Nursing Capstone Question Bank
Course Introduction
Nursing Capstone is a culminating course designed for senior nursing students to integrate academic learning with practical, real-world experiences in healthcare settings. Through a combination of evidence-based research, clinical practice, and reflective inquiry, students synthesize their acquired knowledge and skills to address complex patient care issues. The course emphasizes critical thinking, leadership, professional communication, and the application of ethical and legal standards. Students typically engage in a major project or practicum, collaborating with healthcare professionals to identify, implement, and evaluate interventions that improve patient outcomes, ultimately preparing them for entry into professional nursing practice.
Recommended Textbook
Nursing Today Transition and Trends 8th Edition by Zerwekh
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26 Chapters
663 Verified Questions
663 Flashcards
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Chapter 1: Role Transitions
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Sample Questions
Q1) The new graduate has an understanding of the nursing journey ahead when stating:
A) "It is not acceptable for me to make any mistakes at all."
B) "I am not worried about issues with transition.I am tough.I will do just fine!"
C) "I know that I will make some mistakes,but I will learn and grow from them."
D) "I am going to keep studying so that I am always right."
Answer: C
Q2) A student nurse is in the last semester of nursing school.Which action by the nursing student indicates appropriate preparation for the transition experience?
A) The nursing student requests additional experiences in performing skills and procedures.
B) The nursing student maintains close contact with a nursing instructor to observe nursing procedures.
C) The nursing student practices nursing assessments and care on one or two patients to become more competent.
D) The nursing student increases communication with a nursing instructor to maintain a resource person after graduation.
Answer: A
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Chapter 2: Personal Management: Time and Self-Care Strategies
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Sample Questions
Q1) Nurse 1: "The manager told me that you and I have to change work schedules to accommodate Jim.That means we will both have to work days and nights in the same week.There's nothing we can do about it." Nurse 2: "Let's take a minute and look at the possible alternatives." What is the best assessment of this situation?
A) Nurse 1 is exhibiting reactive behavior,and Nurse 2 is being proactive.
B) Nurse 1 is exhibiting a sense of empowerment,and Nurse 2 is behaving codependently.
C) Jim and the nurse manager have formed a coalition with the goal of dominating other staff.
D) The nurse manager is evidencing good self-esteem by daring to take an unpopular action that will expose criticism.
Answer: A
Q2) Which of the following statements by the nursing student is an affirmation?
A) "I must maintain As in school."
B) "I am human and capable of making mistakes."
C) "If I fail at something,the results will be catastrophic."
D) "If I am not liked by everyone,I am a failure."
Answer: B
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Page 4
Chapter 3: Mentorship, Preceptorship, and Nurse Residency Programs
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Sample Questions
Q1) A nurse manager and a nurse director are discussing e-mentoring.Which statements by the nurse director indicate an understanding of the components of e-mentoring? (Select all that apply.)
A) "E-mentoring involves distance mentoring."
B) "E-mentoring is done through instant messaging."
C) "E-mentoring involves contact between mentee and mentor via electronic mail."
D) "E-mentoring is a mentoring program for first-year nursing students."
E) "E-mentoring uses a videoconferencing system such as Skype to meet virtually."
F) "E-mentoring involves planning a meeting at a coffee shop to discuss progress of the preceptorship."
Answer: A,B,C,E
Q2) A group of nursing students is discussing mentors.One of the students correctly states a characteristic of a successful mentor when stating:
A) "They ensure that their mentees do not fail."
B) "They push the mentees to a higher level."
C) "They always ask a lot of questions of their mentees."
D) "They encourage mentees to question their skills so they can improve."
Answer: B
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Chapter 4: Employment Considerations: Opportunities,
Resumes, and Interviewing
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Sample Questions
Q1) Assuming all of the following statements are true,which should be included in a resume to highlight information that would be valuable to an employer?
