,Test Bank Questions
Chapter 1: Professional Nursing Practice
1. A nurse is involved in a program that aims to increase the use of health
informatics. What is the most likely outcome of this program if it is successful?
A) Rapid access to client information by everyone involved in the client's care
B) Increased participation by clients in their care
C) Centralization of care into centers where there are more health professionals
D) Increased interprofessional collaboration
2. An 80-year-old client is admitted with a diagnosis of community-acquired
pneumonia. During admission the client states, "I have a living will." What
implication of this should the nurse recognize?
A) This document is always honored, regardless of circumstances.
B) This document specifies the client's wishes before hospitalization.
C) This document is binding for the duration of the client's life.
D) This document has been drawn up by the client's family to determine DNR
status.
3. A nurse has been providing ethical care for many years and is aware of the
need to maintain the ethical principle of nonmaleficence. Which of the following
actions would be considered a violation of this principle?
A) Discussing a DNR order with a terminally ill client
B) Assisting a semi-independent client with ADLs
C) Refusing to administer pain medication as prescribed
D) Providing more care for one client than for another
4. The health care provider has recommended an amniocentesis for an 18-year-
old primiparous client. The client is at 34 weeks' gestation and does not want
this procedure but the health care provider arranges for the amniocentesis to be
performed. The nurse should recognize that the provider is in violation of which
ethical principle?
A) Veracity
B) Beneficence
C) Nonmaleficence
D) Autonomy
5. During a discussion with the client and the client's spouse, the nurse discovers
that the client has a living will. How does the presence of a living will influence
the client's care?
A) The client is legally unable to refuse basic life support.
B) The health care provider can override the client's desires for treatment if
desires are not evidence based.
C) The client may nullify the living will during the hospitalization.
D) Power of attorney may change while the client is hospitalized.
,6. A recent nursing graduate is aware of the differences between nursing actions
that are independent and nursing actions that are interdependent. A nurse
performs an interdependent nursing intervention when performing which action?
A) Auscultating a client's apical heart rate during an admission assessment
B) Providing mouth care to a client who is unconscious following a
cerebrovascular accident
C) Administering an IV bolus of normal saline to a client with hypotension
D) Providing discharge teaching to a postsurgical client about the rationale for a
course of oral antibiotics
7. A hospital audit reveals that four clients in the hospital have current orders for
restraints. The nurse knows that restraints are an intervention of last resort, and
that it is inappropriate to apply restraints to which of the following clients?
A) A postlaryngectomy client who is attempting to pull out the tracheostomy
tube
B) A client in hypovolemic shock trying to remove the dressing over a central
venous catheter
C) A client with urosepsis who is ringing the call bell incessantly to use the
bedside commode
D) A client with depression who has just tried to commit suicide and whose
medications are not achieving adequate symptom control
8. A care conference has been organized for a client with complex medical and
psychosocial needs. When applying the principles of critical thinking to this
client's care planning, the nurse should most exemplify what characteristic?
A) Willingness to observe behaviors
B) A desire to utilize the nursing scope of practice fully
C) An ability to base decisions on what has happened in the past
D) Openness to various viewpoints
9. The nurse is providing care for a client with chronic obstructive pulmonary
disease (COPD). The nurse's most recent assessment reveals an SaO2 of 89%.
The nurse is aware that part of critical thinking is determining the significance of
data that have been gathered. What characteristic of critical thinking is used in
determining the best response to this assessment finding?
A) Extrapolation
B) Inference
C) Characterization
D) Interpretation
10. A nurse provides care on an orthopedic reconstruction unit and is admitting
two new clients, both status post–knee replacement. What would be the best
explanation as to why their care plans may be different from each other?
A) Clients may have different qualifications for government subsidies.
B) Individual clients are seen as unique and dynamic, with individual needs.
, C) Nursing care may be coordinated by members of two different health
disciplines.
D) Clients are viewed as dissimilar according to their attitude toward surgery.
11. The nurse is caring for a client whose family members are in a bitter conflict
about the best course of treatment for the client. How should the nurse best
address this challenging situation?
A) Seek guidance from the client's primary health care provider
B) Offer to act as a mediator in the family's conflict
C) Involve the institution's ethics committee
D) Educate the client about the need for assertiveness skills
12. The nurse is preparing a wellness program for seniors at a community
center. Which concept of wellness should the nurse utilize when planning the
program?
A) Wellness is the absence of sickness.
B) A person needs to be proactive in achieving wellness.
C) Each person views wellness in the same way.
D) Wellness is static and unchanging.
13. The nurse is engaging in critical thinking while caring for a group of clients.
Which situation is an example of critical thinking by the nurse?
A) Following unit policy when administering pain medication
B) Administering an analgesic according to the health care provider's order
C) Working with the client to find a nonpharmacologic pain relief measure
D) Assessing the level of pain before administering pain medication according to
health care provider's order
14. The public health nurse is presenting a health promotion class to a group of
new parents. How should the nurse best define health?
A) Physical, mental, and social well-being
B) The absence of disease or stabilization of existing diseases
C) A state of having fulfillment in all domains of life
D) Individual and societal well-being
15. The nurse is admitting a client to the medical unit after they were
transferred from the emergency department. What is the nurse's priority action
at this time?
A) Identifying the immediate needs of the client
B) Checking the admitting health care provider's prescriptions
C) Obtaining a baseline set of vital signs
D) Allowing the family to be with the client
16. The student nurse is preparing for practice after graduation. Which action
will the nurse take when exploring the legal basis for the scope of practice?
A) Consult the nurse practice act in the nurse's jurisdiction.
