Nursing Foundations Exam Practice Tests
Course Introduction
Nursing Foundations introduces students to the essential principles, concepts, and skills that form the backbone of professional nursing practice. This course explores the historical evolution of nursing, the roles and responsibilities of nurses, fundamental ethical and legal standards, and the significance of evidence-based care. Emphasis is placed on developing core competencies such as communication, critical thinking, patient-centered care, and basic clinical skills required for safe and effective practice. Through theoretical learning and practical experiences, students gain a comprehensive understanding of the nursing process, health assessment, and the promotion of health and well-being across diverse populations.
Recommended Textbook
Nursing Today Transition and Trends 9th Edition by JoAnn Zerwekh
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26 Chapters
654 Verified Questions
654 Flashcards
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Chapter 1: Role Transitions
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A new graduate has worked on a busy unit for 6 months since graduating from nursing school.The graduate tells a friend,"I've never been so upset in all my life! The care that some of the staff give our patients is outrageously bad.There's practically no attention to the principles of asepsis the way I learned them! The staff tell me that we have to cut corners if we're going to get all the work done.I can't stand it!" What phase of reality shock is this graduate experiencing?
A)Honeymoon
B)Shock and rejection
C)Recovery
D)Role transformation
Answer: B
Q2) Which action would greatly help the graduate nurse when seeking out employment?
A)Plan out interviews.
B)Ask to speak to nurses who work on the unit.
C)Wait until the interview to gather all of the information.
D)Find out what type of nursing care is delivered.
E)Determine the length of orientation.
Answer: A,B,D,E
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Page 3
Chapter 2: Personal Management: Time and Self-Care Strategies
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A student nurse is feeling stressed about the combination of nursing courses and clinical experience in the semester.What actions can the student nurse take to reduce stress level based on biological rhythms?
A)Schedule difficult activities at high-energy times.
B)Shorten sleep time to accommodate increased study times.
C)Study before bedtime to increase memorization.
D)Only study when not feeling stressed.
Answer: A
Q2) Which of the following statements by the nursing student is an affirmation?
A)"I must maintain As in my school grades."
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
Q3) How can the student nurse increase studying efficiency?
A)Maintaining a supply of simple carbohydrates for a quick energy spurt
B)Alternating mental and physical activities to increase productivity
C)Working nonstop without breaks to focus concentration
D)Delegating tasks of household chores to family members
Answer: B
Page 4
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Chapter 3: Mentorship, Preceptorship, and Nurse Residency Programs
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) You are a graduate nurse in search of a mentor.To find a good "match," what should you look for?
A)Choose an experienced nurse who is successful.
B)Look for things you and the potential mentor have in common.
C)Be very specific with the questions you ask of the possible mentor.
D)Be careful not to disclose too much personal information.
Answer: B
Q2) Which of the following statements by the nurse indicates an understanding of mentors?
A)"Mentors focus on fostering the mentee's individual growth and development over an extended period of time."
B)"Mentors develop nurturing relationships during work time."
C)"Mentoring is the approach of assisting an individual's growth through partnership."
D)"The strength of mentoring lies in the facilitation and development of personal qualities."
Answer: A
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5
Chapter 4: Employment Considerations: Opportunities,
Resumes, and Interviewing
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The interviewer says,"We are looking for a bright,interested,empathetic,hard-working person for this position in oncology nursing.Do you fit this bill?" The new graduate nurse is interested,carried a straight C average,and has worked full time while going to school.Assuming the following statements are true,what would be the best answer?
A)"I'm definitely interested in oncology,and I think I'm a hard worker.My instructor said I was developing empathy.My grade point average of C doesn't reflect my real ability."
B)"My previous employer rated my work as excellent.It was there that I became interested in helping support oncology patients as they cope with their illness.I chose to do independent study on emotional reactions to the diagnosis of cancer and received an A."
C)"I worked full time while going to school,so my grades suffered.I've had my share of life's disappointments,so I can sympathize with cancer patients.I will work hard,but I have to make time for my family,too."
D)"I'm interested.My parents always told me I was bright.I work as hard as the next person.I've learned not to get too involved with patients."
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Chapter 5: Nclex-Rn and the New Graduate
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26 Verified Questions
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Sample Questions
Q1) What are acceptable forms of identification at the testing center?
