Professional Issues in Nursing
Final Exam Questions
Course Introduction
This course examines the ethical, legal, and professional responsibilities of nurses in contemporary healthcare settings. Students explore topics such as professional standards, scope of practice, accountability, patient advocacy, interprofessional collaboration, and the impact of healthcare policy on nursing practice. Emphasis is placed on critical thinking, ethical decision-making, workplace challenges, professional communication, and the development of leadership skills to navigate the complexities of the nursing profession effectively.
Recommended Textbook LPN to RN Transitions 3rd Edition by Lora Claywell
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19 Chapters
398 Verified Questions
398 Flashcards
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2
Chapter 1: Honoring Your Past, Planning Your Future
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11 Verified Questions
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Sample Questions
Q1) An Orthopedic Nurse is contemplating changes in her professional life and identifying goals. Which action should the nurse take if she is interested in pursuing a long-term goal?
A) Studies for a telemetry exam scheduled for next week
B) Enrolls in a Nurse Practitioner program
C) Attends a seminar to become a charge nurse
D) Continues to work on the orthopedic floor full-time
Answer: B
Q2) An LPN is talking with her clinical instructor about her decision to return to school to become an RN. The clinical instructor interprets the LPNs outcome priority based on which statement?
A) "My family wanted me to go back to school."
B) "I want to better my financial situation."
C) "I really enjoy school."
D) "I would like to advance to a teaching role someday."
Answer: B
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3
Chapter 2: Managing Time and Designing Success
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A clinical instructor notices that one of her students worries a lot, expects negative outcomes for most situations, strives for perfection, and seems to look for the tiniest faults in her work. The clinical instructor interprets these behaviors as:
A) commitment to learning.
B) assuming an external locus of control.
C) self-directedness.
D) self-defeating behaviors.
Answer: D
Q2) A nursing professor is grading an assignment on self-defeating behavior. The professor can expect to find which statement written by the student who has a good understanding of perfectionism?
A) Perfection is impossible to attain, and therefore constantly falling short of perfection leads to negative feelings and beliefs about oneself.
B) Perfection is the ultimate goal, and it is not a self-defeating behavior to demand it of oneself.
C) Perfectionism is the only means by which we can truly improve.
D) Perfectionism is a character flaw and cannot be addressed.
Answer: A
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Chapter 3: Classroom Study Habits That Work
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A struggling student admits that she is reading the same paragraph over and over when she tries to read the text. The instructor recognizes this as inhibitory to her comprehension of the material. Which suggestion could the instructor make to the student to help correct the situation?
A) "Just keep trying. Maybe you need to read it over a few times to get it."
B) "Maybe you are waiting too late at night to study. Try studying earlier in the day."
C) "Try putting your finger under the words one at a time."
D) "If the words are a stumbling block, study them alone first, and then as you read, you will be less likely to stumble over them and regress."
Answer: D
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
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Page 5
Chapter 4: Basic Math Review: Preparing for Medication
Calculations
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47 Verified Questions
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Sample Questions
Q1) What volume of Heparin is one dose?
Ordered: Heparin 12,000 units SC q12h
Available: Heparin 20,000 units/mL
Q2) Administer 500 mL 0.45 NS over 4 hours. Drop factor is 10 gtt/min.
Q3) What volume of aminophylline is one dose?
Ordered: aminophylline 175 mg IV q6h
Available: aminophylline ampule labeled 500 mg/20 mL
Q4) Heparin 22,000 units in 500 mL NS at 800 units/hr.
Q5) Give 1 unit PRBC over 2 hours. Blood bag states approximate volume is 250 mL. Drop factor is 10 gtt/mL.
Q6) Ordered: Nebcin 10 mg IM q8h
Pediatric dose: 2.5 mg/kg/dose
Neonate's weight: 4000 g
Available: Nebcin 40 mg/mL
Q7) Piperacillin 2.5 gm IV q6h. Dilute in 100 mL D W and infuse over 30 minutes. Secondary set delivers 20 gtt/mL.
6
Q8) 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
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Page 7
Chapter 5: Passing NCLEX-RN
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A nursing student is giving a presentation on the different organizations that support nurses. She has an adequate understanding of the American Nurses Association when she states, "The American Nurses Association:
A) sets the guidelines for entrance into nursing programs."
B) represents and advocates for nurses."
C) evaluates and updates licensure exams."
D) determines who is eligible to take the NCLEX exam."
Q2) Before beginning the exam, a student stops and reflects on the Five C's: content, confidence, control, common sense, and comparison. Which statement made by the student indicates her understanding of confidence?
A) "I know I can do this."
B) "I just need to remember what I studied."
C) "I just need to narrow down the right answer."
D) "What do I think is the right answer?"
E) "Relax, stay calm and focused."
