Professional Nursing Practice
Final Exam
Course Introduction
Professional Nursing Practice explores the foundational principles, roles, and responsibilities of the professional nurse within the healthcare system. This course emphasizes ethical and legal standards, evidence-based practice, patient-centered care, interdisciplinary collaboration, and cultural competence. Students will develop critical thinking, communication, and leadership skills essential for safe and effective nursing care delivery. Through case studies and practical scenarios, learners will gain a comprehensive understanding of professional standards, regulatory frameworks, and the application of nursing theories in diverse clinical settings.
Recommended Textbook
Nursing Today Transition and Trends 9th Edition by
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26 Chapters
654 Verified Questions
654 Flashcards
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JoAnn Zerwekh
Page 2
Chapter 1: Role Transitions
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Sample Questions
Q1) Which of the following statements by the graduate nurse shows an understanding of reality shock as it applies to nursing?
A)"Reality shock is the period when a person moves from school into the workforce."
B)"Reality shock is the realization that practice and education are not the same."
C)"Reality shock is the period from graduation to becoming an experienced nurse."
D)"Reality shock is a transition phase that new graduates go through before changing jobs."
Answer: A
Q2) Which of the following actions by the graduate nurse is an inappropriate methodology to recover from reality shock?
A)Networking
B)Obtaining a mentor
C)Returning to school
D)Joining a support group
Answer: C
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Chapter 2: Personal Management: Time and Self-Care Strategies
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Sample Questions
Q1) The nurse would identify which of the following strategies as a means of increasing feelings of empowerment?
A)Requesting an assignment to a different hospital unit
B)Assisting friends to cover their shifts when they need time off
C)Telling a coworker that a joke heard in private was inconsiderate and thoughtless
D)Declining to work an extra shift and going to the movies with friends
Answer: D
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) Which action by the nurse exemplifies a sense of spiritual health?
A)Belonging to a church
B)Feeling purposeful and fulfilled
C)Feeling loved and cared for
D)Changing religious affiliations
Answer: B
Page 4
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Chapter 3: Mentorship, Preceptorship, and Nurse Residency Programs
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Sample Questions
Q1) A new graduate is looking for a mentor.Which staff nurse would be the best choice?
A)A skilled clinician who appears hurried,curt,and occasionally sarcastic
B)A new graduate who worked 2 years as an LPN and seems confident
C)A nurse who has 3 years of experience,good skills,and a sense of humor
D)A seasoned nurse who is highly intellectual but is aloof and self-centered
Answer: C
Q2) A group of nursing students is discussing mentors.One of the students correctly states a characteristic of a successful mentor when stating which of the following?
A)"They ensure that their mentees do not fail."
B)"They push the mentees to a higher level."
C)"They always ask a lot of questions of their mentees."
D)"They encourage mentees to question their skills so they can improve."
Answer: B
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Chapter 4: Employment Considerations: Opportunities,
Resumes, and Interviewing
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Q1) Which action by the graduate nurses shows understanding of resume writing?
A)Ensures that all of the dates for their employment history are specific
B)Does not overstate skills
C)Includes a thorough discussion of experiences as a nursing student
D)Includes only last two positions
Q2) The nurse has an adequate understanding of employment benefits.Which of the following is not included in a benefit package?
A)Health insurance
B)Car insurance
C)Pensions
D)Disability coverage
Q3) What actions should the graduate nurse take to assess an organization?
A)Talk to those who work in the organization of interest.
B)Read the organization's mission statement.
C)Evaluate the reputation of the leadership.
D)Listen to rumors about the organization.
E)Read and analyze the recruitment materials.
F)"I should list my age and marital status."
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Chapter 5: Nclex-Rn and the New Graduate
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Q1) What actions will help prepare the graduate nurse for testing success?
A)Dress comfortably.
B)Stay up late for last-minute studying.
C)Eat a balanced breakfast.
D)Have identification needed for entrance into the exam.
E)Celebrate your success with friends the night before.
Q2) The graduate nurse understands the process of NCLEX-RN scoring and reporting when stating
A)"The NCLEX-RN is scored on a pass/fail basis and is reported directly to the candidate."
B)"The candidate must score 80% or higher to be considered competent;scores are reported to the school."
C)"If the candidate must answer more than 365 questions,he or she will not pass the exam;scores are reported to the board of nursing."
D)"Scoring is based on the level of difficulty of the questions presented to the candidate;scores are reported to the candidate."
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Chapter 6: Historical Perspectives: Influences on the
Present
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Sample Questions
Q1) Which of the following is an example of advocacy by the nurse?
