Nursing Ethics and Policy Mock Exam
Course Introduction
Nursing Ethics and Policy explores the moral principles and professional standards that guide nursing practice within various healthcare settings. The course examines core ethical theories, patient rights, and the decision-making processes nurses use to resolve ethical dilemmas. Students analyze the influence of policies at institutional, national, and global levels on the delivery of care, professional accountability, and advocacy roles. Emphasis is placed on ethical issues such as informed consent, confidentiality, end-of-life care, cultural sensitivity, and justice in healthcare. By the end of the course, students will be equipped to critically evaluate ethical challenges and contribute to policy development that promotes high-quality, equitable nursing care.
Recommended Textbook
Contemporary Nursing Issues Trends and Management 6th Edition by Barbara Cherry
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28 Chapters
628 Verified Questions
628 Flashcards
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Page 2
Chapter 1: The Evolution of Professional Nursing
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22 Verified Questions
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Sample Questions
Q1) The use of herbs has become a popular alternative to prescription drugs in today's health care milieu. During which other historical periods did health practices focus on the use of herbs?
A) Prehistoric times and the Middle Ages
B) Civil War period and World War I
C) Renaissance and Reformation periods and the Colonial American period
D) Crimean War and Civil War periods
Answer: A
Q2) Place the role of nurses in chronological order from the Civil War to World War II. Put a comma and space between each answer choice (for example: a, b, c, d).
A) Nurses who served during war were given rank as officers.
B) No nurses were formally trained.
C) Public health nursing and occupational nursing were begun.
D) The nurse anesthetist was introduced.
Answer: B,C,D,A
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3
Chapter 2: The Contemporary Image of Professional Nursing
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Sample Questions
Q1) A nurse executive is concerned that the mortality rate in his/her hospital exceeds the national average and searches the literature finding Aiken's 2011 Survey on the effects of nurse staffing and education on mortality, including work environment. If Aiken's recommendations are followed, which change would be most effective?
A) Increasing staffing ratios to include more nurses of all levels of educational preparation on all shifts
B) Employing bachelor's prepared nurses who participate in interprofessional rounds with attending physicians where their voices are heard
C) Ensuring nurse managers and administrators have at minimum a Master's degree
D) Encouraging all unlicensed assistive personnel to attend educational programs to be certified
Answer: B
Q2) Which nurse best portrays nursing as a "knowledge worker"?
A) Nurse in matched scrubs with lab coat, hair back, small stud earrings
B) Nurse in mismatched scrubs, no lab coat, large hoop earrings
C) Nurse in white uniform with apron with no jewelry/hair back
D) Nurse with nose ring and eyebrow piercing with starched white uniform and cap
Answer: A
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Chapter 3: The Influence of Contemporary Trends and Issues on Nursing Education
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A student nurse is preparing a presentation that requires identification of outcomes for the care of heart failure patients. Which is a correctly written outcome?
A) Develop a teaching program to address physical activities that improve cardiac function.
B) Consider the clinical manifestations associated with Level 4 heart failure.
C) List the most common pharmaceutical approaches to reduce preload in heart failure patients.
D) Consider the economic impact that recidivism has on the patient and health care facility.
Answer: A
Q2) Which nursing model is referred to as the "class without walls"?
A) Articulation
B) Career ladder (2 + 2)
C) External degree
D) Second degree
Answer: C
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Chapter 4: Nursing Licensure and Certification
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Sample Questions
Q1) Who establishes the "rules" for nursing practice?
A) Individual State Boards of Nursing
B) Employer, based on area of practice
C) United States Department of Health and Human Services
D) Local health officials
Q2) A nursing student is in the final term of an Associate Science of Nursing (ASN) program and is preparing for licensure. Prior to licensure the candidate must provide evidence of: (Select all that apply.)
A) graduation from a nursing program.
B) graduation from high school or high school equivalency.
C) evidence of current malpractice insurance.
D) evidence of plan to continue study to obtain a minimum of a BSN within 2 years.
E) validation of skills competence provided by a certifying agency.
Q3) The primary purpose of licensure is protection of the ___________.