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Chapter 6: Distinguishing the RN Role From the LPN/LVN
Role
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Sample Questions
Q1) An LPN/LVN in RN school is experiencing frustration because the expectations of her as a nurse at work are very different from her role as a student in nursing school, and fulfilling both is confusing at times. She has an appropriate understanding of her situation when she states that it is known as:
A) role conflict.
B) dissociative behavior.
C) coping mechanism.
D) license confusion.
Q2) Which function falls within the LPN/LVN's scope of practice?
A) Formulating the plan of care
B) Collecting data
C) Selecting nursing diagnoses
D) Setting goals, objectives, and outcomes
Q3) The RN utilizes problem-solving skills to do all of the following except:
A) establish mutual goals with the patient and family.
B) formulate a care plan.
C) assist patients to achieve expected outcomes in the plan of care.
D) oversee implementation and evaluation of the plan.
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Chapter 7: The Nurses, Ideas, and Forces That Define the Profession
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) Florence Nightingale contributed to nursing in many different ways. The student nurse has an understanding of the history of nursing when she does which of the following?
A) Educates another student about the efforts of Florence Nightingale to promote research
B) States that Nightingale is responsible for minor contributions to the early education of nurses
C) Believes that Nightingale was not involved in the theory of nursing
D) States that Nightingale did not assist in the development of the nursing process
Q2) Which action by the nurse shows the use of the nursing process?
A) The nurse works with the health care team to set outcomes and plan interventions for the patient.
B) The same nurse admits the patient and then discharges him the next day.
C) The nurse works with the patient to set outcomes and plan interventions.
D) The nurse sends the provider in for an immediate assessment of the patient.
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Chapter 8: Upholding Legal and Ethical Principles
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The nursing student knows that ethics is a part of which branch?
A) Sociology
B) Law
C) Philosophy
D) Medicine
Q2) 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.
Q3) The nurse who respects the patient's right to refuse treatment is following which bioethical principle?
A) Justice
B) Beneficence
C) Autonomy
D) Fidelity
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11
Chapter 9: Care and Safety Standards, Competence, and Nurse Accountability
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) 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
Q2) A nurse manager is reviewing an incident report submitted by the previous day's charge nurse. The incident report indicates that the wrong IV antibiotic was given to a patient. What is the best way for the nurse manager to address this incident with the nurse involved so that it may be prevented in the future?
A) Provide education to the nurse on how to assess the five rights before medication administration.
B) Punish the nurse for the error by sending her home for the day.
C) Allow the nurse one error, and educate her if the same mistake happens again.
D) Ask the charge nurse to educate the nurse because she caught the error.
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Chapter 10: Using Nursing Theory to Guide Professional Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which statement about nursing conceptual models is true?
A) Nursing conceptual models provide a broad explanation of the world.
B) Nursing conceptual models are composed of a defined and interrelated set of concepts.
C) Nursing conceptual models are abstract concepts that propose outcomes.
D) Nursing conceptual models are related constructs that broadly explain a phenomenon of interest.
Q2) The nurse providing teaching on a weight loss program to the obese patient is applying which nursing model developed by Nola Pender?
A) Interpersonal relations
B) Health promotion
C) Conservation
D) Adaptation
Q3) What skills would a nurse demonstrate if the nurse reached the "competent stage" of Patricia Benner's theory of skill acquisition?
A) Relies on more experienced nurses for guidance
B) Can multitask, set goals, and think analytically
C) Can see the whole picture and recognizes subtle changes in condition
D) Recognizes patterns and responds automatically
Page 13
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Chapter 11: Providing Patient-Centered Care Through the Nursing Process
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25 Verified Questions
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Sample Questions
Q1) Determine which example is true of measurability within the context of the nursing diagnosis.
A) The patient will list signs of infection such as redness, pain, swelling, and warmth by the end of the shift.
B) The patient will be pain-free and then walk to the bathroom.
C) The patient reported abdominal pain for 2 days but denies nausea, vomiting, and diarrhea.
D) The patient received Dilaudid 1 mg IV and 2 hours later received Lortab 500/5.
Q2) 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.
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14
Chapter 12: Critical and Diagnostic Thinking for Better Clinical Judgment
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Sample Questions
Q1) Which patient would the nurse see first at the start of the shift?
A) A patient admitted yesterday with osteomyelitis of the right arm with a T of 101.0°F
B) A patient with hepatic encephalopathy who is being rude to the nursing assistant
C) A patient with lupus who has been on long-term corticosteroids and whose blood sugar is 180
D) A patient with circumferential burns of the right leg who is complaining of numbness in the right foot
Q2) Reasoned thought is characterized by the lack of:
A) reflection.
B) emotion.
C) parity.
D) contrast.
Q3) Which of the following is the best example of an open-ended question regarding a patient's pain?
A) "For how many weeks have you been having this pain?"
B) "Does it feel like a burning pain?"
C) "Where on your body does the pain begin and end?"
D) "Can you describe your pain for me?"
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Chapter 13: Practicing Evidence-Based Decision Making
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25 Verified Questions
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Sample Questions
Q1) Which of the following is an example of direct research utilization?
