Professional Issues in Nursing
Exam Materials
Course Introduction
Professional Issues in Nursing explores the complex social, ethical, legal, and professional challenges nurses face in healthcare environments. The course examines topics such as nursing ethics, scope of practice, patient rights, interprofessional relationships, cultural competence, workplace safety, advocacy, and the impact of policy and legislation on nursing practice. Students engage in critical reflection on professional roles and responsibilities, develop strategies for effective decision-making and conflict resolution, and learn to uphold standards that ensure quality care and patient safety. The course prepares future nurses to navigate the dynamic landscape of healthcare with integrity, accountability, and a commitment to lifelong learning.
Recommended Textbook
LPN to RN Transitions 3rd Edition by Lora Claywell
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19 Chapters
398 Verified Questions
398 Flashcards
Source URL: https://quizplus.com/study-set/1117 Page 2
Chapter 1: Honoring Your Past, Planning Your Future
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/21948
Sample Questions
Q1) Although experience may be a source of motivation for the adult learner, it may also serve as a(n) __________ to new learning.
A) stepping stone
B) barrier
C) avenue
D) detour
Answer: B
Q2) A group of cardiac nurses with common experiences meet monthly for a staff meeting to discuss ways to improve patient care. This group is known as a: A) scheme.
B) cohort.
C) team.
D) unit.
Answer: B
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Page 3
Chapter 2: Managing Time and Designing Success
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/21949
Sample Questions
Q1) A nurse is trying to manage success in the workplace. Which action demonstrates that she understands key habits that must be developed and maintained?
A) Carefully list and organize the day's tasks.
B) Complete a task over again because it wasn't done perfectly the first time.
C) Avoid difficult tasks because they won't be done correctly.
D) Blame others for lack of organization.
Answer: A
Q2) A student must come back to the learning laboratory to repeat the skills check for insertion of a nasogastric tube. The instructor overhears the student saying, "I know I can do this, I know I can do this!" The instructor interprets this behavior as:
A) a self-defeating behavior.
B) positive self-talk.
C) perfectionism.
D) blaming.
Answer: B
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4
Chapter 3: Classroom Study Habits That Work
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21950
Sample Questions
Q1) The five-step method of thoroughly studying is composed of which steps in order?
A) Scan, skim, survey, read, recite, review.
B) Scan, skim, read, recite, review, reread.
C) Survey, question, read, recite, review.
D) Survey, question, read, review, reread.
Answer: C
Q2) A student nurse feels that his reading skills are not adequate. Which action would he take in order to have effective reading skills?
A) Focus on improving reading speed.
B) Read slowly and thoroughly.
C) Ask his friends and family read to him.
D) Passively engage in reading.
Answer: A
Q3) Multiple incorrect options on a test are known as:
A) stems.
B) structured responses.
C) distractors.
D) negative indicators.
Answer: C
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Page 5
Chapter 4: Basic Math Review: Preparing for Medication
Calculations
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/21951
Sample Questions
Q1) Give 1000 mL D ½NS q6h. Drop factor is 15 gtt/mL.
Q2) Heparin 22,000 units in 500 mL NS at 800 units/hr.
Q3) Piperacillin 2.5 gm IV q6h. Dilute in 100 mL D W and infuse over 30 minutes. Secondary set delivers 20 gtt/mL.
Q4) Ordered: Dilantin 40 mg PO BID
Pediatric dose range: 5 to 7 mg/kg/day
Child's weight: 6.7 kg
Available: Dilantin 30 mg/5 mL susp
Q5) Ordered: Vistaril 10 mg IM q4-6h PRN nausea
Pediatric dose range: 0.5 to 1 mg/kg/dose
Child's weight: 44 lb
Available: Vistaril 25 mg/mL
Q6) How many tablets of Synthroid will you give for one dose?
Ordered: Synthroid 0.1 mg PO every morning
Available: 50 mcg Synthroid tablets
Q7) Administer 500 mL 0.45 NS over 4 hours. Drop factor is 10 gtt/min.
Q8) Ordered: Morphine sulfate 10 mg/hr continuous IV
Available: MS 50 mg in 100 mL NS
Q9) 500 mL 0.9 normal saline to infuse over 2 hours Page 6
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Page 7
Chapter 5: Passing NCLEX-RN
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21952
Sample Questions
Q1) It is critical that students have _____ and believe that they can pass the NCLEX-RN exam.