A)U.S.driver's license
B)U.S.state-issued identification
C)Credit or debit card with photo identification
D)Passport
E)U.S.military identification
F)School or university picture identification
Q2) The nurse interprets "computer adaptive testing (CAT)" to mean
A)questions are selected,and the exam is adapted to the candidate's previous responses.
B)the test has been adapted to be administered via a computer.
C)the test is adapted to decrease the total number of questions.
D)questions are adapted to meet the practice analysis survey of the graduates.
Q3) The graduate nurse is preparing to take the NCLEX-RN.Which blueprint category is interpreted as having the highest percentage of test items?
A)Safe,effective care environment
B)Physiologic integrity
C)Psychosocial integrity
D)Health promotion and maintenance
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Page 7
Chapter 6: Historical Perspectives: Influences on the
Present
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25 Flashcards
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Sample Questions
Q1) A nursing student is correct when identifying which programs as having the distinction of being the first for nursing that were developed from planned research and controlled experimentation?
A)Diploma programs
B)Associate degree programs
C)Baccalaureate programs
D)Master's and doctoral programs
Q2) 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.
Q3) What was the description of a nurse in the medieval times during the Holy Wars?
A)A woman who had been specially trained by a magician
B)A man who was committed to following his Lord into battle
C)A man who had training to care for a wounded knight
D)A woman who had studied with an older nurse
Page 8
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Chapter 7: Nursing Education
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Sample Questions
Q1) Which statement by a nurse indicates an understanding of online nurse education programs?
A)The online programs are less work than face-to-face programs.
B)The online program provides education for adults who cannot relocate to continue their education.
C)The online program requires no travel.
D)Online nurse education programs only offer an associate's degree in nursing.
E)Online nursing education programs are only for advanced practice and doctoral programs.
Q2) A nurse professor is discussing the different educational tracks for nurses.The professor interprets which track as the most popular in 1980 versus today?
A)Baccalaureate
B)Associate's
C)Master's
D)Diploma
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Chapter 8: Nursing Theory
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22 Flashcards
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Sample Questions
Q1) A patient is recovering from a femur repair after a car crash.The following day,lab results indicate that the hemoglobin is dangerously low and the patient needs to receive blood.The patient has identified as a Jehovah's Witness and has refused to receive the blood.Which action should the nurse take?
A)Notify the physician of the patient's decision.
B)Administer the blood anyway.
C)Try to convince the patient to receive the blood.
D)Call the patient's family members and alert them to the situation.
Q2) The student nurse has an adequate understanding of nursing theory when correctly identifying which individual as the first nurse theorist?
A)Peplau
B)Rogers
C)Leininger
D)Nightingale
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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Page 10
Chapter 9: Image of Nursing: Influences on the Present
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) What action did the Johnson & Johnson Campaign for Nursing's Future take to promote nursing?
A)Identified the need for nurses in labor and delivery
B)Raised visibility of nurses of varied races
C)Identified the need for nurses in postpartum care
D)Raised national starting wages for nurses
Q2) In the 1950s,belonging to a professional organization was popular.What has contributed to the decline in membership of the American Nurses Association?
A)The ANA has increased membership dues that nurses cannot afford.
B)Nurses do not want to be associated with an organization that represents unions.
C)The association does not have state and local organizations.
D)The increase in popularity of specialty organizations
Q3) Which action would be consistent with the American Red Cross volunteer nurse?
A)Provide staffing for a local hospital.
B)Provide assistance after a tornado.
C)Teach first aid to a group of Girl Scouts.
D)Deliver clothing to flood victims.
E)Educate volunteers to assist in a local hospital.
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11
Chapter 10: Nursing Management and Leadership
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The nurse manager identifies which of the following as the most critical step in problem solving?
A)Brainstorm all possible solutions.
B)Identify the problem.
C)Evaluate possible solutions.
D)Choose a solution.
Q2) A nurse is using the decision-making process.Which action should be taken first?
A)Evaluate the outcome.
B)Identify and evaluate options.
C)Set the objective.
D)Implement the options.
Q3) The nurse manager tells the patient that he must eat his breakfast before getting out of bed.What type of power is the nurse manager using?