A)Refusing to give a patient a medication because it contradicts the nurse's beliefs
B)Questioning a doctor's order that appears unsafe
C)Giving a patient medication against his/her wishes because the nurse believes it to be in the best interest of the patient
D)Giving out the patient's health information to a questioning family member
Q2) Which action resulted from the command of George Washington during colonial times?
A)Women were banned from providing nursing care.
B)Women were hired to serve meals and provide care to the ill.
C)Men were hired to serve meals to the ill.
D)Most of the individuals in the large hospitals providing care were women.
Q3) Which of the following actions were expected of a nurse coordinator?
A)Improve patient care.
B)Promote harmony within the institution.
C)Arrange for payment of care received by patients.
D)Motivate staff.
E)Arrange salaries of staff.
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Chapter 7: Nursing Education
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Sample Questions
Q1) Based on data,the nurse interprets which educational program as producing the most graduate nurses annually?
A)Diploma program
B)Associate's degree program
C)Baccalaureate program
D)Master's and doctoral programs
Q2) Which of the following would be the first action that a foreign nurse should take to practice in the United States?
A)Apply for a hospital job in the personal desired state to practice in.
B)Enroll in a community college to study "American" nursing.
C)Contact NCLEX to set up a testing time.
D)Contact the board of nursing in the desired state to practice nursing in.
Q3) Associate's degree programs have brought a change in the type of student who enrolls in the program.Which of the following students are contributing to that change?
A)A 25-year-old Hispanic woman
B)A 40-year-old man who has worked in health care for 20 years
C)An 18-year-old white woman who has just graduated from high school
D)A 28-year-old white man with a master's degree in finance
E)A 26-year-old African American woman with two children
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Page 9
Chapter 8: Nursing Theory
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Sample Questions
Q1) A nurse has been studying theory in class.Which of the following statements indicates that the nurse has an adequate understanding of theory?
A)"A theory can be used to predict something."
B)"A theory can measure outcomes."
C)"Theory can be helpful to formulate a plan of action."
D)"Theory is used to help evaluate interventions."
Q2) Using Betty Neuman's conceptual model,what action by the nurse would indicate primary prevention?
A)Eating French fries and drinking a chocolate shake for lunch
B)Taking the elevator instead of the stairs
C)Sleeping 4 hours the night before work
D)Exercising every other day
Q3) What nursing interventions can be performed by the nurse based on Jean Watson's Caring Theory?
A)Assist with basic human needs.
B)Encourage the patient to express personal feelings.
C)Ask the patient for input regarding received care.
D)Sit down and have a conversation with the patient.
E)Perform care according to hospital and unit policy.
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Page 10
Chapter 9: Image of Nursing: Influences on the Present
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Sample Questions
Q1) A nurse wants to represent nursing in legislative activities.Which national nursing organization would be most important to join?
A)International Congress of Nursing
B)American Red Cross
C)American Academy of Nursing
D)American Nurses Association
Q2) 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
Q3) A nurse has been studying Levenstein's characteristics of a profession.The nurse demonstrates adequate understanding when interpreting which of the following components as part of the model?
A)A code of ethics
B)A systematic,defined progression of education
C)An accreditation process
D)Publications or journal for the profession
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Page 11
Chapter 10: Nursing Management and Leadership
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A nurse manager has received a report that indicates the infection rate on the unit has gone up by 25% in the past month.What action by the manager is best?
A)Post the report for staff to read.
B)Pull a couple of the nurses aside,and discuss the issue with them.
C)Require staff to attend an infection prevention conference
D)Provide a mandatory handwashing in-service to all staff.
Q2) The nurse manager is giving a presentation on the disadvantages of democratic leadership in group functioning.Which statement shows an understanding of this type of leadership?
A)"Requires more time and effort to make decisions and accomplish goals"
B)"Discourages participation from quieter members of the group"
C)"Increases the possibility of 'scapegoating' or argumentative behavior"
D)"Is difficult to control the outcomes and decisions of the group"
Q3) Which of the following describe reward power used by the nurse manager?
A)A nurse manager who allows employees to initiate schedule changes
B)A nurse manager who uses salary increases to motivate staff
C)A nurse manager who is perceived as an expert due to specialized knowledge
D)A nurse manager who is well liked by the majority of staff
E)A nurse manager who has information that others need to perform their jobs
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Page 12
Chapter 11: Building Nursing Management Skills
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Sample Questions
Q1) A nurse is discharging a patient who primarily speaks German.Which action(s)should the nurse take to communicate effectively with the patient?
