

Nursing Capstone Seminar Practice Exam
Course Introduction
The Nursing Capstone Seminar is a culminating course designed to integrate knowledge and skills acquired throughout the nursing program, emphasizing evidence-based practice, critical thinking, and professional leadership. Students engage in comprehensive project work, often involving the assessment and solution of real-world healthcare challenges, while synthesizing theoretical and clinical learning. Through reflective practice, collaborative discussions, and scholarly presentations, students demonstrate their readiness for entry into professional nursing roles, refine their understanding of ethical and legal frameworks, and prepare for lifelong learning within dynamic healthcare environments.
Recommended Textbook
Nursing Today Transition and Trends 8th Edition by Zerwekh
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Page 2
Chapter 1: Role Transitions
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Sample Questions
Q1) A student in the last semester of nursing school has established a goal of making a successful role transition to graduate nurse.Which statement by the student indicates his/her understanding of how to achieve this goal?
A) "I should care for increased numbers of patients to enhance work organization skills."
B) "I will observe staff nurses as they perform nursing procedures to refine technique."
C) "I should seek increasingly close guidance from the nursing instructor to reduce errors."
D) "I will evaluate my progress every 7 weeks or more to allow time for growth."
Answer: A
Q2) 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
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3
Chapter 2: Personal Management: Time and Self-Care Strategies
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Sample Questions
Q1) Which is an example of an effective self-care strategy for a nurse?
A) Plan time for physical recuperation after working extra hours.
B) Push feelings of sadness,joy,anger,and fear out of awareness.
C) Use alcohol to reduce tension.
D) Respond to people and opportunities reactively.
Answer: A
Q2) To achieve success in the workplace,which action by the nurse would focus on improving skills? (Select all that apply.)
A) Taking a course on communication
B) Thinking of a way to improve time management
C) Understanding the layout of the hospital
D) Spending some time working on organizational skills
E) Knowing where supplies are on the unit
Answer: B,D
Q3) 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

Page 4
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Chapter 3: Mentorship, Preceptorship, and Nurse Residency Programs
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Sample Questions
Q1) While discussing a mentoring program with the nursing director,the nurse manager correctly states that mentoring is a
A) partnership.
B) one-way street.
C) static relationship.
D) method of gaining more experience.
Answer: A
Q2) Which action by the mentor can help reduce the impact of reality shock on the mentee during the resolution phase?
A) Expect the mentee to problem solve clinical issues independently.
B) Continue to practicing skills that he or she is comfortable with.
C) Reinforce positive qualities that the mentee possesses.
D) Point out negative qualities for the mentee to change.
Answer: C
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Chapter 4: Employment Considerations: Opportunities,
Resumes, and Interviewing
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Sample Questions
Q1) As the interview is drawing to a close,the interviewer asks the applicant,"What questions could I answer for you?" Which of the following questions would it be most advisable to ask to create a favorable impression?
A) "What will happen if I am unable to meet the outcomes for the competency-based orientation?"
B) "Do you still have tuition reimbursement for courses to obtain my next degree?"
C) "How soon will I be responsible for supervision of other staff?"
D) "After completing orientation,when will the first pay raise be given?"
Q2) What is the best short-term objective for the resume of a new nursing graduate seeking employment on a medical-surgical unit?
A) Obtain a position that further develops interests and skills.
B) Provide a basis for moving up the career ladder to a supervisory position within 5 years.
C) Acquire a staff nurse position with options to use tuition benefits to obtain advanced degrees.
D) Obtain an entry-level position as a staff nurse on a medical-surgical unit.
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Chapter 5: NCLEX-RN Examination and the New Graduate
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Sample Questions
Q1) What type of nursing position would most likely provide experience in the type of nursing situations upon which the NCLEX Exam questions are based?
A) Home care nurse
B) Psychiatric staff nurse
C) Staff nurse in an ambulatory pediatric clinic
D) Staff nurse in a medical-surgical inpatient unit
Q2) Which statement indicates the graduate nurses understanding of the process at the NCLEX testing site?
A) "I will be thumbprinted and photographed."
B) "I will be placed in a locked testing cubicle."
C) "I will answer 300 test questions."
D) "I will be given some questions as a paper-and-pencil test."
Q3) What would happen if the graduate nurse failed the NCLEX-RN on the first testing attempt?
A) The graduate nurse would be required to take an additional nursing course before retesting.
B) The graduate nurse would be required to wait 9 months to retest.
C) The graduate nurse would be required to wait 45 to 90 days before retesting.
D) The graduate nurse would not be allowed to test again.
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Page 7
Chapter 6: Historical Perspectives: Influences on the
Present
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Sample Questions
Q1) The nursing student has an adequate grasp of nursing history when stating that after the fall of the Roman Empire,the knowledge of health practice was primarily preserved by
A) English monks in cloistered buildings.
B) Jewish physicians who could translate into Latin.
C) Roman priests who practiced medicine.
D) Fortuna,who practiced midwifery.
Q2) Nurses made many contributions to the care of Civil War soldiers.A nurse who understood this,would state which of the following?
A) "Nurses established a safe haven for soldiers from the battlefield."
B) "Nurses provided a clean environment with food and water."
C) "Nurses began medication administration on the battlefield."
D) "Nurses organized the men to care for other injured soldiers."
Q3) Which of the following actions were expected of a nurse coordinator? (Select all that apply.)
A) Improve patient care.
B) Promote harmony within the institution.
C) Arrange for payment of care received by patients.
D) Motivate staff.
E) Arrange salaries of staff.