A) good study habits
B) a positive attitude
C) a good support system
D) adequate sleep
Q2) Every 3 years the NCSBN conducts practice analysis to determine the expectations for entry level nurses who are newly licensed. The nurse manager understands and can state that nursing care activities are analyzed in relation to all of the following except:
A) frequency of performance.
B) time commitment.
C) impact on maintaining client safety.
D) client care setting where the activities are performed.
Q3) When taking the NCLEX-RN, students may pass or fail after completing _____ or up to _____ questions.
A) 65; 100
B) 75; 265
C) 85; 250
D) 80; 200
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Page 8
Chapter 6: Distinguishing the RN Role From the LPN/LVN
Role
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21953
Sample Questions
Q1) A student in an LPN to RN transition program is at the clinical site and monitoring the vital signs of a patient receiving blood. At 15 minutes into the infusion, the patient begins to complain of itching and shortness of breath. It is evident that the student nurse is developing critical thinking skills when she does which of the following?
A) Stops the infusion, calls for the patient's nurse, and reports a possible reaction to the blood.
B) Calls for the patient's nurse and asks whether she can slow the infusion down.
C) Continues with routine monitoring and reports the patient's condition as unremarkable.
D) Calls for the patient's nurse and asks whether she can speed up the infusion to deliver the blood faster.
Q2) The nurse would assume the care provider role of educator during which action?
A) Leading a hand washing initiative to reduce infection rates
B) Answering a new mother's questions about breastfeeding
C) Working with colleagues to transfer a patient into a rehab center
D) Requesting more pain medications for a patient who is recovering from a total hip replacement
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Page 9
Chapter 7: The Nurses, Ideas, and Forces That Define the Profession
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/21954
Sample Questions
Q1) A student is studying the history of nursing. Which statement made by the student would be correct if she had an adequate understanding of America's first trained nurse?
A) "America's first trained nurse reduced student nurses' working hours."
B) "As America's first trained nurse, Isabel Hampton Robb promoted licensure exams."
C) "America's first trained nurse worked to create associate degree programs."
D) "America's first trained nurse was Linda Richards."
Q2) _____ defined nursing as "that care which puts a person in the best possible condition for nature to restore or to preserve health, and to prevent or to cure disease or injury."
A) Barton
B) Nightingale
C) Breckenridge
D) Dix
Q3) The nurse responsible for promotion of associate degree programs is:
A) Lavinia Dock.
B) Mildred Montag.
C) Linda Richards.
D) Lillian Wald.
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Chapter 8: Upholding Legal and Ethical Principles
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/21955
Sample Questions
Q1) The student understands the ANA Code of Ethics for Nurses when she identifies which statement as incorrect? The Code of Ethics for Nurses:
A) provides a framework for ethical decision-making.
B) is non-negotiable.
C) is applicable to most practice settings.
D) helps with professional self-regulation.
Q2) The RN student has been studying ethics in health care. Based on what she has learned, how would she explain the bioethical principle of autonomy?
A) It states that the physician knows what is best for the patient.
B) It does not apply to informed consent.
C) It refers to patient self-determination.
D) It states that every patient has a right to health care.
Q3) The nurse accidentally administers the wrong dose of a medication. Her first action would be to:
A) notify the physician.
B) fill out an incident report.
C) assess the patient.
D) tell her supervisor.
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Chapter
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/21956
Sample Questions
Q1) Often, when patients are unhappy or behaving negatively, it is the result of which of the following? (Select all that apply.)
A) Angst
B) Sorrow
C) Anxiety
D) Pain
Q2) A patient on a medical-surgical floor is unhappy with the care he is receiving from his physician and wants to speak to someone about it. Who should his nurse consult first?
A) The director of medical-surgical nursing
B) The patient's physician
C) The nurse's immediate supervisor
D) Another nurse on the floor
Q3) Which action would indicate that the RN is practicing at the proficient level?
A) Asks another nurse to be present while a Foley catheter is inserted
B) Becomes frazzled when two patients are unexpectedly admitted at the same time
C) Thinks critically about situations and is able to anticipate patient needs
D) Assumes the role of charge nurse while managing a tough patient assignment
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Chapter 10: Using Nursing Theory to Guide Professional Practice
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21957
Sample Questions
Q1) Which of the following is an example of the application of Levine's Conservation Model to the clinical setting?
A) Teaching the patient to self-administer insulin
B) Encouraging the patient to ambulate
C) Obtaining a wheelchair for the patient
D) Arranging for the patient's family to visit
Q2) What example illustrates the conclusion that can be drawn from inductive reasoning?
