,Chapter & Subtopic: Chapter 1 – How Is Nursing Defined?
Key Concept: Professional definition and scope of nursing
practice
Question Stem: A nurse explains nursing to a patient’s family as
“the protection, promotion, and optimization of health.” Which
statement best matches this professional definition of nursing?
A. Nursing focuses primarily on disease cure.
B. Nursing includes advocacy, health promotion, and illness
prevention.
C. Nursing is limited to performing provider-ordered treatments.
D. Nursing’s role is mainly administrative and clerical.
Correct Answer: B
Rationales:
• Correct (B): This matches the widely accepted professional
definition emphasizing advocacy, health promotion,
prevention, and care coordination (Capriotti, Chapter 1 —
How Is Nursing Defined?).
• Incorrect (A): Too narrow; nursing is broader than curing
disease and includes prevention and promotion.
• Incorrect (C): Nursing is autonomous and includes judgment
and independent interventions, not only carrying out orders.
• Incorrect (D): Administrative tasks may occur, but they do
not define the profession.
Teaching Point: Nursing centers on holistic care: advocacy,
prevention, promotion, and restoration.
2.
Chapter & Subtopic: Chapter 1 – How Do Nurses’ Educational
Paths Differ?
Key Concept: Education levels and preparation (ADN, BSN,
MSN, DNP)
Question Stem: A new graduate RN educated in an ADN program
,asks which outcome distinguishes a BSN-prepared nurse. Which is
the best answer?
A. Ability to perform basic bedside skills only.
B. Greater emphasis on community health, leadership, and
research.
C. Legal authority to diagnose independently.
D. Automatic eligibility for prescriptive authority.
Correct Answer: B
Rationales:
• Correct (B): BSN programs typically include broader content
in public/community health, leadership, and research
compared with ADN programs (Capriotti, Chapter 1 — How
Do Nurses’ Educational Paths Differ?).
• Incorrect (A): ADN also teaches bedside skills but BSN adds
broader competencies.
• Incorrect (C): Diagnosis authority is not conferred solely by
BSN; it depends on role and licensure.
• Incorrect (D): Prescriptive authority requires advanced
practice credentials and regulatory approval.
Teaching Point: BSN education emphasizes community health,
leadership, and evidence-based practice.
3.
Chapter & Subtopic: Chapter 1 – How Is Nursing Practice
Regulated?
Key Concept: State boards of nursing and licensure compact
Question Stem: Which action is within a state board of nursing’s
authority?
A. Issuing national treatment protocols for all providers.
B. Granting and disciplining nursing licenses within the state.
C. Setting federal reimbursement rates.
D. Issuing licenses to physicians.
,Correct Answer: B
Rationales:
• Correct (B): State boards regulate licensure, set practice
standards, and discipline nurses in their jurisdiction (Capriotti,
Chapter 1 — How Is Nursing Practice Regulated?).
• Incorrect (A): Boards do not issue national treatment
protocols for all providers.
• Incorrect (C): Reimbursement rates are set by payers and
government agencies, not state nursing boards.
• Incorrect (D): Medical licensure is handled by medical
boards, not nursing boards.
Teaching Point: State boards govern nursing licensure, standards,
and discipline.
4.
Chapter & Subtopic: Chapter 1 – What Are Some Important
Nursing Organizations?
Key Concept: Roles of professional nursing organizations (e.g.,
ANA)
Question Stem: A nurse seeks a national body for advocacy and
practice standards. Which organization best fits that role?
A. American Nurses Association (ANA)
B. Centers for Disease Control and Prevention (CDC)
C. Joint Commission (TJC)
D. World Health Organization (WHO)
Correct Answer: A
Rationales:
• Correct (A): The ANA advocates for nurses, develops
standards of practice, and influences health policy (Capriotti,
Chapter 1 — What Are Some Important Nursing
Organizations?).
• Incorrect (B): CDC is a public health agency, not a
professional nursing association.
, • Incorrect (C): TJC accredits healthcare organizations rather
than serving as a nursing professional advocacy group.
• Incorrect (D): WHO is an international health authority, not
a U.S. nursing organization.
Teaching Point: ANA establishes standards and advocates for
nursing practice and policy.
5.
Chapter & Subtopic: Chapter 1 – Nursing Practice: Caring for
Clients
Key Concept: Patient-centered care and therapeutic
communication
Question Stem: Which nurse behavior best demonstrates
therapeutic communication with a hospitalized adolescent?
