MC
1)The nurse is caring for a nurse who provided care to soldiers during the Vietnam War. What information in this patient's history should the nurse use to understand the patient's nursing career?
A)The patient decided to leave the profession after serving in the war. 
B)The patient was still a student when serving in the war. 
*)The patient's first patient care experiences were during a time of war. 
D)The patient contracted long-term illnesses from being overseas in a war. 

2)The nurse is reviewing public health and health promotion roles available for nurses. To which leader should the nurse attribute the development of these roles?
A)Mary Brewster B) Clara Barton 
C)Lillian Wald *) Florence Nightingale 

3)The nurse has been asked to participate on the hospital's Shared Governance Committee. To which nurse leader should the nurse attribute the ability for nurses to control the profession?
*)Lavinia Dock B) Mary Breckinridge 
C)Virginia Henderson D) Margaret Higgins Sanger 

4)While conducting a health assessment, the individual asks why the term patient is being used. What should the nurse explain about the implication of the term patient?
A)The person is a collaborator in his or her care. 
B)The individual is proactive in his or her healthcare needs. 
C)The individual is using a service or commodity. 
*)The person is seeking assistance because of illness. 

5)The nurse is creating a community education program on health promotion and wellness. Which topic should the nurse use for this program?
A)Exercise class for clients who have had a stroke 
B)Prevention of sexually transmitted infections 
C)Prenatal and infant care 
*)Home accident prevention 

6)The nurse is measuring stool for occult blood during a community health fair. Which level of practice is the nurse providing?
*)Restoring health 
B)Illness prevention 
C)Rehabilitation 
D)Promoting health and wellness 

7)The nurse has started working in a state other than the one in which the nursing education program was located. Which should the nurse consult in order to understand the implications of this change of venue?
A)National Council of State Boards of Nursing (NCSBN) 
B)American Nurses Association (ANA) 
C)National League for Nursing (NLN) 
*)Nurse State Practice Act 

8)The nurse is orienting a graduate nurse to the care area. When should the nurse expect the graduate nurse's professional identity to be established? 
A)After practicing nursing for several years 
B)Upon graduation from school 
C)After passing the NCLEX examination 
*)During nursing school 

9)The nurse ensures that a patient is covered during a bath. In which role is the nurse functioning?
*)Caregiver B) Client advocate 
C)Teacher D) Communicator 

10)A client wishes to discontinue cancer treatment. If acting as the client advocate, which statement should the nurse make to the client's physician?
A)"Let's educate the family about the consequences of this decision." 
B)"The family must be involved in this decision." 
C)"The client would benefit from additional information about treatment options." 
*)"The client is making his own decision." 

11)The nurse has accepted a position as a case manager. What should the nurse expect to perform when functioning in this role?
A)Identifying areas of client concern or problems 
*)Managing a client's hospital stay 
C)Evaluating the performance of ancillary workers 
D)Delegating activities to other nurses 

12)The manager identifies that a nurse is practicing a professional identity. What did the manager observe to come to this conclusion?
A)Learning about the influences of Florence Nightingale 
B)Recognizing characteristics considered to be professional 
*)Maintaining specific character and spirit 
D)Promising to uphold the standards of the profession 

13)The nurse is caring for several acutely ill patients. What nursing action demonstrates professional autonomy?
A)Communicating with peers when help is needed 
B)Informing the supervisor about high acuity level and staff-to-client ratio 
C)Delivering medications and prescribed treatments in a timely manner 
*)Prioritizing client according to client needs 

14)The student nurse contacts a number of other students to create a study group. What behavior is the student nurse demonstrating?
A)Governance B) Service orientation 
C)Specialized education *) Professional identity 

15)The nursing instructor is explaining the present economic challenges in healthcare to students in a community health course. What should the instructor emphasize as being important for the students to be aware of?
A)Advances in science and technology 
B)Diagnostic-related groups (DRGs) 
C)Consumer presence on the boards of nursing associations and regulatory agencies 
*)Continuation of the Affordable Care Act (ACA) 

16)The community health nurse is caring for adolescent mothers and their children. For what should the nurse assess these patients when determining their degree of vulnerability?
A)Increased levels of poverty 
B)Raising children without the support of family 
C)Distance separation from their nuclear families 
*)The normal difficulties of adolescence 

17)A client tells the nurse about research information on the Internet to learn more about a new health problem. What should the nurse respond to this client?
A)"It's best to check this information with your physician." 
B)"I'd prefer you rely on information you haven't received from our office." 
*)"Bring your information to the clinic so we can go through it together." 
D)"Information from the Internet isn't always accurate." 

18)The nurse practitioner is working with a staff nurse to change the plan of care for a client with a terminal illness. In which areas of nursing practice are these nurses functioning?
A)Restoring health 
B)Promoting health and wellness 
*)Caring for the dying 
D)Preventing illness 

19)The nurse is scheduled to attend a continuing education program to learn about the latest urinary catheterization care. Which type of credential should the nurse expect to earn after attending this program?
*)None because this program is designed to enhance a skill 
B)Credit hours toward an advanced degree 
C)Certification as a renal nurse 
D)Advanced degree 

20)The nurse is planning to apply to graduate school to earn a master's degree in nursing. On what should the nurse expect the program's curriculum to focus?
*)An advanced leadership role 
B)Wound care specialist 
C)Intravenous therapy specialist 
D)Case manager 

