Chapter 1: The Evolution of Professional Nursing
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Q1) The Affordable Care Act of 2011:
A) requires that by 2020 all newly licensed nurses have a bachelor's degree at minimum.
B) would provide health care benefits to millions who were previously uninsurable or unable to afford insurance.
C) caps the amount that hospitals and physicians can charge for procedures.
D) subsidizes private insurance companies, thereby reducing health care costs for individuals who have chronic or catastrophic illness such as cancer.
Answer: B
Q2) The practice of public health nursing and the Henry Street Settlement are credited to:
A) Mary Breckenridge.
B) Mary Seacole.
C) Clara Barton.
D) Lillian Wald.
Answer: D
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Chapter 2: The Contemporary Image of Professional Nursing
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Sample Questions
Q1) Which nurse best portrays nursing as a "knowledge worker"?
A) Nurse in matched scrubs with lab coat, hair back, small stud earrings
B) Nurse in mismatched scrubs, no lab coat, large hoop earrings
C) Nurse in white uniform with apron with no jewelry/hair back
D) Nurse with nose ring and eyebrow piercing with starched white uniform and cap
Answer: A
Q2) Which nurse died after deliberately acquiring two bites from yellow fever carrier mosquitoes to enable her to provide care to soldiers with yellow fever during the Spanish-American War?
A) Florence Nightingale
B) Margaret Hoolihan
C) Clara Maas
D) Sairy Gamp
Answer: C
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Chapter 3: The Influence of Contemporary Trends and Issues on Nursing Education
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Sample Questions
Q1) The NCLEX examination is created and administered by the:
A) American Association of Colleges of Nursing (AACN).
B) American Nurses Association (ANA).
C) National Council of State Boards of Nursing (NCSBN).
D) National League for Nursing (NLN).
Answer: C
Q2) A person interested in employment in the health care sector has less than 1 year to pursue his or her education and wants to focus on functional aspects of patient care. He/she desires to work in a long-term facility. Which type of nursing program should this person request information about?
A) Bachelor's degree in nursing (BSN)
B) Licensed practical nurse (LPN)
C) Associate degree in nursing
D) Master's degree in nursing
Answer: B
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Chapter 4: Nursing Licensure and Certification
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Source URL: https://quizplus.com/quiz/1945
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Q1) The primary purpose of licensure for RNs is to:
A) prevent others from using the title nurse.
B) demonstrate a specialized body of knowledge.
C) protect the public.
D) enhance recognition for the profession.
Q2) Nurse practice acts:
A) are written and passed by legislators.
B) cannot be influenced by special interest groups.
C) reflect only the concerns of RNs.
D) are affected by the practice of dentists.
Q3) To ensure that nursing legislation is current and is reviewed by specific dates, if a nurse practice act fails to be reviewed, it is automatically rescinded under which law?
A) Nurse review act
B) Sunset legislation
C) Mandatory revocation
D) Grandfathering
Q4) The primary purpose of licensure is protection of the ___________.
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Chapter 5: Theories of Nursing Practice
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Source URL: https://quizplus.com/quiz/1946
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Q1) A nurse believes that humans use creativity and critical thinking to balance their connections with their surroundings. The nurse decides to conduct a study on the basis of this belief. Which nursing theory would be best for this study?
A) Peplau's interpersonal relations as a nursing process: man as an organism that exists in an unstable equilibrium
B) Roy's adaptation model: assistance with the adaptation to stressors to facilitate the integration process of the client
C) Orem's self-care deficit model: self-care, self-care deficits, and nursing systems
D) Rogers' science of unitary human beings: humans as energy fields that interact constantly with the environment
Q2) A nurse is heard making this comment, "I believe human dignity is based on perceived self-worth while caring is based on perceived role in society that forms the basis of nursing practice." This nurse is:
A) demonstrating a model of human dignity.
B) evaluating the relevance of Leininger's Theory.
C) applying Mishel's Theory of Disease Uncertainty.
D) making a proposition concerning the constructs of nursing practice.
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Chapter 6: Nursing Research and Evidence-Based Practice
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Source URL: https://quizplus.com/quiz/1947
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Q1) A nurse studied a community to determine if there were clients who would benefit from a hospice program if one were developed. This type of research is:
A) a survey.
B) quasi-experimental.
C) a needs assessment method.
D) a pilot study.