A) Desires annual salary of $30,000 to $32,000
B) Is fluent in American sign language
C) Is president of state downhill ski club
D) Plans to move out of state after 1 year of employment
Q2) Which of the following assignments should the new nurse question before accepting?
A) A 38-year-old man with cellulitis of the right arm
B) A 25-year-old woman with a left femur fracture
C) A charge nurse over the unit for the day
D) A 50-year-old man with right hip replacement
Q3) A nursing professor correctly states the expectations of the job market for nursing as A) expected downsizing,decreased number of nursing positions.
B) expected decrease in the number of unlicensed assistive personnel.
C) expected increase in unlicensed assistive personnel: personnel.
D) expected increased hiring of new graduates.
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Page 6
Chapter 5: NCLEX-RN Examination and the New Graduate
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Sample Questions
Q1) A nursing professor is preparing students for the NCLEX-RN Exam.Which of the following items should the professor inform the students to expect on the exam? (Select all that apply.)
A) Multiple choice questions with one correct answer
B) Drag and drop questions into an ordered response
C) True/false questions
D) Graphic questions with a hot spot to identify an area
E) Questions with an audio component where you need to wear a headset to listen
F) Questions where you select the correct answer from the graphics presented at the end of the question
Q2) In trends class,a student tells the instructor,"I don't think I can possibly pass the NCLEX-RN.I hated psych nursing,but now I've heard that a huge amount of the NCLEX is psych related." What is the best response from the instructor?
A) "Perhaps you should consider retaking the psychiatric nursing course."
B) "There are equal numbers of questions related to each aspect of client needs."
C) "Psychosocial integrity is the basis for 6% to 12% of the examination."
D) "You will need to take a review course in which they teach psychiatric nursing principles."
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Chapter 6: Historical Perspectives: Influences on the
Present
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Q1) Which actions by the reformers pushed the profession of nursing forward? (Select all that apply.)
A) Organization of the American Nurses Association
B) Creation of the American Nurses Association's journal
C) Established the standards for nursing education
D) Established the standards for nursing practice
E) Set wages for nurses
Q2) Which statement by the nurse shows understanding of Florence Nightingale's status as a legend in nursing?
A) "Her work in improving the Institution for the Care of Sick Gentlewomen in Distressed Circumstances"
B) The evaluations and recommendations she made to improve conditions in the hospitals in England"
C) "Her ability to implement actions that significantly decreased mortality rates in the Crimean War"
D) "Her work as an administrator for a women's hospital and reporting conditions to the government"
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8
Chapter 7: Nursing Education
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Sample Questions
Q1) The student nurse interprets which characteristic as one of graduates from a diploma school of nursing?
A) They have obtained a general education in nursing theory and sciences that can be applied toward an advanced degree.
B) They are well prepared to function in the institution in which the school is located.
C) Advanced courses in nursing management and leadership apply to advanced degrees in nursing.
D) They are prepared to practice in advanced nursing clinical situations.
Q2) A young parent with small children who has no prior education wants to enroll in a nursing program.The parent has very limited support and resources.Select the best program for this parent based on this above information.
A) Accelerated program
B) Associates program
C) Baccalaureate program
D) Online program
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9
Chapter 8: Nursing Theory
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Q1) Florence Nightingale believed that the environment impacts the patient's health.Which of the following actions by the nurse incorporates Nightingale's theory into practice today?
A) Cleaning the patient's room only at discharge
B) Keeping the patient's door closed all day
C) Giving the patient a dinner tray of fried chicken and French fries
D) Providing the patient with clean linen daily
Q2) What is a common thread in the majority of definitions of a nursing theory?
A) Words or phrases that present a direction to how interrelated concepts can provide a reference for the study and the delivery of nursing care
B) A list of the concepts and problems within the nursing profession and the suggested or anticipated solution of those problems
C) A composite of the opinions and recommendations of famous,well-known nursing leaders
D) An advanced role description for the study of the delivery of nursing care and the integration of nursing services with the most favorable economic consequences
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Chapter 9: Image of Nursing: Influences of the Present
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Q1) A nurse wants to represent nursing in legislative activities.Which national nursing organization would be most important to join?
