Foundations of Nursing Practice
Textbook Exam Questions
Course Introduction
Foundations of Nursing Practice introduces students to the fundamental knowledge and skills essential for professional nursing care. This course covers core concepts such as the nursing process, patient-centered care, safety, communication, ethics, and critical thinking. Emphasis is placed on the development of basic clinical skills, assessment techniques, and understanding the role of the nurse within interdisciplinary healthcare teams. Students will also explore health promotion, legal frameworks, and the importance of cultural sensitivity in nursing. Through a combination of theoretical instruction and practical experiences, learners are prepared to deliver holistic, evidence-based nursing care to diverse patient populations.
Recommended Textbook
Professional Nursing Concepts and Challenges 7th Edition by Beth Black RN MSN PhD
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16 Chapters
415 Verified Questions
415 Flashcards
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Chapter 1: Nursing Today: A Time of Transformation
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) One important advantage of clinical ladder programs for hospital-based RNs is that they
A) allow career advancement for nurses who choose to remain at the bedside.
B) encourage nurses to move into management positions in which they can influence patient care on a broader scale.
C) encourage RNs to become politically active and guide the profession of nursing.
D) provide training to staff nurses so they can move seamlessly across departments.
Answer: A
Q2) CNSs may (Select all that apply.)
A) manage an inpatient nursing unit.
B) develop educational programs for nursing staff.
C) conduct practice outcomes research.
D) prescribe medications for common illnesses.
E) attend or assist in the delivery of low-risk newborns.
Answer: A, B, C
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Chapter 2: The History and Social Context of Nursing
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) The diversity of the population entering the health care system is a challenge for nurses because
A) the portion of minorities in nursing is greater than the portion of minorities in the general population.
B) educators are culturally competent leaders for nurses and students.
C) lessons about culture and cultural differences are not part of progressive education programs.
D) ethnic minority group nurses are approximately 12% of nurses.
Answer: D
Q2) To which early nursing leader is attributed the founding of the American Red Cross?
A) Clara Barton
B) Dorothea Dix
C) Florence Nightingale
D) Lavinia Lloyd Dock
Answer: A
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Chapter 3: Nursing's Pathway to Professionalism
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) The document that provides professional standards and a framework for professional decision making that ensures decisions are made with the highest integrity is the
A) Nurse Practice Act.
B) Code of Ethics.
C) Nursing's Social Policy Statement.
D) bylaws of the American Nurses Association (ANA).
Answer: B
Q2) Which of the following characteristics of a profession were listed in Flexner's work on professions?
A) Activities of professions are more physically than intellectually oriented.
B) Activities of professions are based on their own body of knowledge.
C) Beliefs of professions are more theoretical than practical.
D) Beliefs and traditions are handed down from generation to generation.
Answer: B
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5
Chapter 4: Legal Aspects of Nursing
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) What is the primary function of the National Council of State Boards of Nursing (NCSBN)?
A) Overseeing decisions made by state boards of nursing
B) Developing the NCLEX-RN and NCLEX-PN licensing examinations
C) Administering the NCLEX examination at testing centers
D) Overseeing granting licensure by endorsement
Q2) Which patient rights are guaranteed by HIPAA?
A) Patients are asked to sign a release of responsibility if their health care records inadvertently become a matter of public record.
B) Patients sign a release protecting the health care provider and insurance company against computer file theft.
C) Patients are protected against medical records being indiscriminately shared.
D) Patients may receive a complete copy of their medical records at no cost.
Q3) Which of the following puts the nurse at increased risk for legal action?
A) Delegating a Foley catheter insertion to a LPN/LVN
B) Documenting the exact words a patient uses when complaining.
C) Not assessing a patient who is complaining of pain
D) Caring for a postoperative patient who has a pulmonary embolus while being transferred to the chair
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Page 6
Chapter 5: Ethics: Basic Concepts for Nursing Practice
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Which of the following situations is an example of moral distress?
A) You hear nurses in the lounge making off-color jokes about a patient. You are afraid to speak up for fear of retaliation.