Page 8
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Chapter 7: Nursing Education
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Sample Questions
Q1) A group of nurses is discussing how to choose a graduate program.Which of the following statements would be helpful to the nurses as they decide on a graduate program? (Select all that apply.)
A) "Look at ACEN or CCNE publications."
B) "List your career goals and decide what educational preparation you would need to reach these goals."
C) "Ask yourself how much time you can spend going to school."
D) "Decide whether you are in a position to relocate if the programs you need are not offered in your area."
E) "Choose a graduate program based on where your friends are going to school."
Q2) The nurse educator is being interviewed about the many different educational programs that allow nurses to achieve higher education.The educator states that the following educational programs were created based on the recommendation of the Institute of Medicine (Select all that apply.)
A) "BSN completion programs."
B) "career ladder programs."
C) "diploma programs."
D) "external degree programs."
E) "accelerated programs."
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Page 9

Chapter 8: Nursing Theory
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Sample Questions
Q1) Which of the following would correctly evaluate the effectiveness of Nightingale's actions to increase the health of the Crimean War soldiers?
A) Deaths continued to increase because of poor conditions.
B) Deaths declined because of increased cleanliness.
C) Death rates stayed consistent throughout the war.
D) Death rates reduced to zero.
Q2) In the system's model of Neuman,nursing helps reduce the stressors to health through
A) prevention on three levels-primary,secondary,and tertiary.
B) maintenance of balance of the physiological systems.
C) promoting a sense of inner harmony through achieving holistic health.
D) repatterning the person and environment for synchrony within the body.
Q3) Systems-oriented theorists include
A) Neuman,Roy,and Johnson.
B) Peplau,Watson,and Orlando.
C) Nightingale,Abdellah,and Orem.
D) Rogers,Newman,Rizzo,and Parse.
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Chapter 9: Image of Nursing: Influences of the Present
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Sample Questions
Q1) The nurse understands the importance of the Employee Retirement Income Security Act (ERISA)of 1974,when stating which of the following?
A) "It provided a standard of practice for nursing."
B) "It allowed professional nursing organizations to act as unions on behalf of member nurses."
C) "It established the framework for political action in legislative activities."
D) "It financially supports research in nursing and education."
Q2) Which of the following predicts the outcome if the nursing profession continues to be devalued by demeaning or comical images of nurses?
A) Nurses will be able to request higher wages.
B) The nursing shortage will end.
C) There will not be enough jobs for new graduates.
D) The nursing shortage will extend.
Q3) Which of the following assesses how nursing has relevance to social values?
A) Nurses have professional degrees.
B) Nurses perform community service.
C) Nursing licensure requires a baccalaureate degree.
D) Nurses are teachers of health promotion and wellness.
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Chapter 10: Challenges of Nursing Management and Leadership
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Sample Questions
Q1) Which of the following actions is consistent with a manager? (Select all that apply.)
A) Planning the agenda for a staff meeting
B) Directing nurse assistants in how to divide up patient care assignments
C) Organizing a group of nurses to present a topic at a staff meeting
D) Giving blood at the local hospital blood drive
E) Assume control of the guidelines for how hourly rounding will work on the unit
Q2) 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."
Q3) Which of the following actions is consistent with a nurse leader?
A) A nurse who encourages staff to give excellent patient care
B) A nurse who performs chart audits on her staff
C) A nurse who writes yearly staff evaluations
D) A nurse who gives pain medication to an assigned patient
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Page 12

