, Q Test Bank - Chapter 01
19 questions
01 MULTIPLE CHOICE
A patient being admitted to the hospital asks, “What is the role of a nurse?” Which response would
the nurse provide?
(A) “Nurses care for you while you are sick, but also help you plan to maintain your health.” ✓
(B) “The nurse administers medications and other treatments prescribed by your physician.”
(C) “The nurse’s job is to collect information and communicate any problems that occur to the physician.”
“Nurses perform many of the same procedures as the physician, but nurses stay with the patients for a
(D)
longer time.”
02 MULTIPLE CHOICE
Which statement by the nurse accurately describes the use of evidence-based practice (EBP)?
(A) “Patient care is based on the healthcare professional’s experience and traditions.”
(B) “Data are analyzed later to show that the patient outcomes are consistently met.”
(C) “Research from all internet sources are used as a guide for planning patient care.”
(D) “Plans for care are based on research, clinical expertise, and patient preferences.” ✓
03 MULTIPLE CHOICE
Which statement by the nurse provides a clear explanation of the nursing process?
(A) “The nursing process is a research method of diagnosing the patient’s health care problems.”
(B) “The nursing process is a theory that incorporates the biopsychosocial nature of humans.”
(C) “The nursing process is a problem-solving tool used to manage patients’ health care needs.” ✓
(D) “The nursing process is used primarily to explain nursing interventions to other health care professionals.”
, 04 MULTIPLE CHOICE
A patient admitted to the hospital for surgery tells the nurse, “I do not feel comfortable leaving my
children with my parents.” Which action would the nurse take next?
(A) Reassure the patient that these feelings are common for parents.
(B) Have the patient call the children to ensure that they are doing well.
(C) Gather information on the patient’s concerns about the child care arrangements. ✓
(D) Call the patient’s parents to determine whether safe child care is being provided.
05 MULTIPLE CHOICE
Which statement describes the purpose of the evaluation phase of the nursing process?
(A) To document the nursing care plan in the progress notes of the health record
(B) To determine if interventions have been effective in meeting patient outcomes ✓
(C) To establish if the patient agrees that the nursing care provided was satisfactory
(D) To decide whether the patient’s health problems have been completely resolved
06 MULTIPLE CHOICE
Which statement describes the purpose of the assessment phase of the nursing process?
(A) To teach interventions that relieve health problems
(B) To use patient data to evaluate patient care outcomes
(C) To obtain data to diagnose patient strengths and problems ✓
(D) To help the patient identify realistic outcomes for health problems
, 07 MULTIPLE CHOICE
When developing the plan of care, which components would the nurse include in the clinical
problem statement?
(A) The problem, its causes, and the signs and symptoms ✓
(B) The problem and the suggested patient goals or outcomes
(C) The problem, its pathophysiology, and the expected outcome
(D) The problem with the possible etiology and the planned interventions
08 MULTIPLE CHOICE
Which patient care task would the nurse delegate to experienced assistive personnel (AP)?
(A) Instruct the patient about the need to alternate activity and rest.
(B) Monitor level of shortness of breath or fatigue after ambulation.
✓
Y
(C) Obtain the patient’s blood pressure and pulse rate after ambulation.
K
(D) Determine whether the patient is ready to increase the activity level.
E
E R
W
09 MULTIPLE CHOICE
S
A nurse is caring for a group of patients on the medical-surgical unit with the help of one float
N
A
registered nurse (RN), one assistive personnel (AP), and one licensed practical/vocational nurse
(LPN/VN). Which assignment, if delegated by the nurse, would be outside that individual’s scope of
practice?
(A) Check for the presence of bowel sounds by AP ✓
(B) Administration of oral medications by LPN/VN
(C) Insulin administration by float RN from the pediatric unit
(D) Measurement of a patient’s urinary catheter output by AP
, 10 MULTIPLE CHOICE
Which task is appropriate for the nurse to delegate to a licensed practical/vocational nurse
(LPN/VN)?
(A) Complete the initial admission assessment and plan of care.
(B) Measure bedside blood glucose before administering insulin. ✓
(C) Document teaching completed before a diagnostic procedure.