B) You have been late for work a couple of times in the last 2 weeks, and your co-workers are covering for you.
C) You become romantically involved with a co-worker, which is against the unit policy, so you resign your position.
D) You purposefully use vague language when explaining a patient's condition to the family. Staff expects that the patient may be brain-dead, but test results are not yet conclusive.
Q2) Which of the following ethical theories is illustrated by the example of triage in disaster nursing?
A) Deontology
B) Principalism
C) Utilitarianism
D) Virtue ethics
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Chapter 6: Becoming a Nurse: Defining Nursing and
Socialization into Professional Practice
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which of the following is an example of Orem's self-care theory?
A) Assuring proper fresh air and ventilation
B) Demonstrating good handwashing techniques
C) Assisting a disoriented patient with a bath
D) Performing a visual screening exam
Q2) Which early nursing theorist defined nursing in interpersonal terms by stating that nursing is a significant, therapeutic, and interpersonal process?
A) Virginia Henderson
B) Hildegard Peplau
C) Martha Rogers
D) Dorothea Orem
Q3) A mother asks the nurse if her 5-year-old can visit his twin brother in the PICU after cardiac surgery. The nurse knows that hospital policy states that children younger than 12 years of age are not allowed to visit the PICU. The nurse grants the request. This illustrates which of Benner's stages of nursing proficiency?
A) Advanced beginner
B) Competent practitioner
C) Proficient practitioner
D) Expert practitioner
Page 8
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Chapter 7: The Education of Nurses: On the Leading Edge of Transformation
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Florence Nightingale established a school of nursing based on which of the following innovative principles? (Select all that apply.)
A) The nursing school should be affiliated with a teaching hospital but independent of it.
B) Professional nurses should be paid for their instruction in the school.
C) Students should be selected to create a diverse student body.
D) The curriculum should include theory and practical experience.
E) Nurses should be trained in privately funded educational institutions.
Q2) The Goldmark Report focused on what aspect of nursing?
A) Consistency in length of nursing education programs
B) Consistency in theory content across diploma programs
C) Desirability of establishing schools of nursing within academic settings
D) Increasing numbers of physicians teaching in nursing programs
Q3) The 1948 Brown Report recommended which of the following?
A) Limit enrollment of men and minorities in nursing programs.
B) Students admitted to nursing programs should not be required to meet admission requirements of the university.
C) Schools of nursing should be associated with teaching hospitals.
D) Schools of nursing should be located in institutions of higher learning.
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Chapter 8: Critical Thinking, the Nursing Process, and Clinical Judgment
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A patient is admitted with asthma. The nurse's assessment finds a temperature of 99° F, wheezing, speaking in three-word phrases, and respiratory rate of 16 breaths per minute. Which of the following are the best defining characteristics to support the diagnosis of ineffective airway clearance related to inflammation and constriction of the bronchial tree?
A) Elevated temperature and respiratory rate
B) Diagnosis of asthma with wheezing
C) Wheezing and speaking in three-word phrases
D) Limited vocalization and fever
Q2) Which of the following is a correctly stated nursing diagnosis?
A) Fluid volume deficit
B) Hypovolemia related to vomiting
C) Fluid volume deficit related to vomiting as evidenced by increased heart rate and decreased urine output
D) Hypovolemia related to nausea as evidenced by restlessness and anxiety
Q3) In the nursing process, the evaluation phase is used to determine the
A) value of the nursing intervention.
B) accuracy of problem identification.
C) the quality of the plan of care.
D) degree of outcome achievement.
Page 10
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Chapter 9: Communication and Collaboration in Nursing
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) Context is one of the five major elements of communication identified by Ruesch. Which of the following is part of the context of communication?
A) Information about the sender
B) Attitude of the receiver
C) Response of the receiver
D) Content of the message
Q2) A patient is being discharged from the hospital. Which statement by the nurse is appropriate for the termination phase of the nurse-patient relationship?
A) "You must be happy to be going home. Here are the written diet and medication instructions."
