Issues and Trends in Nursing Exam Preparation Guide
Course Introduction
This course explores contemporary issues and emerging trends affecting the nursing profession, focusing on how social, technological, ethical, and policy changes impact patient care and nursing practice. Students will analyze current challenges such as workforce diversity, healthcare disparities, advances in healthcare technology, and evolving roles of nurses within interdisciplinary teams. The course also encourages critical discussion on leadership, advocacy, evidence-based practice, and the professional responsibilities of nurses in a rapidly changing healthcare environment.
Recommended Textbook
LPN to RN Transitions 4th Edition by Lora Claywell
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18 Chapters
345 Verified Questions
345 Flashcards
Source URL: https://quizplus.com/study-set/1216
2
Chapter 1: Honoring Your Past, Planning Your Future
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/24040
Sample Questions
Q1) A nurse who has been an LPN/LVN for 10 years is meeting with an advisor to discuss the possibility of taking classes to become an RN. The advisor interprets which statement by the nurse as the driving force for returning to school?
A) "I'll need to schedule time to attend classes."
B) "I'll have to budget for paying tuition."
C) "I'll have to rearranging my schedule."
D) "There is a possibility of advancement into administration."
Answer: D
Q2) An LPN is talking with her clinical instructor about her decision to return to school to become an RN. The clinical instructor interprets the LPNs outcome priority based on which statement?
A) "My family wanted me to go back to school."
B) "I want to better my financial situation."
C) "I really enjoy school."
D) "I would like to advance to a teaching role someday."
Answer: B
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3
Chapter 2: Assessing Yourself and Designing Success
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/24041
Sample Questions
Q1) The nurse understands that there are four key habits for managing the work of success. Which action by the nurse demonstrates her understanding?
A) Participating in a yoga class
B) Analyzing case studies on her day off
C) Taking time at the beginning of the work shift to make a plan for her day
D) Setting short- and long-term goals
Answer: C
Q2) A patient is learning to improve her personal empowerment skills after going through a tough divorce. Which actions can she take to accomplish this? (Select all that apply.)
A) Practice positive self-talk.
B) Manage the work of success.
C) Develop an external locus of control.
D) Eliminate self-defeating behaviors.
E) Manage good health.
Answer: A, B, D, E
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4
Chapter 3: Study Habits and Test-Taking Skills
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/24042
Sample Questions
Q1) A nursing student knows that effective listening requires attention and preparation. What actions can she take to ensure that she is proficient? (Select all that apply.)
A) Read over the assigned material before class begins.
B) Read over the material as soon as class is over.
C) No special attention or preparation is required.
D) Read the material during class.
E) Study independently during discussion time.
Answer: A, B
Q2) A student has just listened to a lecture on better strategies for studying. Which of the student's actions indicate understanding? (Select all that apply.)
A) Wait until the evening to study.
B) Begin with the most difficult subjects.
C) Create a conducive study environment.
D) Record the lectures and listen to them in your car.
E) Begin to study the day before an exam.
Answer: B, C, D
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5
Chapter 4: Distinguishing the RN Role from the LPN/LVN Role
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/24043
Sample Questions
Q1) The student understands that the LPN/LVN role differs from the RN role in many areas. She shows understanding when she can state that the LPN/LVN and RN are similar in which area?
A) Educational preparation
B) Thinking skills
C) Assessment skills
D) Basic psychomotor skills
Q2) An RN has called the physician to explain that the patient is having second thoughts about a procedure and would like to learn more about the alternatives before proceeding. In this instance the RN is enacting the element of the RN role known as A) counselor.
B) researcher.
C) advocate.
D) mentor.
Q3) Which function falls within the LPN/LVN's scope of practice?
A) Formulating the plan of care
B) Collecting data
C) Selecting nursing diagnoses
D) Setting goals, objectives, and outcomes
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Chapter 5: Using Nursing Theory to Guide Professional Practice
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/24044
Sample Questions
Q1) What example illustrates the conclusion that can be drawn from deductive reasoning?
A) All men are mortal and the Dalai Lama is a man; therefore, the Dalai Lama is mortal.
B) The planet Earth orbits the Sun; therefore, all planets orbit the Sun.
C) Five marbles taken from the bag are blue; therefore, all marbles from the bag are blue.
D) The first five people you met at a work interview were nice; therefore, everyone at this office is nice.
Q2) Which is an example of Dorothea Orem's Theory of Self-Care Deficit?
A) A nurse asks a patient how much she can do for herself following a stroke.
B) A nurse performs total care on a stroke patient to conserve the patient's energy.
C) A nurse leaves a stroke patient to walk to the bathroom and shower by herself.
D) A nurse enables a stroke patient to wash up in bed by providing bath wipes.
