Which nursing group provides a definition and scope of practice for nursing?
A.) International Council of Nurses (ICN)
B.) American Academy of Neurology
... [Show More] (AAN)
C.) American Nurses Association (ANA)
D.) The Joint Commission
C.) American Nurses Association (ANA)
pg. 11
The registered nurse (RN) working with a licensed practical nurse (LPN) understands which about LPNs?
A.) They must take a licensure exam.
B.) They may work independently.
C.) They have a higher degree than most RNs.
D.) The program is 4 years in length.
A.) They must take a licensure exam.
p. 13-14
The nurse going back to school for nurse midwifery can trace education for nurse midwifery to which nursing leader?
A.) Mary Breckinridge
B.) Sojourner Truth
C.) Lavinia Dock
D.) Margaret Sanger
A.) Mary Breckinridge
p. 9
Which scenario is the best example of a nurse in the role of counselor?
A.) A nurse allowing a crying client to verbalize fears of death
B.) A nurse telling a client the side effects of a medication
C.) A nurse providing the physician a client's test results
D.) A nurse ensuring that a client has follow-up care at a free clinic
A.) A nurse allowing a crying client to verbalize fears of death
pg. 11
A nurse identifies a client's health care needs and devises a plan of care to meet those needs. Which guideline is being followed in this case?
A.) Nursing standards
B.) Nursing orders
C.) Nurse practice acts
D.) Nursing process
D.) Nursing process
pg. 19
A client is distraught because a recent computed tomography (CT) scan shows that the client's colon cancer has metastasized to the lungs. Which nursing aim should the nurse prioritize in the immediate care of this client?
A.) Facilitating coping
B.) Preventing illness
C.) Restoring health
D.) Promoting health
A.) Facilitating Coping
pg. 13
Why are nursing organizations important for the continued development and improvement of nursing as a whole?
A.) To provide socialization and networking for members
B.) To regulate work activities for members
C.) To set standards for nursing education and practice
D.) To provide information to nurses about legal requirements
C.) To set standards for nursing education and practice
pg. 13
Which is an appropriately stated nursing intervention?
A.) Ambulate in the hall.
B.) Stand at bedside with assistance.
C.) Ambulate 30 ft (9 m) twice a day with the assistance of a walker. D.) Ambulate with the assistance of a walker.
C.) Ambulate 30 ft (9 m) twice a day with the assistance of a walker.
pg. 18
During the course of any given day of work in the acute care setting, the nurse may need to perform which roles? Select all that apply.
A.) Communicator
B.) Counselor
C.) Teacher
D.) Financier
E.) Statistician
A.) Communicator
B.) Teacher
C.) Counselor
pg. 11
The nursing process includes step(s)? Select all that apply.
A.) Assess
B.) Plan
C.) Prescribe
D.) Implement
E.) Evaluate
A.) Assess
B.) Plan
D.) Implement
E.) Evaluate
pg. 11-18
Which nursing action best exemplifies the nurse's role in promoting health?
A.) encouraging a group of junior high school students to engage in regular physical activity
B.) facilitating a support group for the friends and families of clients affected by stroke
C.) performing deep suctioning on a client who has a tracheotomy and copious secretions
D.) administering a beta-adrenergic blocker and diuretic to a client who has a history of hypertension
A.) Encouraging a group of junior high school students to engage in regular physical activity.
pg. 11-12
When administering immunizations, the nurse is engaged in:
A.) health promotion.
B.) illness prevention.
C.) health restoration.
D.) coping facilitation.
B.) Illness Prevention
pg. 13
The nurse is performing an extensive dressing change on a client with burns. The nurse explains each step as it is being performed. The nurse is acting in which role by providing explanation of each step?
A.) Caregiver
B.) Client advocate
C.) Decision-maker
D.) Educator
D.) Educator
pg. 11-16
The primary aim of the Healthy People 2020 initiative is:
A.) health promotion.
B.) illness prevention.
C.) health restoration.
D.) coping with disability.
A.) health promotion
p. 12
The nurse is caring for a client who ascribes to the theory of animism. When attempting to explain this theory to other staff members, the nurse should state:
A.) "Everything in nature is alive with invisible forces."
B.) "The physician is viewed as a god-like figure."
C.) "The nurse is the handmaiden of the physician."
D.) "Pets can help heal clients."