A) Bachelors are unmarried men and Danny is unmarried; therefore, Danny is a bachelor.
B) Every eagle seen this week has dark feathers; therefore, all eagles have dark feathers.
C) Most Ford vehicles are reliable, so the Ford you just bought will be reliable, too.
D) All dogs have fleas; therefore, my dog has fleas.
Q3) Identify the catalyst of Jean Watson's Theory of Care.
A) Personal values and beliefs
B) Belief that nursing practice should be autonomous
C) Changes in health care delivery and patient satisfaction survey responses
D) Theories promoting the capacity of self-care
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Chapter 11: Providing Patient-Centered Care Through the Nursing Process
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/21958
Sample Questions
Q1) The nurse is planning care for a patient with hypertension and obesity. Which of the following is a reasonable and measurable outcome for the nursing diagnosis of noncompliance with treatment regimen related to side effects of medications?
A) The patient will state two lifestyle modifications for weight management by (date certain).
B) The patient will be compliant with the treatment regimen by (date certain).
C) The patient will understand the disease process by (date certain).
D) The patient's blood pressure will never increase.
Q2) Which of the following would be a priority nursing diagnosis for a 73-year-old male patient with heart failure?
A) Constipation related to immobility
B) Risk for infection related to IV lines
C) Activity intolerance related to an imbalance of oxygen and demand
D) Self-care deficit
Q3) Which of the following is true about collaborative problems?
A) Collaborative problems fall within the definition of nursing diagnoses.
B) Collaborative problems are managed using two physicians.
C) Collaborative problems require the nurse to monitor for changes in status.
D) Collaborative problems emphasize prevention, treatment, or health promotion.
Page 14
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Chapter 12: Critical and Diagnostic Thinking for Better Clinical Judgment
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21959
Sample Questions
Q1) Select the hospital patient who has the best chance of avoiding a nosocomial infection.
A) A 42-year-old patient who had abdominal surgery
B) A 35-year-old patient with a closed leg fracture
C) A 5-month-old non-breastfed infant
D) A 75-year-old patient receiving chemotherapy
Q2) As elements of reasoning and critical thought, why are implications or consequences of outcomes important to consider?
A) They can help the nurse make confident clinical decisions.
B) They help the nurse understand complex ideas and events.
C) They help the nurse understand how the patient is responding to the demands of the treatment.
D) They can be expected or unexpected and affect the completion of a nursing intervention.
Q3) Critical thought is a(n):
A) disciplined, rational, and self-directed activity that uses standards and criteria.
B) intuitive process that relies only on the nurse's experience.
C) persuasive process leading to sound decisions.
D) reactive process after an intervention is completed.
Page 15
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Chapter 13: Practicing Evidence-Based Decision Making
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/21960
Sample Questions
Q1) Characteristics of a quantitative study include all of the following except:
A) clarifies underlying assumptions.
B) asks who, what, why, where, when, or how.
C) describes the relationship between variables.
D) is highly structured and controlled.
Q2) A nurse manager attempts to explain why the greatest number of medication errors occurs during the evening shift. The nurse manager chooses a quasi-experimental design to study this relationship. Why did the nurse manager choose this type of research design?
A) It does not allow for complete control over the variance.
B) It allows for randomization.
C) It allows for control over the independent variable.
D) It requires manipulation of the variable.
Q3) Can you explain how the nurse's use of PICO helps to formulate an effective clinical question?
A) PICO organizes the elements that guide the clinical question.
B) PICO formulates an answer to the clinical question.
C) PICO explains the hierarchy of evidence.
D) PICO identifies the strength of the evidence.
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Page 16
Chapter 14: Communicating With Patients and Co-Workers
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/21961
Sample Questions
Q1) Laura, a nurse manager, is meeting with the staff, which consists of nurses from the Veteran, Baby Boomer, Generation X, and Millennial generations. Which of the following is the best approach to encouraging collaboration and feedback from everyone?
A) Ask for volunteers to form a committee to explore the issue.
B) Form a committee made up of at least one representative from each generation.
C) Form a committee primarily composed of experienced, older nurses.
D) Meet with each nurse individually to solicit feedback.
Q2) A nurse has a plan for teaching the patient about a newly diagnosed disease. On entering the room the nurse realizes that the patient is blind. What considerations for communication should the nurse be aware of?
A) Tone, pitch, inflection, and intensity affect how messages are communicated.
B) Messages are clearer when verbal communication and nonverbal cues are opposite.
