,Chapter 1: Professional Nursing Practice
Multiple-Choice Questions (30 Questions)
Question 1: Which statement best defines nursing according to professional standards?
A) Treatment of disease through medical interventions
B) Assistance with activities of daily living only
C) Promotion, maintenance, and restoration of health through caring
D) Execution of physician-prescribed therapies
Correct Answer: C
Rationale: Nursing focuses on holistic care that promotes, maintains, and restores health, not just task
performance .
Question 2: The primary goal of professional nursing practice is to:
A) Cure all diseases
B) Promote optimal health outcomes
C) Prevent all diseases
D) Reduce hospital costs
Correct Answer: B
Rationale: Nursing aims to support optimal health outcomes across wellness, illness, and end-of-life care
.
Question 3: Which role emphasizes protecting patients from harm?
A) Educator
B) Advocate
C) Manager
D) Researcher
Correct Answer: B
Rationale: Advocacy includes safeguarding patients' rights, safety, and well-being .
Question 4: A patient refusing treatment demonstrates which ethical principle?
A) Beneficence
B) Nonmaleficence
C) Autonomy
D) Justice
Correct Answer: C
Rationale: Autonomy respects the patient's right to make informed decisions about care .
Question 5: Which factor is considered a social determinant of health?
A) Blood pressure
B) Genetic makeup
C) Access to education
D) Body mass index
Correct Answer: C
Rationale: Education influences health literacy, access to care, and long-term health outcomes .
,Question 6: Evidence-based practice (EBP) integrates clinical expertise with:
A) Hospital policy only
B) Patient preferences and best research evidence
C) Cost-containment strategies
D) Physician orders only
Correct Answer: B
Rationale: EBP combines best evidence, clinical expertise, and patient values .
Question 7: Which action best reflects patient-centered care?
A) Standardized care plans for all patients
B) Care based solely on diagnosis
C) Inclusion of patient values in decision-making
D) Limiting patient involvement
Correct Answer: C
Rationale: Patient-centered care respects individual preferences, values, and needs .
Question 8: The nursing process begins with which step?
A) Planning
B) Assessment
C) Implementation
D) Evaluation
Correct Answer: B
Rationale: Assessment provides the data necessary for all subsequent nursing actions .
Question 9: Which organization primarily sets standards of nursing practice in the U.S.?
A) The Joint Commission
B) American Nurses Association (ANA)
C) CDC
D) CMS
Correct Answer: B
Rationale: The ANA establishes professional standards and scope of nursing practice .
Question 10: A nurse questioning an unsafe medication order is demonstrating:
A) Autonomy
B) Advocacy
C) Beneficence
D) Justice
Correct Answer: B
Rationale: Advocacy involves speaking up to protect patient safety .
Question 11: Which concept is central to quality improvement (QI) in nursing?
A) Punishing errors
B) Continuous system evaluation
C) Reducing staff
D) Cost reduction only
Correct Answer: B
Rationale: QI involves continuous evaluation and improvement of systems and processes.
, Question 12: A nurse is participating in bedside shift report and includes the patient in discussing the
plan of care. Which principle is best demonstrated?
A) Task-oriented care delivery
B) Patient-centered care
C) Disease-focused treatment
D) Paternalistic care
Correct Answer: B
Rationale: Patient-centered care emphasizes involving the patient in planning and evaluating care .
Question 13: The nurse is caring for a patient from a cultural background unfamiliar to the nurse. Which
action best reflects professional nursing practice?
A) Applying the nurse's own beliefs to the patient's care
B) Avoiding discussion of cultural preferences
C) Assessing the patient's individual cultural needs and preferences
D) Requesting reassignment
Correct Answer: C
Rationale: Professional nursing practice includes culturally competent care by assessing and respecting
cultural beliefs .
Question 14: A nurse identifies that a prescribed medication dosage appears unusually high. Which
action should the nurse take first?
A) Administer the medication as prescribed
B) Ask another nurse to administer the medication
C) Verify the prescription with the prescribing health care provider
D) Delay the medication until the next shift
Correct Answer: C
Rationale: Patient safety is a priority; the nurse should verify questionable prescriptions before
administration .
Question 15: Which statement by a nurse best reflects evidence-based nursing practice?
A) "I perform interventions the same way every time regardless of outcomes."
B) "I combine current evidence, clinical expertise, and patient preferences when planning care."
C) "I rely only on physician recommendations when making nursing decisions."
D) "I avoid changing nursing interventions once routines are established."
Correct Answer: B
Rationale: EBP integrates best current evidence, nursing expertise, and patient values .
Question 16: Which patient should the nurse assess first?
A) A patient with controlled hypertension requesting discharge teaching
B) A patient with a new onset of chest pain
C) A patient awaiting routine medication
D) A patient asking for assistance with hygiene
Correct Answer: B
Rationale: Chest pain may indicate a life-threatening condition requiring immediate assessment .
Question 17: Which organization is primarily responsible for accrediting healthcare institutions for
quality and safety standards?
