Advanced Concepts in Nursing Practice
Mock Exam
Course Introduction
Advanced Concepts in Nursing Practice explores the complex and evolving roles of nurses in diverse healthcare settings. This course delves into topics such as advanced patient assessment, evidence-based clinical decision-making, interdisciplinary collaboration, and leadership in nursing practice. Emphasis is placed on critical thinking, ethical decision-making, and the integration of advanced technologies to improve patient outcomes. Students will also examine current trends and challenges in healthcare, preparing them to take on expanded responsibilities and contribute to the advancement of the nursing profession.
Recommended Textbook
Professional Nursing Practice Concepts and Perspectives 7th Edition by Blais
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25 Chapters
637 Verified Questions
637 Flashcards
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Page 2
Chapter 1: Beginning the Journey
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Sample Questions
Q1) The nurse has elected to return to school to pursue a baccalaureate degree.After the first week of classes,the nurse is overwhelmed.Which stage of Spencer and Adams' model of transition is this nurse most likely experiencing?
A)Losing focus
B)Minimizing the impact
C)The pit
D)Letting go of the past
Answer: A
Q2) The nurse who is returning to school to pursue a baccalaureate degree in nursing states,"I don't know why I am putting myself through this.I have practiced just fine for 10 years as an associate degree nurse." Which strategy,recommended by a friend,would be helpful in overcoming this feeling?
A)"Why don't you take a one semester break from school?"
B)"Remember that a lot of people are depending on you."
C)"Just think how much better a nurse you will be when you finish."
D)"Think about all the extra money you will get when you graduate."
Answer: C
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Page 3
Chapter 2: Socialization to Professional Nursing Roles
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Sample Questions
Q1) Which coping skill would be helpful as a strategy for stress reduction and time management?
A)Avoid being assigned to committees at work.
B)Delegate only when it is absolutely necessary.
C)Attend a support group to help give up the need for perfection.
D)Learn to use communication skills to win conflicts at work.
Answer: C
Q2) Which element of a role is described as how the person assuming the role believes he or she should behave in the role?
A)Performed role
B)Ideal role
C)Perceived role
D)Provision role
Answer: C
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4
Chapter 3: Historical Foundations of Professional Nursing
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Sample Questions
Q1) Which nurse died as a result of experiments on yellow fever?
A)Clara Maass
B)Jeanne Mance
C)Mary Mahoney
D)Edith Cavell
Answer: A
Q2) What was the impact on mortality as a result of the nursing care that Nightingale and her nurses provided to wounded soldiers in Crimea?
A)There was a slight increase in mortality.
B)Mortality increased dramatically.
C)There was no change.
D)There was a dramatic decrease in mortality.
Answer: D
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Page 5
Chapter 4: Ethical Foundations of Professional Nursing
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Sample Questions
Q1) The nurse educator asks the nursing student about the difference in standards between codes of ethics and legal standards.Which response by the student indicates the greatest level of understanding?
A)"Standards in codes of ethics and legal standards are generally the same."
B)"Codes of ethics are much higher standards than legal standards."
C)"Legal standards are much higher than codes of ethics standards."
D)"Codes of ethics are usually higher,and can be no lower,than legal standards."
Q2) What is the focus of client advocacy?
A)The nurse is responsible for the client's health.
B)The nurse should influence the client to make the right decision.
C)The focus is respect for the client's decisions and enhancement of autonomy.
D)Emphasis is on correcting the client's reported weaknesses.
Q3) To what does the moral principle of beneficence refer?
A)Truth telling
B)Duty to do no harm
C)Faithfulness
D)Doing good
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Chapter 5: Legal Foundations of Professional Nursing
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Sample Questions
Q1) A nurse who has been taking antihistamines for a head cold says these medications always make her "sleepy." Is this nurse impaired?
A)No;impairment means under the influence of alcohol.
B)Yes;any situation that clouds the nurse's professional vigilance can be thought of as impairment.
C)No;impairment from drug ingestion occurs only if the drugs are illegal.
