Professional Nursing Exam 1 Questions With Verified Answers

You are preparing a presentation for your classmates regarding the clinical care coordination conference for a patient with terminal cancer. As part of the preparation you have your classmates read the Nursing Code of Ethics for Professional Registered Nurses. Your instructor asks the class why this document is important. Which of the following statements best describes this code? Improves self-health care Protects the patient's confidentiality Ensures identical care to all patients Defines the principles of right and wrong to provide patient care - Answer Defines the principles of right and wrong to provide patient care An 18-year-old woman is in the emergency department with fever and cough. The nurse obtains her vital signs, listens to her lung and heart sounds, determines her level of comfort, and collects blood and sputum samples for analysis. Which standard of practice is performed? Diagnosis Evaluation Assessment Implementation - Answer Assessment A patient in the emergency department has developed wheezing and shortness of breath. The nurse gives the ordered medicated nebulizer treatment now and in 4 hours. Which standard of practice is performed? Planning Evaluation Assessment Implementation - Answer Implementation A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risk and benefits of the surgery to the family and discusses the patient's wishes with them. The nurse is acting as the patient's: Educator Advocate Caregiver Case manager - Answer Advocate The nurse spends time with the patient and family reviewing the dressing change procedure for the patient's wound. The patient's spouse demonstrates how to change the dressing. The nurse is acting in which professional role? Educator Advocate Caregiver Case manager - Answer Educator The examination for registered nurse (RN) licensure is exactly the same in every state in the United States. This examination: Guarantees safe nursing care for all patients Ensures standard nursing care for all patients Ensures that honest and ethical care is provided Provides a minimal standard of knowledge for an RN in practice - Answer Provides a minimal standard of knowledge for an RN in practice Health care reform will bring changes in the emphasis of care. Which of the following models is expected from health care reform? Moving from an acute illness to a health promotion, illness prevention model Moving from illness prevention to a health promotion model Moving from an acute illness to a disease management model Moving from a chronic care to an illness prevention model - Answer Moving from an acute illness to a health promotion, illness prevention model A nurse meets with the registered dietician and physical therapist to develop a plan of care that focuses on improving nutrition and mobility for a patient. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency? Patient-centered care Safety Teamwork and collaboration Informatics - Answer Teamwork and collaboration A critical care nurse is using a computerized decision support system to correctly position her ventilated patients to reduce pneumonia caused by accumulated respiratory secretions. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency? Patient-centered care Safety Teamwork and collaboration Informatics - Answer Informatics The nurses on an acute care medical floor notice an increase in pressure ulcer formation in their patients. A nurse consultant decides to compare two types of treatment. The first is the procedure currently used to assess for pressure ulcer risk. The second uses a new assessment instrument to identify at-risk patients. Given this information, the nurse consultant exemplifies which career? Clinical nurse specialist Nurse administrator Nurse educator Nurse researcher - Answer Nurse researcher Nurses in an acute care hospital are attending a unit based education program to learn how to use a new pressure-relieving device for patients at risk for pressure ulcers. This is which type of education? Continuing education Graduate education In-service education Professional Registered Nurse Education - Answer In-service education Contemporary nursing requires that the nurse has knowledge and skills for a variety of professional roles and responsibilities. Which of the following are examples? (Select all that apply.) Caregiver Autonomy and accountability Patient advocate Health promotion Lobbyist - Answer Caregiver Correct Autonomy and accountability Correct Patient advocate Correct Health promotion Correct Which of the following Internet resources available can assist consumers when comparing quality care measures? (Select all that apply.) WebMD Hospital Compare Magnet Recognition Program Hospital Consumer Assessment of Healthcare The American Hospital Association's webpage. - Answer Hospital Consumer Assessment of Healthcare what are the 6 standards of nursing practice? - Answer assessment, diagnosis, outcome identification, planning, implementation, and evaluation independent nursing interventions - Answer autonomy you are responsible for the type and quality of nursing care provided - Answer accountability what is the main goal for the nursing process? - Answer giving patient-centered care The components of the nursing metaparadigm include: Person, health, environment, and theory Health, theory, concepts, and environment Nurses, physicians, health, and patient needs Person, health, environment, and nursing - Answer Person, health, environment, and nursing A nurse ensures that each patient's room is clean, well ventilated, and free from clutter, excessive noise, and extremes in temperature. Which theorist's work is the nurse practicing in this example? Henderson Orem King Nightingale - Answer Nightingale The nurse is caring for a patient admitted to the neurological unit with the diagnosis of a stroke and right-sided weakness. The nurse assumes responsibility for bathing and feeding the patient until the patient is able to begin performing these activities. The nurse in this situation is applying the theory developed by: Neuman Orem Roy Peplau - Answer Orem A nurse is caring for a patient who recently lost a leg in a motor vehicle accident. The nurse best assists the patient to cope with this situation by applying which of the following theories? Roy Levine Watson Johnson - Answer Roy Using Maslow's hierarchy of needs, identify the priority for a patient who is experiencing chest pain and difficulty breathing. Self-actualization Air, water, and nutrition Safety Esteem and self-esteem needs - Answer Air, water, and nutrition Which of the following categories of shared theories would be most appropriate for a patient who is grieving the loss of a spouse? Biomedical Leadership Psychosocial Developmental - Answer Psychosocial While working in a rehabilitation facility, it is important to obtain nursing histories and develop a therapeutic nurse-patient relationship. Which of the following lists in correct order the phases of Peplau's theory as applied in this setting. The nurse: 1. Ensures that the patient has access to appropriate community resources for long-term care. 2. Collaborates with the patient to identify specific patient needs 3. Collects essential information from the patient's health record. 4. Works with the patient to develop a plan for resolving patient issues. 3, 4, 2, 1 1, 3, 2, 4 3, 2, 4, 1 2, 3, 4, 1 - Answer 3, 2, 4, 1 Which of the following types of theory influence the "evidence" in current "evidence-based practice (EBP)"? Grand theory Middle-range theory Practice theory Shared theory - Answer Middle-range theory A nurse is preparing to begin intravenous fluid therapy for a patient. Which category of theory would be most helpful to the nurse at this time? Grand theory Middle-range theory Practice theory Shared theory - Answer Practice theory