Course Introduction
Introduction to Nursing Pre-Test
Questions
Introduction to Nursing provides students with an overview of the nursing profession, including its history, fundamental concepts, and core values. The course explores the roles and responsibilities of nurses within healthcare systems, introduces basic theoretical frameworks, and examines ethical and legal considerations in nursing practice. Students will learn essential communication skills, patient-centered care principles, and the importance of evidence-based practice. Through lectures, case studies, and interactive activities, this course lays the foundation for further study and professional growth in nursing.
Recommended Textbook
Professional Nursing Practice Concepts and Perspectives 7th Edition by Blais
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Page 2
Chapter 1: Beginning the Journey
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Q1) The nursing student is completing the Critical Thinking Exercises in the textbook.What is a strategy for getting the most benefit from these exercises?
A)Look for the single best answer to the questions asked.
B)Work independently to find answers.
C)Look for answers in an appendix in the back of the book.
D)Discuss the questions with classmates.
Answer: D
Q2) The Vice President of Nursing is analyzing the number of nurses currently employed who have baccalaureate degrees.Of the current 750 nurses,225 have this degree.To meet the average of 36% of nurses having this degree,how many additional nurses will need to earn this degree in nursing?
Answer: 45
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3
Chapter 2: Socialization to Professional Nursing Roles
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Q1) What is true of standards of nursing practice?
A)They are written by the American Medical Association.
B)They outline the minimal care expected by patients.
C)They affect only the nurse-patient relationship.
D)They define the nurse's professional legal obligations.
Answer: D
Q2) The nurse manager is concerned that the nursing staff is experiencing role stress related to higher acuity of clients.What is one way in which this manager could address this issue?
A)Encourage supportive relationships among the staff nurses.
B)Advocate for longer length of stay for these higher acuity clients.
C)Limit the number of high-acuity clients that can be admitted to the unit.
D)Create a structured management system with no room for individual variance.
Answer: A
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4
Chapter 3: Historical Foundations of Professional Nursing
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Q1) What is the common denominator for nursing leaders across history?
A)They desired to obtain power in their job positions.
B)They were all women of wealth and influence.
C)They cared deeply about the society in which they lived.
D)They were focused on caring for people in hospitals.
Answer: C
Q2) 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
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Page 5
Chapter 4: Ethical Foundations of Professional Nursing
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Q1) The nurse has been caring for a ventilator-dependent patient for several days.The family has made the decision to withdraw ventilatory support.How should the nurse interpret this decision?
A)As active euthanasia
B)As illegal euthanasia
C)As passive euthanasia
D)As alleviation euthanasia
Q2) According to Gilligan,which statement is true?
A)Men usually follow the moral development path of nonviolence.
B)Women usually follow the moral development path of equality.
C)Men usually follow the moral development path of fairness.
D)Women usually follow the moral development path of justice.
Q3) 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.
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Chapter 5: Legal Foundations of Professional Nursing
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Q1) The advanced practice nurse is thinking of moving to another state.What information about regulation of advanced nursing practice is important for this nurse to consider?
A)Regulations are specified by each state.
B)This is a national regulation.
C)It is the same as the regulation of basic nursing practice within each state.
D)Specific,separate regulation for advanced practice is not necessary except for nurse anesthetists.
Q2) The nurse manager is concerned that a staff nurse will be sued for malpractice.In which order should the manager analyze information to make this determination?
A)The client was injured.
B)The nurse did not follow standards of care.
C)Nurse had a duty to follow standards of care.
D)The client's injury was caused by not following standards of care.
E)The nurse was aware that an injury could occur if standards not followed.
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Chapter 6: Remembering Development in Nursing
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Q1) The nursing instructor is preparing information to present to students on the development of nursing knowledge.In which order should the instructor review this information?
A)Theory
B)Concept
C)Paradigm
D)Conceptual model
E)Conceptual framework
Q2) The nursing faculty is revising their program's curriculum and is developing a conceptual model.What will this faculty develop?
A)A graphic illustration of a conceptual framework.
B)An overall view or orientation to focus thoughts.
C)A system of ideas proposed to explain a given phenomenon.
