Nursing Practice Questions With Answers Correct
1. The primary aim of the Healthy People 2030 initiative is:
a.) illness prevention.
b.) coping with disability.
c.) health promotion.
d.) health restoration.: c.) health promotion.
Explanation:
Healthy People 2030 establishes health promotion guidelines for the nation as a whole. The guidelines contain Leading
Health Indicators, which are used to measure the health of the nation over a 10-year period. Illness prevention, health
restoration, and coping with disability are components of the Healthy People 2030 guidelines, but are not considered
as the primary goal of the initiative.
2. What is the best nursing intervention to promote health in a client at risk for
heart disease?
a.) Taking the client's pulse rate daily
b.) Instructing the client to adhere to a high-sodium diet
c.) Informing the client that the client must lose weight
d.) Emphasizing a client's strengths to encourage weight loss: d.) Emphasizing a client's
strengths to encourage weight loss
Explanation:
Nurses promote health by identifying, analyzing, and maximizing each client's own individual strengths as components
of preventing illness, restoring health, and facilitating coping with disability or death. Emphasizing the client's strengths
to encourage weight loss is the most ettective way to promote this client's health. Informing the client that the client
must lose weight would not help the client use his or her strengths to accomplish the goal. Low-sodium diets can
prevent heart disease. Taking the pulse daily would not prevent heart disease.
3. The new nursing graduate is concerned about some of the critical changes
that will be occurring in nursing. What changes does the nurse anticipate will
impact nursing care?
a.) Rapid growth of nurses and shortage of job opportunities
,b.) Decrease in health care costs
c.) Limitations that nurses have in the workforce
d.) Difficulty for nurses to remain current in a rapidly changing medical and
,technology environment: d.) Diflculty for nurses to remain current in a rapidly changing medical and
technology environment
Explanation:
The National Advisory Council on Nurse Education and Practice (NACNEP) identifies critical challenges to nursing
practice in the 21st century: a growing population of hospitalized clients who are older and more acutely ill, increasing
health care costs, and the need to stay current with rapid advances in medical knowledge and technology. Nursing
is limitless and, with opportunities for furthering education, there are many various ways nurses can practice. Health
costs are rising and there are more citizens needing health care. There is a projected nursing shortage that may be
severe and there are no shortages of jobs for nurses.
4. Which explanation accurately differentiates the role of the registered nurse
(RN) from that of the licensed practical/vocational nurse (LPN/LVN)?
a.) The RN is permitted to prescribe medications.
b.) The LPN/LVN can only work in a long-term care facility.
c.) The RN directs the workload of an LPN/LVN.
d.) The LPN/LVN should work under the supervision of an RN.: d.) The LPN/LVN should
work under the supervision of an RN.
Explanation:
LPNs/LVNs are employed in hospitals, long-term care facilities, and rehabilitation centers and by health care providers.
LPNs/LVNs ditter from RNs in two areas: educational preparation and scope of practice. LPNs always practice under the
supervision of an RN. LPNs have a scope of practice and the workload is not directed by the RN. RNs are not permitted
to prescribe medications. Nurse practitioners may prescribe medications.
5. What might a nurse need to do to ensure the continuation of his or her
nursing license?
a.) Attend hospital in-services.
b.) Obtain a baccalaureate degree.
c.) Obtain a master's degree.
d.) Obtain continuing education credits.: d.) Obtain continuing education credits.
Explanation:
In many states, continuing education is required for an RN to maintain licensure. These are defined as professional
, development experiences designed to enrich the nurse's contribution to health. Obtainment of an ongoing degree is
not necessary to maintain licensure. While hospital in-services may provide continuing education, not all in-services
are designed to do so.
6. A nurse is working with a client who has undergone a lower leg amputation.
While conducting an assessment, the nurse notes the client has a downcast
mood. Which statement by the nurse conveys empathy to the client?
a.) "If I had the type of life-altering experience you had, I would probably feel
depressed. You are doing well under the circumstances."
b.) "I notice you might be experiencing some feelings of sadness. Would you
like to share how you are feeling with me?"
c.) "I can see you are in need of extra comfort right now. Let me adjust your
position and readjust your bed linens for you."
d.) "It is not uncommon to be depressed after having such major surgery. Many
of my clients feel sad.": b.) "I notice you might be experiencing some feelings of sadness. Would you like
to share how you are feeling with me?"
Explanation:
Because a client does not always communicate one's feelings to strangers, nurses use empathy (intuitive awareness
of what the client is experiencing) to perceive the client's emotional state and need for support. This skill ditters from
sympathy (feeling as emotionally distraught as the client). Empathy helps the nurse become ettective at providing
for the client's needs while remaining compassionately detached. By stating an observational awareness of the
client's emotional state based on the client's nonverbal cues, the nurse invites the client to engage in therapeutic
communication. The nurse does not assume the client wants any help; therefore, the nurse asks if the client wants to
engage in exploring one's experience. By telling the client that is common to be depressed, the nurse is making an
assumption about the client's emotional experience. Not all sadness should be labeled as "depression." In addition,
by telling the client that other people have had the same experience, it minimizes the client's unique and personal
experience, which can threaten the nurse-client relationship and pose a barrier to therapeutic communication. The
nurse should not share personal experiences or how the client's unique health experience would make the nurse feel
if the nurse was in the same situation. Again, this statement serves to minimize the client's experience and undermines
therapeutic communication. Although comforting skills are essential to nursing, assuming that adjusting the client's
bed linens will address the client's emotional state is noncongruent and the incorrect intervention for what the nurse
has observed.