A)Contact interpreter services to interpret discharge instructions to the patient.
B)Provide discharge instructions for the patient that are written in German.
C)Ask the patient to repeat the discharge instructions back to the interpreter as he understands them.
D)Forego the interpreter because you are just showing him how to change a dressing.
E)Give the patient discharge instructions that are written in English.
Q2) The nurse is reviewing I-SBAR-R with a coworker at the end of the shift.Which statement indicates that they are discussing the Situation component?
A)The nurse states the patient's name using two identifiers.
B)The nurse states that the patient was hospitalized for a broken tibia and that surgery is scheduled for later today.
C)The oncoming nurse acknowledges the info that has been received.
D)The nurse states an opinion on what is happening with the patient.
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13
Chapter 12: Effective Communication, Team Building, and
Inter-professional Practice
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Sample Questions
Q1) A nurse notices that a coworker has been taking longer lunch breaks.The nurse is frustrated by this and wants to use assertive communicate techniques to effectively handle the situation.Which statement(s)would be the most beneficial?
A)"I feel frustrated about the length of your breaks because I am really busy with my patient assignment today."
B)"You need to stop taking such long lunch breaks while the rest of us pick up your slack!"
C)"I am willing to compromise so that we can both get the breaks and help that we need."
D)"I am having a hard time keeping up with both of our assignments today."
E)"You are putting my nursing license in jeopardy."
Q2) Which statement made the by the nurse indicates understanding of how to control the grapevine?
A)"Grapevine rumors are generally true."
B)"Avoid face-to-face communication."
C)"Avoid spreading rumors."
D)"Keep rumors circulating."
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Chapter 13: Conflict Management
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Sample Questions
Q1) A female nurse is experiencing sexual harassment in the workplace by a male nurse.Which action should this nurse take to stop the sexual harassment?
A)Ignore the comments made by the male nurse.
B)Laugh about the comments.
C)Tell the male nurse to stop.
D)Begin to sexually harass the male nurse.
Q2) A newborn has several congenital anomalies incompatible with living beyond 1 month.The newborn cannot retain formula,and the temperature drops when the newborn is removed from the warmer.Two nurses who alternate caring for the baby argue about whether or not to attempt bottle feedings and whether the newborn should be removed from the warmer to be held.What is the origin of the conflict described?
A)Ethical values
B)Nursing role concerns
C)Personal goals for advancement
D)Personality differences
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Chapter 14: Delegation in the Clinical Setting
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31 Verified Questions
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Sample Questions
Q1) To optimally use the level of preparation of the LPN who previously worked in an emergency department,which task should the registered nurse delegate to the LPN?
A)Transporting a patient to the laboratory
B)Assisting with a thoracentesis
C)Restocking and counting the sterile supplies
D)Passing afternoon nutrition supplements and waters
Q2) A nurse manager is discussing the "five rights of clinical delegation." Which statements indicates understanding?
A)"The nurse should determine if the task can safely be delegated."
B)"The nurse should determine if this is a task that will fit into the schedule."
C)"The nurse should delegate the task to the right person."
D)"The nurse should determine whether this is a task that would enhance learning."
E)"The nurse should provide feedback to the delegate."
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16
Chapter 15: The Health Care Organization and Patterns of Nursing Care Delivery
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Sample Questions
Q1) A nurse is covering for a coworker who is on a lunch break.While administering medications,the nurse notices a bag of antibiotic hanging with another patient's name on it.The nurse immediately stops the infusion.What should the next step be?
A)Say nothing about the error because the patient is fine.
B)Speak with the coworker about the error and document the error.
C)Tell the other coworkers about the error.
D)Tell the patient about the error.
Q2) The nurse is reviewing upcoming discharges.Which patient would a case manager be assigned to?
A)A 55-year-old woman post hysterectomy,who has adequate support from family
B)A 42-year-old man post appendectomy,who is able to change his own dressing
C)A 60-year-old man post sepsis,in need of nursing home placement
D)A 38-year-old woman,post shoulder repair,who needs to follow up with the orthopedic surgeon
Q3) How does managed care affect the economics of health care delivery?
A)Provides incentives for smaller private or individual hospitals
B)Increases the tax base for the community
C)Uses corporate economics to achieve a profit
D)Care is paid for at a prearranged rate
Page 17
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Chapter 16: Economics in the Health Care Delivery System
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Sample Questions
Q1) Which statement is true about patient acuity assessments for an in-patient unit?