B) "It has been wonderful getting to know you. The best of luck when you get home."
C) "During the past 3 days, you have learned how to inject insulin and how to make appropriate food choices. Remember that you have the unit telephone number if you have any questions."
D) "You have done well learning a lot of new material and should be able to do well at home."
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Chapter
Families, and Nurses
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) Which statement about acute illness is true?
A) Most people with acute illness develop chronic illness.
B) Most people with acute illness return to their previous level of wellness.
C) All people with an acute illness need medical care.
D) Acute illnesses are usually catastrophic in nature.
Q2) Which of the following is an appropriate intervention for the nursing diagnosis of spiritual distress?
A) Never pray with patients or share readings that can have a religious connection.
B) Inform patients of the prevalent religious beliefs that exist in the locale where they are being treated.
C) Consider patients' religious beliefs when planning care.
D) Reassure patients that they should not blame God for their illness.
Q3) Which illness has the characteristics of an acute illness?
A) Exercise-induced asthma
B) Type 2 diabetes
C) Influenza
D) Cleft palate
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Page 12
Chapter 11: The Science of Nursing and Evidence-Based Practice
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Quantitative research methods may be somewhat less useful in nursing because of which of the following? (Select all that apply.)
A) Qualitative methods are the preferred method to study nursing phenomena.
B) Nursing ethics require more stringent controls than are required by quantitative methods.
C) Many phenomena of interest to nurses are not amenable to study in tightly controlled circumstances.
D) The complexity of human beings makes it difficult to break problems into statements that can be tested.
E) Patient perceptions of experiences may have significant effects on their health behaviors.
Q2) Evidence-based nursing practice involves which of the following? (Select all that apply.)
A) The use of the best evidence available supporting the interventions
B) The use of randomized controlled trials only versus qualitative studies
C) The expertise of the professional nurse
D) Resources to identify practices that have traditionally been used in nursing practice
E) The preferences of the individual patients and their families
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Chapter 12: Conceptual and Philosophical Bases of Nursing
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Which of the following is true of Maslow's basic need of self-actualization?
A) Once self-actualization is achieved, it is never lost.
B) Elderly people outgrow the need for self-expression and self-development.
C) Most people achieve self-actualization after all other needs are met.
D) People use their abilities to the fullest extent possible and are true to their nature.
Q2) Which of the following describes one of the five levels of human needs identified by Maslow?
A) Equilibration
B) Love and belonging
C) Growth and development
D) Adaptation
Q3) An 18-month-old child has been in three foster homes within the past 9 months. When the child is seen for a well-child visit, the nurse notices the child vigilantly watches everyone. This child may not have which of Maslow's basic needs met?
A) Basic physiologic needs
B) Safety needs
C) Love and belonging needs
D) Self-actualization
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14
Chapter 13: Nursing Theory: The Basis for Professional Nursing
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) Which of the following best describes the meaning of the term "theory"?
A) A set of beliefs about the nature of how things work and how the world should be viewed
B) A group of related concepts, definitions, and statements that describe a certain view of nursing phenomena from which to describe or predict outcomes
C) An organizational structure that outlines concrete connections between concepts
D) Statements that describe linkages between concepts and propose a testable outcome
Q2) Which of the following human needs was not included in Henderson's 14 basic needs of patients?
A) Need for work
B) Sleep and rest
C) Spirituality
D) Sexuality
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Chapter 14: Health Care in the United States
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) A contributing factor to health care disparities may be
A) genetic factors.
B) provider bias.
C) standard treatment options.
D) diagnostic differences.
Q2) Which of the following is a responsibility of many health care agencies' chief executive officers (CEOs)?
A) Managing the budgets of each department in the agency
B) Recruiting and hiring of staff
C) Overall operation of the agency on a daily basis
D) Establishing policies governing the operation for the agency
Q3) Which care delivery model uses critical pathways and continuous quality improvement to guide care practices?
A) Managed care
B) Primary care
C) Case management
D) Care redesign
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