A) International Congress of Nursing
B) American Red Cross
C) American Academy of Nursing
D) American Nurses Association
Q2) Which action led to the "birth" of nursing theory?
A) Creation of baccalaureate programs
B) Dr.Peplau's nursing model publication
C) Publication of Jean Watson's Caring Theory
D) Martha Roger's work on nursing theory
Q3) The nurse is determining which professional organizations to join.The nurse demonstrates an adequate understanding of the International Council of Nursing (ICN)when stating which of the following?
A) "The ICN handles domestic nursing issues."
B) "The ICN is for international nurses only."
C) "The ICN is focused on worldwide health care."
D) "The ICN is focused on foreign issues only."
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11
Chapter 10: Challenges of Nursing Management and Leadership
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Q1) A nurse manager has an adequate understanding of their nursing role when making which of the following statements?
A) "A manager selects or assumes a role."
B) "I have the same function as a floor nurse."
C) "I have the same authority as the director of the hospital."
D) "I was appointed to my role."
Q2) The nurse manager is giving a presentation on the disadvantages of democratic leadership in group functioning.Which statement shows an understanding of this type of leadership?
A) "Requires more time and effort to make decisions and accomplish goals"
B) "Discourages participation from quieter members of the group"
C) "Increases the possibility of "scapegoating" or argumentative behavior"
D) "Is difficult to control the outcomes and decisions of the group"
Q3) Which statement by the nurse shows understanding of the primary advantage in using the group process in decision making? The process
A) "increases the time spent discussing alternatives."
B) "eliminates opposition to decisions by administrators."
C) "allows additional time for the planning process."
D) "promotes acceptance of the decision by the group."
Page 12
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Chapter 11: Building Nursing Management Skills
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Sample Questions
Q1) The nurse receives report on an assigned group of patients.Which patient would the nurse assess first?
A) A patient 2 days postoperative who is complaining of pain
B) An older adult patient reported to have increasing lethargy and confusion
C) A newly admitted patient with a serum blood urea nitrogen (BUN)of 32 mg/dL
D) A hypertensive patient complaining of severe midsternum pain
Q2) The charge nurse is assigning patient care activities to the nursing care team.In supervising the team,what is the most effective activity to determine that the nursing care has been completed satisfactorily?
A) Have hourly checks with personnel to determine how effectively nursing care is being completed.
B) Review with personnel at the end of the shift regarding the status of patients and how care was delivered.
C) Discuss with each person the status of their assigned patients and what type of nursing care each will require.
D) Schedule routine patient care rounds to evaluate the patients and the nursing care that has been completed.
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Page 13
Chapter 12: Effective Communication and Team Building
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Sample Questions
Q1) Staff nurse 1: "You're stomping around and glaring at me.I'm wondering what's going on." Staff nurse 2: "I'm sick of you always going to lunch first.You don't care about anyone but yourself." What assessment can best be made about this exchange?
A) Staff nurse 1's remark is challenging and obstructive.
B) Staff nurse 1's remark invites clarification of the meaning of the specific behaviors of staff nurse 2.
C) Staff nurse 2's remark will facilitate effective problem solving.
D) Staff nurse 2's remark will keep anger at a minimum and give incentive for meeting the other's needs.
Q2) In considering the overall task of the team,what issues should be considered in the care of the patient?
A) Nursing care plan,religious preference,and financial base
B) Physician's orders,nursing actions,and religious preference
C) Family needs,physician's orders,nursing diagnosis,and religious preference
D) Physician's treatment plan,nursing plan of care,and needs of the patient and family
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Chapter 13: Conflict Management
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Sample Questions
Q1) A nurse feels angry over a patient assignment and feels that assignments always include the "bad ones." What is the best way to control this anger?
A) Ignore the negative feelings.
B) Talk about other coworkers behind their backs.