A)This type of assessment measures all the needs of patients.
B)The assessments provide an absolute formula for unit staffing.
C)The best assessments use hours per patient day to determine nursing needs.
D)Assessments that use admission,discharge,and transfer data are often more accurate.
Q2) The nurse has an adequate understanding of productive time when stating that
A)"productive time is the amount of time the nurse is available to give care to patients."
B)"productive time is the amount of time the nurse is attending a continuing education activity."
C)"productive time is counted when the nurse is not directly giving bedside care,such as going to lunch and taking a break."
D)"productive time is counted when the physician is at the patient's bedside."
Q3) Which actions by the nurse show fiscal responsibility to the payer of care?
A)Understand Medicare and Medicaid insurance coverage.
B)Efficiently and effectively use resources to provide patient care.
C)Document minimally in the patient chart.
D)Select interventions that are cost effective.
E)Document the patient's plan of care.
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Page 18
Chapter 17: Political Action in Nursing
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Sample Questions
Q1) A nurse is actively involved in the political arena and is educating a colleague about becoming involved in the election process.The nurse knows that the teaching has been effective when the colleague states
A)"Nurses are discouraged from becoming involved in politics."
B)"The election process has nothing to do with nursing."
C)"It is easy for a nurse to become involved in the election process."
D)"Political campaigns never need any help."
Q2) In what ways can the nurse lobby?
A)Meet the candidate and assess knowledge.
B)Meet face-to-face with the candidate to discuss the issues.
C)The nurse cannot lobby a candidate.
D)Write a letter to the candidate.
E)Email the candidate.
Q3) What action should the student nurse taken to begin networking?
A)Begin networking shortly after starting a new job.
B)Avoid networking and establish a career based on reputation.
C)Begin networking upon graduation.
D)Begin the networking process when a new position is needed.
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Chapter 18: Collective Bargaining: Traditional Unionand
Nontraditional
Approaches
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Sample Questions
Q1) Which statement best describes when collective bargaining by nurses can occur?
A)Only when the nurses in the group are members of a union
B)Whenever nurses see a need to organize to take collective action
C)Only when the state nurses association is willing to represent nurses at a specific agency
D)When the state nurses association agrees that working conditions are inappropriate
Q2) In which situation would the traditional type of collective bargaining (union)be best to help nurses attain their goals?
A)Management has agreed to no nursing layoffs for 1 year after reorganization.
B)Nursing has received a 4% salary increase this year and next year.
C)Nurses have identified workplace safety issues and health hazards.
D)Management has arranged for nurse practitioners to have admitting privileges.
Q3) A nurse is educating coworkers on the establishment of collective bargaining.The nurse knows the teaching has been successful when a coworker states which of the following?
A)"Collective bargaining is still not recognized by hospitals."
B)"Nurse activists believed in a unified voice for nurses."
C)"Nurse activists wanted to option of working more hours."
D)"Collective bargaining is not effective."
Page 20
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Chapter 19: Ethical Issues
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Sample Questions
Q1) 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.
Q2) Which ethical principle is applied when the nurse acts to safeguard the patient and the public by reporting poor nursing practice?
A)Autonomy
B)Fidelity
C)Justice
D)Veracity
Q3) A nurse is educating a group of nursing students on the deontological model of ethical reasoning.The nurse determines that the teaching has been effective when a student states
A)"All life is worthy of respect."
B)"Abortions are ethical."
C)"Euthanasia is acceptable in certain situations."
D)"Lying is acceptable if it benefits the patient."
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Chapter 20: Legal Issues
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Sample Questions
Q1) The nurse enters a patient's room to complete the discharge paperwork and finds the patient in tears.The patient reports that someone from the business office stated the patient could not leave the hospital until the bill was paid.What is the best nursing action?
A)Comfort the patient and continue the preparations for discharge.
B)Call the social worker for a financial evaluation.
C)Call the family to arrange for the payment.
D)Cancel the discharge plans and notify the physician of the situation.
Q2) A nurse is completing an incident report.The nurse demonstrates an adequate understanding of the report when refraining from putting which of the following on the form?
A)Conclusions about the incident
B)The name of the patient
C)Blame of others
D)Judgment
E)The nurse's opinion about what happened
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22
Chapter 21: Cultural and Spiritual Awareness
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Sample Questions
Q1) The nurse knows that in this culture mental illness can bring shame on the family.
A)Chinese
B)Hispanic
C)Native American
D)African American
Q2) Based on assessment data,the nursing diagnosis for a patient is spiritual distress related to loneliness or social alienation.What would be included in spiritual nursing interventions?
