,Chapter1: Foundations of Nursing Practice
Stem: According to the ANA Scope of Nursing Practice, which
statement best captures the primary focus of professional
nursing practice?
A. Prescribing medications and ordering diagnostic studies for
patients.
B. Diagnosis and treatment of human responses and advocacy
in care.
C. Performing only technical procedures delegated by
physicians.
D. Managing hospital finances and budgets for patient care.
Correct Answer: B
Rationales — Correct: The ANA defines nursing as centered on
diagnosing and treating human responses to health problems
and advocating for patients; this emphasizes whole-person care
and advocacy.
Rationales — A: Prescribing and ordering studies are activities
sometimes performed by APRNs but are not the defining focus
of RN practice.
Rationales — C: Limiting nursing to technical tasks understates
the professional judgment, assessment, and advocacy central to
nursing.
Rationales — D: Administrative and financial tasks may be part
of some roles but are not the core definition of nursing practice.
,Teaching Point: Nursing centers on diagnosing human responses
and advocating for healthcare consumers.
2.
Chapter 1 — Section: Description of the Scope of Nursing
Practice — Title: The “Who, What, When, Where, Why, and
How”
Stem: The phrase “who, what, when, where, why, and how” in
the Scope of Nursing Practice most directly serves to:
A. Prescribe the exact procedures every nurse must perform
daily.
B. Provide a framework describing nursing’s boundaries and
activities.
C. Replace state Nurse Practice Acts as the legal authority for
nursing.
D. Detail hospital-specific policies that govern nursing shifts.
Correct Answer: B
Rationales — Correct: The phrase is used by ANA to frame a
complete description of nursing’s boundaries and activities
across contexts.
Rationales — A: The scope provides a framework, not a
prescriptive checklist of daily procedures.
Rationales — C: Legal authority comes from state Nurse Practice
Acts; ANA’s scope is a professional statement.
, Rationales — D: Hospital policies are local; the scope is broad
and profession-wide.
Teaching Point: The Scope provides a profession-wide
framework, not prescriptive task lists.
3.
Chapter 1 — Section: Standards of Professional Nursing Practice
— Title: Two Components of Standards
Stem: The ANA Standards of Professional Nursing Practice are
divided into two components. Which pair correctly names those
components?
A. Standards of Care and Institutional Policies.
B. Standards of Practice and Standards of Professional
Performance.
C. Clinical Protocols and Financial Standards.
D. Patient Rights and Provider Privileges.
Correct Answer: B
Rationales — Correct: ANA separates Standards of Practice
(nursing process) from Standards of Professional Performance
(professional behaviors).
Rationales — A: Institutional policies are local; Standards of
Care is not the formal ANA pairing.
Rationales — C: Clinical protocols and financial standards are
not the ANA components.
Stem: According to the ANA Scope of Nursing Practice, which
statement best captures the primary focus of professional
nursing practice?
A. Prescribing medications and ordering diagnostic studies for
patients.
B. Diagnosis and treatment of human responses and advocacy
in care.
C. Performing only technical procedures delegated by
physicians.
D. Managing hospital finances and budgets for patient care.
Correct Answer: B
Rationales — Correct: The ANA defines nursing as centered on
diagnosing and treating human responses to health problems
and advocating for patients; this emphasizes whole-person care
and advocacy.
Rationales — A: Prescribing and ordering studies are activities
sometimes performed by APRNs but are not the defining focus
of RN practice.
Rationales — C: Limiting nursing to technical tasks understates
the professional judgment, assessment, and advocacy central to
nursing.
Rationales — D: Administrative and financial tasks may be part
of some roles but are not the core definition of nursing practice.
,Teaching Point: Nursing centers on diagnosing human responses
and advocating for healthcare consumers.
2.
Chapter 1 — Section: Description of the Scope of Nursing
Practice — Title: The “Who, What, When, Where, Why, and
How”
Stem: The phrase “who, what, when, where, why, and how” in
the Scope of Nursing Practice most directly serves to:
A. Prescribe the exact procedures every nurse must perform
daily.
B. Provide a framework describing nursing’s boundaries and
activities.
C. Replace state Nurse Practice Acts as the legal authority for
nursing.
D. Detail hospital-specific policies that govern nursing shifts.
Correct Answer: B
Rationales — Correct: The phrase is used by ANA to frame a
complete description of nursing’s boundaries and activities
across contexts.
Rationales — A: The scope provides a framework, not a
prescriptive checklist of daily procedures.
Rationales — C: Legal authority comes from state Nurse Practice
Acts; ANA’s scope is a professional statement.
, Rationales — D: Hospital policies are local; the scope is broad
and profession-wide.
Teaching Point: The Scope provides a profession-wide
framework, not prescriptive task lists.
3.
Chapter 1 — Section: Standards of Professional Nursing Practice
— Title: Two Components of Standards
Stem: The ANA Standards of Professional Nursing Practice are
divided into two components. Which pair correctly names those
components?
A. Standards of Care and Institutional Policies.
B. Standards of Practice and Standards of Professional
Performance.
C. Clinical Protocols and Financial Standards.
D. Patient Rights and Provider Privileges.
Correct Answer: B
Rationales — Correct: ANA separates Standards of Practice
(nursing process) from Standards of Professional Performance
(professional behaviors).
Rationales — A: Institutional policies are local; Standards of
Care is not the formal ANA pairing.
Rationales — C: Clinical protocols and financial standards are
not the ANA components.