21)The staff nurse is considering membership in the National League for Nurses. What should the nurse expect as a member of this organization?
A)Assistance with finding employment 
B)Assistance with getting into graduate school 
*)Members that are non-nurses 
D)Opportunities to be awarded scholarships 

22)The nurse is consulting other professionals as well as educating, supporting, and managing a client's chemotherapy regimen. In which role is this nurse functioning?
A)Nurse entrepreneur B) Nurse practitioner 
C)Nurse educator *) Clinical nurse specialist 

23)A staff nurse is serving as a preceptor for nursing students. In which level of Benner's proficiency is this nurse practicing?
A)Stage II B) Stage III C) Stage V *) Stage IV 

24)The nurse is asked to define nursing. Which term should the nurse include in the response? (Select all that apply.)
*)Advocacy 
*)Promotion 
*)Protection 
*)Prevention of illness 
E)Physician focused 

25)A faculty member is speaking to prospective students interested in enrolling in the BSN program at the university. What should the faculty member emphasize as a major incentive for students to select a BSN program over an ADN program?
*)Better opportunity for career advancement 
B)Ability to work in critical care areas 
C)Liberal arts education 
D)Easier transition to graduate school 

26)A high school graduate is considering entering a nursing program that offers a baccalaureate degree. What organization accreditation should the nurse use to help select a nursing program?
*)CCNE (Commission on Collegiate Nursing Education) 
B)NCSBN (National Council of State Boards of Nursing) 
C)NCLEX® (National Council Licensure Examination) 
D)NLN (National League for Nursing) 

27)The student nurse is reviewing the code of academic and clinical conduct prior to beginning a clinical assignment. On what area should the nurse focus when providing client care? (Select all that apply.)
A)Support lifelong learning. 
*)Provide care in a professional manner. 
*)Ensure the safety of all clients. 
*)Maintain client confidentiality. 
E)Collaborate with students and faculty. 

28)The nurse is interested in specializing in forensics. What should the nurse expect to learn prior to assuming the role of a forensics nurse? (Select all that apply.)
A)Budgeting, staffing, and planning programs 
*)Training in identification, evaluation, and documentation of injuries 
*)Information necessary when providing testimony in court 
*)Approaches to collecting evidence 
*)Knowledge about the legal system 

29)The nurse is considering a Doctor of Nursing Practice (DNP) degree. Which should the nurse expect to be a focus of this program? (Select all that apply.)
A)Teaching 
*)Systems leadership 
*)Evidence-based practice (EBP) 
*)Quality improvement 
E)Research 

30)The nurse is enrolled in a course that is based upon scientific theory. Which should the nurse expect to be the purpose of research in this course?
A)Understand the impact of the role 
*)Theory development 
C)Perform a professional role 
D)New possibilities for practice 

31)The nurse enrolled in a Doctor of Nursing Practice (DNP) program is designing a research study as an expectation for graduation. Which should the nurse identify as a topic for this study? 
*)Implementation of the role of DNP in community healthcare clinics 
B)Application of a humanistic theory of nursing 
C)Validity of a systems theory of health care 
D)Advantages of using a caring theory in nursing 

32)The nurse is asked to explain the metaparadigm for nursing. Which characteristic should the nurse include in response? (Select all that apply.)
A)Education 
*)Person 
*)Nursing 
*)Environment 
*)Health 

33)The research committee is planning a study that focuses on nursing activities. On which theme should the study focus? (Select all that apply.)
*)Art 
*)Science 
*)Caring 
D)Curative 
*)Holism  

34)The department of nursing is redesigning the approach used for patient care. For which reason should a nursing theory be identified to base this care? 
*)Guides knowledge development and directs practice 
B)Reduces the need to create care plans 
C)Enhances the nurse-patient relationship 
D)Eliminates the need to validate interventions  

35)The nurse educator is preparing a tool on the different types of nursing theories. Which theorist should be included in this tool? (Select all that apply.)
*)Neuman 
B)Erikson 
*)Orem 
*)Leininger 
*)Roy 

36)The nurse wants to complete a continuing education program before renewing state licensure. Which topic should the nurse select for this program? (Select all that apply.)
*)Update on weaning procedures 
*)Advances in hemodialysis care 
*)New laws affecting advance directives 
D)Actions to prevent pressure injuries 
E)Medication administration 

37)The nurse provides care to clients in the community clinic. Which should the nurse provide to help the clients prevent the development of disease? (Select all that apply.)
*)Prevention of sexually transmitted infections (STIs) 
B)Medications 
*)Immunizations 
*)Infant care 
*)Prenatal care 

38)A nurse has been caring for patients on the same care area for 10 years. Which behavior demonstrates that the nurse is performing at the expert level? (Select all that apply.)
A)Focuses on long-term goals 
*)Acts when it feels right to do so 
C)Coordinates multiple complex care demands 
D)Follows regulations 
*)Does not refer to guides when providing care 

39)The nurse is employed in a company that provides telenursing services. Which type of care should the nurse expect to provide to patients? (Select all that apply.)
A)Home visits 
*)Telephone contact 
*)Internet -based 
*)Telemonitoring equipment 
*)Video conferencing 

40)The nurse receives notification of being selected as a member Sigma Theta Tau. What should the nurse expect as a member of this organization? (Select all that apply.)
*)Academic achievement is used to identify members 
B)Nursing students are members 
C)It represents nursing worldwide 
*)The organization has various chapters 
*)It is a professional organization