ADULT HEALTH NURSING
EXAM PRACTICE
QUESTIONS AND
ANSWERS
2. A nurse is speaking to a group of prospective nursing students about what it is like to be a
nurse.
What is
one characteristic the nurse would cite as necessary to possess to be an effective nurse?
A) Sensitivity to cultural differences
B) Team-focused approach to problem-solving
C)Strict adherence to routine
D) Ability to face criticism - CORRECT ANSWER
-Ans: A Feedback:
To promote an effective nurse-patient relationship and positive outcomes of care, nursing care
must be culturally competent, appropriate, and sensitive to cultural differences. Team-focused
nursing and strict adherence to routine are not characteristics needed to be an effective nurse.
The ability to handle criticism is important, but to a lesser degree than cultural competence.
6. A group of nursing students are participating in a community health clinic. When providing
care in this context, what should the students teach participants about disease prevention?
A) It is best achieved through attending self-help groups.
B) It is best achieved by reducing psychological stress.
C)It is best achieved by being an active participant in the community.
D) It is best achieved by exhibiting behaviors that promote health. - CORRECT
ANSWER -Ans: D Feedback:
,Today, increasing emphasis is placed on health, health promotion, wellness, and self-care.
Health is seen as resulting from a lifestyle oriented toward wellness. Nurses in community
health clinics do not teach that disease prevention is best achieved through attending self-help
groups, by reducing stress, or by being an active participant in the community, though each of
these activities is consistent with a healthy lifestyle.
8. Nurses in acute care settings must work with other health care team members to maintain
quality care
while facing pressures to care for patients who are hospitalized for shorter periods of time
than in the past. To ensure positive health outcomes when patients return to their homes,
what action should the nurse prioritize?
A) Promotion of health literacy during hospitalization
B) Close communication with insurers
C)Thorough and evidence-based discharge planning
D) Participation in continuing education initiatives - CORRECT
ANSWER -Ans: C Feedback:
Following discharges that occur after increasingly short hospital stays, nurses in the community
care for patients who need high-technology acute care services as well as long-term care in the
home. This is dependent on effective discharge planning to a greater degree than continuing
education, communication with insurers, or promotion of health literacy.
9. You are admitting a patient to your medical unit after the patient has been transferred
from the emergency department. What is your priority nursing action at this time?
A) Identifying the immediate needs of the patient
B) Checking the admitting physicians orders
C)Obtaining a baseline set of vital signs
D) Allowing the family to be with the patient - CORRECT ANSWER
-Ans: A Feedback:
,Among the nurses important functions in health care delivery, identifying the patients immediate
needs and working in concert with the patient to address them is most important. The other
nursing functions are important, but they are not the most important functions.
12. Nurses znow zhave zthe zoption zto zpractice zin za zvariety zof zsettings zand zone zof zthe
zfastest zgrowing zvenues zof zpractice zfor zthe znurse zin ztodays zhealth zcare zenvironment zis
zhome zhealth zcare. zWhat zis zthe zmain zbasis zfor
Test zBank z- zBrunner z& zSuddarth's zTextbook zof zMedical-Surgical zNursing z14e
z(Hinkle z2017) z8 zthe zgrowth zin zthis zhealth zcare zsetting?
A) Chronic znursing zshortage
B) Western zfocus zon ztreatment zof zdisease
C)Nurses zpreferences zfor zday zshifts zinstead zof zevening zor znight zshifts
D) Discharge zof zpatients zwho zare zmore zcritically zill z- zCORRECT
zANSWER z-Ans: zD zFeedback:
With zshorter zhospital zstays zand zincreased zuse zof zoutpatient zhealth zcare zservices, zmore
znursing zcare zis zprovided zin zthe zhome zand zcommunity zsetting. zThe zother zanswers zare
zincorrect zbecause zthey zare znot zthe zbasis zfor zthe zgrowth zin znursing zcare zdelivered zin zthe
zhome zsetting.
13. Nurses zhave zdifferent zeducational zbackgrounds zand zfunction zunder zmany ztitles zin
ztheir zpractice zsetting. zIf
a znurse zpracticing zin zan zoncology zclinic zhad zthe zgoal zof zimproving zpatient zoutcomes zand
znursing zcare zby zinfluencing zthe zpatient, zthe znurse, zand zthe zhealth zcare zsystem, zwhat
zwould zmost zaccurately zdescribe zthis znurses ztitle?