A. Giving unsolicited advice about college choices.
B. Using reflective statements to clarify the adolescent’s feelings.
C. Avoiding eye contact to maintain professional distance.
D. Rushing the adolescent to finish the psychosocial history.
Correct Answer: B
Rationales:
• Correct (B): Reflective statements validate feelings and
promote understanding — core to therapeutic communication
(Capriotti, Chapter 1 — Nursing Practice: Caring for
Clients).
• Incorrect (A): Unsolicited advice can shut down
communication.
• Incorrect (C): Appropriate eye contact fosters rapport; total
avoidance can hinder trust.
• Incorrect (D): Rushing undermines patient-centered care and
assessment quality.
Teaching Point: Use reflection to validate emotions and deepen
therapeutic rapport.
, 6.
Chapter & Subtopic: Chapter 1 – The Healthcare Delivery
System
Key Concept: Levels of care (primary, secondary, tertiary)
Question Stem: A clinic focuses on immunizations and routine
health screenings. This represents which level of care?
A. Primary care
B. Secondary care
C. Tertiary care
D. Quaternary care
Correct Answer: A
Rationales:
• Correct (A): Primary care emphasizes prevention, health
promotion, and routine screening (Capriotti, Chapter 1 — The
Healthcare Delivery System).
• Incorrect (B): Secondary care involves specialist services,
often after referral.
• Incorrect (C): Tertiary care provides highly specialized,
advanced treatment.
• Incorrect (D): Quaternary care is an extension of tertiary for
experimental or highly specialized procedures.
Teaching Point: Primary care focuses on prevention, screening,
and health maintenance.
7.
Chapter & Subtopic: Chapter 1 – What Types of Care Are
Provided?
Key Concept: Preventive vs. restorative vs. palliative care
Question Stem: Which example best illustrates tertiary
prevention?
A. Administering childhood vaccines.
B. Teaching insulin administration after diagnosis of diabetes.
,C. Providing hospice services to an end-stage cancer patient.
D. Smoking cessation counseling before disease onset.
Correct Answer: B
Rationales:
• Correct (B): Tertiary prevention reduces complications and
disability after disease onset (e.g., self-management education
for diabetes). (Capriotti, Chapter 1 — What Types of Care Are
Provided?).
• Incorrect (A): Vaccines are primary prevention.
• Incorrect (C): Hospice is palliative care focusing on comfort,
not tertiary prevention specifically.
• Incorrect (D): Smoking cessation before disease is primary
prevention.
Teaching Point: Tertiary prevention focuses on limiting disability
and optimizing function after diagnosis.
8.
Chapter & Subtopic: Chapter 1 – Where Is Care Provided?
Key Concept: Care settings and transitions (home, clinic, acute
care, long-term care)
Question Stem: A recently discharged stroke patient needs
swallowing assessment and home PT. Which system aspect is most
important to prevent readmission?
A. Inpatient physician rounding only.
B. Effective discharge planning and care-transition coordination.
C. Billing the patient immediately for services.
D. Deferring follow-up until the first postoperative clinic visit.
Correct Answer: B
Rationales:
• Correct (B): Coordinated discharge planning and transition
of care reduce readmissions and improve outcomes (Capriotti,
Chapter 1 — Where Is Care Provided?).
• Incorrect (A): Inpatient rounding alone does not ensure
, postdischarge continuity.
• Incorrect (C): Billing has minimal effect on clinical
continuity and safety.
• Incorrect (D): Delaying follow-up risks missed
complications and rehospitalization.
Teaching Point: Effective discharge planning and coordination
reduce readmissions and improve outcomes.
9.
Chapter & Subtopic: Chapter 1 – How Is Healthcare
Categorized?
Key Concept: Public vs. private healthcare sectors and roles
Question Stem: Which statement accurately describes a public
health system role?
A. Public health only treats hospitalized patients.
B. Public health focuses on population-level prevention and
surveillance.
C. Public health is primarily for-profit insurance coverage.
D. Public health exclusively provides elective surgeries.
Correct Answer: B
Rationales:
• Correct (B): Public health activities include surveillance,
population-level prevention, and health promotion (Capriotti,
Chapter 1 — How Is Healthcare Categorized?).
• Incorrect (A): Public health is not limited to hospital
treatment.
• Incorrect (C): Insurance is not the same as public health
functions.
• Incorrect (D): Elective surgeries are clinical services, not the
core public health role.
Teaching Point: Public health targets populations through
prevention, surveillance, and promotion.
, 10.
Chapter & Subtopic: Chapter 1 – Who Are the Members of the
Interprofessional Healthcare Team?