D)The nurse is impaired only if he or she has taken more medication than is recommended by the medication literature.
Q2) The nurse has made a claim of sexual harassment against a coworker.What evidence must this nurse present?
A)The sexual advances occurred over a period of at least 6 weeks.
B)The conduct was explicit and was a condition of employment.
C)There was psychological damage from the conduct.
D)The actions created a hostile or abusive environment.
Q3) What is the first action the victim of sexual harassment should take?
A)Ignore the behavior,hoping it will decrease.
B)Confront the harasser and ask that the behavior stop.
C)Report the sexual harassment to the appropriate supervisor.
D)Report the sexual harassment to the Equal Employment Opportunity Commission.
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Page 7
Chapter 6: Remembering Development in Nursing
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Sample Questions
Q1) The nurse strongly believes that truth is based in experiences.Which research approach is this nurse most likely to favor?
A)Hard science model
B)Positivist
C)Cause and effect
D)Constructivist
Q2) Why do most nursing theories reflect such strong influence from other disciplines such as sociology?
A)Those disciplines are more professional than nursing.
B)The theorists who developed nursing theories were often doing graduate work in those disciplines,not nursing.
C)Nursing theories were developed by non-nurses.
D)Nursing is not an independent entity,but a spin-off from other disciplines such as sociology and psychology.
Q3) Which option is an example of an inferential concept?
A)Rash
B)Equilibrium
C)Pain
D)Powerlessness
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Page 8
Chapter 7: The Nurse As Health Promoter and Care Provider
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Sample Questions
Q1) A client asks the nurse about a new treatment for Alzheimer disease that the client found during a search of the Internet.The treatment is based upon alternative medicine strategies.How should the nurse respond to questions about this treatment?
A)Since the treatment was discovered on the Internet,it is probably not valid.
B)Because the treatment is based upon alternative medicine strategies,it is probably not valid.
C)The treatment must be researched and found to be valid before it can be added to the Internet.
D)The treatment may be valid,but further investigation should be done before it is trusted.
Q2) Which level of prevention as defined by Leavell and Clark most closely reflects health promotion?
A)Primary
B)Secondary
C)Tertiary
D)None of the levels is related to health promotion
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9
Chapter 8: The Nurse As Learner and Teacher
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Sample Questions
Q1) Which theorist developed a learning theory based on humanism?
A)Rogers
B)Piaget
C)Skinner
D)Bandura
Q2) Which option reflects correct ordering of learning experiences?
A)Present new content and then link it back to the client's previous knowledge.
B)Present variations of the skill and then focus on the basics.
C)Start with a neutral topic,saving client concerns for later in the teaching session.
D)First address any area causing the learner to have anxiety,and then move to other pertinent material.
Q3) Who should be involved in the development of a nursing teaching plan?
A)Only the nurse-teacher
B)The nurse-teacher and the client's physician
C)Only the client-learner
D)Both the nurse-teacher and the client-learner
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Chapter 9: The Nurse As Leader and Manager
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Sample Questions
Q1) What is the best way for the nurse to ensure control on the nursing unit?
A)Create tightly written job descriptions
B)Write extensive rules
C)Make certain that procedures are strict
D)Support continuous quality improvement activities
Q2) What is the definition of leadership?
A)Coordination and integration of resources.
B)Planning,organizing,directing,and controlling.
C)Process of influencing people to accomplish goals.
D)Accomplishing specific institutional goals and objectives.
Q3) The staff members of a unit are inspired by their nurse-manager's leadership and enjoy working to create a positive nursing environment of the unit's patients.What style of leadership does this situation best describe?
A)Transformational
B)Authoritarian
C)Laissez-faire
D)Situational
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11
Chapter 10: The Nurses Role in Evidence-Based Health Care
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Sample Questions
Q1) The investigator is conducting a study in which the investigator cannot link a specific study subject to the information being reported.Which term reflects this situation?
A)Confidentiality
B)Privacy
C)Anonymity
D)Aggregation
Q2) The nurse wants to develop an evidence-based practice.What must this nurse do first?