A) Nursing zcare zexpert
B) Clinical znurse zspecialist
C)Nurse zmanager
D) Staff znurse z- zCORRECT
zANSWER z-Ans: zB zFeedback:
, Clinical znurse zspecialists zare zprepared zas zspecialists zwho zpractice zwithin za zcircumscribed
zarea zof zcare z(e.g., zcardiovascular, zoncology). zThey zdefine ztheir zroles zas zhaving zfive
zmajor zcomponents: zclinical zpractice, zeducation, zmanagement, zconsultation, zand zresearch.
zThe zother zanswers zare zincorrect zbecause zthey zare znot zthe zmost zaccurate ztitles zfor zthis
znurse.
15. A zhospice znurse zis zcaring zfor za zpatient zwho zis zdying zof zlymphoma. zAccording zto
zMaslows zhierarchy zof
needs, zwhat zdimension zof zcare zshould zthe znurse zconsider zprimary zin zimportance zwhen
zcaring zfor za zdying zpatient?
A) Spiritual
B) Social
C)Physiologic
D) Emotional z- zCORRECT
zANSWER z-Ans: zC zFeedback:
Maslow zranked zhuman zneeds zas zfollows: zphysiologic zneeds; zsafety zand zsecurity; zsense
zof zbelonging zand zaffection; zesteem zand zself-respect; zand zself-actualization, zwhich
zincludes zself-fulfillment, zdesire zto zknow zand zunderstand, zand zaesthetic zneeds. zSuch za
zhierarchy zof zneeds zis za zuseful zframework zthat zcan zbe zapplied zto zthe zvarious znursing
zmodels zfor zassessment zof za zpatients zstrengths, zlimitations, zand zneed zfor znursing
zinterventions. zThe zother zanswers zare zincorrect zbecause zthey zare znot zof zprimary
zimportance zwhen zcaring zfor za zdying zpatient, zthough zeach zshould zcertainly zbe
zaddressed.
16. A znurse zis zplanning za zmedical zpatients zcare zwith zconsideration zof zMaslows zhierarchy
zof zneeds. zWithin zthis zframework zof zunderstanding, zwhat zwould zbe zthe znurses zfirst
zpriority?
A) Allowing zthe zfamily zto zsee za znewly zadmitted zpatient
B) Ambulating zthe zpatient zin zthe zhallway
C)Administering zpain zmedication
Test zBank z- zBrunner z& zSuddarth's zTextbook zof zMedical-Surgical zNursing z14e z(Hinkle z2017)
z10
D) Teaching zthe zpatient zto zself-administer zinsulin zsafely z- zCORRECT
zANSWER z-Ans: zC zFeedback:
EXAM PRACTICE
QUESTIONS AND
ANSWERS
2. A nurse is speaking to a group of prospective nursing students about what it is like to be a
nurse.
What is
one characteristic the nurse would cite as necessary to possess to be an effective nurse?
A) Sensitivity to cultural differences
B) Team-focused approach to problem-solving
C)Strict adherence to routine
D) Ability to face criticism - CORRECT ANSWER
-Ans: A Feedback:
To promote an effective nurse-patient relationship and positive outcomes of care, nursing care
must be culturally competent, appropriate, and sensitive to cultural differences. Team-focused
nursing and strict adherence to routine are not characteristics needed to be an effective nurse.
The ability to handle criticism is important, but to a lesser degree than cultural competence.
6. A group of nursing students are participating in a community health clinic. When providing
care in this context, what should the students teach participants about disease prevention?
A) It is best achieved through attending self-help groups.
B) It is best achieved by reducing psychological stress.
C)It is best achieved by being an active participant in the community.
D) It is best achieved by exhibiting behaviors that promote health. - CORRECT
ANSWER -Ans: D Feedback:
,Today, increasing emphasis is placed on health, health promotion, wellness, and self-care.
Health is seen as resulting from a lifestyle oriented toward wellness. Nurses in community
health clinics do not teach that disease prevention is best achieved through attending self-help
groups, by reducing stress, or by being an active participant in the community, though each of
these activities is consistent with a healthy lifestyle.
8. Nurses in acute care settings must work with other health care team members to maintain
quality care
while facing pressures to care for patients who are hospitalized for shorter periods of time
than in the past. To ensure positive health outcomes when patients return to their homes,
what action should the nurse prioritize?
A) Promotion of health literacy during hospitalization
B) Close communication with insurers
C)Thorough and evidence-based discharge planning
D) Participation in continuing education initiatives - CORRECT
ANSWER -Ans: C Feedback:
Following discharges that occur after increasingly short hospital stays, nurses in the community
care for patients who need high-technology acute care services as well as long-term care in the
home. This is dependent on effective discharge planning to a greater degree than continuing
education, communication with insurers, or promotion of health literacy.
9. You are admitting a patient to your medical unit after the patient has been transferred
from the emergency department. What is your priority nursing action at this time?