A)Legitimate power
B)Expert power
C)Coercive power
D)Referent power
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12
Chapter 11: Building Nursing Management Skills
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Sample Questions
Q1) The instructor has suggested that the student nurse could improve organizational skills and manage time better by scheduling selected nursing activities in the daily assignment.Which activity should be scheduled?
A)Suctioning the tracheostomy tube of a patient
B)Administering medications
C)Assessing patient knowledge of colostomy care
D)Assisting a patient with personal hygiene
Q2) A nurse has noticed that a coworker consistently has a negative attitude,criticizes others,and even shows aggression toward other members of the health care team.Which action(s)by the nurse would help to limit time with this individual?
A)Try to help the coworker deal with personal problems during work.
B)Steer clear of the coworker.
C)Use assertive communication.
D)Learn to say "no."
E)Set clear boundaries with the coworker.
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13
Chapter 12: Effective Communication, Team Building, and
Inter-professional Practice
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Sample Questions
Q1) Which action shows the cyclical phase of forming?
A)A group dissolving
B)Individuals coming together with a common bond
C)Developing mutual goals
D)A group completing tasks together
Q2) A nurse manager is educating staff on how to give effective presentations.Which statement indicates an understanding of this?
A)"To give an effective presentation,you should always maintain a positive attitude."
B)"You should avoid planning and should create the presentation as you go."
C)"Give the same presentation regardless of the audience."
D)"To reduce anxiety,avoid making eye contact with the audience."
Q3) Which term refers to the group member who watches others take the risks and responsibility for group input and agrees with everyone in the group?
A)Mouse
B)Motor mouth
C)Self-server
D)Know-it-all
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Page 14
Chapter 13: Conflict Management
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Sample Questions
Q1) A nurse is aware that an area of conflict between nurses and patients' families is quality of parental care.Which action would not help the nurse reduce conflict?
A)Become frustrated with the parents for lack of participation in care.
B)Model positive parenting techniques.
C)Encourage parents to meet other parents.
D)Give out information about parenting classes.
Q2) Which statement by the nurse is true regarding sexual harassment?
A)"Sexual harassment no longer occurs in the workplace."
B)"Sexual harassment is only caused by men."
C)"The most common sexual harassment complaint is inappropriate remarks and touching."
D)"Nothing can be done to prove sexual harassment."
Q3) What are some positive results that can come from conflict?
A)Disturbing issues are brought out,which may lead to more serious conflict.
B)Group cohesiveness may increase as individuals resolve issues.
C)Results of conflict can be constructive.
D)Groups can learn from each other.
E)Talking about issues can avert serious conflict.
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Page 15
Chapter 14: Delegation in the Clinical Setting
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) Which of the following represents appropriate feedback for an assignment to an LPN?
A)"Did you understand the assignment that you received in the staff report?"
B)"Have you completed the urinary catheterization and care of the new patient?"
C)"The patient in Room 430 looks much better,and you did a good job of making the patient comfortable."
D)"I know you are busy;however,you need to get caught up with your pain medications."
Q2) A registered nurse is feeling overwhelmed.Which of the following would be most appropriate for the registered nurse to delegate to an LPN?
A)An initial assessment on a new patient
B)Educational teaching on diabetes management
C)Creating a care plan for a patient
D)Updating the care plan for a patient who is postop day 2
Q3) Which task could a staff nurse delegate to a certified nursing assistant (CNA)?
A)Evaluating a patient's response to pain
B)Making rounds with a physician
C)Feeding a stroke patient who has minimal dysphagia
D)Assessing a patient's central venous line site
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Page 16
Chapter 15: The Health Care Organization and Patterns of
Nursing Care Delivery
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Sample Questions
Q1) Which statement is true about patient classification systems?
A)They measure all the needs of patients.
B)They provide an absolute formula for unit staffing.
C)They should not be used to make patient-care assignments because acuity systems are more accurate.
D)They have been used to determine the number of nurses needed on a unit at any one time.
Q2) Which of the following statements about evidence-based practice shows that the nurse has an adequate understanding?
A)"Evidence-based practice is the hospital's protocol for providing care."
B)"Evidence-based practice is based on community need."
C)"Evidence-based practice is a set of guidelines determined by each hospital unit."
D)"Evidence-based practice is the use of current best evidence in making decisions about patient care."