A) Advocating for a change in policy
B) Basing practice on current research available
C) Implementing new techniques for practice
D) Critiquing a research study
Q2) The nurse questions whether treatment with antibiotic therapy is as effective as observation in a 3-year-old boy with otitis media. What combination of information supports the proper order of information needed to compose a PICO statement?
A) Effective treatment for otitis media; antibiotic therapy; observation; 3-year-old with otitis media
B) Three-year-old with otitis media; antibiotic therapy; observation; effective treatment for otitis media
C) Antibiotic therapy; 3-year-old with otitis media; effective treatment for otitis media; observation
D) Observation; 3-year-old with otitis media; effective treatment for otitis media; antibiotic therapy
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Chapter 14: Communicating With Patients and Co-Workers
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21 Verified Questions
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Sample Questions
Q1) 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.
Q2) The nurse is caring for a 64-year-old woman 4 hours after knee replacement. Although she rates her pain at 6 out of 10, she refuses pain medication and tells the nurse, "I can deal with it." Which of the following is the nurse's best response?
A) "OK, that's your decision."
B) "You're just being stubborn."
C) "OK, I'll come back later."
D) "What is your concern?"
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17
Chapter 15: Teaching Patients and Their Families
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Sample Questions
Q1) The nurse has just taught an adult patient with a new diagnosis of diabetes mellitus how to check blood glucose. The nurse should document:
A) "Demonstrated understanding of checking blood glucose."
B) that the patient demonstrated the procedure properly and the time it took to complete the educational session.
C) the steps of the procedure the patient was taught.
D) that the nurse taught the patient how to check blood glucose.
Q2) Persons seeking health care have increased autonomy and insist on taking an active role in their medical treatment decisions. What aspect of a nurse's role does this fact affect?
A) Use of professional communication when doing patient teaching and admitting patients to the unit
B) Coordination of human and material resources that are directly used in the delivery of care at the bedside
C) Evaluation of performance and skills of nursing staff members involved in direct patient care
D) Patient collaboration with health care team members involved with the development of focused, quality care
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Chapter 16: Leading, Delegating, and Collaborating
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Sample Questions
Q1) Which statement by the RN best represents the "right communication" when delegating a task to an unlicensed individual?
A) "Feed the patient and watch for cheeking and choking."
B) "I want you to help the patient to eat his lunch. You should elevate the head and feed him slowly enough so he does not choke."
C) "Feed the patient his pureed diet at lunchtime. Elevate the head of the bed to 90 degrees and make certain he swallows each bite."
D) "Assist the patient with lunch, and make sure he sits up and doesn't store food in his cheek in between bites."
Q2) The best way for a nurse to determine that a newly hired certified nursing assistant (CNA) is competent to transfer a patient safely from the bed to the commode would be to:
A) look in the CNA's personnel file to determine previous experience.
B) observe the CNA perform the procedure the first time and discuss the outcome.
C) have the CNA explain the procedure before doing it.
D) establish that the CNA is comfortable performing the transfer.
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Chapter 17: Promoting Healthful Living in the Primary Care Setting
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Sample Questions
Q1) After the nurse implements diet instruction with a patient with heart disease, the patient can explain the information but fails to make the recommended dietary changes. The nurse's evaluation is that:
A) learning did not occur because the patient's behavior did not change.
B) the nursing responsibility for helping the patient make dietary changes has been fulfilled.
C) choosing not to follow the diet is the behavior that resulted from the learning.
D) the teaching methods were ineffective in helping the patient learn the dietary information.
Q2) A patient has chosen to see a Family Nurse Practitioner (FNP) to assist with health promoting activities. Which of the following services provided by the FNP is the best example of a health promotion activity?
A) Teaching about a low-fat diet for a patient with a blood pressure of 136/82
B) Prescribing a cholesterol-lowering medication
C) Scheduling a cardiac stress test
D) Prescribing an anticoagulant for a patient with atrial fibrillation
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20
Chapter 18: Managing Care in Secondary and Tertiary
Health Care
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15 Verified Questions
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Sample Questions
Q1) 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
Q2) Discharge planning requires all of the following except:
A) assessing the patient's plan of care to determine whether the outcome criteria are met.
B) evaluation of whether the patient and family can continue with the necessary interventions or whether they need assistance.
C) obtaining specific orders from the physician to begin the process of discharge planning.
D) assessing the level of the patient's understanding with regard to his or her illness state and treatment regimen.
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Chapter 19: Reflecting on Your Transition
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Sample Questions
Q1) What could a nurse say who believed that a nursing student has a duty to understand pertinent clinical information to make sound clinical judgments?
A) "Sometimes work does get in the way of studying."
B) "Nursing school is difficult, and striving for average is understandable."
C) "You should be honest when critically reflecting on your strengths and weaknesses."
D) "Experience after nursing school will provide real nursing knowledge."
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.
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