, Chapter1: Foundations of Nursing Practice
Stem: A hospital RN is asked to perform a delegated procedure
outside the usual unit practice. According to the ANA scope
statement, what is the best first action for the RN?
A. Perform the procedure because the employer requested it.
B. Refuse and report the supervisor for inappropriate
delegation.
C. Evaluate whether the task falls within their scope, education,
and competency before accepting.
D. Accept the task and request supervision later if needed.
Correct Answer: C
Rationale (Correct): ANA scope guidance emphasizes that
nurses must practice within the boundaries of their education,
experience, licensure, and demonstrated competency;
evaluating scope and competency is the ethically and legally
appropriate first step. ANA
Distractors:
A. Incorrect — Employer requests do not override professional
scope, licensure, or competency requirements.
B. Incorrect — Immediate refusal and reporting without
assessing scope/competency is premature and may disrupt
care; escalate only if the task is unsafe.
D. Incorrect — Accepting first and seeking supervision later may
place patients at risk and violates the nurse’s obligation to
ensure competency before performing care.
,Teaching Point: Always confirm that tasks align with your
license, education, and competence before acting.
2.
Chapter 1 — Section: Scope of Nursing Practice — Title: Scope
of Nursing Practice
Stem: Which phrase best reflects the ANA’s definition of the
“what” of nursing within the scope statement?
A. Only administering medications and treatments ordered by
physicians.
B. Actions that protect, promote, and optimize health, prevent
illness, facilitate healing, and alleviate suffering.
C. Completing documentation and discharge planning
exclusively.
D. Nursing as only bedside technical tasks.
Correct Answer: B
Rationale (Correct): The ANA frames nursing broadly —
protecting, promoting, optimizing health, preventing illness,
facilitating healing, and alleviating suffering — capturing
nursing’s holistic responsibilities. ANA
Distractors:
A. Incorrect — Nursing is not limited to executing physician
orders; it includes autonomous assessment and decision-
making.
C. Incorrect — Documentation and discharge planning are
, components of nursing but do not encompass the breadth of
nursing’s purpose.
D. Incorrect — Reducing nursing to technical tasks ignores the
art, judgment, and leadership components in the ANA scope.
Teaching Point: Nursing’s “what” is holistic health promotion,
prevention, healing, and alleviating suffering.
3.
Chapter 1 — Section: Scope of Nursing Practice — Title: Scope
of Nursing Practice
Stem: According to ANA scope/standards, which factor most
determines the depth and breadth of a nurse’s practice?
A. The nurse’s preferred work schedule.
B. The nurse’s education, experience, role, and population
served.
C. The number of patients assigned that day.
D. The hospital’s location in a rural or urban area.
Correct Answer: B
Rationale (Correct): The ANA explicitly states the depth and
breadth of an individual nurse’s engagement are dependent on
education, experience, role, and the population served. This
grounds practice in competency and role expectations. ANA
Distractors:
A. Incorrect — Preferred schedule does not define professional
scope or competency.
Stem: A hospital RN is asked to perform a delegated procedure
outside the usual unit practice. According to the ANA scope
statement, what is the best first action for the RN?
A. Perform the procedure because the employer requested it.
B. Refuse and report the supervisor for inappropriate
delegation.
C. Evaluate whether the task falls within their scope, education,
and competency before accepting.
D. Accept the task and request supervision later if needed.
Correct Answer: C
Rationale (Correct): ANA scope guidance emphasizes that
nurses must practice within the boundaries of their education,
experience, licensure, and demonstrated competency;
evaluating scope and competency is the ethically and legally
appropriate first step. ANA
Distractors:
A. Incorrect — Employer requests do not override professional
scope, licensure, or competency requirements.
B. Incorrect — Immediate refusal and reporting without
assessing scope/competency is premature and may disrupt
care; escalate only if the task is unsafe.
D. Incorrect — Accepting first and seeking supervision later may
place patients at risk and violates the nurse’s obligation to
ensure competency before performing care.
,Teaching Point: Always confirm that tasks align with your
license, education, and competence before acting.
2.
Chapter 1 — Section: Scope of Nursing Practice — Title: Scope
of Nursing Practice
Stem: Which phrase best reflects the ANA’s definition of the
“what” of nursing within the scope statement?
A. Only administering medications and treatments ordered by
physicians.
B. Actions that protect, promote, and optimize health, prevent
illness, facilitate healing, and alleviate suffering.
C. Completing documentation and discharge planning
exclusively.
D. Nursing as only bedside technical tasks.
Correct Answer: B
Rationale (Correct): The ANA frames nursing broadly —
protecting, promoting, optimizing health, preventing illness,
facilitating healing, and alleviating suffering — capturing
nursing’s holistic responsibilities. ANA
Distractors:
A. Incorrect — Nursing is not limited to executing physician
orders; it includes autonomous assessment and decision-
making.
C. Incorrect — Documentation and discharge planning are
, components of nursing but do not encompass the breadth of
nursing’s purpose.
D. Incorrect — Reducing nursing to technical tasks ignores the
art, judgment, and leadership components in the ANA scope.
Teaching Point: Nursing’s “what” is holistic health promotion,
prevention, healing, and alleviating suffering.
3.
Chapter 1 — Section: Scope of Nursing Practice — Title: Scope
of Nursing Practice
Stem: According to ANA scope/standards, which factor most
determines the depth and breadth of a nurse’s practice?
A. The nurse’s preferred work schedule.
B. The nurse’s education, experience, role, and population
served.
C. The number of patients assigned that day.
D. The hospital’s location in a rural or urban area.
Correct Answer: B
Rationale (Correct): The ANA explicitly states the depth and
breadth of an individual nurse’s engagement are dependent on
education, experience, role, and the population served. This
grounds practice in competency and role expectations. ANA
Distractors:
A. Incorrect — Preferred schedule does not define professional
scope or competency.