C) Face this anger and determine what is being felt.
D) Refuse to speak to any coworkers for fear of lashing out.
Q2) A nurse is frustrated about being scheduled on a holiday that had been requested off,but a new nurse with less seniority was given the holiday off.Which action by the nurse shows accommodation?
A) The nurse works out a schedule change with the new nurse.
B) The nurse doesn't bring the issue to the attention of the new nurse but feels angry and frustrated.
C) The nurse works the holiday while the new nurse has the day off.
D) The nurse requests to have the day before the holiday off.
Q3) What can staff nurses do to reduce conflict with patients and families?
A) Allow nurses to enforce what they feel comfortable with.
B) Keep treatment decisions between the patient and health care team only.
C) Do not allow family to participate in patient care.
D) Maintain consistency in enforcing rules and policies.
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Page 15
Chapter 14: Delegation in the Clinical Setting
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Sample Questions
Q1) The charge nurse is determining tasks that can be delegated to keep the unit running smoothly.What factors should the charge nurse consider before delegating? (Select all that apply.)
A) Staff who are working
B) Acuity of patients
C) Community needs
D) Teaching obligations of the nurses
E) How many patients are waiting for beds on the unit
Q2) Which statement(s)will help the nurse give feedback to a coworker? (Select all that apply.)
A) "Can you tell me what happened?"
B) "You did a great job positioning the postoperative patient."
C) "What do you think can be done to ensure that the blood pressures are charted?"
D) "I don't understand why you didn't do what I asked you to do."
E) "I only gave you one job to complete."
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Chapter 15: The Health Care Organization and Patterns of
Nursing Care Delivery
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Sample Questions
Q1) Which action by the case manager would be required under the full immersion model?
A) The case manager would see only the patients with the most extensive health care needs.
B) The case manager would see all patients that come into the hospital.
C) The case manager would only see the patients with health insurance.
D) The case manager would conduct a daily chart review of patients he or she is assigned to.
Q2) A nurse has been assigned as team leader for the day and is working with two LPNs and two unlicensed personnel.What should the nurse do to ensure success in caring for patients?
A) Give the assignments for the day out to the team and plan to meet right before the end of shift.
B) Continuously communicate with the members of the team throughout the entire day.
C) Report changes in a patient's condition to the health care provider only.
D) Revise each patient's plan of care once a shift.
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Chapter 16: Economics of the Health Care Delivery System
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Q1) Which action by the nurse demonstrates fiscal responsibility to the employing organization? (Select all that apply.)
A) Only bringing needed supplies into a patient's room
B) Accurately documenting the patient's condition
C) Minimally documenting in the patient's chart
D) Taking breaks as scheduled
E) Remaining healthy and able to function on the job
Q2) The nurse manager receives the budget variance report for the assigned nursing unit.What other critical information must the nurse manager consider to evaluate this report?
A) Projection of costs in the operating budget
B) The amount of money allocated to meet expected costs
C) Figures on which a zero-based budget were determined
D) Planning needs for unit staffing based on patient acuity
Q3) To provide quality care,the Affordable Care Act of 2010
A) reduced the number of patients accepted into Medicaid.
B) kept the Medicaid system the same.
C) made changes to slow growth in spending.
D) increased Medicaid spending to ensure adequate patient care.
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Page 18
Chapter 17: Political Action in Nursing
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Sample Questions
Q1) The state nurses association writes a new version of the Nurse Practice Act,secures a sponsor in the legislature,and lobbies legislators to adopt the bill.Which of the laws of power would the nurse label this situation?
A) Power is invariably personal.
B) Power invariably fills any vacuum.
C) Power is exercised through and depends on institutions.
D) Power is best exercised via large financial donations to individual legislators.
Q2) A nurse has just moved to a new state and wants to know the names of the state senator(s),state representative(s),federal senator(s),and federal representative(s).How can the nurse find this information?
A) Call the Democratic Party headquarters.
B) Call the Republican Party headquarters.