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Chapter 6: Providing Patient-Centered Care Through the Nursing Process
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/24045
Sample Questions
Q1) Determine which example is true of measurability within the context of the nursing diagnosis.
A) The patient will list signs of infection such as redness, pain, swelling, and warmth by the end of the shift.
B) The patient will be pain-free and then walk to the bathroom.
C) The patient reported abdominal pain for 2 days but denies nausea, vomiting, and diarrhea.
D) The patient received Dilaudid 1 mg IV and 2 hours later received Lortab 500/5.
Q2) Which outcome statement is a properly written goal?
A) "The patient will be free of pain."
B) "The patient will verbalize the importance of lifestyle changes."
C) "The patient will get up into the chair one time daily for 1 hour."
D) "The patient will demonstrate breathing techniques by the end of shift."
Q3) 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
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
Source URL: https://quizplus.com/quiz/24046
Sample Questions
Q1) The nurse who can think critically will make more effective clinical decisions, meet more of the patient's needs, and affect positive patient outcomes. How this is accomplished? (Select all that apply.)
A) Committing to test one's own thought process for clarity, accuracy, and logic
B) Accepting an individual's responsibility to develop critical thinking skills
C) Joining nursing organizations to keep current on nursing policies affecting patient care
D) Constantly seeking out others for answers to difficult clinical questions and problems
E) Requesting that health care organizations adopt and foster a culture of critical thinking
F) Maintaining the required amount of continued education units for license renewal
Q2) Which of the following is the best example of an open-ended question regarding a patient's pain?
A) "For how many weeks have you been having this pain?"
B) "Does it feel like a burning pain?"
C) "Where on your body does the pain begin and end?"
D) "Can you describe your pain for me?"
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Chapter 8: Practicing Evidence-Based Decision Making
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/24047
Sample Questions
Q1) What characteristics support evidence-based practice (EBP)? (Select all that apply.)
A) The nurse's clinical experience is fundamental to the evidence-based practice process.
B) Evidence-based practice provides a theoretical framework for accuracy and safety in patient care.
C) Evidence-based practice involves the use of a holistic approach to patient care in health care.
D) Evidence-based practice is designed to create a generic plan of patient care in clinical settings.
E) Evidence-based practice allows the nurse autonomy in patient care because research proves success.
Q2) The American Nurses Credentialing Center (ANCC) developed the Magnet Recognition Program for hospitals to address quality patient care. What is the significance of achieving magnet status?
A) Excellence in quality patient care and recruitment and retention of nurses
B) Excellence in research, patient care, and retention of physicians
C) Excellence in recruiting nurses, early discharge, and effective billing
D) Excellence in recruitment and retention of ancillary caregivers
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Chapter 9: Communicating With Patients and Co-Workers
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/24048
Sample Questions
Q1) A patient scheduled for surgery has a severe level of anxiety. Which action, if taken by the nurse, would be most appropriate at this time?
A) Providing teaching about the upcoming surgery and what to expect
B) Telling the patient that there is nothing to worry about
C) Calling the patient's family and demanding that they help out
D) Asking the patient about her concerns, feelings, and perceptions about the surgery
Q2) Before signing the verbal orders given earlier, the physician notifies the nurse of incorrectly wording the order. The physician requests the nurse to go back and insert the missing information. Which actions illustrate a lack of knowledge by the nurse? (Select all that apply.)
A) Use a black pen and insert the missing information.
B) Insist that the physician write a new order.
C) Write an addendum clarifying the order.
D) Toss the old order and write a new one.
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Chapter 10: Teaching Patients and Their Families
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/24049
Sample Questions
Q1) An 85-year-old patient with chronic health problems is being considered for placement in a long-term care facility after discharge from the hospital. What purpose does the cost-effective nursing strategy of patient teaching help to achieve?
A) Providing reasonable expectations from health care
B) Giving the patient a sense of control over illness
C) Preventing complications of chronic illness
D) Increasing patient satisfaction with care
Q2) Persons seeking health care have increased autonomy and insist on taking an active role in their medical treatment decisions. What aspect of a nurse's role does this fact affect?
A) Use of professional communication when doing patient teaching and admitting patients to the unit.
B) Coordination of human and material resources that are directly used in the delivery of care at the bedside.
C) Evaluation of performance and skills of nursing staff members involved in direct patient care.
D) Patient collaboration with health care team members involved with the development of focused, quality care.
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Chapter 11: The Nurses, Ideas, and Forces That Define the Profession
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/24050
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) Which action by the nurse shows the use of the nursing process?
A) The nurse works with the health care team to set outcomes and plan interventions for the patient.
B) The same nurse admits the patient and then discharges him the next day.
C) The nurse works with the patient to set outcomes and plan interventions.
D) The nurse sends the provider in for an immediate assessment of the patient.
Q3) 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."