D)A specific outline of the curriculum's topics and contents.
Q3) Which option is the most general in the scope of nursing theories and looks at the nature of things?
A)Grand theory
B)Middle-range theory
C)A concept
D)Philosophy
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Chapter 7: The Nurse As Health Promoter and Care Provider
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Q1) A client tells the nurse that a group of friends have all decided to stop smoking.The group has planned a party at which they will each smoke their last cigarette.According to Pender's model,how does the nurse interpret this information?
A)This group's plan sounds too frivolous to be successful.
B)Group actions generally are not as successful as individual efforts.
C)This party demonstrates a plan of action and is positive.
D)There is no connection between successful outcomes and planning.
Q2) During a health visit a client who has been reviewing smoking cessation material states "I've already cut back from a pack a day to half a pack." According to Prochaska and DiClemente,in which stage of change is this client?
A)Preparation
B)Precontemplation
C)Action
D)Contemplation
Q3) What is a goal of Healthy People 2020?
A)Elimination of health disparities.
B)Improvement of personal sense of well-being.
C)Identifying differences between health promotion and health protection.
D)Increasing people's involvement in health-promotion activities.
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Page 9
Chapter 8: The Nurse As Learner and Teacher
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Q1) The nurse is conducting a teaching session with a client for whom English is a second language.The client smiles and nods in acknowledgment of the nurse's instruction.What should the nurse consider about this situation?
A)The client probably has a learning disability regardless of the language problem.
B)The client probably understands the content but doesn't have the words to express that fact.
C)The client may be trying to keep the nurse from being embarrassed.
D)The client is making fun of the nurse.
Q2) While progressing through nursing school,the student develops a system to categorize information as it is presented.Which theorist developed a learning theory that supports this categorization of information as essential?
A)Skinner
B)Bandura
C)Rogers
D)Bruner
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Chapter 9: The Nurse As Leader and Manager
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Sample Questions
Q1) What is the focus of leadership?
A)People
B)Systems
C)Structures
D)Other organizations
Q2) The nurse is planning to apply for a position that has the following information in the position description:
Primary Responsibilities: Supervises charge nurses;Supervises nurse managers;Oversees the activities within designated client care areas;Reports to the Vice President of Nursing Services.For which type of position is the nurse applying?
A)First-level manager
B)Middle-level manager
C)Top-level manager
D)Laissez-faire manager
Q3) What is true of a manager?
A)Has an assigned position in the formal organization.
B)Does not have delegated authority.
C)Emphasizes interpersonal relationships.
D)Directs willing followers.
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Chapter 10: The Nurses Role in Evidence-Based Health Care
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Q1) What is the final focus for nursing research?
A)Making a difference that matters for improving client care
B)Contributing to developing theory
C)Contributing to the body of scientific knowledge regarding nursing
D)Describing situations about which little is known
Q2) The researcher proposes using information from the medical records of clients currently admitted to the nursing unit.The researcher wishes not to tell these clients about the study so that their behavior does not change.What client right does this idea most clearly violate?
A)Right of self-determination
B)Right to full disclosure
C)Right not to be harmed
D)Right of privacy and confidentiality
Q3) In the 1970s there was a focus on translating research findings into practice.What term was used to describe this focus?
A)Evidence-based practice
B)Randomized clinical trials
C)Research utilization
D)Scientific evidence
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Page 12
Chapter 11: The Nurses Role in Quality and Safety
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Q1) The vice president of nursing is curious about the quality performance of the cardiovascular intensive care program as compared with other major city hospitals.Which resource should the vice president use to determine this performance?
A)National Quality Forum
B)Quality and Safety Education for Nurses
C)Agency for Healthcare Research and Quality
D)National Database of Nursing Quality Indicators
Q2) The nurse manager has plans to improve teamwork among the nurses and other health care providers.What actions should the manager take to achieve this goal?
(Select all that apply. )
A)Used standardized team processes
B)Monitor team members' performance
C)Reinforce the three duties when providing care
D)Observe for behaviors that encourage occurrence
E)Understanding all team members' responsibilities
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13
Chapter 12: The Nurses Role As Political Advocate
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Sample Questions
Q1) What is the name of the national association developed for student nurses?