Q2) A researcher is interested in quality of life and after an extensive literature review quantitatively integrates data from identified studies and describes the findings. This researcher is using which approach? (select all that apply)
A) Survey
B) Triangulation
C) Meta-analysis
D) State of the science summary
E) Quasi-experimental design
Q3) Development and validation of the body of knowledge and foundation on which practice is based is called ____________.
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Chapter 7: Paying for Health Care in America: Rising Costs and Challenges
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Source URL: https://quizplus.com/quiz/1948
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Q1) The precise classification of clients according to the highest diagnosis-related group (DRG) has created a new role for nurses, known as a _____ nurse.
A) case management
B) quality assurance
C) utilization review
D) cost-control
Q2) A nurse is offered several health care plans as part of employee benefits. Which plan is based on a monthly fee per participant and offers a range of preventive, diagnostic, and treatment services?
A) Prospective payment system
B) Retrospective payment system
C) Single-payer system
D) Capitation
Q3) A 72-year-old client is admitted to have the right kidney removed after a diagnosis of cancer. The surgeon removed the left kidney. Medicare will no longer pay for preventable medical errors known as ____________.
Q4) The type of insurance that shifts the largest percentage of costs for goods and services to employees and consumers is _____________ insurance.
Page 9
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Chapter 8: Legal Issues in Nursing and Health Care
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Q1) A nurse is caring for a client who just suffered a stroke and is medicated for pain. The nurse completes the following interventions: places the client on the examining table, completes a thorough history and physical, covers the client with a sheet, places the call button within reach, and goes out in the hall to speak with the client's physician. The client tries to get up to speak with his family and falls, sustaining a hematoma on the head and a broken hip. The nurse's actions reflect:
A) invasion of privacy.
B) libel.
C) slander.
D) negligence.
Q2) A client arrives in active labor and exhibits toxemia with irregular fetal heart tones. The client is an immigrant and is uninsured. Which act would prevent the client from being transferred to another facility?
A) Emergency Medical Treatment and Active Labor Law
B) Health Insurance Portability and Accountability Act
C) Patient Self-Determination Act
D) The Patient Safety and Quality Improvement Act
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Chapter 9: Ethical and Bioethical Issues in Nursing and Health Care
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Source URL: https://quizplus.com/quiz/1950
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Q1) A family requests that no additional heroic measures be instituted for their terminally ill mother who has advance directives in place. The nurse respects this decision in keeping with the principle of:
A) accountability.
B) autonomy.
C) nonmaleficence.
D) veracity.
Q2) A researcher calculated the risk-to-benefit ratio and concluded that no harmful effects were associated with a survey of college sophomores. The researcher was applying the principles of:
A) beneficence.
B) human dignity.
C) justice.
D) human rights.
Q3) Practicing nurses participate in employer-sponsored professional development classes that provide case studies related to ethical situations and decision making. Ethical considerations are debated among teams, and an expert helps the class arrive at the "best practices." The nurses are experiencing ethics ______________.
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Chapter 10: Cultural Competency and Social Issues in
Nursing and Health
Care
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Source URL: https://quizplus.com/quiz/1951
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Q1) A nurse involved in researching the leading causes of death for minorities considers the federally defined minority groups, which include: (select all that apply)
A) Blacks
B) Russians
C) Hispanics
D) Asians or Pacific Islanders
E) Scandinavians
Q2) A nurse is admitting a Mexican-American child, and the mother comments that the child was exposed to mal ojo. The nurse should expect to find which symptom associated with this exposure?
A) Fever
B) Nervous tension
C) Bruising
D) Somnolence
Q3) Although communication varies among members of different cultures, the greatest obstacle to providing multicultural care is differences in _____.
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Chapter 11: Complementary and Alternative Healing
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Q1) A patient observes the practitioner burning a dried herb on the needle during an acupuncture session and asks about this practice. The practitioner responds, "I am inciting the acupuncture points and this is referred to as:
A) doshas."
B) moxibustion."
C) yoga."
D) kapha."
Q2) A nurse practices a relaxing massage technique to stimulate and apply pressure to the feet or hands, increasing blood supply circulation to various parts of the body and relieving pain. The massage technique used by the practitioner is referred to as: A) reflexology.
B) Feldenkrais method.
C) Reiki.
D) Rolfing.
Q3) The nurse caring for a patient who practices Ayurveda would assess for:
A) an increased stool osmolality gap resulting from dehydration.
B) petechiae resulting from fine-needle punctures.