Key Concept: Team roles and effective collaboration
Question Stem: On a stroke unit, which action best demonstrates
interprofessional collaboration to optimize a patient’s swallow
safety?
A. Nurse independently discharging the patient without consults.
B. Team meeting including nurse, SLP, physician, and PT to
coordinate plan.
C. Physician prescribes all therapy without input.
D. Family makes all care decisions without team involvement.
Correct Answer: B
Rationales:
• Correct (B): Interprofessional meetings coordinate roles
(nursing, speech-language pathology, medicine, PT) for safe,
holistic care (Capriotti, Chapter 1 — Who Are the Members of
the Interprofessional Healthcare Team?).
• Incorrect (A): Independent discharge without team input
risks safety.
• Incorrect (C): One-discipline decisions miss complementary
expertise.
• Incorrect (D): Family involvement is important but must be
integrated with professional team planning.
Teaching Point: Interprofessional collaboration aligns expertise to
improve patient safety and outcomes.
11.
Chapter & Subtopic: Chapter 1 – How Is Healthcare Financed?
Key Concept: Insurance types (private, Medicare, Medicaid) and
patient access
Question Stem: A low-income adult without dependents qualifies
, for which program that primarily covers medically necessary
services for eligible low-income persons?
A. Medicare Part A
B. Medicaid
C. Private employer insurance
D. TRICARE
Correct Answer: B
Rationales:
• Correct (B): Medicaid provides health coverage for low-
income individuals meeting eligibility criteria (Capriotti,
Chapter 1 — How Is Healthcare Financed?).
• Incorrect (A): Medicare primarily serves persons ≥65 or
certain disabled individuals.
• Incorrect (C): Private employer insurance requires
employment-based eligibility.
• Incorrect (D): TRICARE covers military beneficiaries, not
general low-income adults.
Teaching Point: Medicaid expands access to care for eligible low-
income individuals.
12.
Chapter & Subtopic: Chapter 1 – How Are Supplies and
Equipment Provided?
Key Concept: Supply chain impacts on clinical care and safety
Question Stem: A unit reports a shortage of IV pumps. Which
nursing action best supports patient safety while awaiting supply
restock?
A. Ignore pump needs and continue manual infusion without
safeguards.
B. Prioritize patients needing continuous infusion and escalate to
supply chain and leadership.
C. Use uncalibrated equipment from other units without
documentation.
Key Concept: Professional definition and scope of nursing
practice
Question Stem: A nurse explains nursing to a patient’s family as
“the protection, promotion, and optimization of health.” Which
statement best matches this professional definition of nursing?
A. Nursing focuses primarily on disease cure.
B. Nursing includes advocacy, health promotion, and illness
prevention.
C. Nursing is limited to performing provider-ordered treatments.
D. Nursing’s role is mainly administrative and clerical.
Correct Answer: B
Rationales:
• Correct (B): This matches the widely accepted professional
definition emphasizing advocacy, health promotion,
prevention, and care coordination (Capriotti, Chapter 1 —
How Is Nursing Defined?).
• Incorrect (A): Too narrow; nursing is broader than curing
disease and includes prevention and promotion.
• Incorrect (C): Nursing is autonomous and includes judgment
and independent interventions, not only carrying out orders.
• Incorrect (D): Administrative tasks may occur, but they do
not define the profession.
Teaching Point: Nursing centers on holistic care: advocacy,
prevention, promotion, and restoration.
2.
Chapter & Subtopic: Chapter 1 – How Do Nurses’ Educational
Paths Differ?
Key Concept: Education levels and preparation (ADN, BSN,
MSN, DNP)
Question Stem: A new graduate RN educated in an ADN program
,asks which outcome distinguishes a BSN-prepared nurse. Which is
the best answer?
A. Ability to perform basic bedside skills only.
B. Greater emphasis on community health, leadership, and
research.
C. Legal authority to diagnose independently.
D. Automatic eligibility for prescriptive authority.
Correct Answer: B
Rationales:
• Correct (B): BSN programs typically include broader content
in public/community health, leadership, and research
compared with ADN programs (Capriotti, Chapter 1 — How
Do Nurses’ Educational Paths Differ?).
• Incorrect (A): ADN also teaches bedside skills but BSN adds
broader competencies.
• Incorrect (C): Diagnosis authority is not conferred solely by
BSN; it depends on role and licensure.
• Incorrect (D): Prescriptive authority requires advanced
practice credentials and regulatory approval.
Teaching Point: BSN education emphasizes community health,
leadership, and evidence-based practice.
3.
Chapter & Subtopic: Chapter 1 – How Is Nursing Practice
Regulated?
