NR 222- exam 1 practice questions and
answers | verified
You are participating in a clinical care coordination conference for a patient with terminal
cancer. You talk with your colleagues about using the nursing code of ethics for
professional registered nurses to guide care decisions. A nonnursing colleague asks
about this code. Which of the following statements best describes this code?
A. Improves self-health care
B. Protects the patient's confidentiality
C. Ensures identical care to all patients
D. Defines the principles of right and wrong to provide patient care CORRECT
ANSWERS D. Defines the principles of right and wrong to provide patient care
When giving care, it is essential to provide a specified service according to standards of
practice and to follow a code of ethics. The code of ethics is the philosophical ideals of
right and wrong that define the principles you will use to provide care for your patients.
The code serves as a guide for carrying out nursing responsibilities to provide quality
nursing care and the ethical obligations of the profession.
An 18-year-old woman is in the emergency department with fever and cough. The nurse
obtains her vital signs, auscultates her lung sounds, listens to her heart sounds,
determines her level of comfort, and collects blood and sputum samples for analysis.
Which standard of practice is performed?
A. Diagnosis
B. Evaluation
C. Assessment
D. Implementation CORRECT ANSWERS C. Assessment
Assessment is the collection of comprehensive data pertinent to the patient's health
and/or the situation.
A patient in the emergency department has developed wheezing and shortness of
breath. The nurse gives the ordered medicated nebulizer treatment now and in 4 hours.
Which standard of practice is performed?
A. Planning
B. Evaluation
C. Assessment
D. Implementation CORRECT ANSWERS D. Implementation
Implementation is completing coordinating care and the prescribed plan of care.
,A nurse is caring for a patient with end-stage lung disease. The patient wants to go
home on oxygen and be comfortable. The family wants the patient to have a new
surgical procedure. The nurse explains the risk and benefits of the surgery to the family
and discusses the patient's wishes with the family. The nurse is acting as the patient's:
A. Educator
B. Advocate
C. Caregiver
D. Case manager CORRECT ANSWERS B. Advocate
An advocate protects the patient's human and legal right to make choices about his or
her care. An advocate may also provide additional information to help a patient decide
whether or not to accept a treatment or find an interpreter to help family members
communicate their concerns.
Evidence-based practice is defined as:
A. Nursing care based on tradition
B. Scholarly inquiry of nursing and biomedical research literature
C. A problem-solving approach that integrates best current evidence with clinical
practice
D. Quality nursing care provided in an efficient and economically sound manner
CORRECT ANSWERS C. A problem-solving approach that integrates best current
evidence with clinical practice
Evidence-based practice integrates best current evidence with clinical expertise and
patient/family preferences and values for delivery of optimal health care.
The examination for registered nurse licensure is exactly the same in every state in the
United States. This examination:
A. Guarantees safe nursing care for all patients
B. Ensures standard nursing care for all patients
C. Ensures that honest and ethical care is provided
D. Provides a minimal standard of knowledge for a registered nurse in practice
CORRECT ANSWERS D. Provides a minimal standard of knowledge for a registered
nurse in practice
Registered nurse (RN) candidates must pass the NCLEX-RN® that the individual State
Boards of Nursing administer. Regardless of educational preparation, the examination
for RN licensure is exactly the same in every state in the United States. This provides a
standardized minimum knowledge base for nurses.
, Contemporary nursing requires that the nurse has knowledge and skills for a variety of
professional roles and responsibilities. Which of the following are examples? (Select all
that apply.)
A. Caregiver
B. Autonomy and accountability
C. Patient advocate
D. Health promotion
E. Lobbyist CORRECT ANSWERS A. Caregiver
B. Autonomy and accountability
C. Patient advocate
D. Health promotion
E. Lobbyist
Each of these roles includes activities for the professional nurse. Each of these is used
in direct care or is part of professionalism that guides nursing practice. Some nurses are
lobbyists, but being a lobbyist is not expected of all professional nurses
Advanced practice registered nurses generally:
A. Function independently
B. Function as unit directors
C. Work in acute care settings
D. Work in the university setting CORRECT ANSWERS A. Function independently
Advanced practice registered nurse functions independently as a clinician, educator,
case manager, consultant, and researcher within his or her area of practice to plan or
improve the quality of nursing care for the patient and family.
Health care reform will bring changes in the emphasis of care. Which of the following
models is expected from health care reform?
A. Moving from an acute illness to a health promotion, illness prevention model
B. Moving from illness prevention to a health promotion model
C. Moving from an acute illness to a disease management model
D. Moving from a chronic care to an illness prevention model CORRECT ANSWERS A.
Moving from an acute illness to a health promotion, illness prevention model
Health care reform also affects how health care is delivered. There is greater emphasis
on health promotion, disease prevention, and management of illness.
Which of the following nursing roles may have prescriptive authority in their practice?
(Select all that apply.)
A. Critical care nurse
B. Nurse practitioner
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