A.) "Everything in nature is alive with invisible forces."
pg. 7
The nurse asks a client about his spiritual health. Which statement best explains the standard of care utilized by the nurse?
A.) The RN provides spiritual counseling.
B.) The RN collects comprehensive data.
C.) The RN prays with clients.
D.) The RN collaborates with spiritual healers.
B.) The RN collects comprehensive data.
p. 18
A nurse is planning to pursue further education in the hopes of becoming an expert in geriatric nursing who carries out direct care. For which expanded career role is the nurse preparing?
A.) Clinical nurse specialist
B.) Nurse manager
C.) Nurse-midwife
D.) Physician assistant
A.) Clinical nurse specialist
p. 16
What is the best nursing intervention to promote health in a client at risk for heart disease?
A.) Emphasizing a client's strengths to encourage weight loss
B.) Informing the client that the client must lose weight
C.) Instructing the client to adhere to a high-sodium diet
D.) Taking the client's pulse rate daily
A.) Emphasizing the client's strength to encourage weight loss
p. 11-12
Which nursing intervention would be most appropriate for a new mother that calls the nursery for help with breastfeeding?
A.) Refer the mother for a home care visit.
B.) Ask the mother to come to the emergency room.
C.) Email the mother a link for breastfeeding.
D.) Suggest that the mother bottle feed her infant.
A.) Refer the mother for a home care visit.
p. 11-12
The nurse is attempting to provide anticipatory guidance for the parents of an 18-month-old child. Which statement would be best for the nurse to make?
A.) "Keep all medications in a locked cabinet."
B.) "Does the child have nightmares often?"
C.) "The child is in the 95th percentile for weight."
D.) "Do not give the child a bottle now."
A.) "Keep all medications in a locked cabinet."
p. 12
The nurse is caring for a client with a new diagnosis of cancer, and allows the client to verbalize fears relating to how to tell the children. The nurse's intervention reflects which aspect of nursing?
A.) art of nursing
B.) science of nursing
C.) evidence-based practice
D.) application of research
A.) art of nursing
p. 23
Which action should the nurse implement when working with a medically homeless client?
A.) Encourage client to utilize the free health care clinic.
B.) Assist the client in finding housing.
C.) Encourage the client to utilize the emergency room when ill.
D.) Assist the client in finding a job.
A.) Encourage client to utilize the free health care clinic
p. 19
The RN is working with hospital administrators to transform care at their facility. Which nursing competency will be critical for the nurse to utilize?
A.) Work effectively in interdisciplinary teams
B.) Correctly utilize and troubleshoot high-tech equipment
C.) Navigate the electronic medical records system
D.) Do things the way they have always been done
A.) Work effectively in interdisciplinary teams
p. 6
A nurse wishes to pursue a degree as a nurse practitioner. What is the minimal degree needed by the nurse?
A.) Diploma
B.) Associate's
C.) Master's
D.) Baccalaureate
C.) Master's
p. 15
A nurse is providing care for clients in a long-term care facility. What should be the central focus of this care?
A.) The nurse's actions
B.) The client receiving the care
C.) The nurse as the caregiver
D.) Nursing as a profession
B.) The client receiving the care
p. 11
A nurse manager is teaching staff how to use a new piece of hospital equipment. Which educational setting would be most appropriate for this process?
A.) Continuing education
B.) Graduate education
C.) In-service education
D.) Undergraduate studies
C.) In-service education
p. 16
The role of the nurse developed from the pre-civilization era through the eras representing the beginning of civilization, the beginning of the 16th century, the 18th and 19th centuries, World War II era, and up to the present day. Place the following roles of the nurse listed below in the correct chronologic order to follow this timeline.
Nurses were portrayed as a mother, caring for family and delivering physical care and health remedies.
Nurses were viewed as slaves, carrying out menial tasks based on the orders of the priest.
There was a shortage of nurses; criminals were recruited as nurses; nursing was viewed as disreputable.
Florence Nightingale elevated nursing to a respected occupation and founded modern methods in nursing education.
Efforts were made to upgrade nursing education, and women were more assertive and independent.
Nursing was broadened in all areas and was practiced in a wide variety of settings; nursing was viewed as a profession.
Nurses were portrayed as a mother, caring for family and delivering physical care and health remedies.
Nurses were viewed as slaves, carrying out menial tasks based on the orders of the priest.
There was a shortage of nurses; criminals were recruited as nurses; nursing was viewed as disreputable.