Q4) The primary purpose of licensure for RNs is to:
A) prevent others from using the title nurse.
B) demonstrate a specialized body of knowledge.
C) protect the public.
D) enhance recognition for the profession.
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Chapter 5: Theories of Nursing Practice
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Sample Questions
Q1) A community health nurse has been visiting a postpartum client who suffered domestic violence throughout the pregnancy, and now the infant may be at risk. The nurse assisted the client in finding shelter and legal protection. The nurse's role and the conceptual framework involved are:
A) change agent, according to Roy's adaptation model.
B) translator, according to Leininger's theory of cultural care diversity and universality.
C) case manager, according to Peplau's interpersonal relations model.
D) caregiver, according to Rogers' science of unitary human beings.
Q2) A client involved in a motor vehicle accident is blinded. The nurse helps the client obtain a guide dog so the client may continue grocery shopping and visiting friends and family. This enables the client to cope with the handicap and perform activities of daily living. Which nursing theory can be applied to this scenario?
A) Watson's philosophy and science of caring and humanistic nursing
B) Mishel's uncertainty in illness
C) Orem's self-care deficit
D) Rogers' science of unitary human beings
Q3) The basic ingredients of theory are ____________.
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Page 7
Chapter 6: Nursing Research and Evidence-Based Practice
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Sample Questions
Q1) A nurse interested in life satisfaction among patients receiving hemodialysis reviews databases and identifies relevant studies which are then statistically analyzed providing generalization through multiple studies. The nurse researcher is using which type of research?
A) Quasi-experimental
B) Secondary analysis
C) Meta-analysis
D) Survey
Q2) A nurse is interested in understanding the meaning of the human experience of surviving polio. Subject recruitment targets persons who have been diagnosed with the disease. The researcher reflects on the data and identifies common themes in order to understand the "lived experience." These characteristics are consistent with the qualitative research method known as:
A) grounded theory.
B) ethnography.
C) phenomenology.
D) case study.
Q3) Development and validation of the body of knowledge and foundation on which practice is based is called ____________.
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Page 8
Chapter 7: Paying for Health Care in America: Rising Costs and Challenges
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27 Verified Questions
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Sample Questions
Q1) A physician bills the insurance company for a computed tomography (CT) scan, laboratory tests, chest x-ray, and an extended visit and receives revenue for each procedure billed. This type of payment system is a _____ payment system.
A) prospective
B) retrospective
C) diagnosis-related group
D) capitated
Q2) Diagnosis-related groups (DRGs) have attempted to reduce health care costs by decreasing:
A) hospital admission rates.
B) length of hospital stay.
C) outpatient services.
D) specialty groups.
Q3) The precise classification of clients according to the highest diagnosis-related group (DRG) has created a new role for nurses, known as a _____ nurse.
A) case management
B) quality assurance
C) utilization review
D) cost-control
Page 9
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Chapter 8: Legal Issues in Nursing and Health Care
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Sample Questions
Q1) Although a hospital reversed all charges when a client was the victim of wrong site surgery, the court awarded the client $1.5 million. The client was able to return to work in 6 weeks and had no permanent damages. This monetary compensation is termed:
A) res ipsa loquitur.
B) punitive damages.
C) vicarious liability.
D) immunity.
Q2) A client arrives in active labor and exhibits toxemia with irregular fetal heart tones. The client is an immigrant and is uninsured. Which act would prevent the client from being transferred to another facility?
A) Emergency Medical Treatment and Active Labor Law
B) Health Insurance Portability and Accountability Act
C) Patient Self-Determination Act
D) The Patient Safety and Quality Improvement Act
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Chapter 9: Ethical and Bioethical Issues in Nursing and Health Care
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Sample Questions
Q1) A client is in extreme pain after he was involved in a motor vehicle accident, and morphine has been ordered every hour for pain. The nurse injects saline into the client's IV line and takes the morphine for herself. The nurse is violating which principle of ethics?