C) Call the public library.
D) Call the local newspaper.
E) Call Congress.
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Chapter 18: Collective Bargaining: Traditional (Union)and
Nontraditional
Approaches
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Q1) Which action can the nurse take during a job interview to ensure job satisfaction in the future? (Select all that apply.)
A) Ask about benefits associated with the job.
B) Assess the potential employer's mission.
C) Determine wages and pay increases.
D) Ask questions to determine the culture of the organization.
E) Question the hours that are required for a full-time status.
Q2) A nurse manager is speaking to a group of nurses about how to choose their representative if they wish to participate in traditional or nontraditional collective bargaining.The nurse manager knows the teaching has been effective if the nurses select which of the following as ways to choose their representative? (Select all that apply.)
A) Service Employees International Union
B) The National League for Nursing
C) Their state nurses association
D) The American Federation of Teachers
E) National Nurses United (NNU)
F) Center for American Nursing (CAN)
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Chapter 19: Ethical Issues
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Q1) Which action by the nurse shows an understanding of the ethical principle of autonomy?
A) Allowing a patient the right to make decisions regarding his health care even if the nurse does not agree with his decisions.
B) Making decisions for the patient regarding his care
C) Disregarding the patient's decisions because they are not "normal" according to society
D) Consulting the attending physician to make decisions for the patient
Q2) A nurse is caring for a young patient recovering from a traumatic car accident.The patient has lost a lot of blood and is in need of a blood transfusion.The patient states< "I'm a Jehovah's Witness," and will not accept the blood.The nurse knows the patient will likely not survive if they do not receive the blood.What action should the nurse take?
A) Administer the blood anyway; the patient will die without it.
B) Try to talk the family into signing the consent for the blood.
C) Call the physician and report the patient's decision.
D) Stop all care for the patient to respect their wishes.
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Chapter 20: Legal Issues
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Sample Questions
Q1) Which statement by the nurse indicates understanding of the nurse practice act?
A) "The nurse practice act defends any action the nurse may take."
B) "The nurse practice act defines the scope of practice for each level of licensure."
C) "The nurse practice act details pay raises for each year of service to an organization."
D) "The nurse practice act has language that grants nurses vacation time."
Q2) The nurse has an adequate understanding of nurse practice acts when stating which of the following?
A) "Nurse practice acts do not help guide nurses."
B) "Nurse practice acts describe how to prepare for the NCLEX exam."
C) "Nurse practice acts describe how and when to renew a nursing license."
D) "Nurse practice acts provide a list of job openings."
Q3) During a malpractice suit,how can the standard of "what the wise and prudent nurse would do" best be established?
A) From the testimony of an expert nurse
B) By consulting with nursing faculty regarding standards of care
C) Conferring with a lawyer regarding malpractice parameters
D) By consulting the standards of The Joint Commissions
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Page 22
Chapter 21: Cultural and Spiritual Awareness
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Q1) A nurse is caring for a patient experiencing spiritual distress.What nursing intervention would be appropriate for this patient?
A) Asking the patient to reserve prayer for the hospital chaplain
B) Placing the patient by the nurses' station because it is busy and will keep the patient entertained
C) Developing a trusting relationship with the patient
D) Allowing the patient's roommate to have visitors late into the night
Q2) The nurse has an adequate understanding of Japanese culture when stating which of the following? (Select all that apply.)
A) "The Japanese believe that contact with blood,skin diseases,and corpses causes illness."
B) "The Japanese believe in healers and herbalists."
C) "The Japanese have high regard for physicians."
D) "The Japanese tend to not question the care of the physician."
E) "The Japanese verbally express pain."
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Chapter 22: Quality Patient Care
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Sample Questions
Q1) Which action would be occurring if a group of nurses were in the analyze phase of the DMAIC process? (Select all that apply.)
A) Identify gaps between current performance and the goal.
B) Identify possible sources of variation.
C) Determine the goal.
D) Write the problem statement.