Florence Nightingale elevated nursing to a respected occupation and founded modern methods in nursing education.
Efforts were made to upgrade nursing education, and women were more assertive and independent.
Nursing was broadened in all areas and was practiced in a wide variety of settings; nursing was viewed as a profession.
p.7-23
Which explanation accurately differentiates the role of the registered nurse (RN) from that of the licensed practical/vocational nurse (LPN/LVN)?
A.) The RN is permitted to prescribed medications.
B.) The LPN/LVN can only work in a long-term care facility.
C.) The RN directs the workload of an LPN/LVN.
D.) The LPN/LVN should work under the supervision of an RN.
C.) The RN directs the workload of an LPN.
p.13-14
A registered nurse (RN) is caring for four clients on a medical-surgical unit. Which task is most appropriate for the nurse to delegate to the licensed practical nurse (LPN)?
A.) administering bedside blood glucose testing
B.) administering blood products
C.) administering intravenous push medication
D.) administering chemotherapy
A.) administering bedside glucose testing
p. 14
The nurse is performing care for a client in the end stage of cancer. How can the nurse best facilitate the client and family's ability to cope? Select all that apply.
A.) Assist the client with activities of daily living (ADLs).
B.) Encourage the family to leave and let the nurse take over care.
C.) Inform the family that there is nothing they can do for their loved one.
D.) Assist the client and family with the preparation for end-of-life.
E.) Refer the client and family to hospice services.
A.) Assist the client with activities of daily living (ADLs).
D.) Assist the client and family with the preparation for end-of-life.
E.) Refer the client and family to hospice services.
What was one barrier to the development of the nursing profession in the United States after the Civil War?
A.) lack of educational standards
B.) hospital-based schools of nursing
C.) lack of influence from nursing leaders
D.) independence of nursing orders
A.) lack of educational standards
p. 7
After hearing a presentation about the American Nurses Association (ANA), a nurse decides to join the organization based on the understanding that:
A.) ANA invites students showing excellence in scholarship to become members.
B.) ANA aims at fostering high standards of nursing in the United States.
C.) members include nurses, other health care providers, and lay people.
D.) membership is open to all nurses in the United States.
B.) ANA aims at fostering high standards of nursing in the United States.
p. 10
A registered nurse wishes to work as a nurse researcher. Which is true regarding nurse researchers?
A.) They are responsible for the continued development and advancement of nursing.
B.) They usually have a baccalaureate degree in nursing.
C.) They serve as liaisons between staff members and directors of nursing.
D.) They tend to work in community health centers and long-term care units.
A.) They are responsible for the continued and advancement of nursing.
p. 16
The client's plan of care is created by the nurse using which guideline for nursing practice?
A.) Nursing process
B.) Nursing's Social Policy Statement
C.) Nurse practice act
D.) ANA Standards of Nursing Practice
A.) Nursing process
p. 11
Which are approved as nursing diagnoses? Select all that apply.
A.) Impaired Skin Integrity
B.) Congestive Heart Failure
C.) Caregiver Role Strain Abdominal Hernia
D.) Compromised Family Coping
A.) Impaired Skin Integrity
C.) Caregiver Role Strain
D.)Compromised Family Coping
p. 11
Due to the rising cost of health care services, many procedures and treatments are being delivered in what type of setting?
A.) hospitals
B.) medical centers
C.) outpatient facilities
D.) community health care centers
C.) outpatient facilities
p. 15
A prospective nursing student desires a career that will allow the opportunity to provide client care and to assist professional nurses with routine technical procedures. The prospective student needs to be employed in a full-time position quickly due to economic hardship. What type of nursing program would best suit this student?
A.) associate of science registered nursing program
B.) baccalaureate of science registered nursing program
C.) licensed or vocational nursing program
D.) diploma nursing program
C.) licensed or vocational nursing program
p. 14
The Quality and Safety Education for Nurses (QSEN) initiative has identified which key competencies for nurses? Select all that apply.
A.) Client-centered care
B.) Teamwork and collaboration
C.) Evidence-based practice
D.) Quality improvement
E.) Correct documentation
A.) Client-centered care
B.) Teamwork and collaboration
C.) Evidence-based practice
D.) Quality improvement
p. 6-11
A nurse is discussing the history of the profession with a client and describes that a shift in societal focus from religion to warfare had a negative impact on nursing due to:
A.) female criminals recruited as nurses.