Chapter 1: Professional Nursing Practice
1. A nurse is involved in a program that aims to increase the use of health
informatics. What is the most likely outcome of this program if it is successful?
A) Rapid access to client information by everyone involved in the client's care
B) Increased participation by clients in their care
C) Centralization of care into centers where there are more health professionals
D) Increased interprofessional collaboration
2. An 80-year-old client is admitted with a diagnosis of community-acquired
pneumonia. During admission the client states, "I have a living will." What
implication of this should the nurse recognize?
A) This document is always honored, regardless of circumstances.
B) This document specifies the client's wishes before hospitalization.
C) This document is binding for the duration of the client's life.
D) This document has been drawn up by the client's family to determine DNR
status.
3. A nurse has been providing ethical care for many years and is aware of the
need to maintain the ethical principle of nonmaleficence. Which of the following
actions would be considered a violation of this principle?
A) Discussing a DNR order with a terminally ill client
B) Assisting a semi-independent client with ADLs
C) Refusing to administer pain medication as prescribed
D) Providing more care for one client than for another
4. The health care provider has recommended an amniocentesis for an 18-year-
old primiparous client. The client is at 34 weeks' gestation and does not want
this procedure but the health care provider arranges for the amniocentesis to be
performed. The nurse should recognize that the provider is in violation of which
ethical principle?
A) Veracity
B) Beneficence
C) Nonmaleficence
D) Autonomy
5. During a discussion with the client and the client's spouse, the nurse discovers
that the client has a living will. How does the presence of a living will influence
the client's care?
A) The client is legally unable to refuse basic life support.
B) The health care provider can override the client's desires for treatment if
desires are not evidence based.
C) The client may nullify the living will during the hospitalization.
D) Power of attorney may change while the client is hospitalized.
,6. A recent nursing graduate is aware of the differences between nursing actions
that are independent and nursing actions that are interdependent. A nurse
performs an interdependent nursing intervention when performing which action?
A) Auscultating a client's apical heart rate during an admission assessment
B) Providing mouth care to a client who is unconscious following a
cerebrovascular accident
C) Administering an IV bolus of normal saline to a client with hypotension
D) Providing discharge teaching to a postsurgical client about the rationale for a
course of oral antibiotics
7. A hospital audit reveals that four clients in the hospital have current orders for
restraints. The nurse knows that restraints are an intervention of last resort, and
that it is inappropriate to apply restraints to which of the following clients?
A) A postlaryngectomy client who is attempting to pull out the tracheostomy
tube
B) A client in hypovolemic shock trying to remove the dressing over a central
venous catheter
C) A client with urosepsis who is ringing the call bell incessantly to use the
bedside commode
D) A client with depression who has just tried to commit suicide and whose
medications are not achieving adequate symptom control
8. A care conference has been organized for a client with complex medical and
psychosocial needs. When applying the principles of critical thinking to this
client's care planning, the nurse should most exemplify what characteristic?
A) Willingness to observe behaviors
B) A desire to utilize the nursing scope of practice fully
C) An ability to base decisions on what has happened in the past
D) Openness to various viewpoints
9. The nurse is providing care for a client with chronic obstructive pulmonary
disease (COPD). The nurse's most recent assessment reveals an SaO2 of 89%.
The nurse is aware that part of critical thinking is determining the significance of
data that have been gathered. What characteristic of critical thinking is used in
determining the best response to this assessment finding?
A) Extrapolation
B) Inference
C) Characterization
D) Interpretation
10. A nurse provides care on an orthopedic reconstruction unit and is admitting
two new clients, both status post–knee replacement. What would be the best
explanation as to why their care plans may be different from each other?
A) Clients may have different qualifications for government subsidies.
B) Individual clients are seen as unique and dynamic, with individual needs.
, C) Nursing care may be coordinated by members of two different health
disciplines.
D) Clients are viewed as dissimilar according to their attitude toward surgery.
11. The nurse is caring for a client whose family members are in a bitter conflict
about the best course of treatment for the client. How should the nurse best
address this challenging situation?
A) Seek guidance from the client's primary health care provider
B) Offer to act as a mediator in the family's conflict
C) Involve the institution's ethics committee
D) Educate the client about the need for assertiveness skills
12. The nurse is preparing a wellness program for seniors at a community
center. Which concept of wellness should the nurse utilize when planning the
program?
A) Wellness is the absence of sickness.
B) A person needs to be proactive in achieving wellness.
C) Each person views wellness in the same way.
D) Wellness is static and unchanging.
13. The nurse is engaging in critical thinking while caring for a group of clients.
Which situation is an example of critical thinking by the nurse?
A) Following unit policy when administering pain medication
B) Administering an analgesic according to the health care provider's order
C) Working with the client to find a nonpharmacologic pain relief measure
D) Assessing the level of pain before administering pain medication according to
health care provider's order
14. The public health nurse is presenting a health promotion class to a group of
new parents. How should the nurse best define health?
A) Physical, mental, and social well-being
B) The absence of disease or stabilization of existing diseases
C) A state of having fulfillment in all domains of life
D) Individual and societal well-being
15. The nurse is admitting a client to the medical unit after they were
transferred from the emergency department. What is the nurse's priority action
at this time?
A) Identifying the immediate needs of the client
B) Checking the admitting health care provider's prescriptions
C) Obtaining a baseline set of vital signs
D) Allowing the family to be with the client
16. The student nurse is preparing for practice after graduation. Which action
will the nurse take when exploring the legal basis for the scope of practice?
A) Consult the nurse practice act in the nurse's jurisdiction.