E) Determine where to begin making a change.
Q2) The nurse manager has an adequate understanding of Six Stigma when making which of the following statements?
A) "The primary goal of Six Stigma is to increase profits and reduce problems."
B) "The primary goal of Six Stigma is to attract physicians to an organization."
C) "The primary goal of Six Stigma is advertisement of the organization."
D) "The primary goal of Six Stigma is to attract nursing to an organization."
Q3) Which action takes place during the design phase of the DMAIC process?
A) A charter is developed.
B) Key performance indicators are agreed upon.
C) Analyze baseline data.
D) Determine whether measures reflect the true problems.
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Chapter 23: Nursing Informatics
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Q1) A nurse is educating students on how to evaluate a website.The nurse judges the teaching to be effective when the students can state:
A) "Internet information must go through careful screening before it can be posted."
B) "Credibility,accuracy,and reasonableness of the information should be considered."
C) "It is important to have the hospital librarian verify the authenticity of the website."
D) "Most Internet information can be downloaded or beamed to a smartphone or handheld device (personal digital assistant [PDA])."
Q2) Which statement by the nurse indicates understanding of the General Systems Theory?
A) "It is a 5-step process of an individual's decision to adopt an innovation."
B) "It is known as a change theory."
C) "It includes knowledge,persuasion,decision,implementation,and confirmation."
D) "It organizes interdependent parts working together to produce a product that none used alone could produce."
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Chapter 24: Using Nursing Research in Practice
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Q1) Which of the following nursing activities are necessary to provide evidence-based nursing care?
A) Maintaining self-directed practice and using the Internet to locate relevant research articles
B) Having an advanced degree (CNS or FNP)and providing clinical supervision for peers
C) Attending continuing education programs and working toward a graduate degree in nursing
D) Systematically integrating nursing research findings and applying relevant evidence to practice
Q2) The nurse understands the function of The National Institute of Nursing Research (NINR)when stating: (Select all that apply.)
A) "The NINR is a major source of federal funding for nursing research."
B) "The NINR supports education in research methods."
C) "The NINR funds local hospitals."
D) "The NINR supports education in research career development."
E) "The NINR establishes National Nursing Research Agenda."
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Chapter 25: Workplace Issues
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Sample Questions
Q1) The staff nurse,in the tenth hour of a 12-hour shift,is told by the house supervisor that the nurse replacement will be 2 hours late and the staff nurse must work these extra 2 hours.The nurse is unable to stay over.What is the best action for the nurse to talk?
A) Talk to the person over the house supervisor.
B) Refuse and go home on time because from being too tired to work.
C) Fix some strong coffee and call home to explain the situation.
D) Ask if the supervisor could work a double because the supervisor needs the money.
Q2) The Occupational Safety and Health Administration (OSHA)provides guidelines to protect health care workers from needlesticks.Which action by the nurse manager shows the use of the guidelines in practice?
A) Purchasing safety devices
B) Providing a safe working environment
C) Working with the local health department
D) Establishing guidelines for safe nursing practice
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Chapter 26: Emergency Preparedness
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Sample Questions
Q1) The nurse has an adequate understanding of smallpox when the nurse states which of the following?
A) "Smallpox does not exist because of vaccines."
B) "Smallpox can easily be spread from person to person."
C) "Smallpox must be ingested for a person to become sick."
D) "Smallpox is resistant to vaccines."
Q2) The nurse has an adequate understanding of phosgene gas when stating which of the following?
A) "Phosgene gas smells like bleach."
B) "Phosgene gas smells like fresh cut grass."
C) "Phosgene gas smells like almonds."
D) "Phosgene gas smells like rotting fruit."
Q3) After the September 11,2001,attack on the United States,President George W.Bush created what agency in response to the terrorist attacks?
A) The Incident Command System (ICS)
B) The Office of Emergency Response (OER)
C) The Federal Emergency Management Agency (FEMA)
D) The Department of Homeland Security (DHS)
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