A)ANA
B)NSNA
C)CNA
D)NLN
Q2) 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
Q3) The nurse has decided to contact state legislators regarding support for a health bill.Which is true about such requests?
A)Drop-in visits to the legislator's office are very effective.
B)Faxed copies of a form letter have the most impact.
C)Legislators should be addressed informally by first name.
D)Letters should be thoughtful and informed,but concise.
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14
Chapter 13: The Nurse As Colleague and Collaborator
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Q1) The nurse manager is reflecting on a negotiation conducted with the medical director which did not produce a desired outcome.In which order should the manager reflect upon this episode?
A)The goal is to win against the other side
B)Each side has a goal to get as much as possible
C)Each side believes that both sides cannot achieve their goals
D)Resources are limited for each side to get as much as possible
Q2) The high school graduate is considering a career as a clinical social worker.What is true of the level of education required?
A)Clinical social work is highly dependent upon on-the-job training,so no formal post-secondary education is required.
B)Clinical social work requires a baccalaureate degree in social work and a 3-year residency program.
C)Clinical social work is open to those with bachelor's degrees in any related field.
D)Clinical social work requires a master's degree in social work.
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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) How should the nurse communicate with a toddler?
A)Talk to the child as an adult so as not to baby the child.
B)Speak only to the parents because small children are not capable of communicating their needs.
C)Use both verbal and nonverbal techniques to adequately assess the child.
D)Allow the parents to communicate for the child.
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16
Chapter 15: Managing Change
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Sample Questions
Q1) Which strategy to manage planned change is nonparticipative and undemocratic?
A)Normative-reeducative
B)Empirical-rational
C)Power-coercive
D)Legitimate power
Q2) To manage resistance to change,the change agent may use which strategy?
A)Defend the status quo.
B)Provide evidence to challenge the status quo.
C)Reject opposition to the plan.
D)Eliminate from the organization those who are opposed.
Q3) Which change theory is based on beliefs that people are rational and that they will change if it is in their self-interest?
A)Power-coercive
B)Persuasive
C)Empirical-rational
D)Facilitative
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Chapter 16: Technology and Informatics
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Sample Questions
Q1) The nurse manager is working with the information technology department on an approach to help the staff understand informatics concepts.From most basic to advanced,in which order should these concepts be introduced to the staff?
A)Data
B)Wisdom
C)Knowledge
D)Information
Q2) Which ethical concept applies to the use of information technology in health care?
A)Autonomy
B)Free will
C)Diversity
D)Remembering
Q3) How can the term information best be defined?
A)Related concepts
B)Interpreted,organized,or structured data
C)Synthesized data
D)Discrete entities that are described objectively without interpretation
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Chapter 17: Nursing in an Evolving Health Care Delivery System
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Q1) 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
Q2) Which are considered barriers to the access of health care by Americans?
A)Cost of care
B)Community health centers
C)Lack of research for evidence-based practice
D)The use of nurse practitioners
Q3) What has shaped many of the changes in health care affecting nurses?
A)The American Medical Association
B)The U.S.Congress
C)Nursing Agenda for Health Care Reform
D)Third-party payers
Q4) Which resource management strategies have hospitals utilized?
A)The use of clinical nursing assistants (CNAs)
B)The hiring of medical librarians
C)Certification in a specialty area
D)Clinical ladders
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Chapter 18: Providing Care in Home and Community
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Q1) The high school nurse reviewed past records of female students in the school to determine the rate of teenage pregnancy.What is this an example of?
A)A retrospective study
B)A controlled study
C)A prospective study
D)An experimental study
Q2) What would be included in the assessment of the health and social services subsystem of a community? (Select all that apply. )
A)Availability of emergency centers
B)The size of the community
C)Evidence of traditional healers
D)Presence of mental health facilities
E)Where families and children play
Q3) What are advantages of home health care? (Select all that apply. )
A)Accessibility
B)Preference
C)Convenience
D)Cost
E)Relationship
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Page 20
Chapter 19: Global Health
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Q1) The nurse providing care in a community clinic becomes aware of treatments used to terminate unwanted pregnancies for some clinic patients.Which human right is affecting this nurse's practice?
