NURS 492
Advanced Concepts of NP
COMPREHENSIVE FINALS
EXAM
Q&S
©2024/2025
,1. Which of the following best describes the concept of
"patient-centered care"?
- A) Care provided based only on the physician's
expertise.
- B) Involvement of the patient and family in the decision-
making process about care.
- C) Standardized care for all patients regardless of
individual needs.
- D) Care focused only on technological interventions.
Answer: B
Rationale: Patient-centered care involves the inclusion of
the patient and family in the decision-making process,
tailoring care to fit the individual’s needs and preferences.
2. In evidence-based practice, what is the first step in the
process?
- A) Critically appraising the evidence
- B) Formulating a clinical question
- C) Implementing the evidence in practice
- D) Evaluating patient outcomes
Answer: B
Rationale: Formulating a clinical question is the first step,
which sets the direction for subsequent steps like searching
for and appraising evidence.
3. Which advanced nursing role is primarily responsible for
diagnosing and treating acute and chronic illnesses?
- A) Nurse Educator
- B) Nurse Administrator
- C) Nurse Practitioner
©2024/2025
, - D) Clinical Nurse Specialist
Answer: C
Rationale: Nurse Practitioners are prepared and licensed
to diagnose and treat medical conditions.
4. A patient with heart failure is receiving digoxin. Which
electrolyte imbalance increases the risk of digoxin toxicity?
- A) Hypercalcemia
- B) Hyponatremia
- C) Hypermagnesemia
- D) Hypokalemia
Answer: D
Rationale: Hypokalemia increases the risk of digoxin
toxicity as potassium and digoxin compete for binding at the
same site.
5. What is the primary purpose of clinical pathways in
nursing practice?
- A) To replace clinical judgment
- B) To provide detailed patient histories
- C) To standardize care and improve outcomes
- D) To serve as reference for pharmacological therapies
Answer: C
Rationale: Clinical pathways are structured to
standardize care processes and improve patient outcomes
based on evidence.
### Fill-in-the-Blank Questions:
6. The ethical principle of ________ refers to the obligation
©2024/2025
Advanced Concepts of NP
COMPREHENSIVE FINALS
EXAM
Q&S
©2024/2025
,1. Which of the following best describes the concept of
"patient-centered care"?
- A) Care provided based only on the physician's
expertise.
- B) Involvement of the patient and family in the decision-
making process about care.
- C) Standardized care for all patients regardless of
individual needs.
- D) Care focused only on technological interventions.
Answer: B
Rationale: Patient-centered care involves the inclusion of
the patient and family in the decision-making process,
tailoring care to fit the individual’s needs and preferences.
2. In evidence-based practice, what is the first step in the
process?
- A) Critically appraising the evidence
- B) Formulating a clinical question
- C) Implementing the evidence in practice
- D) Evaluating patient outcomes
Answer: B
Rationale: Formulating a clinical question is the first step,
which sets the direction for subsequent steps like searching
for and appraising evidence.
3. Which advanced nursing role is primarily responsible for
diagnosing and treating acute and chronic illnesses?
- A) Nurse Educator
- B) Nurse Administrator
- C) Nurse Practitioner
©2024/2025
, - D) Clinical Nurse Specialist
Answer: C
Rationale: Nurse Practitioners are prepared and licensed
to diagnose and treat medical conditions.
4. A patient with heart failure is receiving digoxin. Which
electrolyte imbalance increases the risk of digoxin toxicity?
- A) Hypercalcemia
- B) Hyponatremia
- C) Hypermagnesemia
- D) Hypokalemia
Answer: D
Rationale: Hypokalemia increases the risk of digoxin
toxicity as potassium and digoxin compete for binding at the
same site.
5. What is the primary purpose of clinical pathways in
nursing practice?
- A) To replace clinical judgment
- B) To provide detailed patient histories
- C) To standardize care and improve outcomes
- D) To serve as reference for pharmacological therapies
Answer: C
Rationale: Clinical pathways are structured to
standardize care processes and improve patient outcomes
based on evidence.
### Fill-in-the-Blank Questions:
6. The ethical principle of ________ refers to the obligation
©2024/2025