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17
Chapter 16: Economics in the Health Care Delivery System
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Sample Questions
Q1) Which of the following statements indicates the nurse's understanding of fiscal responsibility?
A)"Fiscal responsibility should be a concern for all nurses."
B)"Fiscal responsibility is only a concern for the department manager."
C)"Fiscal responsibility is only a concern for the hospital administrators."
D)"Fiscal responsibility is not a concern for the nursing staff."
Q2) The nurse would identify which of the following as an example of a strategy that represents fiscally responsible clinical nursing practice?
A)Begin discharge planning as soon as it is evident when a patient will be discharged.
B)Encourage patients to consider being admitted the evening before a major surgical procedure.
C)Use unlicensed personnel as much as possible in the delivery of nursing care.
D)Accurately document the current status of a patient with regard to the patient's ongoing needs.
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Chapter 17: Political Action in Nursing
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Sample Questions
Q1) A nurse has recently moved from one state to another and wishes to write lawmakers to urge them to vote against a change in the Nurse Practice Act that would replace individual licensure with institutional licensure.Which lawmakers should the nurse contact?
A)The city council members
B)The county (parish)legislators
C)The state legislators from the district
D)The federal legislators from the district
Q2) 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.
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Chapter 18: Collective Bargaining: Traditional Unionand
Nontraditional
Approaches
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Sample Questions
Q1) What actions can the registered nurse take to control personal practice?
A)Improve the professional practice of nurses and nursing assistants.
B)Refrain from shared governance.
C)Implement peer review.
D)Identify and recommend elimination of hazards in the workplace.
E)Identify and recommend processes that work to ensure the safety of patients.
Q2) A nurse is discussing personal seniority with the department manager.The nurse has an adequate understanding of seniority when stating which of the following?
A)"Seniority provides certain rights to those with the highest number of years of service."
B)"Seniority provides the same amount of vacation time as new hires."
C)"Seniority no longer provides protection in today's economy."
D)"Seniority means that those with the highest number of years of service can be forced to retire."
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20
Chapter 19: Ethical Issues
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Sample Questions
Q1) A nurse is learning about the ANA Code of Ethics.Which action by the nurse would be unethical,according to the ANA Code of Ethics?
A)Joining unions or bargaining units
B)Engaging in lobbying related to health care issues
C)Reporting an incompetent or impaired colleague
D)Refusing to care for a patient who is diagnosed as HIV positive
Q2) The ethical principle of autonomy is not applicable in which patient situation?
A)The patient does not speak or understand the English language.
B)The patient is unaware of who or where he or she is.
C)The patient has been in a long-term care facility for 10 years.
D)The patient has values that conflict with the caregiver's values.
Q3) What ethical principle is implemented,or supported,when the nurse encourages a patient to be involved in planning and implementing self-care?
A)Autonomy
B)Fidelity
C)Justice
D)Veracity
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Page 21
Chapter 20: Legal Issues
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Sample Questions
Q1) Which error in judgment would be the most serious for the nurse defendant in a legal case?
A)Discussing the case with the plaintiff
B)Tampering with the chart
C)Hiding information from the plaintiff's attorney
D)Being discourteous on the witness stand
Q2) A nurse is providing care to a 6-year-old child with a broken arm.The nurse notices multiple bruises.The child says,"My father got mad because I was bad,and he hit me and broke my arm so that I would remember to be good." What is the best nursing action?
A)Chart that the child is a victim of abuse.
B)Do nothing because the nurse cannot prove the child was abused.
C)Report the situation to the appropriate authorities.
D)Ignore what the child said because little children often lie.
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 Commission
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Page 22
Chapter 21: Cultural and Spiritual Awareness
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Sample
Questions
Q1) The nurse is creating a plan of care for a patient.Which would be important for the nurse to consider before implementing the plan?
A)The patient's lifestyle
B)The patient's insurance coverage
C)The patient's value system
D)The patient's religious beliefs
E)The patient's ability to pay for services
Q2) Using a spiritual assessment tool helps the nurse gain more understanding of the patient.What would be the best question to assess a patient's inner strengths?
A)What gives your life meaning?
B)Are you motivated to get well?
C)What do you do to show love for yourself?
D)What brings you joy and peace in your life?
Q3) A nurse wants to improve cultural competence.What action shows progress toward this goal?
