Professional Nursing Concepts
Exam Solutions
Course Introduction
Professional Nursing Concepts provides an in-depth exploration of the foundational elements that shape the nursing profession, including ethical principles, legal responsibilities, and professional values. This course examines the roles and responsibilities of the nurse within the healthcare system, emphasizing critical thinking, evidence-based practice, interdisciplinary collaboration, and patient-centered care. Students will also explore concepts such as advocacy, lifelong learning, leadership, cultural sensitivity, and the impact of healthcare policies on nursing practice, preparing them to function competently and compassionately in diverse clinical environments.
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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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) 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
Q2) A nurse notices a posting for a management position for which she is qualified. If the nurse is in the moving phase of Lewin's Change Theory, which statement reflects the action she is most likely to take?
A) Does nothing to obtain the position
B) Applies for the position
C) Identifies that change is needed
D) Settles into the routine of her job
Answer: B
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Chapter 2: Managing Time and Designing Success
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) After a particularly challenging examination, a student is overheard in the hallway exclaiming, "That instructor just grades too hard! She only gave me a B on the test!" This student is exhibiting traits of a(n):
A) external locus of control.
B) internal locus of control.
C) perfectionist.
D) realist.
Answer: A
Q2) A student has a large reading assignment that must be completed in order to be prepared for the next class. Which action by the student would be ineffective in the planning process?
A) Put off the assignment until later so more content is remembered.
B) Examine your schedule to determine time frames for study sessions.
C) Determine a study environment fitting your learning style.
D) Divide the assignment into manageable chunks, and take notes as you read.
Answer: A
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4
Chapter 3: Classroom Study Habits That Work
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A patient comes to the emergency department with complaints of crushing chest pain that radiates down his left arm. While reviewing his health history with the RN, the patient states that he has been getting over a cold. He also has seasonal allergies and is allergic to peanuts. The nurse interprets the major detail for the patient's ER visit as the patient:
A) has a peanut allergy.
B) is experiencing crushing chest pain.
C) is getting over a cold.
D) has seasonal allergies.
Answer: B
Q2) A first semester student is struggling in class and did not do well on her last exam. She has determined the problem to be her lack of skill in note-taking. What can the student do in order to take more effective notes during lecture?
A) Focus on writing key words and phrases.
B) Photocopy someone else's notes.
C) Write verbatim all that is said.
D) Practice memorization in class instead of taking notes.
Answer: A
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Chapter 4: Basic Math Review: Preparing for Medication
Calculations
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47 Verified Questions
47 Flashcards
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Sample Questions
Q1) Calcium gluconate 10% 16 mEq in 100 mL D W over 30 minutes
Q2) Ordered: Dobutrex 6 mcg/kg/min. Bag is labeled D W 250 mL with 500 mg Dobutrex added. Patient weighs 198 lb.
Q3) Oxacillin 400 mg in 100 mL D W over 40 minutes. Secondary set delivers 15 gtt/mL.
Q4) 500 mL D5LR to infuse in 4 hours
Q5) Aminophylline 250 mg in 500 mL. Infuse at 30 mg/hr.
Q6) 1000 mL 0.45 NS to infuse over 8 hours
Q7) 250 mL D10W over 10 hours
Q8) Tagamet 200 mg in D W 100 mL over 20 minutes. Drop factor is 15 gtt/mL.
Q9) Ordered: Nebcin 10 mg IM q8h
Pediatric dose: 2.5 mg/kg/dose
Neonate's weight: 4000 g
Available: Nebcin 40 mg/mL
Q10) Infuse D W 1 L q12h. Drop factor is 20 gtt/mL.
Q12) Give 1 unit PRBC over 2 hours. Blood bag states approximate volume is 250 mL. Drop Page 6
Q11) Ordered: Infuse amrinone 250 mg in 250 mL NS at 5 mcg/kg/min. Patient weighs 165 lb.
factor is 10 gtt/mL.
Q13) Give 1000 mL D ½NS q6h. Drop factor is 15 gtt/mL.
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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) Students are applying the KATTS Framework in order to be successful in their nursing program. The instructor knows they are following the framework properly when they report which of the following?
A) They are studying 1 hour for every 2 to 3 hours of question drill time.
B) They are studying for 2 hours for every 2 to 3 hours of question drill time.
C) They are studying in group for 3 hours total.
D) They are engaged in question drill time for 2 to 3 hours per study session.
Q2) When taking an exam the student remains positive, steady, and able to handle tensions that build. The course instructor interprets the student's behavior as:
A) confidence.
B) control.
C) common sense.
D) content.
Q3) 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
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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
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Sample Questions
Q1) 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.
Q2) A student is preparing for an exam on the different role elements of an RN. She is prepared for the exam when she can state that all of the following are elements of the RN role except:
A) collaborator.
B) manager.
C) counselor.
D) therapist.
Q3) 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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12 Verified Questions
12 Flashcards
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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) 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.
