NURS 1871 CSCC Exam 1
You are preparing a presentation for your classmates regarding the clinical care
coordination conference for a patient with terminal cancer. As part of the preparation
you have your classmates read the Nursing Code of Ethics for Professional Registered
Nurses. Your instructor asks the class why this document is important. Which statement
best describes this code?
1. Improves self-health care
2. Protects the patient's confidentiality
3. Ensures identical care to all patients
4. Defines the principles of right and wrong to provide patient care - 4
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 them. The nurse is acting as the patient's:
1. Educator.
2. Advocate.
3. Caregiver.
4. Communicator. - 2
The nurse spends time with a patient and family reviewing a dressing change procedure
for the patient's wound. The patient's spouse demonstrates how to change the dressing.
The nurse is acting in which professional role?
1. Educator
2. Advocate
3. Caregiver
4. Communicator -1
The examination for registered nurse (RN) licensure is the same in every state in the
United States. This examination:
1. Guarantees safe nursing care for all patients.
2. Ensures standard nursing care for all patients.
3. Provides a minimal standard of knowledge for an RN in practice.
4. Guarantees standardized education across all prelicensure programs. -3
Contemporary nursing requires that the nurse has knowledge and skills for a variety of
professional roles and responsibilities. Which of the following are examples of these
roles and responsibilities? (Select all that apply.)
1. Caregiver
2. Autonomy
3. Patient advocate
4. Health promotion
5. Genetic counselor - 1, 2, 3, 4
,Match the advanced practice nurse specialty with the statement about the role.
1. Clinical nurse specialist
2. Nurse anesthetist
3. Nurse practitioner
4. Nurse-midwife
a. Provides independent care, including pregnancy and gynecological services
b. Expert clinician in a specialized area of practice such as adult diabetes care
c. Provides comprehensive care, usually in a primary care setting, directly managing the
medical care of patients who are healthy or have chronic conditions
d. Provides care and services under the supervision of an anesthesiologist
1b, 2d, 3c, 4a
Health care reform will bring changes in the emphasis of care. Which of these models is
expected from health care reform?
1. Moving from an acute illness to a health promotion, illness prevention model
2. Moving from an illness prevention to a health promotion model
3. Moving from hospital-based to community-based care
4. Moving from an acute illness to a disease management model – 1
A nurse meets with the registered dietitian and physical therapist to develop a plan of
care that focuses on improving nutrition and mobility for a patient. This is an example of
which Quality and Safety in the Education of Nurses (QSEN) competency?
1. Patient-centered care
2. Safety
3. Teamwork and collaboration
4. Quality improvement - 3
A critical care nurse is using a new research-based intervention 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?
1. Patient-centered care
2. Evidence-based practice
3. Teamwork and collaboration
4. Quality improvement – 2
The nurses on an acute care medical floor notice an increase in pressure injury
formation in their patients. A nurse consultant decides to compare two types of
treatment. The first is the procedure currently used to assess for pressure injury risk.
The second uses a new assessment instrument to identify at-risk patients. Given this
information, the nurse consultant exemplifies which career?
1. Clinical nurse specialist
2. Nurse administrator
3. Nurse educator
4. Nurse researcher - 4
, A patient discharged a week ago following a stroke is currently participating in
rehabilitation sessions provided by nurses, physical therapists, and registered dietitians
in an outpatient setting. In what level of prevention is the patient participating?
1. Primary prevention
2. Secondary prevention
3. Tertiary prevention
4. Transtheoretical prevention- 3
Based on the Transtheoretical Model of Change, what is the most appropriate response
to a patient who states: "Me, stop smoking? I've been smoking since I was 16!"
1. "That's fine. Some people who smoke live a long life."
2. "OK. I want you to decrease the number of cigarettes you smoke by one each day,
and I'll see you in 1 month."
3. "What do you think is the greatest reason why stopping smoking would be
challenging for you?"
4. "I'd like you to attend a smoking-cessation class this week and use nicotine
replacement patches as directed." – 3
A nurse working on a medical patient care unit states, "I am having trouble sleeping,
and I eat nonstop when I get home. All I can think of when I get to work is how I can't
wait for my shift to be over. I wish I felt happy again." What are the best responses from
the nurse manager? (Select all that apply.)
1. "I'm sure this is just a phase you are going through. Hang in there. You'll feel better
soon."
2. "I know several nurses who feel this way every now and then. Tell me about the
patients you have cared for recently. Did you find it difficult to care for them?"
3. "You can take diphenhydramine over the counter to help you sleep at night."
4. "Describe for me what you do with your time when you are not working."
5. "The hospital just started a group where nurses get together to talk about their
feelings. Would you like for me to e-mail the schedule to you?" - 2, 4, 5
A patient has been laid off from his construction job and has many unpaid bills. He is
going through a divorce from his marriage of 15 years and has been praying daily to
help him through this difficult time. He does not have a primary health care provider
because he has never really been sick, and his parents never took him to a physician
when he was a child. Which external variables influence the patient's health practices?
(Select all that apply.)
1. Difficulty paying his bills
2. Praying daily
3. Age of patient (46 years)
4. Stress from the divorce and the loss of a job
5. Family practice of not routinely seeing a health care provider - 1, 5
A nurse is conducting a home visit with a new mom and her three children. While in the
home the nurse weighs each family member and reviews their 3-day food diary. She
checks the mom's blood pressure and encourages the mom to take the children for a
You are preparing a presentation for your classmates regarding the clinical care
coordination conference for a patient with terminal cancer. As part of the preparation
you have your classmates read the Nursing Code of Ethics for Professional Registered
Nurses. Your instructor asks the class why this document is important. Which statement
best describes this code?