(D) Instruct a patient about low-fat, reduced sodium dietary restrictions.
11 MULTIPLE CHOICE
A nurse is assigned as a case manager for a hospitalized patient who has a spinal cord injury. Which
activity can the patient expect the nurse in this role to perform?
(A) Care for the patient during hospitalization for the injuries.
(B) Assist the patient with home care activities during recovery.
(C) Coordinate the services the patient receives in the hospital and at home. ✓
(D) Determine what medical care the patient needs for optimal rehabilitation.
12 MULTIPLE CHOICE
The nurse is caring for an older adult patient who needs continued nursing care and physical therapy
to improve mobility after surgery to repair a fractured hip. The nurse would help to arrange for
transfer of the patient to which type of facility?
(A) A skilled care facility
(B) A transitional care facility ✓
(C) A residential care facility
(D) An intermediate care facility
, 13 MULTIPLE CHOICE
A home care nurse is planning care for a patient who has just been diagnosed with type 2 diabetes.
Which task would the nurse delegate to the home health aide?
(A) Assist the patient to plan a nutritious diet.
(B) Help the patient with a daily bath and oral care. ✓
(C) Check the patient’s feet for signs of breakdown.
(D) Teach the patient how to monitor blood glucose.
14 MULTIPLE CHOICE
The nurse is providing education to nursing staff on quality care initiatives. Which statement is an
accurate description of the impact of health care financing on quality care?
(A) “Third-party payment for patient care is primarily based on clinical outcomes.” ✓
(B) “It is not nursing’s responsibility to monitor the quality of care delivered by others.”
(C) “If a patient develops a catheter-related infection, the hospital receives more funding.”
(D) “Hospitals are reimbursed for all costs incurred if care is documented electronically.”
15 MULTIPLE CHOICE
The nurse documenting the patient’s progress in the electronic health record is demonstrating
competency in which area?
(A) Patient-centered care
(B) Quality improvement
(C) Evidence-based practice
(D) Informatics and technology ✓
, 16 MULTIPLE CHOICE
The nurse is calling a health care provider about a patient’s change in status. Which statement by the
nurse is an example of the background step of the Situation-Background-Assessment-
Recommendation (SBAR) technique?
(A) “I would like you to order IV fluids and lab tests and come evaluate the patient as soon as possible.”
(B) “This is Nurse XX. I am calling from the unit because your patient, XX, has just vomited bright red blood.”
“The vomiting started about 10 minutes ago. The patient’s heart rate is 120; BP 90/60. The patient reports
(C)
feeling dizzy.”
“Patient XX, who is 1 day postoperative for a bowel resection for malignancy, has a history of
(D)
myocardial infarction 2 years ago.”
✓
17 MULTIPLE CHOICE (MULTI-ANSWER)
Which information will the nurse consider when deciding what nursing actions to delegate to a
licensed practical/vocational nurse (LPN/VN) who is working on a medical-surgical unit? (Select all
that apply.)
(A) Agency policies ✓
(B) Stability of the patients ✓
(C) State nurse practice act ✓
(D) LPN/VN teaching abilities ✓
(E) Experience of the LPN/VN ✓
, 18 MULTIPLE CHOICE (MULTI-ANSWER)
Which actions by the nurse administering medications are consistent with promoting safe delivery of
patient care? (Select all that apply.)
(A) Discards a medication that is not labeled. ✓
(B) Uses hand sanitizer before preparing a medication. ✓
(C) Identifies the patient by the room number on the door. ✓
(D) Checks laboratory test results before administering a diuretic. ✓
(E) Gives the patient a list of current medications upon discharge. ✓
19 MULTIPLE CHOICE (MULTI-ANSWER)
Which actions by a nurse would demonstrate an aspect of nursing clinical judgment? (Select all that
apply.)
(A) Identifying priority problems ✓
(B) Noticing a change in patient status ✓
(C) Memorizing the steps of a procedure ✓
(D) Assessing data about a patient situation ✓
(E) Generating possible solutions to a patient problem ✓
(F) Making decisions based on the implications of a patient’s situation ✓
19 questions
01 MULTIPLE CHOICE
A patient being admitted to the hospital asks, “What is the role of a nurse?” Which response would
the nurse provide?