A) Autonomy
B) Utilitarianism
C) Beneficence
D) Dilemmas
Q2) Three illegal immigrants with no health insurance or money sustained life-threatening injuries during an automobile accident. Two of these individuals had head trauma and lacerated internal organs. The decision was made to provide extended care in the trauma center after emergency surgery was performed to save their lives. The third individual received only minor injuries, which were treated in the emergency department. The care of the two critical clients was based on the ethical principle of:
A) utilitarianism.
B) deontology.
C) autonomy.
D) veracity.
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Chapter 10: Cultural Competency and Social Issues in
Nursing and Health Care
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Sample Questions
Q1) On the scale from 1 to 10, with 1 being no prejudice and 10 being extreme prejudice, the placement of hate on the continuum would be at number _____.
Q2) A nurse performing a history and physical on a newly admitted Hispanic patient learns the patient has just used the services of a savador to:
A) determine which herbs would best reduce hot flashes in a menopausal woman.
B) communicate with a family member who recently died.
C) receive treatments to reduce lower back pain.
D) receive acupuncture to stop smoking.
Q3) While completing a nursing degree in Virginia, a student who is interested in teaching in Laredo, Texas, enrolls in Spanish classes for 4 years, knowing that a high number of Mexican-Americans live there. This nursing student values:
A) cultural competence.
B) ethnocentrism.
C) prejudice.
D) stereotyping.
Q4) Although communication varies among members of different cultures, the greatest obstacle to providing multicultural care is differences in _____.
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Chapter 11: Complementary and Alternative Healing
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Sample Questions
Q1) A nurse practices a relaxing massage technique to stimulate and apply pressure to the feet or hands, increasing blood supply circulation to various parts of the body and relieving pain. The massage technique used by the practitioner is referred to as:
A) reflexology.
B) Feldenkrais method.
C) Reiki.
D) Rolfing.
Q2) During an admission history and physical, a female patient states, "I use 5000 mg/day of calcium to prevent osteoporosis and to maintain health." The nurse should assess for:
A) excessive bleeding.
B) kidney stones.
C) lower blood sugar.
D) jaundice.
Q3) The nurse caring for a patient who practices Ayurveda would assess for:
A) an increased stool osmolality gap resulting from dehydration.
B) petechiae resulting from fine-needle punctures.
C) use of over-the-counter remedies intended for intended symptom.
D) magnets strategically placed on affected joints.
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Page 13
Chapter 12: Workforce Advocacy and the Nursing Shortage
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Sample Questions
Q1) Studies conducted to determine enrollment trends in nursing schools have found that in the last years:
A) a greater number of individuals chose nursing as a career but could not meet entrance requirements.
B) more young women chose to enter the profession of nursing.
C) fewer career opportunities exist in the profession of nursing and fewer opportunities are projected to exist for women.
D) men have dominated the profession, and women feel that they have experienced discrimination.
Q2) The key to organizational success for health care facilities is:
A) hiring younger, more energetic nurses.
B) offering incentives such as sign-on bonuses.
C) hiring highly qualified advanced practice nurses.
D) retaining professional nurses.
Q3) Nurses who are expected to work overtime as dictated by their employer are being subjected to a ___________ hazard in the workplace.
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14
Chapter 13: Collective Bargaining and Unions in Todays Workplace
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Sample Questions
Q1) Mandatory overtime and reduction in RN staff have resulted in decreased client satisfaction and a sentinel event. Management is unwilling to discuss a change in staffing, and collective bargaining interest is sparked. A nurse is approached to sign a union authorization card. If signed, the card:
A) authorizes the union to serve as his/her legal representative.
B) indicates that the person is requesting additional information about collective bargaining.
C) indicates the nurse desires to share information about grievances.
D) gives permission for union dues to be deducted from pay.
Q2) A nurse is interested in working in a large trauma center that is unionized but does not want to join the union or pay fees. She accepts the position but is not required to join or pay fees to the union based on which law?
A) National Labor Relations Act
B) Right -to -Work law
C) National labor Relations Act
D) Taft - Hartley Act
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Chapter 14: Information Technology in the Clinical Setting
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A nurse is caring for a patient who is to receive an antibiotic drug that causes severe skin damage when infiltrated. The order reads, "infuse over 1 hour by portacath." The nurse accesses the Personal Digital Assistant for software that lists the steps to access a portacath. The nurse is using:
A) electronic health records.
B) point of care technology.
C) data management.
D) telehealth.
Q2) An advanced practice nurse inputs into a computer software program the following clinical manifestations: open wound with tibia exposed, petechial hemorrhage, and temporary loss of consciousness. The computer diagnosis of fat emboli is generated by a system known as:
A) decision support.
B) telehealth.
C) robotic technology.
D) biometric technology.
Q3) Software programs that process data to produce or recommend valid choices are known as ______________.
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Chapter 15: Emergency Preparedness and Response for
Todays World
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Sample Questions
Q1) Nurses and community officials are working together to ensure that churches and schools have needed supplies to provide shelter for large numbers of individuals in the event of a natural or manmade disaster. These activities represent which phase of a disaster continuum?
A) Preparedness
B) Relief response
C) Recovery
D) Crisis intervention
Q2) Troops from the United States participating in a peace mission in a foreign country were the victims of suicide bombers and many soldiers were evacuated back home to receive specialized medical care. The nation's medical responses will be augmented by: A) the federally coordinated National Disaster Medical System.
B) local homeland communities where troops receive care.
C) the Medical Reserve Corps, which organizes and utilizes public health, nursing, medical, and other volunteers.
D) the National Incident Management System, which guides government, nongovernmental organizations, and the private sector to work seamlessly during disaster situations.
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Chapter 16: Nursing Leadership and Management
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Sample Questions
Q1) One difference between a leader and a manager is that a:
A) leader has legitimate authority.
B) manager motivates and inspires others.
C) manager focuses on coordinating resources.
D) leader focuses on accomplishing goals of the organization.
Q2) An explosion just occurred at the local factory, and hundreds of employees have sustained varying degrees of injury. Which type of nursing leadership is most effective in this situation?
A) Autocratic
B) Democratic
C) Laissez-faire
D) Referent
Q3) The first step in the nursing process and in the problem-solving process is to:
A) identify the problem.
B) gather information.
C) consider the consequences.
D) implement interventions.
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Chapter 17: Budgeting Basics for Nurses
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Sample Questions
Q1) A nursing unit's census consists primarily of long-term residents with a high risk for falls. To meet new safety regulations, the nurse manager must plan to replace all 50 patient beds with new beds equipped with Fall Watch electronic sensors that will detect when patients get out of bed. The manager will be involved in which type of budgeting to replace the beds?
A) Fiscal
B) Labor
C) Operational
D) Capital
Q2) Which component of budgeting might normally be addressed in the annual performance evaluation for a nurse manager?
A) Including in the labor budget costs for overtime and benefits
B) Managing variances in nursing overtime costs and supply usage
C) Accurately predicting revenues on the basis of unit of service
D) Providing qualitative analysis for variances in the capital budget
Q3) The financial plan required for the distribution of resources and expenses is a
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19
Chapter 18: Effective Communication and Conflict Resolution
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Sample Questions
Q1) During height and weight assessments at a school's health fair, a child admits to drinking a cup of coffee with his mother every morning, and another child reports enjoying a morning cup of coffee on the commute to school. These two children are both below average on the height chart, and the nurse states, "Drinking coffee stunts a child's growth." This logical fallacy is referred to as:
A) appeal to common practice.
B) confusing cause and effect.
C) ad hominem abusive.
D) red herring.
Q2) A nurse is listening to a patient's apical heart rate. The patient asks, "Is everything okay?" The nurse says nothing and shrugs her shoulders. The nurse is demonstrating:
A) open communication.
B) filtration.
C) blocking.
D) false assurance.
Q3) The healthiest form of communication is the ________ style.
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Chapter 19: Effective Delegation and Supervision
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Sample Questions
Q1) A nurse moves from California to Arkansas and due to having 20 years of experience as a registered nurse is immediately placed in charge of the telemetry unit. The staffing consists of LPNs and two unlicensed assistive personnel. The RN is unsure of the scope of practice of the LPNs and reviews the nurse practice act for Arkansas, which lacks clarity on some tasks. The RN should:
A) query the state nursing association to determine their stance on the role of LPNs.
B) ask the LPNs on the unit to list what tasks they routinely performed.
C) contact the state board of nursing to determine legal scope of practice for LPNs.
D) refer to California's nurse practice act because the scope of LPNs/LVNs is consistent across the United States.
Q2) A nurse is concerned about the risk of delegating tasks to licensed practical nurses and unlicensed assistive personnel. What is the best way for the nurse to determine competency of the delegatee?
A) Actually observe the delegatee perform the assigned task.
B) Ask the delegatee how many times he/she has performed the task.
C) Ask the patient if the care provided was satisfactory.
D) Ask other nurses if they feel the delegatee is competent.
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Chapter 20: Staffing and Nursing Care Delivery Models
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Sample Questions
Q1) A nurse solve phone questions related to health care questions and to triage the need for urgent care of member patients. Established patient guidelines are used to educate, direct, or provide follow-up. The nurse is providing care via:
A) telehealth.
B) clinical pathways.
C) functional nursing.
D) case management.
Q2) A patient is admitted with pneumonia. The case manager refers to a plan of care that specifically identifies dates when supplemental oxygen should be discontinued, positive-pressure ventilation with bronchodilators should be changed to self-administered inhalers, and antibiotics should be changed from intravenous to oral treatment, on the basis of assessment findings. This plan of care is referred to as a:
A) patient classification system.
B) clinical pathway.
C) patient-centered plan of care.
D) diagnosis-related group (DRG).
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Chapter 21: Quality Improvement and Patient Safety
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Sample Questions
Q1) The surgical team arrives in the operating room and one member states, "Everyone stop. Let's identify the patient and operative site. Now does anyone have any questions or concerns?" This process is known as:
A) time-out.
B) a critical pathway.
C) special cause variation.
D) lean methodology.
Q2) Patients with heart failure have extended lengths of stay and are often readmitted shortly after they have been discharged. To improve quality of care, a type of "road map" that included all elements of care for this disease and that standardized treatment by guiding daily care was implemented. This road map is referred to as a(n):
A) benchmark.
B) critical pathway.
C) algorithm.
D) case management.
Q3) Quality is defined by the ____________.
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23
Chapter 22: Quality and Safety in Nursing Education in
Nursing: The QSEN Project
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Sample Questions
Q1) While taking a shower, a patient pushes the emergency light. When the nurse arrives, the patient complains of feeling dizzy and unsteady. The nurse turns to reach for the patient's walker and the patient falls, hitting the right side of the face resulting in loss of vision in the right eye. This scenario represents a _______ event.
Q2) Which of the following statements concerning the Institute of Medicine (IOM) competencies is correct?
A) Each competency is mutually exclusive.
B) The competencies focus on individual efforts to reduce errors.
C) Physicians lead the team to achieve each competency.
D) The competencies address both individual and system approaches to transform care.
Q3) When planning a program to reduce the number of sentinel events in an organization, the program planner should focus on the leading cause of sentinel events, which is related to a problem with:
A) leadership or management.
B) staffing patterns.
C) environmental safety.
D) communication.
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Sample Questions
Q1) A group of nurses meet with a state representative to explain the importance of allowing registered nurses the right to sign death certificates for patients who were under their care. As constituents and nurses, they requested that the senator vote against the bill restricting this practice. These nurses are serving as:
A) lobbyists.
B) policymakers.
C) officials with regulatory power.
D) advocates for the Patient Safety and Quality Improvement Act.
Q2) Another name for an eligible voter is a _________.
Q3) A nurse would like to obtain background information and learn the political platform of a candidate who is running for national office. The nurse should contact the:
A) National Registry for Candidates.
B) American Nurses Association Nurses Strategic Action Team (N-STAT).
C) National League of Nurses.
D) National Council of State Boards of Nursing.
Q4) The greatest barrier to access to health care for a poor Hispanic person living in downtown Chicago is lack of health ____________________.
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Chapter 24: Making the Transition from Student to Professional Nurse
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Q1) A novice nurse is placed in charge just after orientation ends. Which statement by the novice nurse would ensure a smooth delegation experience when delegating to an experienced staff member?
A) "You have the patients in rooms 1 to 7. These patients require little skill so you will be fine."
B) "Your assignments are posted in writing by the nurses' station. Be certain all your tasks are completed so the next shift is not behind."
C) "You have patients in rooms 5 through 10 and I will administer all IV medications. I will let you know if I have to adjust. If you see you need help let me know."
D) "Everyone is capable of providing the best care, so please sign up for the patients you would like to be assigned to."
Q2) When the novice nurse asks, "What will happen if this task is not completed," which skill is being demonstrated?
A) Priority setting
B) Delegation
C) Organization
D) Clinical skills
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Chapter 25: Managing Time: The Path to High
Self-Performance
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Sample Questions
Q1) After keeping a log of activities designed to improve time management, the nurse divides the distractions into internal and external sources. The nurse would classify which distraction as internal?
A) Responding to recurring crises at work or in one's personal life
B) Unsuccessful attempts to communicate with the unit manager
C) Talking with potential faculty candidates
D) Being given unclear job responsibilities
Q2) A nurse takes a day to travel to a state park where she can sit by the river alone to reflect over recent events and put things into perspective. She recalls the time she was complimented for her ability to deal with a difficult patient and another time when she was criticized for lack of teamwork. This nurse is improving which source of energy?
A) Emotional
B) Spiritual
C) Physical
D) Mental
Q3) The most important step in time management is ____________.
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Chapter 26: Contemporary Nursing Roles and Career
Opportunities
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Sample Questions
Q1) A person from an underrepresented background in nursing is interested in entering nursing school and researches the ethnicity, age, and gender make-up of the nursing profession and finds:
A) nursing is a career field that is primarily made up of women younger than 30 years.
B) the number of male RNs has steadily increased and is equal to the number of female RNs.
C) the majority of RNs are Caucasian or non-Hispanic.
D) more than half of all RNs are ages 55 through 65.
Q2) A new role, the clinical nurse leader: (Select all that apply.)
A) is a generalist prepared at the master's level.
B) provides care at the bedside for complex patients.
C) identifies the best resources at the lowest price to achieve best health outcomes for a client.
D) serves as care coordinator whose practice is limited to acute care settings.
E) is an advanced practice nurse with an earned doctorate in nursing.
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Chapter 27: Job Search: Finding Your Match
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Sample Questions
Q1) When should a follow-up letter be written to a recruiter?
A) Before the interview to thank him/her for granting you the interview
B) Approximately 2 weeks after you did not get the job to inquire
C) A few days after the interview
D) When you are sure you got the position
Q2) The key to a successful interview is being ____________.
Q3) Which message would be appropriate to leave on solve systems?
A) "You have reached 910-999-1212. Please leave your name and number and I look forward to returning your call as soon as possible."
B) Music that has messages that might be offensive to some callers downloaded as the response when applicant is unavailable.
C) "Hi, I'm not here. Sorry you missed me. Call again."
D) "I am interviewing for positions, hope to be home soon. If you are calling about an interview, please leave your name, number and possible positions available."
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Chapter 28: NCLEX-RN Examination
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Sample Questions
Q1) The National Council of State Boards of Nursing determines acceptable National Council Licensure Examination for Registered Nurses (NCLEX-RN) exam questions on the basis of:
A) the geographic location of the candidate.
B) research that indicates needed skills for positions in which most entry level nurses are employed.
C) surveys conducted by employers to determine the weaknesses of entry level nurses.
D) surveys of physicians performed to determine what nurses must know to provide safe care.
Q2) The nurse prepares to apply sterile gloves needed for a procedure. After introducing self and verifying patient information, the nurse performs hand hygiene. The nurse should open the outer package and then perform steps in which order. Put a comma and space between each solve choice (for example: a, b, c, d).
A) Open inner package, taking care not to touch inner surface.
B) Put the glove on the nondominant hand using the sterile gloved hand.
C) Put glove on dominant hand by grasping folded cuff edge, touching only inside of cuff.
D) Adjust each glove carefully by sliding finders under the cuff.
To view all questions and flashcards with answers, click on the resource link above. Page 30