C) Verbal communication must be understood within the context of a patient's culture, gender, and age.
D) Facial expressions and eye contact are characteristics of verbal communication.
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Chapter 15: Teaching Patients and Their Families
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21962
Sample Questions
Q1) A 63-year-old patient is uncertain whether she can self-inject her medication. Which would be most likely to be an effective strategy at this time?
A) Start with the details about her condition, why she has it, and the importance of her medication.
B) In the first session, teach the patient how and why to rotate her abdominal injection sites.
C) Start with information about avoiding rubbing or putting pressure on the site after an injection.
D) In the first session let the patient handle a syringe while the nurse prepares and administers the next injection with another syringe.
Q2) Which patient characteristic must a nurse consider when planning teaching?
A) Literacy level
B) Discharge instructions
C) Good lighting
D) Pain medication
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Chapter 16: Leading, Delegating, and Collaborating
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/21963
Sample Questions
Q1) A family member of an elderly Hispanic patient admitted to the hospital tells the nurse that the patient has traditional beliefs about health and illness. Being a patient advocate, the best action by the nurse is to:
A) avoid asking any questions unless the patient initiates conversation.
B) obtain further information about the patient's cultural beliefs from the family member.
C) ask the patient whether it is important that cultural healers are contacted.
D) explain the usual hospital routines for meal times, care, and family visits.
Q2) Which patient should be assigned to an experienced LPN/LVN?
A) One day post-op coronary artery bypass graft (CABG) who is on telemetry with T 37.1° C, BP 95/50, P 92, R 18
B) Two day post-op appendectomy with T 36.8° C, BP 118/78, P 78, R 18
C) Snake bite 2 days prior with hematuria, melena, and blood seepage at the IV site with stable vital signs
D) One day post cerebral vascular accident (CVA) on a heparin drip experiencing increasing hemiplegia, with stable vital signs
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19
Chapter 17: Promoting Healthful Living in the Primary Care Setting
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21964
Sample Questions
Q1) A nurse recognizes that a homeless patient must walk great distances to obtain food. What kind of need does this patient demonstrate?
A) Health-deviation need
B) Developmental need
C) Universal need
D) Health continuum need
Q2) While obtaining a health history of a patient who has a large infected wound on the foot, the nurse learns that the patient has taken goldenseal to boost immune function rather than taking antibiotics for the infection. Which action by the nurse is initially most appropriate?
A) Instruct the patient about the reasons for antibiotic use with infection.
B) Ask the patient, "How do you feel about using both antibiotics and natural remedies?"
C) Tell the patient that the doctor is likely to prescribe antibiotics.
D) Tell the patient that studies of goldenseal show that it is not effective in treating infection.
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Chapter 18: Managing Care in Secondary and Tertiary
Health Care
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21965
Sample Questions
Q1) The extended care meant to provide health restoration after discharge from an acute care facility is also known as _____ care.
A) primary
B) tertiary
C) acute
D) quaternary
Q2) Which of the following is an example of a responsible resource manager in an acute care facility?
A) Listens to staff input about implementing a new procedure
B) Consumes foods and drinks kept on the unit for patients
C) Considers the unit's patient census when determining staffing
D) Uses supplies that are not accounted for
Q3) In the acute care environment, what is(are) the primary role(s) of the RN?
A) Ensure more independence in self-care ability.
B) Avoid complications as the patient progresses through the illness state.
C) Change the medical plan of care according to the RN's assessments.
D) Both a and b are correct.
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Chapter 19: Reflecting on Your Transition
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/21966
Sample Questions
Q1) As a graduate nurse, which statement strongly suggests future success in the current nursing practice environment?
A) "I am really good at performing nursing skills."
B) "I always get my work done on time."
C) "When possible I attend all staff meetings."
D) "I am actively involved in decision-making on the unit."
Q2) The nurse is to take a meal tray to a patient the nurse knows nothing about. Before leaving the tray with the patient, which is the most critical safety factor the nurse should determine?
A) The room is neat and orderly without offending odors.
B) The tray has condiments placed within easy reach.
C) The patient is seated securely and in a comfortable position.
D) The patient's ability to swallow is intact.
Q3) It is 0800 and the nurse just received report. Which patient situation demands the nurse's immediate attention? The patient:
A) with a blood glucose of 200.
B) who needs a 0800 vancomycin level drawn.
C) receiving a blood transfusion who reports slight itching and chills.
D) with a serum potassium level of 4.3 mEq/dL who is receiving digoxin.
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