Chapter 11: Building Nursing Management Skills
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Sample Questions
Q1) A new nurse understands that organization is key to providing safe,effective care.Which of the following actions would help to achieve this? (Select all that apply.)
A) Memorize her assignment and patient reports.
B) Create a work organization sheet.
C) Keep info about each patient on separate sheets of paper.
D) Write down all pertinent patient info.
E) Minimize distractions during report.
Q2) A nurse is assigned to care for five patients.The nurse is concerned about the ability to care for this many patients.The nurse needs to
A) delegate one of the patients to someone else.
B) prioritize the needs of the patients and determine the sickest patient.
C) procrastinate and hope that someone will offer assistance.
D) do the easiest patients first to allow more time for sicker patients.
Q3) A nurse has been assigned the following patients.Which patient is a priority to assess first?
A) A patient with abdominal pain
B) A patient who has been NPO all morning and wants to eat
C) A patient with pneumonia and O2 saturation of 88%
D) A patient complaining of ear pain
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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) Which action by the nurse shows a major characteristic of aggressive behavior?
A) Achievement of personal goals at the expense of others
B) Indirect expression of personal feelings
C) Communication of personal needs
D) Ability to restrict personal rights
Q3) How can the "grapevine" best be controlled?
A) Providing factual information in anticipation of employees' questions
B) Using an authoritarian communication style
C) Putting everything in writing
D) Having a strong union to represent employees
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Page 14

Chapter 13: Conflict Management
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Sample Questions
Q1) On the unit in which you work,one nurse's aide is usually pleasant and helpful; the other is often abrasive and angry.What is the most important basic guideline to be observed by a nurse who must resolve a conflict between the two nurse's aides?
A) Deal with issues,not personalities.
B) Require the aides to reach a compromise.
C) Weigh the consequences of each possible solution.
D) Encourage ventilation of anger and use humor to minimize the conflict.
Q2) Of the following common areas of conflict between nurses and their patients and families,which does the nurse interpret as the most easily resolved?
A) Issues of concern about quality of care
B) Issues surrounding treatment decisions
C) Issues of family involvement
D) Issues about quality of parental care
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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Chapter 14: Delegation in the Clinical Setting
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Sample Questions
Q1) There is a temporary agency registered nurse assigned to the nursing unit.You have no knowledge of this nurse's skills,and you want to assign the nurse to a patient who has a fresh tracheostomy.How should you handle this situation?
A) Assign the nurse to the patient with the tracheostomy and hope for the best.
B) Ask the nurse about his or her competency to care for the patient with the tracheostomy.
C) Assign the patient to another nurse and use the temporary agency nurse to do simple care tasks.
D) Call the agency and ask for a nurse skilled in the care of a patient with a tracheostomy.
Q2) 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
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16
Chapter 15: The Health Care Organization and Patterns of
Nursing Care Delivery
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Sample Questions
Q1) A nurse is interested in case management.Which statement indicates an understanding of the primary work environment of case manager?
A) "They work most often in acute care institutions."
B) "Their work is focused on community activities and is based within the community."
C) "They typically work for insurance companies,providing coordination of care."
D) "All types of health care organizations,as well as organizations with health-related functions,hire case managers."
Q2) A new nurse is determining which hospital to apply for.The nurse has heard a lot about magnet hospitals from friends that are nurses and knows that working for a magnet hospital would mean
A) the nurse would likely experience high job satisfaction.
B) the nurse would likely experience poor job satisfaction.
C) the nurse would have to have a BSN before being able to apply.
D) the nurse would be hired after having a year of nursing experience.
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17

