,Chapter1: Foundations of Nursing Practice
1. Stem: According to the ANA description of nursing’s scope,
which statement best captures when nursing practice
occurs?
A. Only in licensed healthcare facilities during scheduled
shifts.
B. Whenever there is a need for nursing knowledge,
wisdom, caring, leadership, practice, or education —
anytime, anywhere.
C. Only when physicians delegate tasks to registered
nurses.
D. Only during acute-care episodes requiring complex
interventions.
Correct Answer: B
Rationale — Correct: The ANA defines nursing practice as
occurring whenever a need for nursing knowledge, wisdom,
caring, leadership, practice, or education exists — not limited by
place or time. This broad definition emphasizes universal
applicability of professional nursing. ANA
Rationale — A (incorrect): Scope is not limited to licensed
facilities or scheduled shifts; nursing can occur outside formal
settings.
Rationale — C (incorrect): Nursing practice is not contingent on
physician delegation; RNs have autonomous responsibilities.
Rationale — D (incorrect): Nursing includes preventive, chronic,
and health-promotion roles, not only acute care.
,Teaching point: Nursing practice occurs anywhere and anytime
a nursing need exists.
Chapter 1 — Section: Description of the Scope of Nursing
Practice — Title: Scope of Nursing Practice
2. Stem: The “who” in the ANA’s scope of nursing practice
primarily refers to which group?
A. Licensed practical nurses and nursing assistants only.
B. All health professions collaborating with nurses.
C. Registered nurses and advanced practice registered
nurses who hold active licensure.
D. Patients and family members participating in care.
Correct Answer: C
Rationale — Correct: The ANA identifies registered nurses (RNs)
and APRNs as the “who” — practitioners educated, titled, and
maintaining active licensure to practice nursing. ANA
Rationale — A (incorrect): LPNs and assistants are vital but the
ANA scope statement targets professional RNs and APRNs.
Rationale — B (incorrect): Collaborators are part of the care
team but not the primary “who” defined in the scope.
Rationale — D (incorrect): Patients/families are
recipients/partners in care, not the practitioners comprising the
“who.”
Teaching point: The “who” of nursing scope refers to RNs and
APRNs with active licensure.
, Chapter 1 — Section: Development and Function of the
Standards — Title: Standards of Professional Nursing Practice
3. Stem: Which best describes the purpose of the ANA’s
Standards of Professional Nursing Practice?
A. To provide legal codes that replace state nurse practice
acts.
B. To define authoritative expectations of RN actions and
behaviors across roles and settings.
C. To dictate hospital administrative procedures for
staffing.
D. To provide technical how-to instructions for specific
nursing tasks.
Correct Answer: B
Rationale — Correct: The Standards are authoritative
statements of duties and behaviors expected of all RNs,
applicable across roles, populations, specialties, and settings.
They serve as a benchmark for competent practice. ANA
Rationale — A (incorrect): Standards supplement but do not
replace legal nurse practice acts enacted by states.
Rationale — C (incorrect): Standards inform practice but do not
set administrative staffing policies.
Rationale — D (incorrect): Standards set expectations and
competencies, not detailed procedural manuals.
1. Stem: According to the ANA description of nursing’s scope,
which statement best captures when nursing practice
occurs?
A. Only in licensed healthcare facilities during scheduled
shifts.
B. Whenever there is a need for nursing knowledge,
wisdom, caring, leadership, practice, or education —
anytime, anywhere.
C. Only when physicians delegate tasks to registered
nurses.
D. Only during acute-care episodes requiring complex
interventions.
Correct Answer: B
Rationale — Correct: The ANA defines nursing practice as
occurring whenever a need for nursing knowledge, wisdom,
caring, leadership, practice, or education exists — not limited by
place or time. This broad definition emphasizes universal
applicability of professional nursing. ANA
Rationale — A (incorrect): Scope is not limited to licensed
facilities or scheduled shifts; nursing can occur outside formal
settings.
Rationale — C (incorrect): Nursing practice is not contingent on
physician delegation; RNs have autonomous responsibilities.
Rationale — D (incorrect): Nursing includes preventive, chronic,
and health-promotion roles, not only acute care.
,Teaching point: Nursing practice occurs anywhere and anytime
a nursing need exists.
Chapter 1 — Section: Description of the Scope of Nursing
Practice — Title: Scope of Nursing Practice
2. Stem: The “who” in the ANA’s scope of nursing practice
primarily refers to which group?
A. Licensed practical nurses and nursing assistants only.
B. All health professions collaborating with nurses.
C. Registered nurses and advanced practice registered
nurses who hold active licensure.
D. Patients and family members participating in care.
Correct Answer: C
Rationale — Correct: The ANA identifies registered nurses (RNs)
and APRNs as the “who” — practitioners educated, titled, and
maintaining active licensure to practice nursing. ANA
Rationale — A (incorrect): LPNs and assistants are vital but the
ANA scope statement targets professional RNs and APRNs.
Rationale — B (incorrect): Collaborators are part of the care
team but not the primary “who” defined in the scope.
Rationale — D (incorrect): Patients/families are
recipients/partners in care, not the practitioners comprising the
“who.”
Teaching point: The “who” of nursing scope refers to RNs and
APRNs with active licensure.
, Chapter 1 — Section: Development and Function of the
Standards — Title: Standards of Professional Nursing Practice
3. Stem: Which best describes the purpose of the ANA’s
Standards of Professional Nursing Practice?
A. To provide legal codes that replace state nurse practice
acts.
B. To define authoritative expectations of RN actions and
behaviors across roles and settings.
C. To dictate hospital administrative procedures for
staffing.
D. To provide technical how-to instructions for specific
nursing tasks.
Correct Answer: B
Rationale — Correct: The Standards are authoritative
statements of duties and behaviors expected of all RNs,
applicable across roles, populations, specialties, and settings.
They serve as a benchmark for competent practice. ANA
Rationale — A (incorrect): Standards supplement but do not
replace legal nurse practice acts enacted by states.
Rationale — C (incorrect): Standards inform practice but do not
set administrative staffing policies.
Rationale — D (incorrect): Standards set expectations and
competencies, not detailed procedural manuals.