C) use of over-the-counter remedies intended for intended symptom.
D) magnets strategically placed on affected joints.
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Page 13
Chapter 13: Workforce Advocacy for a Professional Nursing
Practice Environment
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Source URL: https://quizplus.com/quiz/1954
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Q1) A nurse is concerned because novice nurses are having their orientation period shortened and are being placed in charge nurse positions. The nurse has documented unsafe care and decisions by these novice nurses. To be protected from retaliation by the employer, this nurse must "blow the whistle" by:
A) holding a public forum in the agency cafeteria to discuss concerns.
B) reporting concerns to state and/or national agencies regulating the agency.
C) calling coworkers outside the workplace to informally discuss wrongdoing.
D) contacting The Joint Commission to report unsafe conditions.
Q2) The occupational health and safety nurse would like to develop programs designed to decrease mortality and morbidity among the workforce. When considering factors related to mortality among health care workers, the nurse should focus efforts on prevention of:
A) suicide.
B) violence related injury.
C) bloodborne disease.
D) ergonomic hazards.
Q3) Nurses who are expected to work overtime as dictated by their employer are being subjected to a ___________ hazard in the workplace.
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Chapter 14: Collective Bargaining and Unions in Todays Workplace
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Q1) It is important to realize that nurses may seek unionization if: (select all that apply)
A) physicians rotate on-call coverage among group members for complicated long-term clients.
B) scheduling is presented that provides adequate staffing on holidays by rotation of time off for holidays among nurses.
C) incident report trends indicate medication errors are caused by shift reports being taped and heard after nurses from the prior shift have left the unit.
D) physicians, nurses, nutritionists, and physical therapists visit concurrently with clients to plan care.
E) staff development activities are planned daily at 8 AM for 2 consecutive days to educate staff on new cardiac monitoring procedures while following normal staffing patterns.
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Chapter 15: Information Technology in the Clinical Setting
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Source URL: https://quizplus.com/quiz/1956
Sample Questions
Q1) A nurse walks up to a computer in the hallway and presses the index finger to the sensor, thereby gaining access to patient data. A few moments later another nurse performs the same steps and is granted access. A visitor who is watching from a room walks over and places the index finger on the sensor, only to receive an "error and access denied" message. Security is being maintained by:
A) robot technology.
B) biometric technology.
C) telehealth.
D) ubiquitous computing.
Q2) The Institute of Medicine (IOM) (2003) recommends that EHR systems offer eight functionalities. A patient has a severe allergy to eggs and penicillin. Which of the eight functions of the EHR would address sharing this information?
A) Health information and data capture
B) Results/data management
C) Provider order entry management
D) Clinical decision support
Q3) Software programs that process data to produce or recommend valid choices are known as ______________.
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Chapter 16: Emergency Preparedness and Response for
Todays World
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Source URL: https://quizplus.com/quiz/1957
Sample Questions
Q1) When teaching community preparedness for a community group, the nurse explains that components of the National Disaster Medical System (NDMS) provide for: (select all that apply)
A) a nationwide bomb disposal squad team for the rapid removal of explosive devices.
B) teams of health care providers who are experts and have specialized supplies and equipment.
C) structures for patient evacuation from the disaster area to an unaffected area.
D) arrangements for hospitalization in federal and volunteer nonfederal acute care hospitals.
E) providing mental health care for the community, for victims, and for health care providers.
Q2) The emergency preparedness term that is used to describe the process of limiting the emergency situation within a well-defined area is ___________.
Q3) The term used during a pandemic disaster that refers to the attempt to contain germs by limiting socialization and personal interactions is ___________.
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Chapter 17: Nursing Leadership and Management
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Source URL: https://quizplus.com/quiz/1958
Sample Questions
Q1) A nurse asks, "What is meant by 'internal' customers?" The correct response is: (select all that apply)
A) insurance companies
B) accreditors such as The Joint Commission
C) X-ray technicians
D) clinical pharmacist
E) chief financial officer
Q2) A manager just finished the last annual performance review of the staff, reviews the unexpected expenditures for the month due to use of agency nurses, and shares the latest quality indicators with the staff nurses. This manager is performing which management function?
A) Directing
B) Planning
C) Organizing
D) Controlling
Q3) One difference between a leader and a manager is that a:
A) leader has legitimate authority.
B) manager motivates and inspires others.
C) manager focuses on coordinating resources.
D) leader focuses on accomplishing goals of the organization.
