Introduction to Professional Nursing Exam
Materials
Course Introduction
This course introduces students to the foundational concepts and principles of the nursing profession, exploring its roles, responsibilities, and ethical standards in various healthcare settings. Emphasis is placed on the history and evolution of nursing, professional organizations, communication skills, and the significance of evidence-based practice. Students will examine the core values and theoretical frameworks guiding modern nursing care, as well as strategies for professional development and collaboration within interprofessional teams. Through discussions and case studies, learners develop an understanding of patient-centered care, cultural competence, and the importance of advocacy in promoting health and wellness.
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 nurse educator is presenting a lecture on experience and learning to a group of RNs. Which statement by one of the RNs indicates that teaching has been effective?
A) "Experiences always help educational endeavors".
B) "The process of unlearning is easier than the initial learning".
C) "Learning can often be more difficult if previous knowledge is contradicted".
D) "Experiences rarely serve the student in the learning process".
Answer: C
Q2) The nurse educator is presenting a lecture to a group of new RNs. Which statement by one of the RNs indicates that teaching has been effective?
A) "Experience is a stepping stone to new learning".
B) "Experience can be a barrier to new learning".
C) "Experience can be an avenue to new learning".
D) "Experience can be a detour to new learning".
Answer: B
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3
Chapter 2: Assessing Yourself and Designing Success
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) After a particularly challenging examination, a student is overheard in the hallway exclaiming, "That instructor just grades too hard! She only gave me a B on the test!" This student is exhibiting traits of a(n)
A) external locus of control.
B) internal locus of control.
C) perfectionist.
D) realist.
Answer: A
Q2) A clinical instructor notices that one of her students worries a lot, expects negative outcomes for most situations, strives for perfection, and seems to look for the tiniest faults in her work. The clinical instructor interprets these behaviors as A) commitment to learning.
B) assuming an external locus of control.
C) self-directedness.
D) self-defeating behaviors.
Answer: D
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4
Chapter 3: Study Habits and Test-Taking Skills
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) You are a first semester nursing student and have just received your first reading assignment for class tomorrow. You know that in order to succeed you will need to practice effective listening. Which actions would prepare you for class tomorrow? (Select all that apply.)
A) Read over the assigned material tonight.
B) Scan over the material before class, looking at the main points and subpoints.
C) Read the text during class instead of listening to lecture.
D) Review your notes immediately after class.
E) Do not review anything before class.
Answer: A, B, D
Q2) The student is listening to a lecture on better study habits. Which statement indicates that teaching has been effective?
A) "I should study for 3 to 4".
B) "I should study for 2 to 3".
C) "I should study for 4 to 5".
D) "I should study for 5 to 6".
Answer: B
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Chapter 4: Distinguishing the RN Role from the LPN/LVN Role
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A nurse manager is discussing the RN's scope of practice with a new hire. Which statement, made by the new hire, is not true of the RN's scope of practice?
A) "A nurse may be disciplined by the Board of Nursing for practicing beyond his or her scope of practice."
B) "Scope of practice is legally defined by the American Nurses Association (ANA)."
C) "Scope of practice defines the responsibilities of nurses."
D) "Scope of practice can be found in state nurse practice acts."
Q2) The nursing student is reviewing the different organizations that provide services for nurses. She interprets the American Nurses Credentialing Center as
A) an association that provides accreditation for baccalaureate and higher degree nursing education programs.
B) the unifying body for the state boards of nursing.
C) an association that offers certification in many nursing specialties.
D) an organization that offers the national licensure examination.
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Chapter 5: Using Nursing Theory to Guide Professional Practice
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20 Flashcards
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Sample Questions
Q1) Which of the following are the concepts common among most nursing philosophies, models, and theories?
A) Person, nurse, health, and environment
B) Person, physician, health, and environment
C) Person, nurse, health, and culture
D) Person, nurse, environment, and culture
Q2) How would you justify that a nursing theory is, in fact, a middle-range nursing theory? (Select all that apply.)
A) It is simple, clear, generalizable, and accessible.
B) It focuses on answering specific nursing practice questions.
C) It predicts the effects of one phenomenon on another.
D) It explains relationships.
E) It is built on several important adapted scientific theories.
Q3) The goal of Ida Jean Orlando's theory of effective nursing practice is to
A) focus on relationships among the environment, nurse, and patient.
B) reduce the duration of hospital stays.
C) meet the immediate needs of the patient and relieve distress or discomfort.
D) integrate holism into nursing.
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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 is charting on the patient who is status post-surgery for an abdominal abscess and notes: "Pt's temperature has not exceeded 37°C this shift." This is an example of a(n)
A) intervention.
B) outcome.
C) plan.
D) diagnosis or analysis.