A)Participate in active listening.
B)Identify level of functioning.
C)Assist with activities of daily living.
D)Evaluate ability to understand events.
Q3) A nurse is caring for a patient experiencing spiritual distress.What nursing intervention would be appropriate for this patient?
A)Asking the patient to reserve prayer for the hospital chaplain
B)Placing the patient by the nurses' station because it will be distracting
C)Developing a trusting relationship with the patient
D)Allowing the patient's roommate to have visitors late into the night
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23
Chapter 22: Quality Patient Care
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Sample Questions
Q1) The nurse manager is educating a new hire on The Joint Commission (TJC).The manager tells the new hire that TJC mandates the use of continuous quality improvement and measurement of specific quality outcomes for patients with certain diagnoses.The teaching has been effective when the new hire makes which of the following statements?
A)"These mandates include patients admitted with acute MI and COPD."
B)"Outcome measures are mandated for patients with a diagnosis of congestive heart failure and brain attack."
C)"Acute renal failure and deep vein thrombosis have mandated outcomes by The Joint Commission."
D)"Outcome measures are mandated for patients admitted with community-acquired pneumonia and congestive heart failure."
Q2) A nurse manager wants to implement changes based on the IOM's 2010 report of the future of nursing.What action by the manager will best help meet these outcomes?
A)Arrange a flexible staffing plan so nurses can return to school.
B)Institute a policy for bedside provider-nurse rounding.
C)Investigate "noisesless" paging systems to replace overhead paging.
D)Advocate for the initiation of patient-centered care units.
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Page 24
Chapter 23: Nursing Informatics
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Sample Questions
Q1) Which actions by the nurse incorporate standard practice for protecting patient privacy on mobile devices?
A)Keep careful physical control of the device at all times.
B)Avoid use of mobile devices.
C)Use a password and a time-out to authenticate the reactivation.
D)Enable encryption.
E)Keep security software up-to-date.
Q2) A nurse is educating students on how to evaluate a website.The nurse judges the teaching to be effective when the students can state
A)"Internet information must go through careful screening before it can be posted."
B)"Credibility,accuracy,and reasonableness of the information should be considered."
C)"It is important to have the hospital librarian verify the authenticity of the website."
D)"Most Internet information can be downloaded or beamed to a smartphone or handheld device (personal digital assistant [PDA])."
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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) Which of the following nursing activities are necessary to provide evidence-based nursing care?
A)Maintaining self-directed practice and using the Internet to locate relevant research articles
B)Having an advanced degree (CNS or FNP)and providing clinical supervision for peers
C)Attending continuing education programs and working toward a graduate degree in nursing
D)Systematically integrating nursing research findings and applying relevant evidence to practice
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26
Chapter 25: Workplace Issues
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Sample Questions
Q1) A nurse manager is educating a coworker on agencies that oversee environmental hazards at ambulatory care centers.The nurse manager judges the teaching to be effective when the coworker states
A)"The National Council of State Boards of Nursing has a role in overseeing any environmental hazard."
B)"The American Nurses Credentialing Center oversees all environmental hazards in the United States."
C)"Ambulatory Care Nursing Administration and Practice oversees only local environmental hazards."
D)"The Occupational Safety and Health Administration oversees all environmental hazards at ambulatory care centers."
Q2) A nurse manager is evaluating her computer chair.What should the nurse manager look for to make sure the chair is a good ergonomic design?
A)Appropriate padding
B)Arm rests that are locked into place
C)Strong lumbar support
D)Easily adjustable
E)Wheels that allow easy movement
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Chapter 26: Emergency Preparedness
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Sample Questions
Q1) Which statement by the nurse indicates the most important goal in the management of a severe disaster?
A)"Rescue the victims."
B)"Plan to prevent such disasters."
C)"Give immediate first aid and medical care to the victims."
D)"Evacuate the injured to medical facilities."
Q2) Which federal program provides a "push-pack" that,when requested,can be transported within 12 hours to an affected community and consists of medical assets such as medications,medical equipment and supplies,and personal protective equipment?
A)Strategic National Stockpile (SNS)
B)CHEMPACK federal program designed to supplement the medical response.
C)Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP)
D)National Incident Management System (NIMS)
Q3) Which of the following represents a Level II disaster?
A)A building collapse that fills the local emergency room with patients
B)A freeway accident that involves multiple vehicles
C)Flooding of a three-state area affecting food and water resources
D)An earthquake that destroys homes and transportation facilities
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