Multiple-Choice Questions (30 Questions)
Question 1: Which statement best defines nursing according to professional standards?
A) Treatment of disease through medical interventions
B) Assistance with activities of daily living only
C) Promotion, maintenance, and restoration of health through caring
D) Execution of physician-prescribed therapies
Correct Answer: C
Rationale: Nursing focuses on holistic care that promotes, maintains, and restores health, not just task
performance .
Question 2: The primary goal of professional nursing practice is to:
A) Cure all diseases
B) Promote optimal health outcomes
C) Prevent all diseases
D) Reduce hospital costs
Correct Answer: B
Rationale: Nursing aims to support optimal health outcomes across wellness, illness, and end-of-life care
.
Question 3: Which role emphasizes protecting patients from harm?
A) Educator
B) Advocate
C) Manager
D) Researcher
Correct Answer: B
Rationale: Advocacy includes safeguarding patients' rights, safety, and well-being .
Question 4: A patient refusing treatment demonstrates which ethical principle?
A) Beneficence
B) Nonmaleficence
C) Autonomy
D) Justice
Correct Answer: C
Rationale: Autonomy respects the patient's right to make informed decisions about care .
Question 5: Which factor is considered a social determinant of health?
A) Blood pressure
B) Genetic makeup
C) Access to education
D) Body mass index
Correct Answer: C
Rationale: Education influences health literacy, access to care, and long-term health outcomes .
,Question 6: Evidence-based practice (EBP) integrates clinical expertise with:
A) Hospital policy only
B) Patient preferences and best research evidence
C) Cost-containment strategies
D) Physician orders only
Correct Answer: B
Rationale: EBP combines best evidence, clinical expertise, and patient values .
Question 7: Which action best reflects patient-centered care?
A) Standardized care plans for all patients
B) Care based solely on diagnosis
C) Inclusion of patient values in decision-making
D) Limiting patient involvement
Correct Answer: C
Rationale: Patient-centered care respects individual preferences, values, and needs .
Question 8: The nursing process begins with which step?
A) Planning
B) Assessment
C) Implementation
D) Evaluation
Correct Answer: B
Rationale: Assessment provides the data necessary for all subsequent nursing actions .
Question 9: Which organization primarily sets standards of nursing practice in the U.S.?
A) The Joint Commission
B) American Nurses Association (ANA)
C) CDC
D) CMS
Correct Answer: B
Rationale: The ANA establishes professional standards and scope of nursing practice .
Question 10: A nurse questioning an unsafe medication order is demonstrating:
A) Autonomy
B) Advocacy
C) Beneficence
D) Justice
Correct Answer: B
Rationale: Advocacy involves speaking up to protect patient safety .
Question 11: Which concept is central to quality improvement (QI) in nursing?
A) Punishing errors
B) Continuous system evaluation
C) Reducing staff
D) Cost reduction only
Correct Answer: B
Rationale: QI involves continuous evaluation and improvement of systems and processes.
, Question 12: A nurse is participating in bedside shift report and includes the patient in discussing the
plan of care. Which principle is best demonstrated?
A) Task-oriented care delivery
B) Patient-centered care
C) Disease-focused treatment
D) Paternalistic care
Correct Answer: B
Rationale: Patient-centered care emphasizes involving the patient in planning and evaluating care .
Question 13: The nurse is caring for a patient from a cultural background unfamiliar to the nurse. Which
action best reflects professional nursing practice?
A) Applying the nurse's own beliefs to the patient's care
B) Avoiding discussion of cultural preferences
C) Assessing the patient's individual cultural needs and preferences
D) Requesting reassignment
Correct Answer: C
Rationale: Professional nursing practice includes culturally competent care by assessing and respecting
cultural beliefs .
Question 14: A nurse identifies that a prescribed medication dosage appears unusually high. Which
action should the nurse take first?
A) Administer the medication as prescribed
B) Ask another nurse to administer the medication
C) Verify the prescription with the prescribing health care provider
D) Delay the medication until the next shift
Correct Answer: C
Rationale: Patient safety is a priority; the nurse should verify questionable prescriptions before
administration .
Question 15: Which statement by a nurse best reflects evidence-based nursing practice?
A) "I perform interventions the same way every time regardless of outcomes."
B) "I combine current evidence, clinical expertise, and patient preferences when planning care."
C) "I rely only on physician recommendations when making nursing decisions."
D) "I avoid changing nursing interventions once routines are established."
Correct Answer: B
Rationale: EBP integrates best current evidence, nursing expertise, and patient values .
Question 16: Which patient should the nurse assess first?
A) A patient with controlled hypertension requesting discharge teaching
B) A patient with a new onset of chest pain
C) A patient awaiting routine medication
D) A patient asking for assistance with hygiene
Correct Answer: B
Rationale: Chest pain may indicate a life-threatening condition requiring immediate assessment .
Question 17: Which organization is primarily responsible for accrediting healthcare institutions for
quality and safety standards?