A)Uses an evidence-based cultural assessment tool
B)Tries to treat all patients the same
C)Prioritizes care based on cultural needs
D)Wants to learn more about other ethnic groups
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Page 23
Chapter 22: Quality Patient Care
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Sample Questions
Q1) Which actions would be occurring if a group of nurses were in the analyze phase of the DMAIC process?
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) A nurse is preparing a presentation on core measures.Which medical diagnoses should the nurse plan on presenting during the lecture?
A)Myocardial infarction
B)Congestive heart failure
C)Diabetes
D)Perinatal care
E)Deep vein thrombosis
Q3) The primary role of The Joint Commission (TJC)is
A)granting magnet status to excellent hospitals.
B)lobbying Congress on behalf of Medicare/Medicaid patients.
C)ensuring that medical facilities meet patient safety guidelines.
D)inspecting hospitals for compliance of infection control standards.
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Page 24
Chapter 23: Nursing Informatics
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Sample Questions
Q1) A nursing student is interested in the field of nursing informatics.What should the student do to prepare for a career in this specialty as a nurse leader?
A)Obtain a baccalaureate degree in nursing.
B)Complete 5 years on a medical-surgical unit.
C)Obtain critical care experience.
D)Obtain a graduate degree.
Q2) Which action can the nurse take to evaluate an Internet resource?
A)Assume that the resource is credible if it is on an Internet page.
B)Determine if the resource provides evidence for claims made.
C)Assess the popularity of the resource.
D)Determine the date the resource was published;older material is more reliable.
Q3) The nurse has adequate understanding of HIPAA when stating that the major impact from this privacy regulation is in
A)"health information privacy law."
B)"bedside nursing care."
C)"nursing report communication."
D)"data security standards."
E)"electronic transaction standards."
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Chapter 24: Using Evidence-Based Practice and Nursing Research
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Sample Questions
Q1) The nurse manager has an adequate understanding of research utilization when stating which of the following?
A)"In the process of research utilization,the emphasis is on finding new data."
B)"A major component of the process is reviewing current nursing practices."
C)"The process involves transferring research findings into practice."
D)"The process is solely based on critical thinking."
Q2) A student asks the nurse manager,"When I was reading an article about research utilization,I ran across the phrase 'practice context.' What does that mean?" What is the best response?
A)"It is made up of the factors and systems that contribute to delivery of nursing care in a particular setting."
B)"It refers to the specific group of patients who are to receive care in a particular setting."
C)"It describes the type of health care delivery system that is currently in place in a particular setting."
D)"It refers to the policies,procedures,and staffing patterns of a nursing unit."
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Chapter 25: Workplace Issues
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Sample Questions
Q1) A nurse manager is brainstorming creative solutions to mandatory overtime.Which of the following actions would help prevent the occurrence of mandatory overtime?
A)Create an on-call system with one or two extra nurses on per shift.
B)Create an incentives system for part-time nurses to pick up extra shifts.
C)Ask the nurses to take on extra patients during the short shifts.
D)Reward nurses who put forth an extra effort for the organization.
E)Create shifts for high-volume times.
Q2) How does the federal government affect environmental safety in the hospital setting?
A)Requires employers to provide a safe working environment
B)Identifies those nurses who are not implementing standard precautions
C)Works with the state boards of nursing in disciplining nurses
D)Requires employers to establish guidelines for safe nursing practice
Q3) A nurse believes he/she is being bullied at work.Which of the following actions by the perpetrator could have led the nurse to believe this?
A)Offering to help with an assignment
B)Asking the nurse to switch a shift
C)Asking the nurse to cover for a break
D)Being given the "silent treatment"
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Page 27
Chapter 26: Emergency Preparedness
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Sample Questions
Q1) A nursing professor is educating students on nerve agents.The nursing professor judges teaching to be effective when one of students states
A)"Sarin gas is a chemical agent that is classified as a nerve agent."
B)"Mustard gas is a chemical agent that is classified as a nerve agent."
C)"Ricin is a chemical agent that is classified as a nerve agent."
D)"Chlorine gas is a chemical agent that is classified as a nerve agent."
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) A patient has been exposed to chlorine gas.What symptoms can the nurse expect the patient to have?
A)Nose and throat irritation
B)Eye redness
C)Ear pain
D)Cough
E)Suffocation
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Page 28