Chapter 16: Economics of the Health Care Delivery System
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Sample Questions
Q1) 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.
Q2) Which statement by the nurse is accurate regarding the current health care American's receive?
A) "The distribution of services is efficient across the population."
B) "The distribution of care is even across the population."
C) "Access to care related to income is improving."
D) "Many Americans receive care that causes harm."
Q3) The nurse has an adequate understanding of productive time when stating:
A) "Productive time is the amount of time the nurse is available to give care to patients."
B) "Productive time is the amount of time the nurse is attending a continuing education activity."
C) "Productive time is counted when the nurse is not directly giving bedside care,such as going to lunch and taking a break."
D) "Productive time is counted when the physician is at the patient's bedside."
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Chapter 17: Political Action in Nursing
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Sample Questions
Q1) One of the five laws of power is that "power fills a vacuum." Which statement by the nurse best captures that type of power?
A) "An individual who provides leadership and power to create a strategy that will address a problem and get people to contribute to the effort"
B) "People who are willing to give power to someone in order to restore comfort or handle a dilemma"
C) "An individual who takes action to speak and act on behalf of a group
D) A state nursing association that acts on behalf of the nurses within the respective state"
Q2) The nurse understands the importance of participation in politics when stating which of the following? (Select all that apply.)
A) "It is important for nursing to be presented in a positive light."
B) "Nurses should fight for better health care for all patients."
C) "Nurses should only worry about what is occurring where they practice nursing."
D) "Nurses should lobby for the availability of health care."
E) "The public should see what nurses really do."
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19

Chapter 18: Collective Bargaining: Traditional (Union)and
Nontraditional
Approaches
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Sample Questions
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) Which statement by the nurse indicates understanding of collective bargaining in the workplace?
A) "Collective bargaining is not useful in the workplace."
B) "Collective bargaining is used by nurses to control their practice."
C) "Collective bargaining is used by managers to control nurses."
D) "Collective bargaining is always an adversarial process in the workplace."
Q3) A nurse is educating a new nurse on grievances.The teaching has been effective when the new nurse states:
A) "I can file a grievance"
B) "My employer cannot file a grievance"
C) "The nursing union cannot file a grievance"
D) "My coworkers cannot file a grievance"
Page 20
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Chapter 19: Ethical Issues
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Sample Questions
Q1) A nurse is educating nursing students on the teleological model of ethical reasoning.The nurse judges that the education has been effective when a student states:
A) "Abortion is acceptable because it results in fewer unwanted babies."
B) "Abortion is never acceptable because it violates the sanctity of life."
C) "Euthanasia is never acceptable because it violates the sanctity of life."
D) "The rights on individuals should not be sacrificed for the good of the majority."
Q2) A nurse and a patient are discussing the patient's wishes regarding resuscitation.The patient decides that resuscitated is not wanted under any circumstances.What action can the nurse take to identify the ethical issues of the situation?
A) Encourage the patient to discuss his wishes with his family.
B) Encourage the patient to change his mind.
C) Coerce the patient into changing his mind by calling his physician to the bedside.
D) Continue to treat the patient as a "full code."
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21

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) During a life-threatening emergency,a nurse hurriedly gives the patient a medication by IV push.There is extravasation of medication.Later,necrosis and tissue sloughing take place.The nurse's behavior may be the basis for what action?
A) Felony charge
B) Misdemeanor charge
C) Tort suit
D) Defamation suit
Q3) In a legal suit,what element is necessary to prove a tort has been committed?
A) Intent
B) Assault
C) Injury
D) Malpractice
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Chapter 21: Cultural and Spiritual Awareness
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Sample Questions
Q1) A nurse is educating a student nurse on African American culture.The nurse judges the teaching to be effective when the student nurse states that African Americans (Select all that apply.)
A) "have extended family that has a great influence on the patient."
B) "honor and respect older family members."
C) "have the oldest woman as the decision maker."
D) "do not disagree with health care recommendations."
E) "don't always follow up with health care recommendations."
Q2) Determine which of the following situations would be a provider barrier to the nurse developing cultural competence?
A) A nurse who is unaware of personal biases to other ethnic groups
B) No family rooms to accommodate a critically ill patient's family
C) A nurse who seeks encounters with individuals from other cultures
D) A health care provider who incorporates alternative therapies in health care
Q3) Which of the following actions cause health care disparities?
A) Refusal of treatment
B) Provider-patient relationships
C) Trust in the health care system
D) Provider bias and discrimination
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Page 23

