NR 222- Exam 1 Practice Questions
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
(Ans – 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
(Ans – 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
(Ans – 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
(Ans – 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
(Ans – 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
(Ans – 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
(Ans –
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
(Ans – 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?