Key Concept: State boards of nursing and licensure compact
Question Stem: Which action is within a state board of nursing’s
authority?
A. Issuing national treatment protocols for all providers.
B. Granting and disciplining nursing licenses within the state.
C. Setting federal reimbursement rates.
D. Issuing licenses to physicians.
,Correct Answer: B
Rationales:
• Correct (B): State boards regulate licensure, set practice
standards, and discipline nurses in their jurisdiction (Capriotti,
Chapter 1 — How Is Nursing Practice Regulated?).
• Incorrect (A): Boards do not issue national treatment
protocols for all providers.
• Incorrect (C): Reimbursement rates are set by payers and
government agencies, not state nursing boards.
• Incorrect (D): Medical licensure is handled by medical
boards, not nursing boards.
Teaching Point: State boards govern nursing licensure, standards,
and discipline.
4.
Chapter & Subtopic: Chapter 1 – What Are Some Important
Nursing Organizations?
Key Concept: Roles of professional nursing organizations (e.g.,
ANA)
Question Stem: A nurse seeks a national body for advocacy and
practice standards. Which organization best fits that role?
A. American Nurses Association (ANA)
B. Centers for Disease Control and Prevention (CDC)
C. Joint Commission (TJC)
D. World Health Organization (WHO)
Correct Answer: A
Rationales:
• Correct (A): The ANA advocates for nurses, develops
standards of practice, and influences health policy (Capriotti,
Chapter 1 — What Are Some Important Nursing
Organizations?).
• Incorrect (B): CDC is a public health agency, not a
professional nursing association.
, • Incorrect (C): TJC accredits healthcare organizations rather
than serving as a nursing professional advocacy group.
• Incorrect (D): WHO is an international health authority, not
a U.S. nursing organization.
Teaching Point: ANA establishes standards and advocates for
nursing practice and policy.
5.
Chapter & Subtopic: Chapter 1 – Nursing Practice: Caring for
Clients
Key Concept: Patient-centered care and therapeutic
communication
Question Stem: Which nurse behavior best demonstrates
therapeutic communication with a hospitalized adolescent?
A. Giving unsolicited advice about college choices.
B. Using reflective statements to clarify the adolescent’s feelings.
C. Avoiding eye contact to maintain professional distance.
D. Rushing the adolescent to finish the psychosocial history.
Correct Answer: B
Rationales:
• Correct (B): Reflective statements validate feelings and
promote understanding — core to therapeutic communication
(Capriotti, Chapter 1 — Nursing Practice: Caring for
Clients).
• Incorrect (A): Unsolicited advice can shut down
communication.
• Incorrect (C): Appropriate eye contact fosters rapport; total
avoidance can hinder trust.
• Incorrect (D): Rushing undermines patient-centered care and
assessment quality.
Teaching Point: Use reflection to validate emotions and deepen
therapeutic rapport.
, 6.
Chapter & Subtopic: Chapter 1 – The Healthcare Delivery
System
Key Concept: Levels of care (primary, secondary, tertiary)
Question Stem: A clinic focuses on immunizations and routine
health screenings. This represents which level of care?
A. Primary care
B. Secondary care
C. Tertiary care
D. Quaternary care
Correct Answer: A
Rationales:
• Correct (A): Primary care emphasizes prevention, health
promotion, and routine screening (Capriotti, Chapter 1 — The
Healthcare Delivery System).
• Incorrect (B): Secondary care involves specialist services,
often after referral.
• Incorrect (C): Tertiary care provides highly specialized,
advanced treatment.
• Incorrect (D): Quaternary care is an extension of tertiary for
experimental or highly specialized procedures.
Teaching Point: Primary care focuses on prevention, screening,
and health maintenance.
7.
Chapter & Subtopic: Chapter 1 – What Types of Care Are
Provided?
Key Concept: Preventive vs. restorative vs. palliative care
Question Stem: Which example best illustrates tertiary
prevention?
A. Administering childhood vaccines.
B. Teaching insulin administration after diagnosis of diabetes.
,C. Providing hospice services to an end-stage cancer patient.
D. Smoking cessation counseling before disease onset.
Correct Answer: B
Rationales:
• Correct (B): Tertiary prevention reduces complications and
disability after disease onset (e.g., self-management education
for diabetes). (Capriotti, Chapter 1 — What Types of Care Are
Provided?).
• Incorrect (A): Vaccines are primary prevention.
• Incorrect (C): Hospice is palliative care focusing on comfort,
not tertiary prevention specifically.