A) Identifying the immediate needs of the patient
B) Checking the admitting physicians orders
C)Obtaining a baseline set of vital signs
D) Allowing the family to be with the patient - CORRECT ANSWER
-Ans: A Feedback:
,Among the nurses important functions in health care delivery, identifying the patients immediate
needs and working in concert with the patient to address them is most important. The other
nursing functions are important, but they are not the most important functions.
12. Nurses znow zhave zthe zoption zto zpractice zin za zvariety zof zsettings zand zone zof zthe
zfastest zgrowing zvenues zof zpractice zfor zthe znurse zin ztodays zhealth zcare zenvironment zis
zhome zhealth zcare. zWhat zis zthe zmain zbasis zfor
Test zBank z- zBrunner z& zSuddarth's zTextbook zof zMedical-Surgical zNursing z14e
z(Hinkle z2017) z8 zthe zgrowth zin zthis zhealth zcare zsetting?
A) Chronic znursing zshortage
B) Western zfocus zon ztreatment zof zdisease
C)Nurses zpreferences zfor zday zshifts zinstead zof zevening zor znight zshifts
D) Discharge zof zpatients zwho zare zmore zcritically zill z- zCORRECT
zANSWER z-Ans: zD zFeedback:
With zshorter zhospital zstays zand zincreased zuse zof zoutpatient zhealth zcare zservices, zmore
znursing zcare zis zprovided zin zthe zhome zand zcommunity zsetting. zThe zother zanswers zare
zincorrect zbecause zthey zare znot zthe zbasis zfor zthe zgrowth zin znursing zcare zdelivered zin zthe
zhome zsetting.
13. Nurses zhave zdifferent zeducational zbackgrounds zand zfunction zunder zmany ztitles zin
ztheir zpractice zsetting. zIf
a znurse zpracticing zin zan zoncology zclinic zhad zthe zgoal zof zimproving zpatient zoutcomes zand
znursing zcare zby zinfluencing zthe zpatient, zthe znurse, zand zthe zhealth zcare zsystem, zwhat
zwould zmost zaccurately zdescribe zthis znurses ztitle?
A) Nursing zcare zexpert
B) Clinical znurse zspecialist
C)Nurse zmanager
D) Staff znurse z- zCORRECT
zANSWER z-Ans: zB zFeedback:
, Clinical znurse zspecialists zare zprepared zas zspecialists zwho zpractice zwithin za zcircumscribed
zarea zof zcare z(e.g., zcardiovascular, zoncology). zThey zdefine ztheir zroles zas zhaving zfive
zmajor zcomponents: zclinical zpractice, zeducation, zmanagement, zconsultation, zand zresearch.
zThe zother zanswers zare zincorrect zbecause zthey zare znot zthe zmost zaccurate ztitles zfor zthis
znurse.
15. A zhospice znurse zis zcaring zfor za zpatient zwho zis zdying zof zlymphoma. zAccording zto
zMaslows zhierarchy zof
needs, zwhat zdimension zof zcare zshould zthe znurse zconsider zprimary zin zimportance zwhen
zcaring zfor za zdying zpatient?
A) Spiritual
B) Social
C)Physiologic
D) Emotional z- zCORRECT
zANSWER z-Ans: zC zFeedback:
Maslow zranked zhuman zneeds zas zfollows: zphysiologic zneeds; zsafety zand zsecurity; zsense
zof zbelonging zand zaffection; zesteem zand zself-respect; zand zself-actualization, zwhich
zincludes zself-fulfillment, zdesire zto zknow zand zunderstand, zand zaesthetic zneeds. zSuch za
zhierarchy zof zneeds zis za zuseful zframework zthat zcan zbe zapplied zto zthe zvarious znursing
zmodels zfor zassessment zof za zpatients zstrengths, zlimitations, zand zneed zfor znursing
zinterventions. zThe zother zanswers zare zincorrect zbecause zthey zare znot zof zprimary
zimportance zwhen zcaring zfor za zdying zpatient, zthough zeach zshould zcertainly zbe
zaddressed.
16. A znurse zis zplanning za zmedical zpatients zcare zwith zconsideration zof zMaslows zhierarchy
zof zneeds. zWithin zthis zframework zof zunderstanding, zwhat zwould zbe zthe znurses zfirst
zpriority?
A) Allowing zthe zfamily zto zsee za znewly zadmitted zpatient
B) Ambulating zthe zpatient zin zthe zhallway
C)Administering zpain zmedication
Test zBank z- zBrunner z& zSuddarth's zTextbook zof zMedical-Surgical zNursing z14e z(Hinkle z2017)
z10
D) Teaching zthe zpatient zto zself-administer zinsulin zsafely z- zCORRECT
zANSWER z-Ans: zC zFeedback:
