Nursing Concepts Exam Questions
Course Introduction
Nursing Concepts is a foundational course that introduces students to the core principles and theories underpinning modern nursing practice. Through the exploration of critical topics such as patient-centered care, safety, clinical reasoning, evidence-based practice, and professional ethics, students develop a deep understanding of the nursing role within the healthcare system. The course emphasizes holistic care, effective communication, and the integration of cultural competence in diverse clinical settings, preparing students to apply conceptual frameworks in real-world scenarios and setting the stage for advanced nursing studies.
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Professional Nursing Practice Concepts and Perspectives 7th Edition by Blais
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Page 2
Chapter 1: Beginning the Journey
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Sample Questions
Q1) How much study should the student plan for each hour spent in class per week?
A)30 minutes
B)1 to 3 hours
C)4 to 5 hours
D)8 hours
Answer: B
Q2) The nursing student is planning to study all weekend for a final exam scheduled on Monday.Is this a good strategy for study?
A)Yes;this method will assure all material is fresh in the student's mind.
B)No;the student should plan on an all-night study session on Sunday night only.
C)Yes,but the best strategy is to invite six or seven fellow students to join in the session.
D)No;study should be incremental across the semester with a general review the day before the exam.
Answer: D
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3
Chapter 2: Socialization to Professional Nursing Roles
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Q1) What is true of standards of nursing practice?
A)They are written by the American Medical Association.
B)They outline the minimal care expected by patients.
C)They affect only the nurse-patient relationship.
D)They define the nurse's professional legal obligations.
Answer: D
Q2) How does a return to school for a baccalaureate degree affect socialization of practicing nurses?
A)It has little effect.
B)These nurses regress in socialization back to the pre-nursing levels.
C)These nurses experience resocialization in many ways.
D)Resocialization does not occur until the degree is completed.
Answer: C
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Chapter 3: Historical Foundations of Professional Nursing
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Sample Questions
Q1) The nursing faculty asks the nursing student: "What is the proposed reason that Nightingale chose to become a nurse?" Which response,made by the student,reflects the best understanding of Nightingale?
A)"She was from a poor family and needed to find a way to make a living."
B)"She wanted to diminish the suffering of the helpless."
C)"She wanted to provide care to the sick in hospitals."
D)"She wanted to go to the Crimea to nurse wounded soldiers."
Answer: B
Q2) The history of nursing is most strongly associated with which other factor?
A)The history of women
B)The development of medical technology
C)The growth of religion across the frontier
D)The decline of the family unit
Answer: A
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Chapter 4: Ethical Foundations of Professional Nursing
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Sample Questions
Q1) What ethical issues arise from organ donation and transplantation? (Select all that apply. )
A)Allocation of organs.
B)Selling of organs.
C)Advanced consent for donation.
D)Involvement of children as donors.
E)Cloning for the manufacture of organs.
Q2) What are the processes for acquiring values?
A)Prescribed by the dominant religion.
B)Formal education and study.
C)Discussions with clergy.
D)Choosing,prizing,and acting.
Q3) Why are nurses valuable members of ethics committees?
A)They have more time to work on committees than many healthcare providers.
B)Their wages are lower than many disciplines so it is more cost effective.
C)They are direct and to the point and make decisions quickly.
D)They frequently have more contact with clients and families than other disciplines.
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6
Chapter 5: Legal Foundations of Professional Nursing
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Sample Questions
Q1) The nurse suspects that a coworker is impaired at work.What is this nurse's priority action?
A)Closely observe the coworker to gain evidence of impairment.
B)Plan to work with the person as a team to provide care.
C)Report the suspicion to the appropriate supervisor.
D)Confront the coworker with the suspicion.
Q2) In which case can the physician and nurse initiate care without consent?
A)A 15-year-old female who requests treatment for acne.
B)An 80-year-old client presenting with the flu who seems to be confused.
C)A 35-year-old male who is unconscious and in shock following an auto accident.
D)A 6-year-old child with a possible broken arm brought to the emergency room by a teacher.
Q3) The nurse has been charged with malpractice.Which option reflects an element that must be present for this charge to be substantiated?
A)The nurse had no way of predicting that injury would result from the error.
B)The client had a duty to report what he or she was experiencing.
C)The nurse was providing care consistent with a national standard.
D)There was a causal relationship between the error and client injury.
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Chapter 6: Remembering Development in Nursing
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Sample Questions
Q1) The nurse's research is directed toward testing a specific hypothesis deduced from a theory.Which research approach does this work represent?
A)Dynamicism
B)Positivist
C)Constructivist
D)Naturalistic
Q2) The nursing faculty is revising their program's curriculum and is developing a conceptual framework.What will this faculty develop?
A)A document that relates concepts by defining their significance to one another.
B)An overall view or orientation to focus thoughts.
C)A system of ideas proposed to explain a given phenomenon.
D)A specific outline of the curriculum's topics and contents.
Q3) The nurse is planning a research study to test a theory.Which approach is generally best for this endeavor?
A)Deductive using quantitative research methods.
B)Inductive using quantitative research methods.
C)Deductive using qualitative research methods.
D)Inductive using qualitative research methods.
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Chapter 7: The Nurse As Health Promoter and Care Provider
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Q1) The nurse is involved in an organization whose goal is to help children make the decision not use tobacco.Which type of health organization does this represent?
A)Health protection
B)Health restoration
C)Preventive health services
D)Health promotion
Q2) What is the outcome of a work-site health-promotion program for the company offering these classes to employees?
A)There is no benefit documented.
B)Employees report feeling coerced to attend.
C)Morale among employees often increases.
D)Absenteeism increases during classes.
Q3) According to Pender,Murdaugh,and Parsons,what is the definition of health promotion?
A)Behavior designed to avoid illness.
B)Behavior to increase early detection.
C)Behavior to help maintain function within constraints of illness.
D)Behavior motivated by a desire to increase well-being.
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Chapter 8: The Nurse As Learner and Teacher
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Sample Questions
Q1) A client received an injury that resulted in amputation of the right leg.The client has been unwilling to participate in physical therapy activities.Today the client says,"Well,I can't change this,so I might as well learn to live with it and do these exercises." What categorization of affective domain does this statement reflect?
A)Responding
B)Valuing
C)Organizing
D)Receiving
Q2) Which theorist developed a learning theory based on humanism?
A)Rogers
B)Piaget
C)Skinner
D)Bandura
Q3) How are the behaviors in each category of Bloom's domains of learning arranged?
A)Alphabetically
B)Simplest to most complex
C)By length of the word
D)Randomly
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10
Chapter 9: The Nurse As Leader and Manager
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Sample Questions
Q1) Which option characterizes the charismatic style of leadership?
A)The manager has a close relationship with the nurses on the unit and is an inspiration for them to provide quality care.
B)The unit manager makes all of the decisions on the unit and rarely asks for input from the group.
C)The nurse-manager serves as a facilitator to help the unit nurses provide the best quality care that meets established expected outcomes.
D)The group leader is passive,allowing the group to work on goals independently.
Q2) Which option characterizes the laissez-faire style of leadership?
A)The manager has a close relationship with the nurses on the unit and is an inspiration for them to provide quality care.
B)The unit manager makes all of the decisions on the unit and rarely asks for input from the group.
C)The nurse-manager serves as a facilitator to help the unit nurses provide the best quality care that meets established expected outcomes.
D)The group leader is passive,allowing the group to work on goals independently.
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11
Chapter 10: The Nurses Role in Evidence-Based Health Care
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Sample Questions
Q1) What are the purposes of scientific research? (Select all that apply. )
A)Description
B)Review
C)Exploration
D)Explanation
E)Prediction
Q2) What must the nurse consider when critiquing research? (Select all that apply. )
A)The appropriateness of the design
B)The overall cost of the study
C)The ethical dimensions of the study
D)The significance of the problem
E)The generalizability of the findings
Q3) The nurse has read about a clinical innovation that is evidence-based.The nurse is developing a positive attitude about the use of this innovation.Which stage of Rogers' theory of diffusion of innovation does this reflect?
A)Knowledge
B)Persuasion
C)Decision
D)Implementation
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Page 12
Chapter 11: The Nurses Role in Quality and Safety
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Q1) The staff development trainer is preparing material as part of a teambuilding seminar.What should the trainer include in the teaching material? (Select all that apply. )
A)Importance of setting goals
B)Honoring individual talents
C)Strategies to support group cohesion
D)Methods to ensure good communication
E)Reviewing structure,process,and outcomes
Q2) A major urban hospital is adopting the practices of high reliability organizations.Which behaviors indicate that nursing staff are incorporating these practices? (Select all that apply. )
A)Staff development trains all on algorithms created to address system errors.
B)Human resources prepares materials to use prior to issuing staff suspensions.
C)Nurse manager intercedes before an error with intravenous medication occurs.
D)Vice president of nursing meets with staff to learn ways to reduce the incidence of sharps occurrences.
E)Staff nurses analyze the steps that occurred to determine why a client had an adverse reaction in the operating room.
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Chapter 12: The Nurses Role As Political Advocate
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Sample Questions
Q1) How can power be defined?
A)Position within an organization
B)Control over events
C)Authority to act
D)Potential to influence events
Q2) Which nurse used contacts with powerful men in government to obtain needed personnel and supplies for wounded soldiers in the Crimea?
A)Harriet Tubman
B)Florence Nightingale
C)Lillian Wald
D)Margaret Sanger
Q3) What is a strategy used to influence political decisions?
A)Demanding change
B)Acting as an individual
C)Negotiating
D)Complaining to peers
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14
Chapter 13: The Nurse As Colleague and Collaborator
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Sample Questions
Q1) Norton's theory of communicator style describes nine specific communicator styles.Which nurse is using the attentive style?
A)The nurse speaks forcefully to a peer who made a clinical error.
B)The nurse is obviously listening to the client and makes eye contact during the conversation.
C)The nurse monopolizes the lunchtime conversation with other nurses.
D)While the client is describing his or her health history,the nurse interrupts with questions about current complaints.
Q2) The nurse would like to start a self-help group for persons who would like to lose weight.Which organization would it be helpful for this nurse to contact?
A)American Nurses Association
B)National League for Nursing
C)National Mental Health Consumers' Self-Help Clearinghouse
D)National Coalition of Self-Help
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15
Chapter 14: Communicating Effectively
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Sample Questions
Q1) How should the nurse communicate with a toddler?
A)Talk to the child as an adult so as not to baby the child.
B)Speak only to the parents because small children are not capable of communicating their needs.
C)Use both verbal and nonverbal techniques to adequately assess the child.
D)Allow the parents to communicate for the child.
Q2) In order for the healthcare provider to receive payment from Medicare,the client's medical record must include which documentation?
A)An evaluation of the quality of care
B)Permission from the client to use health data in governmental research
C)Correct diagnosis-related group
D)A discussion of the pathophysiology of the client's major medical diagnosis
Q3) What is included in health communication? (Select all that apply. )
A)Health promotion
B)Disease prevention
C)Any health message
D)Healthcare policy
E)The business of health care
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Chapter 15: Managing Change
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Sample Questions
Q1) Which is the most obtrusive approach to change?
A)Empirical-rational
B)Mandatory education
C)Power-coercive
D)Normative-reeducative
Q2) Which would be a restraining force for change?
A)Fear of loss or threat to security
B)Perception that change is challenging
C)Potential for self-growth
D)Economic gain
Q3) Which is a key characteristic of a change agent?
A)Formal power
B)Coercive power
C)Trust
D)Charisma
Q4) Which strategy to manage planned change is nonparticipative and undemocratic?
A)Normative-reeducative
B)Empirical-rational
C)Power-coercive
D)Legitimate power
Page 17
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Chapter 16: Technology and Informatics
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Sample Questions
Q1) Which ethical concept applies to the use of information technology in health care?
A)Autonomy
B)Free will
C)Diversity
D)Remembering
Q2) In the hospital setting,what may the job description of informatics nurses involve?
A)Programming computers
B)Any aspect of information systems
C)Managing medical records departments
D)Managing the help desk
Q3) What is the ability to access relevant information at the patient's bedside considered?
A)Information systems at the point of care
B)Personal computerization
C)Digital communication
D)Equipment networking
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Chapter 17: Nursing in an Evolving Health Care Delivery System
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Sample Questions
Q1) What are three main types of healthcare services billing methods?
A)Fee-for-diagnosis,capitation,accrual
B)Capitation,full costing,actual outflow
C)Fee-for service,capitation,fee-for-diagnosis
D)Fee-for service,accrual,fee-for-health
Q2) What do diagnosis-related groups (DRGs)establish?
A)The nursing care plan
B)Pretreatment diagnosis billing categories and fee schedule
C)Private health insurance premiums
D)The need for the primary care physician to be consulted
Q3) Nurses practicing holistic nursing usually subscribe to which concept(s)of wellness? (Select all that apply. )
A)Wellness is a choice.
B)Wellness can be achieved with a single change in lifestyle.
C)Wellness is the integration of body,mind,and spirit.
D)Wellness requires medical intervention.
E)Wellness can only be achieved through maturation.
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Page 19
Chapter 18: Providing Care in Home and Community
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Q1) The nurse implemented an immunization program for influenza for members of a parish.Following the implementation of the program,the nurse gathered data on the incidence of flu.What is this an example of?
A)A retrospective study
B)A controlled study
C)A prospective study
D)An experimental study
Q2) Which is the largest source of reimbursement for home health services?
A)Self-pay
B)Private insurance
C)Medicaid
D)Worker's compensation
Q3) The community health nurse usually works in which area?
A)Providing care to a client who is recovering from an illness
B)Providing care for individuals in their homes
C)Health promotion and illness prevention
D)Planning care related to Medicare reimbursement
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Chapter 19: Global Health
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Q1) A middle-aged homeless male experiencing severe abdominal pain comes into the emergency department of the community hospital.What should the nurse do for this individual?
A)Provide care
B)Ask for proof of health insurance
C)Ask for the name of last employer
D)Send to the nearest Medicaid office
Q2) The nurse researcher is identifying potential areas within nursing that affect human rights.Which areas should the researcher consider for further study? (Select all that apply. )
A)Telenursing
B)Palliative care
C)Forensic nursing
D)Infusion therapy
E)Nurse imprisonment
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Chapter 20: Dimensions of Holistic Health Care
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Q1) School nurses often teach about sun protection and give instruction on healthy eating.What do these actions exemplify?
A)Primary prevention
B)Secondary prevention
C)Tertiary prevention
D)Preventive care
Q2) Nurses working on a post-op care unit are practicing which level of care?
A)Primary
B)Secondary
C)Tertiary
D)Preventive
Q3) Which organization developed standards of nursing practice that define holistic nursing practice as a specialty?
A)AHNA
B)ANA
C)NCCAM
D)ANCC
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Chapter 21: Nursing in a Culturally Diverse World
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Q1) The American Association of Colleges of Nursing (AACN)identified certain competencies essential for graduates of baccalaureate nursing programs to provide culturally competent care.Which statements reflect these competencies? (Select all that apply. )
A)Participate in continuous cultural competence development
B)Use relevant data sources and best evidence to provide culturally competent care
C)Reinforce health disparities among populations
D)Promote achievement of safe and quality outcomes of care for diverse populations
E)Defer use of best practice evidence to the case management teams
Q2) Which statement best describes acculturation?
A)Also referred to as assimilation,acculturation is the integration of the cultural patterns of the dominant or host culture into the person's way of life.
B)Spector suggests that it takes seven generations for a family to become fully assimilated into the American culture.
C)It doesn't occur because people are already acculturated when they immigrate to the United States.
D)The study of different cultures and subcultures
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Chapter 22: Nursing in a Spiritually Diverse World
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Q1) The nurse using Westerhoff's stages of faith should place a 13-year-old patient in which stage?
A)Experienced faith
B)New faith
C)Owned faith
D)Affiliative faith
Q2) Which phrase describes spirituality?
A)The belief in something that cannot be directly observed
B)An organized belief system that requires religious worship of a Supreme Being
C)The core of a person's being,involving one's relationship with God or a higher power
D)A belief system unique to a specific religion
Q3) The nurse preparing a patient care plan utilizes the nursing diagnosis Enhanced Spiritual Well-Being to address which aspects of the patient? (Select all that apply. )
A)Sense of inner peace
B)Sense of meaning
C)Sense of world unity
D)Sense of purpose in life
E)Sense of relationship with others
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Chapter 23: Nursing in a Culture of Violence
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Q1) For what non-accidental injuries in children should nurses assess when looking for signs of physical abuse? (Select all that apply. )
A)Fractures and bruises
B)Spinal injuries
C)Burns
D)Near drowning
E)Head injuries
Q2) What assessment finding indicates that a child is a victim of sexual abuse?
A)Repeated ear infections
B)Hives
C)Genital and/or anal irritation or trauma
D)Early appearance of secondary sex characteristics
Q3) What should the nurse do when caring for a victim of abuse? (Select all that apply. )
A)Ensure the client's safety
B)Support the client
C)Empower the client to take control
D)Avoid the team approach when assessing the patient
E)Provide information regarding available services for the patient
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25
Chapter 24: Advanced Nursing Education and Practice
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Q1) What international body of nursing is concerned with the definition and scope of advanced practice nursing worldwide?
A)The American Association of Colleges of Nursing (AACN)
B)The American Nurses Association (ANA)
C)The International Council of Nurses (ICN)
D)The World Health Organization (WHO)
Q2) Which nurse founded the Frontier Nursing Service and was a pioneer in nurse-midwifery?
A)Florence Nightingale
B)Jeanne Mance
C)Mary Breckinridge
D)Lydia Hall
Q3) A nurse seeking a DNP bases the decision to do so on what information? (Select all that apply. )
A)Nursing is a discipline seeking a higher body of knowledge.
B)Nursing requires the DNP to practice in an advance role.
C)Nursing is a practice requiring skill refinement.
D)Nursing licensure is regulated by each state.
E)Nursing is a practice requiring use of evidence.
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Page 26
Chapter 25: The Future of Nursing
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Q1) When educating patients about their health care needs,nurses should inform the patients of their probable future or:
A)The most likely outcome if things continue unchanged
B)What can happen if some things change
C)The most likely outcome when specific efforts are made to accomplish a desired outcome
D)The outcome that is wanted
Q2) While managed care is available,there will be fewer professional nurses in hospitals and more of which type of workers supervised by professional nurses?
A)Janitorial
B)Physicians
C)Multi-skilled
D)Academic
Q3) Addressing cost-containment issues,on what do community health nurses focus?
A)Diagnosis
B)Technical skill
C)Rehabilitation
D)Wellness and prevention
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