B.) nurses caring for war victims and soldiers.
C.) nurses no longer praying for their clients.
D.) unmarried females recruited as nurses.
A.) female criminals recruited as nurses.
p. 7
The nurse conducts a home safety assessment for a client. Which statement best explains the standard of care being implemented?
A.) The RN promotes a safe environment.
B.) The RN identifies client outcomes.
C.) The RN educates about preventing falls.
D.) The RN develops a plan of care.
A.) The RN promotes a safe environment.
p. 8
A nurse is considering relocating to another state to practice nursing. Which is the most appropriate action by the nurse to ensure ability to practice in the new state?
A.) asking the current state to transfer the license
B.) applying for a reciprocal license in the new state
C.) taking the new state's licensing exam
D.) No action is needed by the nurse.
B.) applying for a reciprocal license in the new state
p. 14
The registered nurse is performing a nutritional assessment to ensure that the client's diet is optimal for wound healing. The nurse's intervention can be traced back to which key contributor to nursing?
A.) Florence Nightingale
B.) Clara Barton
C.) Dorothea Dix
D.) Linda Richards
A.) Florence Nightingale
p. 7-9
The nurse is documenting the client's response to a medication. This action reflects a practice that was started by which key figure in nursing's history?
A.) Linda Richards
B.) Clara Barton
C.) Florence Nightingale
D.) Lillian Wald
C.) Florence Nightingale
p. 7-8
Attracting minorities to the profession of nursing is an important consideration for the future of nursing. Which key historical nursing figure set a precedent in this area?
A.) Mary Eliza Mahoney
B.) Nora Gertrude Livingston
C.) Mary Agnes Snively
D.) Mary Ann Bickerdyke
A.) Mary Eliza Mahoney
p. 9
Which scenario is the best example of the nurse in the role of teacher/educator?
A.) Assessing whether the client is able to perform a dressing change B.) Teaching a first-grader to read
C.) Communicating discharge status to a home care agency
D.) Conducting research on dressing changes
A.) Assessing whether the client is able to perform a dressing change.
p.11
What are the best examples of the role of the nurse as a communicator? Select all that apply.
A.) Telling a client their blood pressure
B.) Calling a physician about a client's blood pressure
C.) Informing the physical therapist that the client's therapy was discontinued
D.) Telling a friend about something that happened to a client that day
E.) Discussing laboratory values with a client
A.) Telling a client their blood pressure
B.) Calling a physician about a client's blood pressure
C.) Informing the physical therapist that the client's therapy was discontinued
E.) Discussing laboratory values with a client
p. 11
Which is the best example of a nurse demonstrating the role of caregiver?
A.) starting an intravenous line in the client's arm
B.) referring the client to a mental health clinic
C.) assigning a room for a new hospital client
D.) reporting lab values to a client's physician
A.) starting an intravenous line in the client's arm
p. 11
During World War II, nurses were actively recruited and enlisted in the military. What effect did this have on the nursing profession?
A.) caused a civilian nursing shortage
B.) encouraged more men to become nurses
C.) increased demand for ambulatory services
D.) inspired the formation of home health nursing
A.) caused a civilian nursing shortage
p. 19-23
The nurse is caring for a client who cannot meet health needs independently. Which action made by the nurse depicts concern and attachment?
A.) telling the client, "I will be back in 15 minutes to change your dressing."
B.) asking the client, "How are you today? I am really worried about you."
C.) talking about diabetes and teaching the client how to do foot care
D.) organizing the work for the day and evaluating how the day went
B.) asking the client, "How are you today? I am really worried about you."
p. 11
The nurse graduated several years ago from a 2-year nursing program at a community college near the home city. Recently, the nurse has considered moving from providing direct client care into an administrative role, but recognizes the need for further education to be considered for such a position. The nurse most likely possesses which nursing qualification?
A.) graduate degree
B.) diploma
C.) baccalaureate
D.) associate degree
D.) associate degree
p. 13
Which organization has established standards that help the nurse determine which clinical actions fall under the scope of nursing practice?
A.) American Nurses Association
B.) National League for Nursing
C.) National Council of State Boards of Nursing
D.) International Council of Nurses
A.) American Nurses Association
p. 10
The nurse is caring for a postoperative client. The health care provider has written a prescription for a pain medication, and the prescription gives a dosage range for the amount the nurse may give depending on the severity of the client's pain. This type of functioning within the health care team is called:
A.) collaborative functioning.