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Chapter 19: Effective Communication and Conflict Resolution
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Q1) During height and weight assessments at a school's health fair, a child admits to drinking a cup of coffee with his mother every morning, and another child reports enjoying a morning cup of coffee on the commute to school. These two children are both below average on the height chart, and the nurse states, "Drinking coffee stunts a child's growth." This logical fallacy is referred to as:
A) appeal to common practice.
B) confusing cause and effect.
C) ad hominem abusive.
D) red herring.
Q2) The healthiest form of communication is the ________ style.
Q3) Which statement accurately describes communication?
A) The components of communication are mutually exclusive.
B) Communication is linear.
C) Communication involves only the sender and the receiver; everything else is superficial.
D) When the receiver becomes the sender, the subcomponent of communication that is in use is feedback.
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Chapter 20: Effective Delegation and Supervision
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Q1) A nurse is concerned about the risk of delegating tasks to licensed practical nurses and unlicensed assistive personnel. What is the best way for the nurse to determine competency of an inexperienced delegatee?
A) Actually observe the delegatee perform the assigned task.
B) Ask the delegatee how many times he/she has performed the task.
C) Ask the patient if the care provided was satisfactory.
D) Ask other nurses if they feel the delegatee is competent.
Q2) The RN instructs the LPN to "Give an enema to the patient in room 327 who is being discharged but is complaining of being constipated. Then be sure to document on the medication administration record when given." Which of the five rights was missing in this situation? The right of:
A) direction and communication.
B) task.
C) person.
D) circumstances.
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Chapter 21: Staffing and Nursing Care Delivery Models
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Q1) rNurses on a unit provide personal hygiene, administer medications, educate the patient and family about treatments, and provide emotional support. These nurses provide patient care based on which nursing delivery system?
A) Total patient care
B) Partnership nursing
C) Team nursing
D) Functional nursing
Q2) A nurse manager is mentoring a novice nurse manager in determining staffing needs. The mentor explains, "We must determine the acuity level of the patient by:
A) assessing patient satisfaction with nursing care."
B) quantifying the amount and intensity of care required."
C) examining the skill mix and educational preparation of the staff."
D) determining the number of hospital days required by the patients."
Q3) Customer satisfaction is primarily based on:
A) access to modern, up-to-date facilities.
B) availability of an extensive menu selection.
C) personal interactions with employees.
D) having to undergo fewer invasive procedures.
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Chapter 22: Quality Improvement and Patient Safety
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Source URL: https://quizplus.com/quiz/1963
Sample Questions
Q1) Institute for Healthcare Improvement (IHI) proposed a process for quality improvement with steps known as "PDCA." When explaining the steps to a group of nurses interested in improving the process of medication reconciliation for heart failure patients with high rates of recidivism, the instructor states:
A) P stands for process. Following a top-down flowchart provides the steps for reviewing patient medications taken at home compared to those prescribed during hospitalization.
B) D stand for deviation, which is an alteration in the expected drugs ordered.
C) C is for check if the process for change worked. Was there an improvement in accurate reconciliation? And what was learned? A stands for algorithm, which includes all steps of the process.
D) A stands for algorithm, which includes all steps of the process.
Q2) A nurse is preparing to administer a medication by using the vastus lateralis site and is unfamiliar with the process. A step-by-step reference that shows how to complete the process is called a:
A) deployment flowchart.
B) top-down flowchart.
C) Pareto chart.
D) control plot.
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Page 24
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Source URL: https://quizplus.com/quiz/1964
Sample Questions
Q1) Another name for an eligible voter is a _________.
Q2) A nurse would like to obtain background information and learn the political platform of a candidate who is running for national office. The nurse should contact the:
A) National Registry for Candidates.
B) American Nurses Association Nurses Strategic Action Team (N-STAT).
C) National League of Nurses.
D) National Council of State Boards of Nursing.
Q3) A nurse who is interested in graduate school wants to learn about recently passed legislation regarding changes in Medicare reimbursement for care provided by clinical nurse specialists. The best source for information on changes in federal programs is the ________________.
Q4) When the policy process is compared with the nursing process, identifying the issue is consistent with which step of the nursing process?
A) Assessment
B) Diagnosis
C) Planning
D) Implementation
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Chapter 24: Making the Transition from Student to Professional Nurse
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Source URL: https://quizplus.com/quiz/1965
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Q1) In orientation, a new graduate is surprised to learn of workplace violence in health care agencies and asks, "What kind of violence is common in hospitals?" The educator describes workplace violence as: (select all that apply)
A) care of patients admitted who are victims of domestic violence.
