. step is assessment and identification of the problem
What is the first step the RN should take to
find a workable solution to the problem?
Planning
An RN is working through an ethical
dilemma involving a patient on his unit. He During the planning phase, goals of treatment are established, decision makers are
has just identified the decision makers identified, and all options are reviewed
involved. Which step best describes the
current stage the RN is working through?
The institution is unable to honor the patient's request
An RN knows that sometimes, when
working through an ethical dilemma, the A patient may make a request that is not possible within the institution. When this
decision makers are unable to arrive at a occurs, a solution may not be possible within the institution and the patient may
mutually agreed upon decision. Which of need to be transferred to a different institution that may be able to honor the request
the following is a reason why an
agreement cannot be reached?
Assist patients to achieve a peaceful death
The primary goal of nursing is to keep people alive and well, or if this is not possible
An RN recognizes which of the following as to at least assist them to live as comfortably as possible and achieve a peaceful
a primary goal of nursing? death
Beneficence and nonmaleficence
This is correct. Beneficence is the principle of doing good to benefit others.
Although technology has seen many Nonmaleficence is the principle of doing no harm to others. Technological advances
advances, which two ethical principles may can cause the principles of beneficence and nonmaleficence to develop into an
be in conflict because of technology? ethical dilemma
The director should follow her institution's formal process for reporting and handling
A unit director at a local hospital knows practices that jeopardize patient safety
even leadership may face ethical
dilemmas. Which of the following should Incompetence jeopardizes patient safety. Therefore, the formal process for handling
the director take into consideration when these practices should be followed
dealing with an employee who is
incompetent?
Statutory laws
Which of the following laws govern nursing Statutory laws are those created by various legislative bodies, such as state
practice? legislatures. Laws that govern nursing practice are statutory laws
Page 3