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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Page 10
Chapter 8: Upholding Legal and Ethical Principles
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) Which statements by the nursing student describe how ethics help nurses solve dilemmas in health care? (Select all that apply.)
A) "Ethics requires us to analyze our actions or potential actions critically."
B) "Ethics assists us in determining the right course of action to take."
C) "Ethics allows nurses to let others more qualified make decisions for us."
D) "Ethics allows nurses to take a break from the situation by waiting for the ethics committee."
E) "Ethics causes problems in health care rather than helps."
Q2) Which statement is correct about the bioethical decision-making theory of deontology?
A) It is concerned only with consequences.
B) It judges actions based on motive or intent.
C) It emphasizes treating others as a means to an end.
D) It cannot be applied to research.
Q3) The nursing student knows that ethics is a part of which branch?
A) Sociology
B) Law
C) Philosophy
D) Medicine
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Page 11
Chapter 9: Care and Safety Standards, Competence, and Nurse Accountability
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/21956
Sample Questions
Q1) An RN realizes that she inadvertently gave a patient who was NPO for surgery his otherwise normally scheduled PO medications. Which action would she take if she were exhibiting professional accountability?
A) Report the error to the charge nurse and follow up with the patient's surgeon.
B) Report the incident to the charge nurse and blame the co-worker who interrupted her medication pass.
C) Keep the incident to herself so that the patient's surgery will not be canceled.
D) Report the incident the next day that she works.
Q2) In a situation involving a medication error, the hospital policy is to use root-cause analysis to evaluate the situation fully. In the root-cause analysis process, which action would take place?
A) A committee is formed to determine the risk of litigation.
B) A committee is formed to determine the punishment for those involved.
C) A committee is formed that can reconstruct the events leading to the error.
D) A committee is formed that can correct the error and avoid damages.
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Page 12
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) A group of nursing students was discussing the functions of nursing theories. Which statement below would give the impression a student requires more review of the material?
A) "Nursing theories help guide professional practice by interpreting evidence."
B) "Nursing theories have little effect on decision-making in practice."
C) "Nursing theories are influenced by personal values and beliefs."
D) "Nursing theories influence professional behaviors."
Q2) What parts make up and work together in Imogene King's Theory of Goal Attainment? (Select all that apply.)
A) Creating a method to evaluate outcomes
B) Defining quality nursing care
C) Setting goals
D) Focusing on self-care
E) Maintaining a clean environment
Q3) The goal of Ida Jean Orlando's theory of effective nursing practice is to:
A) focus on relationships among the environment, nurse, and patient.
B) reduce the duration of hospital stays.
C) meet the immediate needs of the patient and relieve distress or discomfort.
D) integrate holism into nursing.
Page 13
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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 reviews assessment findings for assigned patients. Based on this information, which patient demands the nurse's immediate attention? The patient with:
A) renal failure on dialysis whose WBC is 10,000 mm3 (normal)
B) abdominal aneurysm whose blood pressure is 170/90
C) atrial fibrillation whose lab results show and INR of 2.5 (normal)
D) endocarditis who has a loud heart murmur
Q2) 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.
Q3) The nurse is planning care for an 82-year-old obese female patient with Alzheimer's dementia. The patient wanders, is unsteady on her feet, and is visually impaired. What should the nurse give priority to when developing the plan of care?
A) Laboratory results
B) Skin condition
C) Safety
D) Nutrition
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Chapter 12: Critical and Diagnostic Thinking for Better Clinical Judgment
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Each element of the nursing process involves critical thinking. Which definition of assessment reflects critical thinking?
A) Correctly and completely documenting the assessment data on a form
B) A process of discovery and decision-making about the nature of the patient's needs
C) Using a systematic approach to ensure comprehensive collection of assessment data
D) Selecting the most accurate NANDA-I nursing diagnosis for the patient
Q2) An RN has collected extensive data on a patient with attention deficit disorder. When weighing potential actions to help the patient and considering alternative solutions, which of the attributes of the critical thinker is the RN demonstrating?
A) Creativity
B) Rational thought
C) Reflection
D) Curiosity
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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) A nurse evaluates the results of two different studies examining the relationship between time of day and sundowning in the geriatric setting. After 1 month, the nurse realizes that there is a difference of 1 hour in the instruments used for measurement. What conclusion can be drawn about the type of threat this causes the study?
A) Validity
B) Reliability
C) Causality
D) Truthfulness
Q2) Assess the given levels of evidence and choose the one most important when evaluating the strength of a research study.
A) Level 3 evidence indicates that specific-quality criteria were met.
B) Level 1 evidence implies an association with specific criteria.
C) Level 1 evidence indicates that specific-quality criteria were met.
D) Level 2 evidence implies a reliable association with specific criteria.
