Introduction to Nursing Practice
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Course Introduction
Introduction to Nursing Practice provides students with a foundational understanding of the roles and responsibilities of professional nurses within healthcare settings. The course explores essential nursing concepts such as patient-centered care, health promotion, ethical and legal considerations, and interprofessional collaboration. Through a blend of theoretical knowledge and practical skills, students learn basic assessment techniques, communication strategies, and evidence-based interventions, preparing them to deliver safe and compassionate care to diverse populations. Emphasis is placed on developing critical thinking, cultural competence, and a commitment to lifelong learning as integral components of nursing practice.
Recommended Textbook
LPN to RN Transitions 4th Edition by Lora Claywell
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18 Chapters
345 Verified Questions
345 Flashcards
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Chapter 1: Honoring Your Past, Planning Your Future
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) The RN is talking with the unit manager about ways to improve patient care. The manager introduces the concept of a cohort. Which statement by the RN indicates that the teaching has been effective?
A) "A cohort is a web of connections".
B) "A cohort is a group of people who share common experiences with each other".
C) "A cohort is a group linked together for common purposes".
D) "A cohort consists of groups of individuals that make up a whole".
Answer: B
Q2) A nursing advisor is meeting with a student who is interested in earning her RN degree. She knows that licensed practical nurse/license vocational nurse (LPN/LVNs) who enter nursing school to become RNs come into the learning environment with prior knowledge and understanding. Which statement by the nursing advisor best describes her understanding of the effect experience may have on learning?
A) "Experience may be a source of insight and motivation, or a barrier."
B) "Experience is usually a stumbling block for LPN/LVNs."
C) "Experience never makes learning more difficult."
D) "Once something is learned, it can never be truly modified."
Answer: A
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Chapter 2: Assessing Yourself and Designing Success
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A group of nursing students is discussing how their lives have changed since beginning nursing school. The student who understands the second step of holistic cognitive theory for stress reduction recognizes which comments as descriptive of automatic thoughts? (Select all that apply.)
A) "My lab instructor doesn't like me. I had to repeat my cardiac assessment when no one else did."
B) "After studying for hours, I finally remembered all the steps to insert a Foley catheter. I will use this method again."
C) "My child is having behavioral issues in preschool. I know it is because I am in school right now."
D) "Right after I turned in my test I knew there were at least two answers that I should have changed. I know I failed the test."
E) "Everything is falling apart in my life. I never should have come to school."
Answer: A, C, D, E
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Chapter 3: Study Habits and Test-Taking Skills
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A student is studying for an upcoming test. She has read the assigned text once and is now ready to highlight. Which actions by the student indicate that she understands how to highlight? (Select all that apply.)
A) Uses circles to highlight key words or phrases
B) Draws an asterisk next to an important paragraph or sentence
C) Underlines sentences of importance
D) Draws squares around words for emphasis
E) Marks a section with a star for future reference
Answer: A, B, C, E
Q2) A first semester student is struggling in class and did not do well on her last exam. She has determined the problem to be her lack of skill in note taking. What can the student do in order to take more effective notes during lecture?
A) Focus on writing key words and phrases.
B) Photocopy someone else's notes.
C) Write verbatim all that is said.
D) Practice memorization in class instead of taking notes.
Answer: A
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Page 5
Chapter 4: Distinguishing the RN Role from the LPN/LVN Role
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Sample Questions
Q1) A student in an LPN to RN transition program is at the clinical site, monitoring the vital signs of a patient receiving blood. At 15 minutes into the infusion, the patient begins to complain of itching and shortness of breath. It is evident that the student nurse is developing critical thinking skills when she does which of the following?
A) Stops the infusion, calls for the patient's nurse, and reports a possible reaction to the blood.
B) Calls for the patient's nurse and asks whether she can slow the infusion down.
C) Continues with routine monitoring and reports the patient's condition as unremarkable.
D) Calls for the patient's nurse and asks whether she can speed up the infusion to deliver the blood faster.
Q2) The student is studying the history of nursing education. She is able to identify which nursing degree program as the first one in the United States for RNs?
