1
,MULTIPLE CHOICE
1. Which nurse most likely kept records on sanitation techniques and the effects on health? a.
Florence Nightingale
b. Mary Nutting
c. Clara Barton
d. Lillian Wald
ANS: A
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected
poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald
came after Nightingale, each contributing to the nursing profession in her own way. Mary
Nutting was instrumental in moving nursing education into universities. Clara Barton founded
the American Red Cross. Lillian Wald helped open the Henry Street Settlement.
DIF:Understand (comprehension)
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
TOP: Evaluation MSC: Health Promotion and Maintenance
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard
of nursing practice is the nurse following? a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: C
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to
attain expected outcomes. During assessment, the registered nurse collects comprehensive
data pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse
analyzes the assessment data to determine the diagnoses or issues. During implementation,
the registered nurse implements (carries out) the identified plan.
DIF:Understand (comprehension)
OBJ:Discuss the development of professional nursing roles. TOP: Planning
MSC: Management of Care
3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of
proficiency is the nurse upon initial transition to the obstetrical floor? a. Novice
b. Proficient
c. Competent
d. Advanced beginner
2
, ANS: A
A beginning nursing student or any nurse entering a situation in which there is no previous
level of experience (e.g., an experienced operating room nurse chooses to now practice in
home health) is an example of a novice nurse. A proficient nurse perceives a patient’s clinical
situation as a whole, is able to assess an entire situation, and can readily transfer knowledge
gained from multiple previous experiences to a situation. A competent nurse understands the
organization and specific care required by the type of patients (e.g., surgical, oncology, or
orthopedic patients). This nurse is a competent practitioner who is able to anticipate nursing
care and establish long-range goals. A nurse who has had some level of experience with the
situation is an advanced beginner. This experience may only be observational in nature, but
the nurse is able to identify meaningful aspects or principles of nursing care.
DIF:Apply (application)
OBJ:Discuss the development of professional nursing roles. TOP: Evaluation
MSC: Management of Care
4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more
fluids. The nurse then encourages the patient to drink more fluids. Which concept is the
nurse demonstrating? a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: B
Autonomy is an essential element of professional nursing that involves the initiation of
independent nursing interventions without medical orders. To obtain licensure in the United
States, the RN candidate must pass the NCLEX-RN . Beyond the NCLEX-RN , the nurse
may choose to work toward certification in a specific area of nursing practice. Accountability
means that you are responsible, professionally and legally, for the type and quality of nursing
care provided.
DIF:Apply (application)
OBJ:Discuss the roles and career opportunities for nurses. TOP: Implementation MSC:
Management of Care
5. A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse
implementing?
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: B
A manager coordinates the activities of members of the nursing staff in delivering nursing
care and has personnel, policy, and budgetary responsibility for a specific nursing unit or
3
, facility. As an educator, you explain concepts and facts about health, describe the
reason for routine care activities, demonstrate procedures such as self-
care activities, reinforce learning or patient behavior, and evaluate the patient’s pr
ogress in learning. As a patient advocate, you protect your patient’s human and l
egal rights and provide assistance in asserting these rights if the need arises. As
a care
giver,. you. help. patients. maintain. and. regain. health,. manage. disease. and. sy. mptoms,. a
nd. attain. a. maximal. level. function. and. independence. through. the. healin.g. process.
DIF:Apply. (application)
OBJ:Discuss the roles and career opportunities for nurses. TOP:
Implementation.MSC: Management. of. Care
6. The. nurse. has. been. working. in. the. clinical. setting. for. several. years. as. an. adv.ance
d. practice. nurse.. However,. the. nurse. has. a. strong. desire. to. pursue. researc.h. and. t
heory. development.. To. fulfill. this. desire,. which. program. should. the. nur. se. attend?.
a.. Doctor. of. Nursing. Science. degree. (DNSc)
b. Doctor. of. Philosophy. degree. (PhD)
c. Doctor. of. Nursing. Practice. degree. (DNP)
d. Doctor. in. the. Science. of. Nursing. degree. (DSN)
ANS:. B
Some. doctoral. programs. prepare. nurses. for. more. rigorous. research. and. theory. dev.elopm
ent. and. award. the. research-
oriented. Doctor. of. Philosophy. (PhD). in. nursing.. Professional. doctoral. programs. in.nurs
ing. (DSN. or. DNSc). prepare. graduates. to. apply. research. findings. to. clinical.nursing.. T
he. DNP. is. a. practice. doctorate. that. prepares. advanced. practice. nurses. s.uch. as. nurse.
practitioners.
DIF:Understand. (comprehension)
OBJ:Compare. and. contrast. the. educational. programs. available. for. professional. registered. n. urs
e. (RN). education.. TOP:. Teaching/Learning. MSC:. Management. of. Care
7. A. nurse. attends. a. workshop. on. current. nursing. issues. provided. by. the. Amer.ica
n. Nurses. Association.. Which. type. of. education. did. the. nurse. receive?. a.
Graduate. education
b. Inservice. education
c. Continuing. education
d. Registered. nurse. education
ANS:. C
Continuing. education. involves. formal,. organized. educational. programs. offered. by.univ
ersities,. hospitals,. state. nurses. associations,. professional. nursing. organizations,.and. edu
cational. and. health. care. institutions.. After. obtaining. a. baccalaureate. degre.e. in. nursi
ng,. you. can. pursue. graduate. education. leading. to. a. master’s. or. doctor.al. degree. in.
any. number. of. graduate. fields,. including. nursing.. Inservice. educatio.n. programs. are.
instruction. or. training. provided. by. a. health. care. facility. or. insti. tution.. Registered. nu
rse. education. is. the. education. preparation. for. an. individual. i.ntending. to. be. an. RN.