Chapter 22: Quality Patient Care
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Sample Questions
Q1) A nurse is explaining to another nurse about the contributions of Edward Deming.The nurse judges that the explanation is effective when the nurse states:
A) "Quality is the responsibility of everyone within an organization."
B) "Quality is the responsibility of the quality control inspector."
C) "Quality is the responsibility of the CEO of the organization."
D) "Quality is the responsibility of the manager of the organization."
Q2) 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.
Q3) The nurse manager has an adequate understanding of root cause analysis when stating which of the following?
A) "Root cause analysis determines who to place the blame on."
B) "Root cause analysis can identify some factors leading up to an error."
C) "Root cause analysis is rarely conducted effectively."
D) "Root cause analysis investigates the root causes of events that occur."
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Page 24

Chapter 23: Nursing Informatics
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Sample Questions
Q1) Which statement by the nurse indicates understanding of general systems theory in regards to nursing informatics?
A) "General systems theory organizes interdependent parts that,when working together,can produce a product that none used alone could produce."
B) "General systems theory provides theory support for a system that maintains confidentiality when handling patient data and information."
C) "General systems theory incorporates external databases from state agencies to allow for performance comparison within a specific institution."
D) "General systems theory is a nursing theory regarding the use of nurse informatics to integrate the systems within health care for support of nursing education and practice."
Q2) The nurse understands the benefits of Computerized Provider Order Entry (CPOE)when stating:
A) "CPOE does not change the process of patient care."
B) "CPOE averts problems with hand-written orders."
C) "CPOE benefits only the nurses in the health care system."
D) "CPOE benefits only the pharmacists in the health care system."
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Chapter 24: Using Nursing Research in Practice
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Sample Questions
Q1) 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."
Q2) The nurse has an adequate understanding of evidence-based practice when the nurse states which of the following? (Select all that apply.)
A) "Evidence-based practice is similar to research utilization."
B) "Evidence-based practice is becoming important in all areas of health care."
C) "Evidence-based practice incorporates many additional sources of data that may contribute to improved nursing care."
D) "Evidence-based practice is not accepted as best research evidence."
E) "Evidence-based practice is not used in nursing care."
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Chapter 25: Workplace Issues
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Sample Questions
Q1) A nurse manager is educating a coworker on agencies that oversee environmental hazards at ambulatory care centers.The nurse manager judges the teaching to be effective when the coworker states:
A) "National Council of State Boards of Nursing has a role in overseeing any environmental hazard."
B) "American Nurses Credentialing Center oversees all environmental hazards in the United States."
C) "Ambulatory Care Nursing Administration and Practice oversees only local environmental hazards."
D) " The Occupational Safety and Health Administration oversees all environmental hazards at ambulatory care centers."
Q2) What can be suggested to a nurse wanting to protect back health while caring for patients? (Select all that apply.)
A) Use proper body mechanics.
B) Use assistive patient-handling devices.
C) Use ergonomic equipment.
D) Only care for patients that can move independently.
E) Be aware of potential risk.
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Chapter 26: Emergency Preparedness
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/9259
Sample Questions
Q1) Second- or third-degree burns that cover more than 50% of the body would be classified under what stage of triage?
A) Expectant
B) Delayed
C) Minor
D) Immediate
Q2) A nurse is receiving education on disaster levels.The teaching has been sufficient when the nurse states that a Level III disaster includes (Select all that apply.)
A) earthquakes.
B) house fires.
C) tsunamis.
D) train derailment.
E) hurricanes.
Q3) 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."
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