A) Associate's degree
B) Bachelor's degree
C) Diploma degree
D) Master's degree
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Chapter 5: Using Nursing Theory to Guide Professional Practice
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Sample Questions
Q1) Which statement by a nurse reflects an accurate understanding of systems theory?
A) "My patient has anemia reflected by low RBC, Hgb, and Hct values, so I have to monitor for fatigue, dyspnea, and tachycardia."
B) "It is my responsibility to provide my patients with basic human needs including food, water, and sleep."
C) "Would you like me to call the chaplain for you to discuss your feelings about your upcoming surgery?"
D) "My patient's daughter makes all decisions and living arrangements for my patient such as reserving a home health aide and Meals on Wheels during the week."
Q2) Select the scientific theory used in several nursing theories to explain the following scenario: One nurse, whose adult son died in the ER 11 years ago, contends that she can never walk into a hospital again and quits her job. A second nurse, whose husband died in the hospital, continues to work her shifts responsibly and compassionately without incident.
A) Role theory
B) Adaptation theory
C) Developmental theories
D) Systems theory
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Chapter 6: Providing Patient-Centered Care Through the Nursing Process
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The nurse reviews assessment findings for assigned patients. Based on this information, which patient demands the nurse's immediate attention? The patient with
A) renal failure on dialysis whose WBC is 10,000 mm3 (normal).
B) abdominal aneurysm whose blood pressure is 170/90.
C) atrial fibrillation whose lab results show and INR of 2.5 (normal).
D) endocarditis who has a loud heart murmur.
Q2) Which nursing diagnosis would be a priority for a patient in acute respiratory distress?
A) Pain
B) Reduced gas exchange
C) Reduced stamina
D) Need for health teaching
Q3) Errors may occur with the use of data in formulating an appropriate nursing diagnosis. Based on what you know, which of the following represents the main source of errors in the nursing diagnosis process?
A) Making assumptions without supporting data
B) Placing data in incorrect categories
C) Not validating data with the patient
D) Relying on team members for data
Page 8
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Chapter 7: Critical and Diagnostic Thinking for Better Clinical Judgment
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The nurse has received a change-of-shift report about these four patients. Which one should the nurse plan to assess first?
A) A 23-year-old patient with cystic fibrosis who has pulmonary function testing scheduled in 30 minutes.
B) A 35-year-old patient who was admitted the previous day with bacterial pneumonia and has a temperature of 100.2°F.
C) A 46-year-old patient who is complaining of dyspnea after having a thoracentesis 1 hour previously.
D) A 77-year-old patient with TB who has four antitubercular medications due in 15 minutes.
Q2) Each element of the nursing process involves critical thinking. Which definition of assessment reflects critical thinking?
A) Correctly and completely documenting the assessment data on a form
B) A process of discovery and decision-making about the nature of the patient's needs
C) Using a systematic approach to ensure comprehensive collection of assessment data
D) Selecting the most accurate NANDA-I nursing diagnosis for the patient
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Page 9
Chapter 8: Practicing Evidence-Based Decision Making
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which statement reflects an important principle to be applied by the nurse who is developing a relevant clinical question regarding a specific patient concern, using PICO?
A) The type of question will determine which resources to access.
B) A systematic approach determines which questions will be asked.
C) The clinical question is formulated at the conclusion of the literature search.
D) Background questions are identified at the conclusion of the literature search.
Q2) If you had access to the following databases for your research, which would you choose to review clinical trials on effective smoking cessation therapies?
A) The Cochrane Library
B) HealthStar
C) Medline
D) InfoPOEMS
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Chapter 9: Communicating With Patients and Co-Workers
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The nursing student addresses an 86-year-old patient by his first name at their initial meeting. To the patient, this behavior
A) is a sign of the nursing student's empathy for the patient.
B) could be interpreted as a lack of respect on the part of the student.
C) clearly indicates that the student feels comfortable working with the patient.
D) indicates that the student is establishing firm boundaries for the relationship.
Q2) The RN is documenting the patient's complaint of pain rated 6 on a scale of 0 to 10. Which chart entry would be the most appropriate, if made by the nurse?