B) experienced nurses withholding pertinent information from coworkers to portray them as incompetent.
C) coworkers participating in an employee assistance program (EAP) to learn more about anger management for adult children living at home.
D) care of persons being held for treatment prior to be incarcerated for committing homicide.
E) statements such as "The new nurse has book sense but can't perform an admission physical without the help of everyone on the unit."
Q2) Which nurse is more prone to burnout? The nurse who:
A) graduated last in the class.
B) is industrious and conscientious.
C) refuses to work an extra shift even though he or she needs the money.
D) volunteers to serve on only one committee and keeps in touch with schoolmates.
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Page 26
Chapter 25: Managing Time: The Path to High
Self-Performance
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21 Verified Questions
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Source URL: https://quizplus.com/quiz/1966
Sample Questions
Q1) When choosing to delegate, the nurse should delegate the task to the most qualified person or to the person he or she wishes to:
A) develop.
B) promote.
C) punish.
D) reward.
Q2) A nurse realizes that much time is wasted during shift report when coworkers discuss personal items such as recent movies or department store sales. Which statement would help with time management during this critical interaction?
A) "Let's talk only about one movie you recently watched."
B) "I like to know about department store sales, but we need to get through this report, so let's talk about sales as we walk between patient rooms."
C) "I know your shift has been busy. What went wrong?"
D) "I have the list of patients; let's start with revisions to the plan of care and scheduled activities for the next shift."
Q3) The most important step in time management is ____________.
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Chapter 26: Contemporary Nursing Roles and Career
Opportunities
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24 Verified Questions
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Source URL: https://quizplus.com/quiz/1967
Sample Questions
Q1) A nurse researcher is attempting to describe the demographics of today's RNs and reports that:
A) less than half of all RNs work in hospital settings.
B) the average age for an RN is 50 years.
C) approximately 25% of RNs are male.
D) most RN are practicing with a bachelor's degree.
Q2) The nurse who organizes screenings for employees, assesses the work environment for hazards, and teaches health-promoting activities is employed in the field of:
A) infection control.
B) occupational health.
C) informatics.
D) transportation specialization.
Q3) An RN testifies at a trial where domestic violence is being investigated. She had previously assisted with specimen collection and had assessed the victim. The nurse is involved in _____ nursing.
A) triage
B) forensic
C) flight
D) entrepreneurial
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Chapter 27: Job Search: Finding Your Match
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Source URL: https://quizplus.com/quiz/1968
Sample Questions
Q1) Cover letters:
A) should signify an interest in the employer and let the employer know that you took time to research the organization.
B) must be handwritten so the employer can determine whether charting will be legible.
C) should be limited to one paragraph because time is of the essence.
D) let the employer know your desired salary, shift, and area of practice.
Q2) A potential applicant reviews the application process and learns that preemployment physicals often include:
A) cholesterol screening.
B) pregnancy testing.
C) urine drug screening.
D) vision and hearing tests.
Q3) When should a follow-up letter be written to a recruiter?
A) Before the interview to thank him or her for granting you the interview
B) Approximately 2 weeks after you did not get the job to inquire
C) A few days after the interview
D) When you are sure you got the position
Q4) The key to a successful interview is being ____________.
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Chapter 28: The NCLEX-RN Examination
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21 Verified Questions
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Source URL: https://quizplus.com/quiz/1969
Sample Questions
Q1) "A patient with end-stage renal disease has a potassium level of 7.5 mEq/L. Based on this laboratory result, the nurse interprets which symptom as significant prompting which action?
A) Drowsiness, stimulate the patient every 30 minutes
B) Confusion, ask the patient to state their name and date of birth
C) Irregular heartbeat, evaluate the patient's capillary refill
D) Muscle cramps, elevate the affected limb"
Q2) Computerized adaptive testing implies that:
A) the candidate must be computer literate.
B) competency is determined on the basis of difficulty of questions, knowledge of the nursing process, and the number of questions answered correctly.
C) testing facilities have been adapted for the physically challenged candidate.
D) questions cannot be adapted to the needs of the student.
Q3) The length of the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination is based on the:
A) last four numbers of the candidate's social security number.
B) location of testing.
C) candidate's educational preparation.
D) performance of the candidate.
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