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Exam 1 - NCLEX Prep Questions with Complete Solutions
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Exam 1 - NCLEX Prep Questions withComplete Solutions
A nurse is caring for a patient in the ICU who is being monitored for a
possible cerebral aneurysm following a loss of consciousness in the
emergency room. The nurse anticipates preparing the patient for ordered
diagnostic tests. This nurse's knowledge of the diagnostic procedures for this
condition reflects which aspect of nursing?
a. The art of nursing
b. The science of nursing
c. The caring aspect of nursing
d. The holistic approach to nursing - -b
-Which nurse who was influential in the development of nursing in North
America is regarded as the founder of American nursing?
a. Clara Barton
b. Lillian Wald
c. Lavinia Dock
d. Florence Nightingale - -d
-In early civilizations, the theory of animism attempted to explain the
mysterious changes occurring in bodily functions. Which statement describes
a component of the development of nursing that occurred in this era?
a. Women who committed crimes were recruited into nursing the sick in lieu
of serving jail sentences.
b. Nurses identified the personal needs of the patient and their role in
meeting those needs.
c. Women called deaconesses made the first visits to the sick and male
religious orders cared for the sick and buried the dead.
d. The nurse was the mother who cared for her family during sickness by
using herbal remedies. - -d
-World War II had a tremendous effect on the nursing profession. Which
development occurred during this period?
a. The role of the nurse was broadened.
b. There was a decreased emphasis on education.
c. Nursing was practiced mainly in hospital settings.
d. There was an overabundance of nurses. - -a
-5. Which phrase describes a purpose of the ANA's Nursing's Social Policy
Statement? Select all that apply.
a. To describe the nurse as a dependent caregiver
b. To provide standards for nursing educational programs
c. To define the scope of nursing practice
,d. To establish a knowledge base for nursing practice
e. To describe nursing's social responsibility
f. To regulate nursing research - -c, d, e
-6. One of the four broad aims of nursing practice is to restore health. Which
examples of nursing interventions reflect this goal? Select all that apply.
a. A nurse counsels adolescents in a drug rehabilitation program.
b. A nurse performs range-of-motion exercises for a patient on bedrest.
c. A nurse shows a diabetic patient how to inject insulin.
d. A nurse recommends a yoga class for a busy executive.
e. A nurse provides hospice care for a patient with end-stage cancer.
f. A nurse teaches a nutrition class at a local high school. - -a, b, c
-Nursing is recognized increasingly as a profession based on which defining
criteria? Select all that apply.
a. Well defined body of general knowledge
b. Interventions dependent upon the medical practice
c. Recognized authority by a professional group
d. Regulation by the medical industry
e. Code of ethics
f. Ongoing research - -c, e, f
-A nurse is practicing as a nurse-midwife in a busy OB-GYN office. Which
degree in nursing is necessary to practice at this level?
a. LPN
b. ADN
c. BSN
d. MSN - -d
-Nurse practice acts are established in each state of the United States to
regulate nursing practice. What is a common element of every state practice
act?
a. Defining the legal scope of nursing practice
b. Providing continuing education programs
c. Determining the content covered in the NCLEX examination
d. Creating institutional policies for health care practices - -a
-The National Advisory Council on Nurse Education and Practice identifies
critical challenges to nursing practice in the 21st century. What is a current
healthcare trend contributing to these challenges?
a. Decreased numbers of hospitalized patients
b. Older and more acutely ill patients
c. Decreasing health care costs due to managed care
d. Slowed advances in medical knowledge and technology - -b
, -When you ask an experienced nurse why it is necessary to change the
patient's bed every day, the nurse says, "I guess we have just always done it
that way." This answer is an example of what type of knowledge?
a. Instinctive knowledge
b. Scientific knowledge
c. Authoritative knowledge
d. Traditional knowledge - -d
-Which nursing actions reflect the use of philosophy as a knowledge base
when delivering evidence-based care to patients? Select all that apply.
a. A nurse interviews and examines a new patient diagnosed with
prehypertension to formulate a care plan.
b. A nurse draws from personal experiences of being a patient to establish a
therapeutic relationship with a patient.
c. A nurse searches the Internet to find the latest treatments for type 2
diabetes.
d. A nurse uses spiritual training to draw strength when counseling a patient
who is in hospice for an inoperable brain tumor.
e. A nurse follows the protocol for assessing postoperative patients in the
ICU.
f. A nursing student studies anatomy and physiology of the body systems to
understand the disease states of assigned patients. - -b, d
-A nurse is using general systems theory to describe the role of nursing to
provide health promotion and patient teaching. Which statements reflect key
points of this theory? Select all that apply.
a. A system is a set of individual elements that rarely interact with each
other.
b. The whole system is always greater than its parts.
c. Boundaries separate systems from each other and their environments.
d. A change in one subsystem will not affect other subsystems.
e. To survive, open systems maintain balance through feedback.
f. A closed system allows input from and to the environment. - -b, c, e
-A charge nurse meets with staff to outline a plan to provide transcultural
nursing care for patients in their health care facility. Which theorist promoted
this type of caring as the central theme of nursing care, knowledge, and
practice?
a. Madeleine Leininger
b. Jean Watson
c. Dorothy E. Johnson
d. Betty Newman - -a
-A student nurse interacting with patients on a cardiac unit recognizes the
four concepts in nursing theory that determine nursing practice. Of these
four, which is most important?
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