1. The primary aim of the Healthy People 2030 initiative is:
a.) illness prevention.
b.) coping with disability.
c.) health promotion.
d.) health restoration.: c.) health promotion.
Explanation:
Healthy People 2030 establishes health promotion guidelines for the nation as a whole. The guidelines contain Leading
Health Indicators, which are used to measure the health of the nation over a 10-year period. Illness prevention, health
restoration, and coping with disability are components of the Healthy People 2030 guidelines, but are not considered
as the primary goal of the initiative.
2. What is the best nursing intervention to promote health in a client at risk for
heart disease?
a.) Taking the client's pulse rate daily
b.) Instructing the client to adhere to a high-sodium diet
c.) Informing the client that the client must lose weight
d.) Emphasizing a client's strengths to encourage weight loss: d.) Emphasizing a client's
strengths to encourage weight loss
Explanation:
Nurses promote health by identifying, analyzing, and maximizing each client's own individual strengths as components
of preventing illness, restoring health, and facilitating coping with disability or death. Emphasizing the client's strengths
to encourage weight loss is the most ettective way to promote this client's health. Informing the client that the client
must lose weight would not help the client use his or her strengths to accomplish the goal. Low-sodium diets can
prevent heart disease. Taking the pulse daily would not prevent heart disease.
3. The new nursing graduate is concerned about some of the critical changes
that will be occurring in nursing. What changes does the nurse anticipate will
impact nursing care?
a.) Rapid growth of nurses and shortage of job opportunities
,b.) Decrease in health care costs
c.) Limitations that nurses have in the workforce
d.) Difficulty for nurses to remain current in a rapidly changing medical and
,technology environment: d.) Diflculty for nurses to remain current in a rapidly changing medical and
technology environment
Explanation:
The National Advisory Council on Nurse Education and Practice (NACNEP) identifies critical challenges to nursing
practice in the 21st century: a growing population of hospitalized clients who are older and more acutely ill, increasing
health care costs, and the need to stay current with rapid advances in medical knowledge and technology. Nursing
is limitless and, with opportunities for furthering education, there are many various ways nurses can practice. Health
costs are rising and there are more citizens needing health care. There is a projected nursing shortage that may be
severe and there are no shortages of jobs for nurses.
4. Which explanation accurately differentiates the role of the registered nurse
(RN) from that of the licensed practical/vocational nurse (LPN/LVN)?
a.) The RN is permitted to prescribe medications.
b.) The LPN/LVN can only work in a long-term care facility.
c.) The RN directs the workload of an LPN/LVN.
d.) The LPN/LVN should work under the supervision of an RN.: d.) The LPN/LVN should
work under the supervision of an RN.
Explanation:
LPNs/LVNs are employed in hospitals, long-term care facilities, and rehabilitation centers and by health care providers.
LPNs/LVNs ditter from RNs in two areas: educational preparation and scope of practice. LPNs always practice under the
supervision of an RN. LPNs have a scope of practice and the workload is not directed by the RN. RNs are not permitted
to prescribe medications. Nurse practitioners may prescribe medications.
5. What might a nurse need to do to ensure the continuation of his or her
nursing license?
a.) Attend hospital in-services.
b.) Obtain a baccalaureate degree.
c.) Obtain a master's degree.
d.) Obtain continuing education credits.: d.) Obtain continuing education credits.
Explanation:
In many states, continuing education is required for an RN to maintain licensure. These are defined as professional
, development experiences designed to enrich the nurse's contribution to health. Obtainment of an ongoing degree is
not necessary to maintain licensure. While hospital in-services may provide continuing education, not all in-services
are designed to do so.
6. A nurse is working with a client who has undergone a lower leg amputation.
While conducting an assessment, the nurse notes the client has a downcast
mood. Which statement by the nurse conveys empathy to the client?
a.) "If I had the type of life-altering experience you had, I would probably feel
depressed. You are doing well under the circumstances."
b.) "I notice you might be experiencing some feelings of sadness. Would you
like to share how you are feeling with me?"
c.) "I can see you are in need of extra comfort right now. Let me adjust your
position and readjust your bed linens for you."
d.) "It is not uncommon to be depressed after having such major surgery. Many
of my clients feel sad.": b.) "I notice you might be experiencing some feelings of sadness. Would you like
to share how you are feeling with me?"
Explanation:
Because a client does not always communicate one's feelings to strangers, nurses use empathy (intuitive awareness
of what the client is experiencing) to perceive the client's emotional state and need for support. This skill ditters from
sympathy (feeling as emotionally distraught as the client). Empathy helps the nurse become ettective at providing
for the client's needs while remaining compassionately detached. By stating an observational awareness of the
client's emotional state based on the client's nonverbal cues, the nurse invites the client to engage in therapeutic
communication. The nurse does not assume the client wants any help; therefore, the nurse asks if the client wants to
engage in exploring one's experience. By telling the client that is common to be depressed, the nurse is making an
assumption about the client's emotional experience. Not all sadness should be labeled as "depression." In addition,
by telling the client that other people have had the same experience, it minimizes the client's unique and personal
experience, which can threaten the nurse-client relationship and pose a barrier to therapeutic communication. The
nurse should not share personal experiences or how the client's unique health experience would make the nurse feel
if the nurse was in the same situation. Again, this statement serves to minimize the client's experience and undermines
therapeutic communication. Although comforting skills are essential to nursing, assuming that adjusting the client's
bed linens will address the client's emotional state is noncongruent and the incorrect intervention for what the nurse
has observed.
