Role Development in Nursing
Chapter Exam Questions
Course Introduction
This course explores the evolution and significance of professional nursing roles within the healthcare system. Students will examine the historical foundations of nursing, the socialization process into the profession, and the diverse roles nurses fulfill including caregiver, advocate, educator, leader, and collaborator. Special emphasis is placed on ethical obligations, professional standards, legal responsibilities, and the impact of culture and emerging trends on nursing practice. Through reflection, case studies, and discussion, students will gain insight into their own professional identity and strategies for ongoing personal and career development in the dynamic field of nursing.
Recommended Textbook
LPN to RN Transitions 4th Edition by Lora Claywell
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345 Verified Questions
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Chapter 1: Honoring Your Past, Planning Your Future
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Sample Questions
Q1) The nurse educator is presenting a lecture on experience and learning to a group of RNs. Which statement by one of the RNs indicates that teaching has been effective?
A) "Experiences always help educational endeavors".
B) "The process of unlearning is easier than the initial learning".
C) "Learning can often be more difficult if previous knowledge is contradicted".
D) "Experiences rarely serve the student in the learning process".
Answer: C
Q2) The RN is talking with the unit manager about ways to improve patient care. The manager introduces the concept of a cohort. Which statement by the RN indicates that the teaching has been effective?
A) "A cohort is a web of connections".
B) "A cohort is a group of people who share common experiences with each other".
C) "A cohort is a group linked together for common purposes".
D) "A cohort consists of groups of individuals that make up a whole".
Answer: B
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3
Chapter 2: Assessing Yourself and Designing Success
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Sample Questions
Q1) 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
Q2) A nursing student is learning about effective time management in her first semester of nursing school. Which action by the student indicates that she understands the first critical step?
A) Setting goals based on the desired outcome
B) Prioritizing goals in order of simple to complex
C) Prioritizing tasks in chronological order
D) Assessing the reality of the complete situation
Answer: D
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Chapter 3: Study Habits and Test-Taking Skills
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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 nursing student is preparing for her first day of lecture. She knows that in order to succeed, she should
A) skip the first day of class and read the material at home.
B) sit in the front of the room, away from distractions.
C) take notes from the book during lecture time.
D) sit in the back of the class, next to her best friend.
Answer: B
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Page 5
Chapter 4: Distinguishing the RN Role from the LPN/LVN Role
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Q1) 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
Q2) The registered nurse takes on different care provider roles in the health care setting. Which roles could the nurse assume when caring for a patient who has just been diagnosed with cancer? (Select all that apply.)
A) Counselor
B) Educator
C) Advocate
D) Collaborator
E) Medical power of attorney
Q3) Which action defines the nurse as a care provider in an inpatient setting?
A) Holding an information session on diabetes management and prevention
B) Running a blood pressure screening in the lobby of the hospital
C) Assisting new parents after the delivery of preterm twins
D) Handing out pamphlets on how to lower cholesterol
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Page 6
Chapter 5: Using Nursing Theory to Guide Professional Practice
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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) Which statement by a nurse reflects an accurate understanding of systems theory?
A) "My patient has anemia reflected by low RBC, Hgb, and Hct values, so I have to monitor for fatigue, dyspnea, and tachycardia."
B) "It is my responsibility to provide my patients with basic human needs including food, water, and sleep."
C) "Would you like me to call the chaplain for you to discuss your feelings about your upcoming surgery?"
D) "My patient's daughter makes all decisions and living arrangements for my patient such as reserving a home health aide and Meals on Wheels during the week."
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Page 7
Chapter 6: Providing Patient-Centered Care Through the Nursing Process
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Q1) An RN is making assignments on a medical-surgical unit. Which patient could the RN assign to a float RN from the maternity unit?
A) A 68-year-old female patient with COPD and viral pneumonia
B) A 60-year-old female patient with atrial fibrillation and a heart rate of 150
C) A 50-year-old male patient post open heart surgery whose blood pressure is 90/50
D) A 36-year-old male patient who is severely neutropenic awaiting chemotherapy
Q2) 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.
Q3) Which nursing diagnosis would be a priority for a patient in acute respiratory distress?
A) Pain
B) Reduced gas exchange
C) Reduced stamina
D) Need for health teaching
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Chapter 7: Critical and Diagnostic Thinking for Better Clinical Judgment
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Q1) Using clinical judgment, the nurse makes decisions on whether to proceed with or revise a course of action. When providing this education to a nursing student, which statement indicates that the teaching has been effective?
A) "The inquiry (investigational or exploratory) subprocess necessary for sound clinical judgment is reflective thinking."
B) "The inquiry (investigational or exploratory) subprocess necessary for sound clinical judgment is persuasive thinking."
