Foundations of Nursing Practice — Title:
Nursing: Scope and Standards of Practice, 5th
Ed.
Stem: Which statement best describes the purpose of the ANA
Nursing: Scope and Standards of Practice document?
A. To list medications that nurses may prescribe.
B. To define the who, what, where, when, why, and how of
nursing practice.
C. To mandate specific institutional policies for every healthcare
setting.
D. To replace state nurse practice acts.
Correct Answer: B
Rationale (Correct): The ANA document defines the profession’s
scope and standards — describing who performs nursing, what
is done, where and how practice occurs, and why. It provides
authoritative guidance rather than prescriptive institutional
policy.
Rationale (A): Incorrect — the document is not a formulary and
does not list medications.
,Rationale (C): Incorrect — it provides national professional
standards, not mandatory institutional policies.
Rationale (D): Incorrect — state nurse practice acts remain the
legal authority; ANA standards inform professional practice.
Teaching Point: ANA defines nursing’s scope and standards; it
guides professional practice nationally.
Chapter 1 — Section: Overview — Title: Nursing: Scope and
Standards of Practice (ANA, 5th Ed.)
2) Stem: The ANA standards include two primary groupings.
Which pairing is correct?
A. Standards of Clinical Practice and Standards of Administrative
Practice.
B. Standards of Practice and Standards of Professional
Performance.
C. Standards of Medical Practice and Standards of Nursing
Ethics.
D. Standards of Credentialing and Standards of Licensure.
Correct Answer: B
, Rationale (Correct): ANA organizes professional expectations
into the Standards of Practice (nursing process activities) and
Standards of Professional Performance (roles and behaviors of
the nurse).
Rationale (A): Incorrect — “Administrative” is not the primary
pairing used by ANA.
Rationale (C): Incorrect — ANA does not dichotomize standards
as medical vs nursing ethics.
Rationale (D): Incorrect — credentialing/licensure are
regulatory, not the ANA’s two standard groupings.
Teaching Point: Two core ANA groupings: Standards of Practice
and Standards of Professional Performance.
Chapter 1 — Section: Overview — Title: Nursing: Scope and
Standards of Practice (ANA, 5th Ed.)
3) Stem: Which of the following best lists the steps of the
nursing process as reflected in the Standards of Practice?
A. Assessment, Diagnosis, Outcomes Identification, Planning,
Implementation, Evaluation.
B. Screening, Prescription, Administration, Billing, Discharge.
C. Triage, Referral, Therapy, Reporting, Audit.
D. Intake, Medication, Surgery, Recovery, Follow-up.