A)Get permission from his or her employer.
B)Learn to critically appraise research reports.
C)Contact a consultant to help him or her learn about EBP.
D)Methodically categorize research findings in the nurse's specialty area.
Q3) Which level of literature should be the focus of the literature review?
A)Primary
B)Secondary
C)Tertiary
D)Raw data
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Chapter 11: The Nurses Role in Quality and Safety
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Sample Questions
Q1) The nurse receives the report for a client recovering from a repair of a fractured hip,who is being transferred to the orthopedic care area.The following information was obtained in the telephone report: Report received 14:00 hours: 76-year-old female;ORIF of right hip caused by falling in the home;receiving Morphine sulfate 2 mg IV every 4 to 6 hours for pain;difficult to keep turned on non-operative site;indwelling urinary catheter in place;Hgb 10 after 2 units PRBCs post-operatively.
Which National Patient Safety goals should the nurse make a priority for this client? (Select all that apply. )
A)Prevent wrong site/procedure/person surgery.
B)Prevent health-care associated pressure ulcers.
C)Improve the accuracy of patient identification.
D)Reduce the risk of patient harm resulting from falls.
E)Reduce the risk of health care-associated infections.
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Chapter 12: The Nurses Role As Political Advocate
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Sample Questions
Q1) Which is true of nursing and politics?
A)Nurses have little political influence.
B)Nurses have been involved in politics for years.
C)Politics in a new arena for nursing.
D)There is no reason for nurses to be involved in politics.
Q2) What kind of resource allocation does politics influence?
A)Only monetary
B)Mainly personal resources
C)Any limited resource
D)Primarily those at a national level
Q3) The vice president of nursing is reviewing the process of empowerment with all nursing managers in efforts to improve this behavior.In which order should the vice president explain the implement of this concept?
A)Support the staff
B)Provide staff with information
C)Highlight opportunities for development
D)Ensure resources to do the job are present
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Chapter 13: The Nurse As Colleague and Collaborator
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Sample Questions
Q1) The hospital is a complex organization in which some amount of conflict is always present.How is this level of conflict described?
A)Latent
B)Felt
C)Perceived
D)Overt
Q2) The nurses on the unit have approached the nurse-manager with reports that a physician is abusive and rude in interactions with staff.The nurse-manager says,"Don't take the remarks personally and maybe they will stop." This is an example of which negotiation technique?
A)Forcing
B)Bargaining
C)Smoothing over D)Avoidance
Q3) What must nurses do to fulfill a collaborative role?
A)Graduate with at least a baccalaureate degree.
B)Assume increased authority in practice areas.
C)Redesign unit policies to allow collaboration.
D)Lobby state boards of nursing to approve this collaborative role.
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Page 15
Chapter 14: Communicating Effectively
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Sample Questions
Q1) A client was admitted after being injured in a fight outside a bar.The nurse asks,"Why were you in a bar?" This is an example of which barrier to therapeutic communication?
A)Challenging
B)Rejecting
C)Stereotyping
D)Probing
Q2) The nurse enters the client's room and asks the client a from the doorway.What distance is this considered?
A)Public
B)Social
C)Personal
D)Intimate
Q3) Healthcare documentation is used for which purposes? (Select all that apply. )
A)Research
B)Reimbursement
C)Education
D)Replication in other records
E)Healthcare analysis
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16
Chapter 15: Managing Change
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Sample Questions
Q1) Managers who focus on their own objectives to complete a change process are utilizing whose change theory?
A)Lewin
B)Lippitt
C)Havelock
D)Rogers
Q2) Which would be a restraining force for change?
A)Fear of loss or threat to security
B)Perception that change is challenging
C)Potential for self-growth
D)Economic gain
Q3) A consultant is hired to recommend organizational changes in a healthcare institution.What best describes this consultant's role?
A)Leader
B)Legitimate authority
C)Internal change agent
D)External change agent
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Page 17
Chapter 16: Technology and Informatics
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Sample Questions
Q1) What does the acronym HIPAA stands for?