Q2) A nursing intervention directs the patient to be turned every 2 hours to prevent skin breakdown from immobility. Assessment findings on new reddened areas on the lateral aspects of the right knee and ankle are obtained. What is the most appropriate way for these findings to be used when the care plan is evaluated?
A) The information will be added to the relevant area of the electronic medical record.
B) The nursing diagnosis will be changed from an actual problem to a potential problem.
C) The new intervention of calling the physician will be added to the care plan.
D) The intervention will change to have the patient turned every hour.
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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) A patient has a problem that prevents him from shaving himself, tying his shoes, or fixing his meals. He is not physically able to compensate for the problem, so he is in need of assistance. Data support the nursing diagnosis "impaired physical mobility" by what mode of reasoning?
A) Induction
B) Deduction
C) Reduction
D) Reflection
Q2) Which patient would the nurse see first at the start of the shift?
A) A patient admitted yesterday with osteomyelitis of the right arm with a T of 101.0°F.
B) A patient with hepatic encephalopathy who is being rude to the nursing assistant.
C) A patient with lupus who has been on long-term corticosteroids and whose blood sugar is 180.
D) A patient with circumferential burns of the right leg who is complaining of numbness in the right foot.
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Chapter 8: Practicing Evidence-Based Decision Making
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which of the following are most responsible for the emerging use of evidence-based practice (EBP) in health care? (Select all that apply.)
A) Accountability by consumers of governmental and health care agencies
B) Introduction of national health care guidelines
C) Shorter implementation time of new research
D) Variability of care among health care practitioners and facilities
E) Similarity with other science disciplines and their amounts of research
F) Eligibility to receive government grants for research excellence
Q2) 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.
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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 RN has assigned the nursing assistant (NA) a task. The NA becomes angry and begins yelling at the RN. What is the best approach for the RN to take?
A) Tell the NA that you will let her leave early if she will do this for you.
B) Ignore her and reassign the task.
C) Meet with the NA to explore his or her feelings and the reason for resistance.
D) Call the nursing supervisor and report the NA for insubordination.
Q2) The physician orders a dose of morphine that the nurse considers excessive. The nurse should
A) administer the medication.
B) ask another nurse to administer the medication.
C) call the supervisor.
D) contact the physician.
Q3) The student nurse is listening to a lecture on communication. Which statement indicates that the teaching has been effective?
A) "A communication blocker is silence."
B) "A communication blocker is eye contact."
C) "A communication blocker is advising."
D) "A communication blocker is clarifying."
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11
Chapter 10: Teaching Patients and Their Families
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20 Flashcards
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Sample Questions
Q1) A 63-year-old patient is uncertain whether she can self-inject her medication. Which would be most likely to be an effective strategy at this time?
A) Start with the details about her condition, why she has it, and the importance of her medication.
B) In the first session, teach the patient how and why to rotate her abdominal injection sites.
C) Start with information about avoiding rubbing or putting pressure on the site after an injection.
D) In the first session let the patient handle a syringe while the nurse prepares and administers the next injection with another syringe.
Q2) The nurse recognizes that new parents may be ready to learn about their newborn after the birth. What understanding leads the nurse to this conclusion?
A) The baby will not be discharged until the parents have the training.
B) The nurses on the mother-baby division do a better job of teaching baby care.
C) The parents now have the motivation to learn because the baby has been born.
D) The parents have no choice at this point.
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Chapter
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) 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
Q2) A student is studying the history of nursing. Which statement made by the student would be correct if she had an adequate understanding of America's first trained nurse?
A) "America's first trained nurse reduced student nurses' working hours."
B) "As America's first trained nurse, Isabel Hampton Robb promoted licensure exams."
C) "America's first trained nurse worked to create associate degree programs."
D) "America's first trained nurse was Linda Richards."
Q3) A student understands the contributions of Clara Barton when she states, "Clara Barton
A) is known as the Lady with the Lamp."
B) fought for women's rights."
C) is known as the Angel of the Battlefield."
D) was America's first trained nurse."
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Page 13
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 with a patient who is well known to the public. Shortly before lunch, a news reporter walks into the nursing unit and begins questioning the nurse. The nurse knows that if she gives out patient information without the patient's consent, she would be failing to comply with which law?
A) Informed consent
B) Health Insurance Portability and Accountability Act (HIPAA) of 1996
C) Hospital policy
D) Common law
Q2) Which statements by the nursing student describe how ethics help nurses solve dilemmas in health care? (Select all that apply.)
A) "Ethics requires us to analyze our actions or potential actions critically."
B) "Ethics assists us in determining the right course of action to take."
C) "Ethics allows nurses to let others more qualified make decisions for us."
D) "Ethics allows nurses to take a break from the situation by waiting for the ethics committee."
E) "Ethics causes problems in health care rather than helps."
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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) A nurse has just realized that her license is due to expire in 5 months. The nurse knows that she is responsible for maintenance of her license in order to continue practicing as a nurse. What would be the best action for her to take?