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Page 13
Chapter 12: Upholding Legal and Ethical Principles
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/24051
Sample Questions
Q1) Which statement is correct about the bioethical decision-making theory of deontology?
A) It is concerned only with consequences.
B) It judges actions based on motive or intent.
C) It emphasizes treating others as a means to an end.
D) It cannot be applied to research.
Q2) The RN understands administrative law when she says, "Administrative law governs A) federal treaties."
B) the operations of government."
C) the conduct of judges."
D) the United States Supreme Court."
Q3) For the RN to practice ethical decision-making, it is most important for him or her to A) base decision-making on whether an action is right or wrong.
B) base decision-making on possible consequences.
C) accurately assess a situation.
D) seek the assistance of an ethics committee.
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14
Chapter 13: Care and Safety Standards, Competence, and Nurse Accountability
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/24052
Sample Questions
Q1) There are a number of characteristics that will help a novice nurse find success in a mentoring relationship. Which action represents one of these positive characteristics?
A) The novice nurse asks clear, thoughtful questions and seeks clarifications.
B) The novice nurse is patient and waits for the mentor to approach with learning opportunities.
C) The novice nurse is directive rather than open to dialogue.
D) The novice nurse stays busy, and the mentor seeks the opportunities.
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.
Q3) Which action would indicate that the RN is practicing at the proficient level?
A) Asks another nurse to be present while a Foley catheter is inserted
B) Becomes frazzled when two patients are unexpectedly admitted at the same time
C) Thinks critically about situations and is able to anticipate patient needs
D) Assumes the role of charge nurse while managing a tough patient assignment
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Chapter 14: Leading, Delegating, and Collaborating
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/24053
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) A nurse is assigned to care for a patient who has been admitted with an opiate overdose and tells the nursing supervisor, "This is a waste of my time. The patient will be back on the needle right after being discharged." The most appropriate response by the nursing supervisor is
A) "Your lack of professionalism will make it difficult for you to provide adequate care."
B) "You know we are obligated to provide appropriate care no matter how we feel."
C) "It is important to recognize these feelings and then figure out how to deal with them."
D) "Since you feel so strongly, perhaps you should be assigned to care for a different patient."
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16
Chapter 15: Promoting Healthful Living in the Primary Care Setting
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/24054
Sample Questions
Q1) Several family members of a patient who has just been admitted to the intensive care unit (ICU) with multiple traumatic injuries have just arrived in the ICU waiting room. Which action should the nurse take first?
A) Take the family members to the patient's room.
B) Discuss ICU visitation policies and encourage family visits.
C) With the patient's approval, describe the patient's injuries and the care that is being provided.
D) Invite the family to participate in a multidisciplinary care conference.
Q2) A patient has had no visitors for the 2 weeks he has been on your unit. The patient seems dejected and insists on having his few belongings in sight at all times. The nurse realizes that he may be experiencing what kind of need?
A) Health-deviation need
B) Developmental need
C) Universal need
D) Health continuum need
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Chapter 16: Managing Care in Secondary and Tertiary
Health Care
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/24055
Sample Questions
Q1) By allowing the ICU patient's family to visit as often as the patient's condition will allow, the nurse is considering which type of need within the patient and his family?
A) Trust
B) Social support
C) Environmental
D) Dependence
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
Q3) Which of the following is an example of a responsible resource manager in an acute care facility?
A) Listens to staff input about implementing a new procedure
B) Consumes foods and drinks kept on the unit for patients
C) Considers the unit's patient census when determining staffing
D) Uses supplies that are not accounted for
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Chapter 17: Reflecting on Your Transition
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/24056
Sample Questions
Q1) A patient weighed 200 lb 6 months ago. He now weighs 160 lb. He has not been trying to lose weight. Based on the defining characteristics of nutrition, less than body requirements, the nurse's best response would be
A) "You need to modify your diet so you don't lose more weight."
B) "That is a significant weight loss. How would you account for it?"
C) "Congratulations. That is a major achievement."
D) "How tall are you? I am wondering if that is a good weight for your height."
Q2) A graduate RN on the telemetry unit is on the way to the nurse's station to chart and suddenly hears from a patient's room, "Help! Nurse!" This is not the nurse's assigned patient. Others also hear this cry for help and quickly run in with the crash cart while the graduate RN looks on. In planning care for this patient, the beginning RN must realize the importance of identifying and (Select all that apply)
A) arranging experiences.
B) correcting weaknesses.
C) investigating insights.
D) leveraging strengths.
E) applying poise.
F) accepting doubts.
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Chapter 18: Prepare Now to Pass NCLEX-RN
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/24057
Sample Questions
Q1) 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.
Q2) 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."
Q3) A faculty member is discussing question types found on NCLEX. The faculty member knows that students need more teaching about question types if they select which question type?
A) Fill-in-the-blank
B) Multiple choice
C) Essay
D) Completing calculations
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