A)Health Information Privacy Protection Act
B)Human Information Personal Protection Act
C)Higher Insurance Privacy Protection Act
D)Health Insurance Portability and Accountability Act
Q2) Which is an ethical concern of nursing informatics?
A)Maintaining confidentiality and privacy
B)Values clarification exercises
C)Providing end-of-life care
D)Cost accountability
Q3) What do requirements for certification as an informatics nurse include?
A)A minimum of a baccalaureate degree in nursing or relevant field
B)An advanced practice license
C)A minimum of an associate degree in nursing
D)A master's degree in nursing
Q4) Which statement best defines data?
A)Synthesized information
B)Related concepts
C)Discrete entities that are described objectively without interpretation
D)Interpreted,organized,or structured information
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Chapter 17: Nursing in an Evolving Health Care Delivery System
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Sample Questions
Q1) What are three main types of healthcare services billing methods?
A)Fee-for-diagnosis,capitation,accrual
B)Capitation,full costing,actual outflow
C)Fee-for service,capitation,fee-for-diagnosis
D)Fee-for service,accrual,fee-for-health
Q2) What does capitation funding provide?
A)Admission criteria
B)Prospective payment
C)Retrospective payment
D)Personal payment
Q3) To what does resource management for nurses refer?
A)Licensure of RNs
B)Hiring of personnel
C)Evidence-based practice
D)Cost-effective approaches to quality care
Q4) What do diagnosis-related groups (DRGs)establish?
A)The nursing care plan
B)Pretreatment diagnosis billing categories and fee schedule
C)Private health insurance premiums
D)The need for the primary care physician to be consulted
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Chapter 18: Providing Care in Home and Community
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Sample Questions
Q1) The administrator of a healthcare-related business published the following position description online:
Wanted: Are you a registered nurse with maternal-child,pediatric,or adult medical-surgical experience? If so,consider a position with ABC Agency.We have several positions available to provide care to patients in their homes and to provide care in neighborhood clinics.Call XXX-XXX-XXXX for more information. Which type of nursing practice is being advertised?
A)Public health
B)Population health
C)Community-based
D)Community-oriented
Q2) When formulating a nursing diagnosis for a client,what must the home health nurse consider?
A)The needs of the client,needs of the client's family,and the characteristics of the home.
B)The needs of the client and the caregivers of the client.
C)The current needs of the client and any potential "at risk" needs.
D)The community the client lives in and any potential risks for the client.
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Page 20
Chapter 19: Global Health
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Sample Questions
Q1) The nurse is preparing an education session on the most common causes of death in the global community.On which health problem should the nurse focus for this teaching session?
A)Tuberculosis
B)Diabetes mellitus
C)Ischemic heart disease
D)Communicable diseases
Q2) The nurse researcher is identifying potential areas within nursing that affect human rights.Which areas should the researcher consider for further study? (Select all that apply. )
A)Telenursing
B)Palliative care
C)Forensic nursing
D)Infusion therapy
E)Nurse imprisonment
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21
Chapter 20: Dimensions of Holistic Health Care
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Sample Questions
Q1) A patient takes herbal medicines,vitamins,and eats only whole or organic foods.Based on this information,what is this patient practicing?
A)Mind-body alternative therapies
B)Biologically-based alternative therapies
C)Manipulative body-based alternative therapies
D)Energy alternative therapies
Q2) A patient has been experiencing lower back pain for over a year and has decided to seek chiropractic therapy.This form of CAM falls under which integrative therapy?
A)Mind-body therapy
B)Biologically-based therapy
C)Manipulative body-based therapy
D)Energy therapy
Q3) Of what is providing cholesterol screenings an example?
A)Primary prevention
B)Secondary prevention
C)Tertiary prevention
D)Preventive care
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22
Chapter 21: Nursing in a Culturally Diverse World
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Sample Questions
Q1) A client from Haiti seeks medical care for a chronic cough.When being assessed the client does not make eye contact and looks at the floor or away from the nurse.What does this behavior suggest?