A)Ethics
B)Health equity
C)Reproduction
D)Access to care
Q2) International diplomats report several thousand wounded in an Iraqi region and the Iraqi government is asking for assistance.Which organization should be prepared to enter the country to help the wounded during the conflict?
A)Aga Khan Foundation
B)Médecins Sans Frontières
C)Bill and Melinda Gates Foundation
D)International Committee of the Red Cross
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21
Chapter 20: Dimensions of Holistic Health Care
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Q1) Herbs,vitamins,and organic whole foods are what complementary and alternative medicine category-based therapies?
A)Biologically-based
B)Energy
C)Manipulative body-based
D)Mind-body
Q2) Which organization developed standards of nursing practice that define holistic nursing practice as a specialty?
A)AHNA
B)ANA
C)NCCAM
D)ANCC
Q3) The nurse is performing blood pressure screenings at a health fair which is designed to provide information for senior citizens in the community.Which level of health prevention is the nurse providing?
A)Primary
B)Secondary
C)Tertiary
D)Holistic care
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Page 22
Chapter 21: Nursing in a Culturally Diverse World
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Q1) A 33-year-old female comes to the clinic to plan treatment and care after having a positive mammogram.After the physician discusses treatment options,the client tells the nurse that her husband must make the decision.What action should the nurse take?
A)Tell the client that she should make her own decision.
B)Ask the client what she thinks her husband's decision would be.
C)Call the client's spouse and ask for his decision.
D)Suggest that the client bring her spouse to the clinic so that the doctor can discuss treatment with them both.
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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Q1) What is faith?
A)The core of a person's being,involving one's relationship with God or a higher power
B)The belief in something that cannot be directly observed
C)An organized belief system shared by a group of people and the practices related to that system
D)Unique to Christianity
Q2) On what is the holistic health belief view based?
A)The belief that supernatural forces control illness
B)The belief that human life is one aspect of nature
C)The belief that when one's natural balance or harmony is disturbed,illness results
D)The belief that illness results from being bad
E)The belief that forces of nature must be maintained in balance or harmony
Q3) During the admission process,the nurse assesses the patient's spiritual belief system and what other aspect related to that system?
A)Christianity
B)Godly assumptions
C)Religious preference
D)Religious knowledge
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24
Chapter 23: Nursing in a Culture of Violence
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Q1) 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
Q2) As a nurse assessing abused children,the abused child may display which behavioral characteristics? (Select all that apply. )
A)High need for adult contact
B)Attempt suicide or abuse alcohol or drugs
C)Consistently be measured in the 95<sup>th</sup> percentile on growth charts
D)Verbalize fault for injuries: "I deserved it"
E)Express violence toward pets
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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Chapter 24: Advanced Nursing Education and Practice
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Q1) Complying with the American Association of Colleges of Nursing,what would a graduate-level nurse-educator's instruction include?
A)Malpractice insurance coverage
B)Critical care skills
C)Medical diagnosis
D)An area of clinical competence
Q2) In 2004,the American Association of Colleges of Nursing published a position paper stating that the preparation for advanced nursing practice should be at which education level?
A)Masters
B)Bachelors
C)Doctoral
D)Certification
Q3) What is one challenge when working as an advanced practice nurse?
A)Lack of formal recognition and acceptance by the public
B)The need for licensure and certification
C)Lack of prescriptive authority and reimbursement by third-party payers
D)Lack of education and experience
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Chapter 25: The Future of Nursing
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Q1) 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
Q2) In an attempt to contain the staffing budget the nurse manager may introduce:
A)Advanced practice nurses
B)Cross training of nursing staff
C)Longer work days
D)Nurses with bachelor degrees
Q3) The vast resources of information technology and distance education provide an avenue to continuing development of what three elements that can advance nursing and health care in the future?
A)Knowledge,skills,and experiences
B)Cost containment,knowledge,and recruiting
C)Recruiting,skills,and cost containment
D)Knowledge,artistic ability,and recruiting
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