B.) assistive functioning.
C.) authoritative functioning.
D.) independent functioning.
A.) collaborative functioning
p. 8
A client asks an RN to prescribe a medication for pain. What is the best answer by the nurse?
A.) "Only advanced practice registered nurses have prescriptive authority."
B.) "Take one acetaminophen every 4 hours."
C.) "Take two ibuprofen every 4 to 6 hours."
D.) "No nurse can prescribe a medication."
A.) "Only advanaced practice registered nurses have prescriptive authority."
p. 15
A nurse is thinking about pursuing a master's degree in nursing (MSN) and is reviewing information about various programs. What would the nurse expect to find about such programs?
A.) Such degrees can be attained only in a certain specific area of interest.
B.) Students need to take the licensure examination after the course. C.) Nurses pursuing such programs require solid scholastic abilities. D.) Master's degree nursing education began in the late 18th century.
C.) Nurses pursuing such programs require solid scholastic abilities.
p. 13
Of the following orders, which is considered to be the first to provide visiting nurses in Canada?
A.) The Daughters of Charity
B.) The Grey Nuns of Montreal
C.) The Deaconesses of Kaiserwirth
D.) The Sisters of Mercy
B.) The Grey Nuns of Montreal
What might a nurse need to do to ensure the continuation of his or her nursing license?
A.) Obtain a baccalaureate degree.
B.) Obtain a master's degree.
C.) Obtain continuing education credits.
D.) Attend hospital in-services.
C.) Obtain continuing education credits.
The nurse is utilizing knowledge about a blood pressure medication's actions and side effects to determine whether or not to give a client, whose blood pressure is low, the prescribed blood pressure medication. What best describes the aspect of nursing demonstrated?
A.) conduction of research
B.) science of nursing
C.) quality improvement
D.) art of nursing
B.) Science of nursing
p. 9
The nurse is demonstrating traits of leadership. What actions by the nurse would be recognized as leadership behaviors? Select all that apply.
A.) Participates on an evidence-based practice council
B.) Develops and implements a quality improvement project
C.) Serves as president of local chapter of Sigma Theta Tau International
D.) Communicates an issue to a fellow colleague in the cafeteria
E.) Attends a mandatory hospital in-service
A.) Participates on an evidence-based practice council
C.) Serves as president of local chapter of Sigma Theta Tau International
B.) Develops and implements a quality improvement project
p. 34
A nurse mentoring second-year nursing students from a community college plans clinical experiences for them. These students will most likely graduate in which time frame?
A.) in 3 more years
B.) at the end of the year
C.) in 2 more years
D.) in 1 more year
B.) at the end of the year
p. 14
Which is the best example of a client-centered approach to care?
A.) The nurse draws a blood sample from a client.
B.) The nurse asks the client what the client would like to order from the menu.
C.) The nurse asks the client about health goals.
D.) The nurse helps a client ambulate.
C.) The nurse asks the client about health goals
p. 11
The American Nurses Association (ANA) Standards of Professional Nursing Practice provides standard of care for all nurses. Which statement on the assessment of the nursing process is accurate?
A.) The nurse monitors the ethical conduct of authorities and clients. B.) The nurse collects comprehensive data pertinent to the client's health or situation.
C.) The nurse evaluates progress toward implemented actions.
D.) The nurse dictates the plan that prescribes strategies of care.
B.) The nurse collects comprehensive data pertinent to the client's health or situation.
p. 17-18
The new nursing graduate is concerned about some of the critical changes that will be occurring in nursing. What changes does the nurse anticipate will impact nursing care?
A.) Rapid growth of nurses and shortage of job opportunities
B.) Limitations that nurses have in the workforce
C.) Difficulty for nurses to remain current in a rapidly changing medical and technology environment
D.) Decrease in health care costs
C.) Difficulty for nurses to remain current in a rapidly changing medical and technology environment
p. 19-24
The nursing process is:
A.) the promotion of health, prevention of illness, and care of ill, disabled, and dying individuals.
B.) a mechanism for increasing the knowledge and skill of the nurse through programs of education.
C.) an approach for identifying and analyzing the best available scientific evidence for nursing care.
D.) a critical thinking method used by nurses to provide nursing care that is individualized and holistic.
D.) a critical thinking method used by nurses to provide nursing care that is individualized and holistic.
p. 19 [Show Less]