4
,MULTIPLE CHOICE
1. Which nurse most likely kept records on sanitation techniques and the effects on health? a.
Florence Nightingale
b. Mary Nutting
c. Clara Barton
d. Lillian Wald
ANS: A
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected
poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald
came after Nightingale, each contributing to the nursing profession in her own way. Mary
Nutting was instrumental in moving nursing education into universities. Clara Barton founded
the American Red Cross. Lillian Wald helped open the Henry Street Settlement.
DIF:Understand (comprehension)
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
TOP: Evaluation MSC: Health Promotion and Maintenance
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard
of nursing practice is the nurse following? a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: C
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to
attain expected outcomes. During assessment, the registered nurse collects comprehensive
data pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse
analyzes the assessment data to determine the diagnoses or issues. During implementation,
the registered nurse implements (carries out) the identified plan.
DIF:Understand (comprehension)
OBJ:Discuss the development of professional nursing roles. TOP: Planning
MSC: Management of Care
3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of
proficiency is the nurse upon initial transition to the obstetrical floor? a. Novice
b. Proficient
c. Competent
d. Advanced beginner
2
, ANS: A
A beginning nursing student or any nurse entering a situation in which there is no previous
level of experience (e.g., an experienced operating room nurse chooses to now practice in
home health) is an example of a novice nurse. A proficient nurse perceives a patient’s clinical
situation as a whole, is able to assess an entire situation, and can readily transfer knowledge
gained from multiple previous experiences to a situation. A competent nurse understands the
organization and specific care required by the type of patients (e.g., surgical, oncology, or
orthopedic patients). This nurse is a competent practitioner who is able to anticipate nursing
care and establish long-range goals. A nurse who has had some level of experience with the
situation is an advanced beginner. This experience may only be observational in nature, but
the nurse is able to identify meaningful aspects or principles of nursing care.
DIF:Apply (application)
OBJ:Discuss the development of professional nursing roles. TOP: Evaluation
MSC: Management of Care
4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more
fluids. The nurse then encourages the patient to drink more fluids. Which concept is the
nurse demonstrating? a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: B
Autonomy is an essential element of professional nursing that involves the initiation of
independent nursing interventions without medical orders. To obtain licensure in the United
States, the RN candidate must pass the NCLEX-RN . Beyond the NCLEX-RN , the nurse
may choose to work toward certification in a specific area of nursing practice. Accountability
means that you are responsible, professionally and legally, for the type and quality of nursing
care provided.
DIF:Apply (application)
OBJ:Discuss the roles and career opportunities for nurses. TOP: Implementation MSC:
Management of Care
5. A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse
implementing?
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: B
A manager coordinates the activities of members of the nursing staff in delivering nursing
care and has personnel, policy, and budgetary responsibility for a specific nursing unit or
3
, facility. As an educator, you explain concepts and facts about health, describe the
reason for routine care activities, demonstrate procedures such as self-
care activities, reinforce learning or patient behavior, and evaluate the patient’s pr
ogress in learning. As a patient advocate, you protect your patient’s human and l
egal rights and provide assistance in asserting these rights if the need arises. As
a care
giver,. you. help. patients. maintain. and. regain. health,. manage. disease. and. sy. mptoms,. a
nd. attain. a. maximal. level. function. and. independence. through. the. healin.g. process.
DIF:Apply. (application)
OBJ:Discuss the roles and career opportunities for nurses. TOP:
Implementation.MSC: Management. of. Care
6. The. nurse. has. been. working. in. the. clinical. setting. for. several. years. as. an. adv.ance
d. practice. nurse.. However,. the. nurse. has. a. strong. desire. to. pursue. researc.h. and. t
heory. development.. To. fulfill. this. desire,. which. program. should. the. nur. se. attend?.
a.. Doctor. of. Nursing. Science. degree. (DNSc)
b. Doctor. of. Philosophy. degree. (PhD)
c. Doctor. of. Nursing. Practice. degree. (DNP)
d. Doctor. in. the. Science. of. Nursing. degree. (DSN)
ANS:. B
Some. doctoral. programs. prepare. nurses. for. more. rigorous. research. and. theory. dev.elopm
ent. and. award. the. research-
oriented. Doctor. of. Philosophy. (PhD). in. nursing.. Professional. doctoral. programs. in.nurs
ing. (DSN. or. DNSc). prepare. graduates. to. apply. research. findings. to. clinical.nursing.. T
he. DNP. is. a. practice. doctorate. that. prepares. advanced. practice. nurses. s.uch. as. nurse.
practitioners.
DIF:Understand. (comprehension)
OBJ:Compare. and. contrast. the. educational. programs. available. for. professional. registered. n. urs
e. (RN). education.. TOP:. Teaching/Learning. MSC:. Management. of. Care
7. A. nurse. attends. a. workshop. on. current. nursing. issues. provided. by. the. Amer.ica
n. Nurses. Association.. Which. type. of. education. did. the. nurse. receive?. a.
Graduate. education
b. Inservice. education
c. Continuing. education
d. Registered. nurse. education
ANS:. C
Continuing. education. involves. formal,. organized. educational. programs. offered. by.univ
ersities,. hospitals,. state. nurses. associations,. professional. nursing. organizations,.and. edu
cational. and. health. care. institutions.. After. obtaining. a. baccalaureate. degre.e. in. nursi
ng,. you. can. pursue. graduate. education. leading. to. a. master’s. or. doctor.al. degree. in.
any. number. of. graduate. fields,. including. nursing.. Inservice. educatio.n. programs. are.
instruction. or. training. provided. by. a. health. care. facility. or. insti. tution.. Registered. nu
rse. education. is. the. education. preparation. for. an. individual. i.ntending. to. be. an. RN.
4