(A) “Nurses care for you while you are sick, but also help you plan to maintain your health.” ✓
(B) “The nurse administers medications and other treatments prescribed by your physician.”
(C) “The nurse’s job is to collect information and communicate any problems that occur to the physician.”
“Nurses perform many of the same procedures as the physician, but nurses stay with the patients for a
(D)
longer time.”
02 MULTIPLE CHOICE
Which statement by the nurse accurately describes the use of evidence-based practice (EBP)?
(A) “Patient care is based on the healthcare professional’s experience and traditions.”
(B) “Data are analyzed later to show that the patient outcomes are consistently met.”
(C) “Research from all internet sources are used as a guide for planning patient care.”
(D) “Plans for care are based on research, clinical expertise, and patient preferences.” ✓
03 MULTIPLE CHOICE
Which statement by the nurse provides a clear explanation of the nursing process?
(A) “The nursing process is a research method of diagnosing the patient’s health care problems.”
(B) “The nursing process is a theory that incorporates the biopsychosocial nature of humans.”
(C) “The nursing process is a problem-solving tool used to manage patients’ health care needs.” ✓
(D) “The nursing process is used primarily to explain nursing interventions to other health care professionals.”
, 04 MULTIPLE CHOICE
A patient admitted to the hospital for surgery tells the nurse, “I do not feel comfortable leaving my
children with my parents.” Which action would the nurse take next?
(A) Reassure the patient that these feelings are common for parents.
(B) Have the patient call the children to ensure that they are doing well.
(C) Gather information on the patient’s concerns about the child care arrangements. ✓
(D) Call the patient’s parents to determine whether safe child care is being provided.
05 MULTIPLE CHOICE
Which statement describes the purpose of the evaluation phase of the nursing process?
(A) To document the nursing care plan in the progress notes of the health record
(B) To determine if interventions have been effective in meeting patient outcomes ✓
(C) To establish if the patient agrees that the nursing care provided was satisfactory
(D) To decide whether the patient’s health problems have been completely resolved
06 MULTIPLE CHOICE
Which statement describes the purpose of the assessment phase of the nursing process?
(A) To teach interventions that relieve health problems
(B) To use patient data to evaluate patient care outcomes
(C) To obtain data to diagnose patient strengths and problems ✓
(D) To help the patient identify realistic outcomes for health problems
, 07 MULTIPLE CHOICE
When developing the plan of care, which components would the nurse include in the clinical
problem statement?
(A) The problem, its causes, and the signs and symptoms ✓
(B) The problem and the suggested patient goals or outcomes
(C) The problem, its pathophysiology, and the expected outcome
(D) The problem with the possible etiology and the planned interventions
08 MULTIPLE CHOICE
Which patient care task would the nurse delegate to experienced assistive personnel (AP)?
(A) Instruct the patient about the need to alternate activity and rest.
(B) Monitor level of shortness of breath or fatigue after ambulation.
✓
Y
(C) Obtain the patient’s blood pressure and pulse rate after ambulation.
K
(D) Determine whether the patient is ready to increase the activity level.
E
E R
W
09 MULTIPLE CHOICE
S
A nurse is caring for a group of patients on the medical-surgical unit with the help of one float
N
A
registered nurse (RN), one assistive personnel (AP), and one licensed practical/vocational nurse
(LPN/VN). Which assignment, if delegated by the nurse, would be outside that individual’s scope of
practice?
(A) Check for the presence of bowel sounds by AP ✓
(B) Administration of oral medications by LPN/VN
(C) Insulin administration by float RN from the pediatric unit
(D) Measurement of a patient’s urinary catheter output by AP
, 10 MULTIPLE CHOICE
Which task is appropriate for the nurse to delegate to a licensed practical/vocational nurse
(LPN/VN)?
(A) Complete the initial admission assessment and plan of care.
(B) Measure bedside blood glucose before administering insulin. ✓
(C) Document teaching completed before a diagnostic procedure.
