Nursing 130 - Practice Test 1 Questions
With Correct Detailed Answers.
d - ANSWER- 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
c - ANSWER- An 18-yr 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
analysis. Which standard of practice performed?
a. Diagnosis
b. Evaluation
c. Assessment
d. Implementation
d - ANSWER- 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
b - ANSWER- 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
,c - ANSWER- Evidence-based practice is defined as:
a. Nursing care based on tradition
b. Scholarly inquiry of nursing and biomedical current 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
d - ANSWER- 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
a, b, c, d - ANSWER- Contemporary nursing requires that the nurse had 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
a - ANSWER- 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
a - ANSWER- Health care reform will bring changes in the emphasis of care. Which of
the following models in 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
b, c - ANSWER- Which of the following nursing roles may have prescriptive authority in
their practice? (Select all that apply)
a. Critical Care Nurse
, b. Nurse Practitioner
c. Certified Clinical Nurse Specialist
d. Charge Nurse
d - ANSWER- A critical nurse is using a computerized decision support system to
correctly position her ventilated patients to reduce pneumonia caused by accumulated
respiratory secretions. This is an example of which Quality and Safety in the Education
of Nurses (QSEN) competency?
a. Patient-centered care
b. Safety
c. Teamwork and collaboration
d. Informatics
b - ANSWER- A nurse is caring for an older-adult couple in a community-based assisted
living facility. During the family assessment, he notes that the couple has many expired
medications and multiple medications for their respective chronic illnesses. They note
that they go to two different health care providers. The nurse begins to work with the
couple to determine what they know about their medications and helps them decide on
one care provider rather than two. This is an example of which QSEN competency?
a. Patient-centered care
b. Safety
c. Teamwork and collaboration
d. Informatics
d - ANSWER- The nurses on an acute care medical floor notice an increase in pressure
ulcer formation in their patents. A nurse consultant decides to compare two types of
treatment. The first is the procedure currently used to assess for pressure ulcer risk.
The second uses a new assessment instrument to identify at-risk patients. Given this
information, the nurse consultant exemplifies which career?
a. Clinical Nurse Specialist
b. Nurse Administrator
c. Nurse Educator
d. Nurse Researcher
c - ANSWER- Nurses at a community hospital are in an education program to learn how
to use a new pressure-relieving device for patients at risk for pressure ulcers. This is
which type of education?
a. Continuing education
b. Graduate education
c. In-service education
d. Professional Registered Nurse Education
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