A)No assumptions can be made.
B)The client is afraid of the nurse.
C)The client is an unreliable informant.
D)The client feels guilty because of waiting to seek medical care.
Q2) Which statement best describes acculturation?
A)Also referred to as assimilation,acculturation is the integration of the cultural patterns of the dominant or host culture into the person's way of life.
B)Spector suggests that it takes seven generations for a family to become fully assimilated into the American culture.
C)It doesn't occur because people are already acculturated when they immigrate to the United States.
D)The study of different cultures and subcultures
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Chapter 22: Nursing in a Spiritually Diverse World
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Sample Questions
Q1) The nurse preparing a patient care plan utilizes the nursing diagnosis Enhanced Spiritual Well-Being to address which aspects of the patient? (Select all that apply. )
A)Sense of inner peace
B)Sense of meaning
C)Sense of world unity
D)Sense of purpose in life
E)Sense of relationship with others
Q2) While taking care of a devout Muslim,the nurse might expect which daily ritual?
A)A Muslim prayer that is said at bedtime
B)Muslim prayers said five times a day;at dawn,noon,mid-afternoon,sunset,and evening
C)A Muslim prayer that is said in the morning on awakening
D)A Muslim prayer that is said at meals
Q3) What should a nurse consider when planning holistic care for a patient?
A)Spiritual and religious beliefs
B)Only physical needs
C)Patients who are too sick to be spiritual
D)The job of the hospital chaplain to identify any spiritual needs of the patient
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Chapter 23: Nursing in a Culture of Violence
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Sample Questions
Q1) A nurse assesses a client and strongly suspects child abuse.What should the nurse do next?
A)Ask the child to speak to the police.
B)Report the finding to child protection authorities.
C)Provide necessary immediate care and arrange for follow-up care of the injured.
D)Tell the parents that the nurse suspects abuse.
Q2) Which is true about who perpetrates most intimate partner abuse against whom?
A)By men against other men
B)By men against women
C)By caregivers against elders
D)By adults against children
Q3) While assessing an older patient in the emergency department the nurse suspects that the patient has been abused.In which order should the nurse approach the care of this patient?
A)Review options for help
B)Provide information for services to help
C)Determine if the patient is in any danger
D)Emphasize that the patient has the right to be safe
E)Explain that the patient is not to blame for any abuse
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Page 25
Chapter 24: Advanced Nursing Education and Practice
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Sample Questions
Q1) What is a voluntary process by which an agency or an association grants recognition to a person for meeting specified qualifications?
A)Licensure
B)Entitlement
C)Certification
D)Promotion
Q2) A nurse seeking a DNP bases the decision to do so on what information? (Select all that apply. )
A)Nursing is a discipline seeking a higher body of knowledge.
B)Nursing requires the DNP to practice in an advance role.
C)Nursing is a practice requiring skill refinement.
D)Nursing licensure is regulated by each state.
E)Nursing is a practice requiring use of evidence.
Q3) Which advanced practice role uses comprehensive assessment,clinical reasoning,and differential diagnosis?
A)Nurse-midwife
B)Nurse practitioner
C)Clinical nurse specialist
D)Nurse-anesthetist
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Chapter 25: The Future of Nursing
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Sample Questions
Q1) Nurses attempting to educate patients concerning their health needs should inform the patients of their possible future,or:
A)The most likely outcome if things continue unchanged
B)What can happen if some things change
C)The most likely outcome when specific efforts are made to accomplish a desired outcome
D)The outcome that is wanted
Q2) The inability to reach consensus on the "entry into practice" preparation for nursing has caused which outcome?
A)A unified approach to professional regulation and licensure
B)Differentiated practice
C)Divisiveness among nurses with different educational preparation
D)The current nursing shortage
Q3) Nurses may use telehealth to deliver healthcare information.What does this type of nursing care delivery demonstrate?
A)Regulation by the World Health Organization
B)A production of the World Wide Web
C)Use of a health activity that involves distance
D)Promoting the public image of nursing
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