A) Pt. complaining of pain. MD notified.
B) Pt complaining of pain rated at 6 on a scale of 0-10, states "My left leg is really hurting." Pt. grimacing, voice elevated. MD notified.
C) Pt. complaining of pain rated at 6 on a scale of 0-10. Appears to be in pain. MD notified.
D) Pt. complaining of pain rated 6. Wants more pain medication; appears to be drug-seeking. MD notified.
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11
Chapter 10: Teaching Patients and Their Families
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Sample Questions
Q1) A home health nurse is teaching a patient about a new medication he will be starting in the morning. The patient lives with his son's family, including two spirited children less than 6 years old. The patient replies, "I just can't learn new information like I used to." The nurse will plan to
A) schedule the patient for daily visits for medication administration.
B) provide privacy and minimize distractions and noise and try again.
C) teach the patient's family members to give the medications.
D) tell the patient it is not safe to take the medication independently.
Q2) Which example demonstrates the principle that all adults learn best from and in relation to their experiences?
A) Teaching the attitude of personal responsibility for health care
B) Showing a patient newly diagnosed with diabetes the similarities between an insulin syringe and a 3-cc syringe
C) Refraining from teaching two skills at one time
D) Showing the patient how the current hand washing procedure he is now learning is like the hand washing he has always done
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Chapter 11: The Nurses, Ideas, and Forces That Define the Profession
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) The nurse is listening to a lecture on Florence Nightingale. Which statement indicates that the teaching has been effective?
A) "Nursing is defined as doing as much as possible for each patient."
B) "Nursing involves helping the patient restore health and prevent disease or injury."
C) "Nursing is management of the patient and control of the environment."
D) "Nursing is focused solely on care of the sick patient."
Q2) Based on what you know, what events would you select to show the contributions that Isabel Hampton Robb made to nursing? (Select all that apply.)
A) Established a visiting nurse service
B) Reduced student working hours
C) Wrote a book on the history of nursing
D) Promoted licensure exams
E) Fought for women's rights and the right to vote
Q3) What is the function of Continuous Quality Improvement?
A) To improve staff compliance with training
B) To assist staff in building on nursing skills
C) To assess patient care, from admission to discharge
D) To improve collaboration of staff
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Chapter 12: Upholding Legal and Ethical Principles
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) A nurse is working in the surgical recovery unit and is caring for a patient who is still under anesthesia. She notes that the patient's oxygen level is 82% on room air. What would the nurse be guilty of if she were to withhold oxygen from this patient?
A) Commission of an act
B) Nothing, because the patient will naturally recover from the anesthesia
C) Professional negligence
D) Assault and battery
Q2) The RN is listening to a lecture on malpractice. Which statement indicates that the teaching has been effective?
A) "The elements that must be present to prove malpractice are: duty, breach of duty, actual injury and insurance."
B) "The elements that must be present to prove malpractice are: duty, breach of duty, actual injury and battery."
C) "The elements that must be present to prove malpractice are: duty, breach of duty, actual injury and intent."
D) "The elements that must be present to prove malpractice are: duty, breach of duty, actual injury and causation."
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Page 14
Chapter 13: Care and Safety Standards, Competence, and Nurse Accountability
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) The nurse is working on a busy cardiac floor. While preparing medications, the nurse is interrupted by a co-worker, who has a question about another patient. After administering the medication, the nurse realizes that she gave the medication to the wrong patient. Which action by the nurse would indicate accountability?
A) Shifting blame to the co-worker who interrupted her
B) Attempting to hide the medication error to avoid getting into trouble
C) Accepting partial responsibility for her own actions
D) Taking responsibility for her own actions and interventions by immediately assessing the patient and reporting the error to a physician
Q2) A nurse manager wants to assess quality of care over the last 6 months for her unit. How could the nurse manager best accomplish this?
A) Interview each nurse about the patients on the unit for the last 6 months.
B) Review the results of patient satisfaction surveys.
C) Obtain charts from medical records for all of the patients.
D) Ask the nurses to perform discharge phone calls on previous patients.