A) Put off obtaining the continuing education credits until 1 month before the expiration date.
B) Immediately begin working on obtaining the continuing education credits.
C) Email the nursing board to inquire about why she was not notified earlier.
D) Forgo obtaining the continuing education credits and hope that she does is not audited.
Q2) An operating room nurse has returned from a conference on the impact of never events. Recognition of which of the following would lead her to believe that a never event could occur?
A) The patient is losing an anticipated amount of blood during surgery.
B) Toward the end of a surgical procedure, the sponge count does not match up with the beginning count.
C) The procedure is taking longer than planned.
D) The surgeon was late to the procedure.
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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) Which of these tasks is appropriate for the RN to delegate to a licensed practical nurse/license vocational nurse (LPN/LVN)?
A) Documenting patient teaching about a routine surgical procedure
B) Teaching a patient how to self-administer insulin
C) Administering an oral medication to a patient
D) Completing the initial assessment and plan of care
Q2) Which statement by the RN best represents the "right communication" when delegating a task to an unlicensed individual?
A) "Feed the patient and watch for cheeking and choking."
B) "I want you to help the patient to eat his lunch. You should elevate the head and feed him slowly enough so he does not choke."
C) "Feed the patient his pureed diet at lunchtime. Elevate the head of the bed to 90 degrees and make certain he swallows each bite."
D) "Assist the patient with lunch, and make sure he sits up and doesn't store food in his cheek in between bites."
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16
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) A nurse is caring for a non-English-speaking Asian patient whose cultural practices are not familiar to the nurse. The nurse is curious about practices regarding communication and eye contact. The nurse should
A) tell the patient that it is cultural practice in the United States to maintain good eye contact when communicating with someone.
B) observe the behaviors and interactions between the patient and other members of the culture.
C) avoid all eye contact unless the patient establishes eye contact.
D) use eye contact and communication techniques that are most comfortable for the nurse.
Q2) When developing strategies to decrease health care disparities, the nurse working in a hospital located in a neighborhood with many Vietnamese individuals will include
A) educating the staff about Vietnamese health beliefs.
B) improving public transportation.
C) obtaining low-cost medications.
D) updating equipment and supplies for the clinic.
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Chapter 16: Managing Care in Secondary and Tertiary
Health Care
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) Spiritual assessment is not usually a part of a formal assessment tool, with the exception of asking about religious practices that may be important to continue in the hospital. Which question addresses religious practices?
A) "Would you like a chaplain to come pray with you?"
B) "Do you turn to spiritual guidance as a source of strength in illness?"
C) "What helps you most when you feel afraid?"
D) "What is most frightening about your situation?"
Q2) Some cultures see personal touching as an insult unless you are intimately related. In the acute care setting, the need for touching to administer care may produce what within the patient?
A) Cultural strain
B) Impaired functioning
C) Cultural insult
D) Increased self-care deficit
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18
Chapter 17: Reflecting on Your Transition
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Sample Questions
Q1) The nurse is to take a meal tray to a patient the nurse knows nothing about. Before leaving the tray with the patient, which is the most critical safety factor the nurse should determine?
A) The room is neat and orderly without offending odors.
B) The tray has condiments placed within easy reach.
C) The patient is seated securely and in a comfortable position.
D) The patient's ability to swallow is intact.
Q2) As a graduate nurse, which statement strongly suggests future success in the current nursing practice environment?
A) "I am really good at performing nursing skills."
B) "I always get my work done on time."
C) "When possible I attend all staff meetings."
D) "I am actively involved in decision-making on the unit."
Q3) It is 0800 and the nurse just received report. Which patient situation demands the nurse's immediate attention? The patient
A) with a blood glucose of 200.
B) who needs a 0800 vancomycin level drawn.
C) receiving a blood transfusion who reports slight itching and chills.
D) with a serum potassium level of 4.3 mEq/dL who is receiving digoxin.
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Page 19
Chapter 18: Prepare Now to Pass NCLEX-RN
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The student is listening to a lecture on passing the NCLEX RN exam. Which statement indicates that the teaching has been effective?
A) "The student should have good study habits."
B) "The student should have a positive attitude."
C) "The student should have a good support system."
D) "The student should have adequate sleep."
Q2) Studies have found that students tend to answer questions at a slower pace as they proceed through exams. With this in mind, students should be aware of _____ during school exams as practice for the NCLEX-RN.
A) what their classmates are doing
B) the amount of time they are spending on each question
C) the wording of each question
D) which questions they answer first
Q3) The student is attending a NCLEX RN workshop. Which statement indicates that the teaching has been effective?
A) "Computer Adaptive Technology (CAT) testing is reliable and valid."
B) "CAT testing is difficult and tricky."
C) "CAT testing is inconclusive and time-consuming."
D) "CAT testing is easy and efficient."
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