• Incorrect (D): Smoking cessation before disease is primary
prevention.
Teaching Point: Tertiary prevention focuses on limiting disability
and optimizing function after diagnosis.
8.
Chapter & Subtopic: Chapter 1 – Where Is Care Provided?
Key Concept: Care settings and transitions (home, clinic, acute
care, long-term care)
Question Stem: A recently discharged stroke patient needs
swallowing assessment and home PT. Which system aspect is most
important to prevent readmission?
A. Inpatient physician rounding only.
B. Effective discharge planning and care-transition coordination.
C. Billing the patient immediately for services.
D. Deferring follow-up until the first postoperative clinic visit.
Correct Answer: B
Rationales:
• Correct (B): Coordinated discharge planning and transition
of care reduce readmissions and improve outcomes (Capriotti,
Chapter 1 — Where Is Care Provided?).
• Incorrect (A): Inpatient rounding alone does not ensure
, postdischarge continuity.
• Incorrect (C): Billing has minimal effect on clinical
continuity and safety.
• Incorrect (D): Delaying follow-up risks missed
complications and rehospitalization.
Teaching Point: Effective discharge planning and coordination
reduce readmissions and improve outcomes.
9.
Chapter & Subtopic: Chapter 1 – How Is Healthcare
Categorized?
Key Concept: Public vs. private healthcare sectors and roles
Question Stem: Which statement accurately describes a public
health system role?
A. Public health only treats hospitalized patients.
B. Public health focuses on population-level prevention and
surveillance.
C. Public health is primarily for-profit insurance coverage.
D. Public health exclusively provides elective surgeries.
Correct Answer: B
Rationales:
• Correct (B): Public health activities include surveillance,
population-level prevention, and health promotion (Capriotti,
Chapter 1 — How Is Healthcare Categorized?).
• Incorrect (A): Public health is not limited to hospital
treatment.
• Incorrect (C): Insurance is not the same as public health
functions.
• Incorrect (D): Elective surgeries are clinical services, not the
core public health role.
Teaching Point: Public health targets populations through
prevention, surveillance, and promotion.
, 10.
Chapter & Subtopic: Chapter 1 – Who Are the Members of the
Interprofessional Healthcare Team?
Key Concept: Team roles and effective collaboration
Question Stem: On a stroke unit, which action best demonstrates
interprofessional collaboration to optimize a patient’s swallow
safety?
A. Nurse independently discharging the patient without consults.
B. Team meeting including nurse, SLP, physician, and PT to
coordinate plan.
C. Physician prescribes all therapy without input.
D. Family makes all care decisions without team involvement.
Correct Answer: B
Rationales:
• Correct (B): Interprofessional meetings coordinate roles
(nursing, speech-language pathology, medicine, PT) for safe,
holistic care (Capriotti, Chapter 1 — Who Are the Members of
the Interprofessional Healthcare Team?).
• Incorrect (A): Independent discharge without team input
risks safety.
• Incorrect (C): One-discipline decisions miss complementary
expertise.
• Incorrect (D): Family involvement is important but must be
integrated with professional team planning.
Teaching Point: Interprofessional collaboration aligns expertise to
improve patient safety and outcomes.
11.
Chapter & Subtopic: Chapter 1 – How Is Healthcare Financed?
Key Concept: Insurance types (private, Medicare, Medicaid) and
patient access
Question Stem: A low-income adult without dependents qualifies
, for which program that primarily covers medically necessary
services for eligible low-income persons?
A. Medicare Part A
B. Medicaid
C. Private employer insurance
D. TRICARE
Correct Answer: B
Rationales:
• Correct (B): Medicaid provides health coverage for low-
income individuals meeting eligibility criteria (Capriotti,
Chapter 1 — How Is Healthcare Financed?).
• Incorrect (A): Medicare primarily serves persons ≥65 or
certain disabled individuals.
• Incorrect (C): Private employer insurance requires
employment-based eligibility.
• Incorrect (D): TRICARE covers military beneficiaries, not
general low-income adults.
Teaching Point: Medicaid expands access to care for eligible low-
income individuals.
12.
Chapter & Subtopic: Chapter 1 – How Are Supplies and
Equipment Provided?
Key Concept: Supply chain impacts on clinical care and safety
Question Stem: A unit reports a shortage of IV pumps. Which
nursing action best supports patient safety while awaiting supply
restock?
A. Ignore pump needs and continue manual infusion without
safeguards.
B. Prioritize patients needing continuous infusion and escalate to
supply chain and leadership.
C. Use uncalibrated equipment from other units without
documentation.