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Page 15
Chapter 14: Leading, Delegating, and Collaborating
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) While talking with the nursing supervisor, a graduate RN expresses frustration that a Mexican American client always has several family members at the bedside. The most appropriate action by the nursing supervisor to help the graduate RN become a patient advocate is to
A) ask about the graduate RN's personal beliefs about family support during hospitalization.
B) remind the graduate RN that this cultural practice is important to the family and the patient.
C) suggest that the graduate RN ask family members to leave the room during patient care.
D) have the graduate RN explain to the family that too many visitors will tire the patient.
Q2) A charge nurse and staff nurse are in disagreement over the team assignment for the shift that is about to begin. What is the charge nurse's best first step to resolving the conflict collaboratively?
A) Determine the shared goal.
B) Open a respectful dialogue to bring forth each point of view.
C) Design a plan to meet the shared goal.
D) Determine the roles of those involved in the plan.
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Chapter 15: Promoting Healthful Living in the Primary Care Setting
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) After the nurse implements diet instruction with a patient with heart disease, the patient can explain the information but fails to make the recommended dietary changes. The nurse's evaluation is that
A) learning did not occur because the patient's behavior did not change.
B) the nursing responsibility for helping the patient make dietary changes has been fulfilled.
C) choosing not to follow the diet is the behavior that resulted from the learning.
D) the teaching methods were ineffective in helping the patient learn the dietary information.
Q2) Healthy People 2020 is a
A) new global action plan to prevent and treat disease.
B) prevention agenda for the nation.
C) national effort to improve lives of US citizens.
D) set of national health mandates.
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Chapter 16: Managing Care in Secondary and Tertiary
Health Care
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14 Verified Questions
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Sample Questions
Q1) A stroke patient has been discharged from the hospital and requires care at home. Family support includes the patient's husband and one adult child who lives 90 minutes away with her family, who helps as often as possible. The husband has had to miss work often and has stopped playing golf weekly to care for his wife. What tertiary care service may be a benefit not only to the family members but to also the patient?
A) Home health care
B) Respite care
C) Hospice care
D) Extended care
Q2) In what way(s) do clinical pathways help nurses to manage patient care? (Select all that apply.)
A) Evaluate long-term care facilities.
B) Enable consistently safe care.
C) Manage the resources of the health care facility.
D) Define standard assessment data and frequency for data collection.
E) Review patient charts for quality improvement opportunities.
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18
Chapter 17: Reflecting on Your Transition
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Sample Questions
Q1) The nurse asks a hospitalized patient to sign the operative consent. The patient tells the nurse, "I do not really understand what is involved in the surgery." The nurse should
A) postpone the consent form signing and notify the operating room that the anesthesiologist needs to discuss the surgery with the patient.
B) explain what the planned surgical procedure entails before having the patient the sign the consent form.
C) have the patient sign the form and ask the health care provider to visit the patient before surgery to explain the procedure further.
D) delay the patient's signature on the consent form and notify the surgeon that the informed consent process is not complete.
Q2) Which of the following is an example of an anxiety-causing situation below that is potentially caused by a role transition from licensed practical nurse/license vocational nurse (LPN/LVN) to RN?
A) A shift assignment of four patients
B) Managing care based on your knowledge and skills
C) Changing work shifts from days to nights
D) Delegating tasks to LPNs/LVNs and medical assistants
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19
Chapter 18: Prepare Now to Pass NCLEX-RN
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20 Verified Questions
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Sample Questions
Q1) It is helpful to understand the difference between school exams and the NCLEX-RN in order to ensure that you are prepared to succeed. The student demonstrates adequate understanding of the NCLEX-RN when she makes which statement?
A) "The exam content will test only recall and recognition of knowledge."
B) "The exam will test my critical and higher thinking skills."
C) "The exam will test my understanding of basic nursing concepts."
D) "The exam will test my knowledge of how to care for patients in the hospital setting."
Q2) When taking an exam the student remains positive, steady, and able to handle tensions that build. The course instructor interprets the student's behavior as A) confidence.
B) control.
C) common sense.
D) content.
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