Q3) 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
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Page 16
Chapter 14: Communicating With Patients and Co-Workers
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The instructor asks the nursing student to define therapeutic communication. The student's most appropriate response is that therapeutic communication refers to:
A) psychotherapy.
B) social communication.
C) developing a trusting relationship.
D) emotional commitment to another.
Q2) During the therapeutic relationship with a patient, which of the following is the primary focus of care?
A) Meeting the needs of the nurse
B) Medication administration
C) The patient's needs and problems
D) Self-care potential
Q3) Which statement, if made by the nurse, is an example of a communication technique that can facilitate communication?
A) "Yes, I agree with you."
B) "You need to talk to your doctor."
C) "I know just how you feel."
D) "What are you thinking about?"
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17
Chapter 15: Teaching Patients and Their Families
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20 Verified Questions
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Sample Questions
Q1) An 85-year-old patient with chronic health problems is being considered for placement in a long-term care facility after discharge from the hospital. What purpose does the cost-effective nursing strategy of patient teaching help to achieve?
A) Providing reasonable expectations from health care
B) Giving the patient a sense of control over illness
C) Preventing complications of chronic illness
D) Increasing patient satisfaction with care
Q2) Which example demonstrates the principle that all adults learn best from and in relation to their experiences?
A) Teaching the attitude of personal responsibility for health care
B) Showing a patient newly diagnosed with diabetes the similarities between an insulin syringe and a 3-cc syringe
C) Refraining from teaching two skills at one time
D) Showing the patient how the current hand washing procedure he is now learning is like the hand washing he has always done
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Chapter 16: Leading, Delegating, and Collaborating
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) While talking with the nursing supervisor, a graduate RN expresses frustration that a Mexican American client always has several family members at the bedside. The most appropriate action by the nursing supervisor to help the graduate RN become a patient advocate is to:
A) ask about the graduate RN's personal beliefs about family support during hospitalization.
B) remind the graduate RN that this cultural practice is important to the family and the patient.
C) suggest that the graduate RN ask family members to leave the room during patient care.
D) have the graduate RN explain to the family that too many visitors will tire the patient.
Q2) Which of these tasks is appropriate for the RN to delegate to a LPN/LVN?
A) Documenting patient teaching about a routine surgical procedure
B) Teaching a patient how to self-administer insulin
C) Administering an oral medication to a patient
D) Completing the initial assessment and plan of care
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19
Chapter 17: Promoting Healthful Living in the Primary Care Setting
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which family would the nurse consider healthy?
A) A family in which the parents do not allow their 10-year-old child to make basic decisions.
B) A family that encourages independence while supporting each other.
C) A family that does not require a specific curfew for their 16-year-old son.
D) A family that does not allow their 15-year-old child to be an individual.
Q2) Several family members of a patient who has just been admitted to the intensive care unit (ICU) with multiple traumatic injuries have just arrived in the ICU waiting room. Which action should the nurse take first?
A) Take the family members to the patient's room.
B) Discuss ICU visitation policies and encourage family visits.
C) With the patient's approval, describe the patient's injuries and the care that is being provided.
D) Invite the family to participate in a multidisciplinary care conference.
Q3) Healthy People 2020 is a:
A) new global action plan to prevent and treat disease.
B) prevention agenda for the nation.
C) national effort to improve lives of U.S. citizens.
D) set of national health mandates.
Page 20
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Chapter 18: Managing Care in Secondary and Tertiary
Health Care
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) 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.
Q2) In what way(s) do clinical pathways help nurses to manage patient care? (Select all that apply.)
A) Evaluate long-term care facilities.
B) Enable consistently safe care.
C) Manage the resources of the health care facility.
D) Define standard assessment data and frequency for data collection.
E) Review patient charts for quality improvement opportunities.
Q3) Spiritual assessment is not usually a part of a formal assessment tool, with the exception of asking about religious practices that may be important to continue in the hospital. Which question addresses religious practices?
A) "Would you like a chaplain to come pray with you?"
B) "Do you turn to spiritual guidance as a source of strength in illness?"
C) "What helps you most when you feel afraid?"
D) "What is most frightening about your situation?"
Page 21
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Chapter 19: Reflecting on Your Transition
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18 Verified Questions
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Sample Questions
Q1) A 43-year-old patient is scheduled for a laparoscopic cholecystectomy. A nurse has a plan to teach the preoperative patient how to splint his abdomen with a pillow and cough and deep breathe, so the patient can avoid fluid accumulation in the lungs postoperatively. When the nurse enters the room, it becomes evident that the patient is blind. What critical thinking skill would you recommend a scenario like this requires?
A) Intellectual curiosity
B) Flexibility
C) Reflection
D) Open-mindedness
Q2) If a patient refuses a medication or is undergoing a diagnostic test that results in a missed dose of medication, the nurse will document the omission on the medication administration record and:
A) discontinue the physician's order.
B) document why the dose was not given.
C) write an incident report.
D) double the dose at the next scheduled administration time.
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