(D) Instruct a patient about low-fat, reduced sodium dietary restrictions.
11 MULTIPLE CHOICE
A nurse is assigned as a case manager for a hospitalized patient who has a spinal cord injury. Which
activity can the patient expect the nurse in this role to perform?
(A) Care for the patient during hospitalization for the injuries.
(B) Assist the patient with home care activities during recovery.
(C) Coordinate the services the patient receives in the hospital and at home. ✓
(D) Determine what medical care the patient needs for optimal rehabilitation.
12 MULTIPLE CHOICE
The nurse is caring for an older adult patient who needs continued nursing care and physical therapy
to improve mobility after surgery to repair a fractured hip. The nurse would help to arrange for
transfer of the patient to which type of facility?
(A) A skilled care facility
(B) A transitional care facility ✓
(C) A residential care facility
(D) An intermediate care facility
, 13 MULTIPLE CHOICE
A home care nurse is planning care for a patient who has just been diagnosed with type 2 diabetes.
Which task would the nurse delegate to the home health aide?
(A) Assist the patient to plan a nutritious diet.
(B) Help the patient with a daily bath and oral care. ✓
(C) Check the patient’s feet for signs of breakdown.
(D) Teach the patient how to monitor blood glucose.
14 MULTIPLE CHOICE
The nurse is providing education to nursing staff on quality care initiatives. Which statement is an
accurate description of the impact of health care financing on quality care?
(A) “Third-party payment for patient care is primarily based on clinical outcomes.” ✓
(B) “It is not nursing’s responsibility to monitor the quality of care delivered by others.”
(C) “If a patient develops a catheter-related infection, the hospital receives more funding.”
(D) “Hospitals are reimbursed for all costs incurred if care is documented electronically.”
15 MULTIPLE CHOICE
The nurse documenting the patient’s progress in the electronic health record is demonstrating
competency in which area?
(A) Patient-centered care
(B) Quality improvement
(C) Evidence-based practice
(D) Informatics and technology ✓
, 16 MULTIPLE CHOICE
The nurse is calling a health care provider about a patient’s change in status. Which statement by the
nurse is an example of the background step of the Situation-Background-Assessment-
Recommendation (SBAR) technique?
(A) “I would like you to order IV fluids and lab tests and come evaluate the patient as soon as possible.”
(B) “This is Nurse XX. I am calling from the unit because your patient, XX, has just vomited bright red blood.”
“The vomiting started about 10 minutes ago. The patient’s heart rate is 120; BP 90/60. The patient reports
(C)
feeling dizzy.”
“Patient XX, who is 1 day postoperative for a bowel resection for malignancy, has a history of
(D)
myocardial infarction 2 years ago.”
✓
17 MULTIPLE CHOICE (MULTI-ANSWER)
Which information will the nurse consider when deciding what nursing actions to delegate to a
licensed practical/vocational nurse (LPN/VN) who is working on a medical-surgical unit? (Select all
that apply.)
(A) Agency policies ✓
(B) Stability of the patients ✓
(C) State nurse practice act ✓
(D) LPN/VN teaching abilities ✓
(E) Experience of the LPN/VN ✓
, 18 MULTIPLE CHOICE (MULTI-ANSWER)
Which actions by the nurse administering medications are consistent with promoting safe delivery of
patient care? (Select all that apply.)
(A) Discards a medication that is not labeled. ✓
(B) Uses hand sanitizer before preparing a medication. ✓
(C) Identifies the patient by the room number on the door. ✓
(D) Checks laboratory test results before administering a diuretic. ✓
(E) Gives the patient a list of current medications upon discharge. ✓
19 MULTIPLE CHOICE (MULTI-ANSWER)
Which actions by a nurse would demonstrate an aspect of nursing clinical judgment? (Select all that
apply.)
(A) Identifying priority problems ✓
(B) Noticing a change in patient status ✓
(C) Memorizing the steps of a procedure ✓
(D) Assessing data about a patient situation ✓
(E) Generating possible solutions to a patient problem ✓
(F) Making decisions based on the implications of a patient’s situation ✓