1. Improves self-health care
2. Protects the patient's confidentiality
3. Ensures identical care to all patients
4. Defines the principles of right and wrong to provide patient care - 4
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 them. The nurse is acting as the patient's:
1. Educator.
2. Advocate.
3. Caregiver.
4. Communicator. - 2
The nurse spends time with a patient and family reviewing a dressing change procedure
for the patient's wound. The patient's spouse demonstrates how to change the dressing.
The nurse is acting in which professional role?
1. Educator
2. Advocate
3. Caregiver
4. Communicator -1
The examination for registered nurse (RN) licensure is the same in every state in the
United States. This examination:
1. Guarantees safe nursing care for all patients.
2. Ensures standard nursing care for all patients.
3. Provides a minimal standard of knowledge for an RN in practice.
4. Guarantees standardized education across all prelicensure programs. -3
Contemporary nursing requires that the nurse has knowledge and skills for a variety of
professional roles and responsibilities. Which of the following are examples of these
roles and responsibilities? (Select all that apply.)
1. Caregiver
2. Autonomy
3. Patient advocate
4. Health promotion
5. Genetic counselor - 1, 2, 3, 4
,Match the advanced practice nurse specialty with the statement about the role.
1. Clinical nurse specialist
2. Nurse anesthetist
3. Nurse practitioner
4. Nurse-midwife
a. Provides independent care, including pregnancy and gynecological services
b. Expert clinician in a specialized area of practice such as adult diabetes care
c. Provides comprehensive care, usually in a primary care setting, directly managing the
medical care of patients who are healthy or have chronic conditions
d. Provides care and services under the supervision of an anesthesiologist
1b, 2d, 3c, 4a
Health care reform will bring changes in the emphasis of care. Which of these models is
expected from health care reform?
1. Moving from an acute illness to a health promotion, illness prevention model
2. Moving from an illness prevention to a health promotion model
3. Moving from hospital-based to community-based care
4. Moving from an acute illness to a disease management model – 1
A nurse meets with the registered dietitian and physical therapist to develop a plan of
care that focuses on improving nutrition and mobility for a patient. This is an example of
which Quality and Safety in the Education of Nurses (QSEN) competency?
1. Patient-centered care
2. Safety
3. Teamwork and collaboration
4. Quality improvement - 3
A critical care nurse is using a new research-based intervention 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?
1. Patient-centered care
2. Evidence-based practice
3. Teamwork and collaboration
4. Quality improvement – 2
The nurses on an acute care medical floor notice an increase in pressure injury
formation in their patients. A nurse consultant decides to compare two types of
treatment. The first is the procedure currently used to assess for pressure injury risk.
The second uses a new assessment instrument to identify at-risk patients. Given this
information, the nurse consultant exemplifies which career?
1. Clinical nurse specialist
2. Nurse administrator
3. Nurse educator
4. Nurse researcher - 4
, A patient discharged a week ago following a stroke is currently participating in
rehabilitation sessions provided by nurses, physical therapists, and registered dietitians
in an outpatient setting. In what level of prevention is the patient participating?
1. Primary prevention
2. Secondary prevention
3. Tertiary prevention
4. Transtheoretical prevention- 3
Based on the Transtheoretical Model of Change, what is the most appropriate response
to a patient who states: "Me, stop smoking? I've been smoking since I was 16!"
1. "That's fine. Some people who smoke live a long life."
2. "OK. I want you to decrease the number of cigarettes you smoke by one each day,
and I'll see you in 1 month."
3. "What do you think is the greatest reason why stopping smoking would be
challenging for you?"
4. "I'd like you to attend a smoking-cessation class this week and use nicotine
replacement patches as directed." – 3
A nurse working on a medical patient care unit states, "I am having trouble sleeping,
and I eat nonstop when I get home. All I can think of when I get to work is how I can't
wait for my shift to be over. I wish I felt happy again." What are the best responses from
the nurse manager? (Select all that apply.)
1. "I'm sure this is just a phase you are going through. Hang in there. You'll feel better
soon."
2. "I know several nurses who feel this way every now and then. Tell me about the
patients you have cared for recently. Did you find it difficult to care for them?"
3. "You can take diphenhydramine over the counter to help you sleep at night."
4. "Describe for me what you do with your time when you are not working."
5. "The hospital just started a group where nurses get together to talk about their
feelings. Would you like for me to e-mail the schedule to you?" - 2, 4, 5
A patient has been laid off from his construction job and has many unpaid bills. He is
going through a divorce from his marriage of 15 years and has been praying daily to
help him through this difficult time. He does not have a primary health care provider
because he has never really been sick, and his parents never took him to a physician
when he was a child. Which external variables influence the patient's health practices?
(Select all that apply.)
1. Difficulty paying his bills
2. Praying daily
3. Age of patient (46 years)
4. Stress from the divorce and the loss of a job
5. Family practice of not routinely seeing a health care provider - 1, 5
A nurse is conducting a home visit with a new mom and her three children. While in the
home the nurse weighs each family member and reviews their 3-day food diary. She
checks the mom's blood pressure and encourages the mom to take the children for a
