,Chapter1: Foundations of Nursing Practice
Stem: The ANA definition of nursing emphasizes which central
responsibility of registered nurses?
A. Prescribing medical treatments when a physician is not
available
B. Promoting health, preventing illness, restoring health, and
alleviating suffering
C. Completing administrative tasks to support healthcare
economics
D. Providing physical therapy and occupational therapy services
Correct Answer: B
Rationale — Correct: The ANA defines nursing as the
protection, promotion, and optimization of health, prevention
of illness, facilitation of healing, alleviation of suffering, and
advocacy. This broad statement guides scope of practice and
professional priorities.
Rationale — A: Prescribing is outside the RN’s general scope
unless specifically authorized (e.g., an APRN with prescriptive
authority).
Rationale — C: Administrative tasks may be part of practice but
are not the central responsibility defined by ANA.
Rationale — D: PT/OT are distinct professions; RNs coordinate
but do not substitute those therapies.
Teaching Point: Nursing centers on health promotion, illness
prevention, restoration, and advocacy.
, 2.
Chapter Reference: Chapter 1, Section 1 — Standards of
Practice Overview
Stem: Which sequence best represents the ANA Standards of
Practice (the nursing process) described in Chapter 1?
A. Implementation → Planning → Assessment → Evaluation
B. Assessment → Diagnosis → Outcomes Identification →
Planning → Implementation → Evaluation
C. Diagnosis → Assessment → Implementation → Planning →
Evaluation
D. Outcomes Identification → Assessment → Diagnosis →
Implementation → Planning
Correct Answer: B
Rationale — Correct: The Standards of Practice follow the
nursing process: assessment, diagnosis, outcomes
identification, planning, implementation, and evaluation—
providing a systematic framework for clinical decision-making.
Rationale — A: This order is incorrect because assessment must
precede planning and implementation.
Rationale — C: This mixes steps out of sequence; diagnosis
follows assessment.
Rationale — D: Outcomes identification comes after diagnosis,
not before assessment.
, Teaching Point: Follow the nursing process order: assess →
diagnose → outcomes → plan → implement → evaluate.
3.
Chapter Reference: Chapter 1, Section 1 — Standards of
Professional Performance
Stem: Which of the following is a domain included in the
Standards of Professional Performance?
A. Pharmacologic prescribing authority
B. Evidence-based practice and research
C. Medical diagnosis of disease
D. Billing and coding for reimbursement
Correct Answer: B
Rationale — Correct: Evidence-based practice and research is a
core standard of professional performance; it requires nurses to
integrate current best evidence into practice.
Rationale — A: Prescribing authority is a regulatory/practice
privilege granted to some advanced practice nurses, not a
standards-of-performance domain.
Rationale — C: Medical diagnosis is the physician/APRN
responsibility and not a professional performance domain for
general RN practice.
Rationale — D: Billing/coding may be operational concerns but
are not a named standard of professional performance.
Stem: The ANA definition of nursing emphasizes which central
responsibility of registered nurses?
A. Prescribing medical treatments when a physician is not
available
B. Promoting health, preventing illness, restoring health, and
alleviating suffering
C. Completing administrative tasks to support healthcare
economics
D. Providing physical therapy and occupational therapy services
Correct Answer: B
Rationale — Correct: The ANA defines nursing as the
protection, promotion, and optimization of health, prevention
of illness, facilitation of healing, alleviation of suffering, and
advocacy. This broad statement guides scope of practice and
professional priorities.
Rationale — A: Prescribing is outside the RN’s general scope
unless specifically authorized (e.g., an APRN with prescriptive
authority).
Rationale — C: Administrative tasks may be part of practice but
are not the central responsibility defined by ANA.
Rationale — D: PT/OT are distinct professions; RNs coordinate
but do not substitute those therapies.
Teaching Point: Nursing centers on health promotion, illness
prevention, restoration, and advocacy.
, 2.
Chapter Reference: Chapter 1, Section 1 — Standards of
Practice Overview
Stem: Which sequence best represents the ANA Standards of
Practice (the nursing process) described in Chapter 1?
A. Implementation → Planning → Assessment → Evaluation
B. Assessment → Diagnosis → Outcomes Identification →
Planning → Implementation → Evaluation
C. Diagnosis → Assessment → Implementation → Planning →
Evaluation
D. Outcomes Identification → Assessment → Diagnosis →
Implementation → Planning
Correct Answer: B
Rationale — Correct: The Standards of Practice follow the
nursing process: assessment, diagnosis, outcomes
identification, planning, implementation, and evaluation—
providing a systematic framework for clinical decision-making.
Rationale — A: This order is incorrect because assessment must
precede planning and implementation.
Rationale — C: This mixes steps out of sequence; diagnosis
follows assessment.
Rationale — D: Outcomes identification comes after diagnosis,
not before assessment.
, Teaching Point: Follow the nursing process order: assess →
diagnose → outcomes → plan → implement → evaluate.
3.
Chapter Reference: Chapter 1, Section 1 — Standards of
Professional Performance
Stem: Which of the following is a domain included in the
Standards of Professional Performance?
A. Pharmacologic prescribing authority
B. Evidence-based practice and research
C. Medical diagnosis of disease
D. Billing and coding for reimbursement
Correct Answer: B
Rationale — Correct: Evidence-based practice and research is a
core standard of professional performance; it requires nurses to
integrate current best evidence into practice.
Rationale — A: Prescribing authority is a regulatory/practice
privilege granted to some advanced practice nurses, not a
standards-of-performance domain.
Rationale — C: Medical diagnosis is the physician/APRN
responsibility and not a professional performance domain for
general RN practice.
Rationale — D: Billing/coding may be operational concerns but
are not a named standard of professional performance.