C) "The inquiry (investigational or exploratory) subprocess necessary for sound clinical judgment is critical thinking."
D) "The inquiry (investigational or exploratory) subprocess necessary for sound clinical judgment is intuitive thinking."
Q2) 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 8: Practicing Evidence-Based Decision Making
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Q1) Which of the following are most responsible for the emerging use of evidence-based practice (EBP) in health care? (Select all that apply.)
A) Accountability by consumers of governmental and health care agencies
B) Introduction of national health care guidelines
C) Shorter implementation time of new research
D) Variability of care among health care practitioners and facilities
E) Similarity with other science disciplines and their amounts of research
F) Eligibility to receive government grants for research excellence
Q2) 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
Q3) What is the relationship between the design and layout when creating a critical appraisal tool?
A) Design and layout differ but measure the same areas.
B) Design and layout differ, and reliability measures differ.
C) Design, layout, and reliability are similar but relevancy differs.
D) Design, layout, and reliability differ but trustworthiness is the same.
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Page 10
Chapter 9: Communicating With Patients and Co-Workers
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Sample Questions
Q1) Before signing the verbal orders given earlier, the physician notifies the nurse of incorrectly wording the order. The physician requests the nurse to go back and insert the missing information. Which actions illustrate a lack of knowledge by the nurse? (Select all that apply.)
A) Use a black pen and insert the missing information.
B) Insist that the physician write a new order.
C) Write an addendum clarifying the order.
D) Toss the old order and write a new one.
Q2) 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?"
Q3) When preparing for patient teaching what should the nurse do first?
A) Assess the learner's needs.
B) List key points to be presented.
C) Collect the teaching materials.
D) Think about how the skill can be done at home.
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Page 11
Chapter 10: Teaching Patients and Their Families
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Q1) A nurse discusses home arrangements and safety factors related to emptying and changing the patient's new colostomy bag. The patient has strong concerns about visibility of any stored colostomy supplies. Which teaching-learning principle does this example demonstrate?
A) Using multiple teaching strategies to accommodate a variety of learning styles.
B) Increased effectiveness of teaching by involving the patient in the setting of objectives.
C) Paying attention to the timing during the hospitalization and planned discharge date when providing needed information.
D) Developing a strong nurse-patient relationship from the beginning of the contract with the patient.
Q2) Which item would most likely be a barrier to learning for a patient who must begin to wear an insulin pump?
A) Curiosity about new experiences and equipment.
B) Tendency toward embarrassment about making mistakes and being seen with the pump.
C) Ability to prioritize diabetes management.
D) Understanding that the patient can promote his or her own well-being.
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Chapter
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Q1) What is the major social factor that has developed the role of nursing to what it is today?
A) Society's attitude toward the role of women
B) Society's lack of qualified health providers
C) Society's lack of resources to pay for health care
D) Society's lack of education about health care
Q2) What is the function of Continuous Quality Improvement?
A) To improve staff compliance with training
B) To assist staff in building on nursing skills
C) To assess patient care, from admission to discharge
D) To improve collaboration of staff
Q3) The "graying of America" is estimated to include 65 million older Americans by 2030. What current evidence supports the need for increased nursing knowledge of geriatrics and home health care? (Select all that apply.)
A) The elderly utilize more health care dollars per person than younger members of society.
B) The elderly rely minimally on Social Security.
C) The elderly have chronic illnesses.
D) The elderly typically have fewer years of schooling.
Page 13
E) Some elderly are widowed and need assistance with care.
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Chapter 12: Upholding Legal and Ethical Principles
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Q1) The RN understands the importance of providing culturally competent nursing care when she does which of the following? (Select all that apply.)
A) Uses flexibility to accommodate the patient
B) Becomes knowledgeable about other cultures
C) Lets go of negative attitudes about other cultures
D) Believes that her culture is superior
E) Avoids patients of different cultures
Q2) Which statement made by the nursing student indicates an accurate understanding of culturally competent care?
A) "It means having knowledge of the health-related beliefs and practices of all cultures."
B) "It is the ability to care only for individuals from one's own culture."
C) "It means working within the cultural context of individuals, families, and communities."
D) "It means avoiding discussing the patient's practices or beliefs because they may not agree with your own."
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14
Chapter 13: Care and Safety Standards, Competence, and Nurse Accountability
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Sample Questions
Q1) An RN has been working on a cardiac unit for 1 year and has settled comfortably into an efficient, safe, and organized routine for each shift. However, whenever an urgent issue arises, the nurse feels uncomfortable. It is most likely that this nurse is functioning at which skill level?
A) Novice
B) Proficient
C) Competent
D) Expert
Q2) 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
Q3) On administering a medication, the RN realizes that she gave the incorrect amount. After assessing the patient, which action would not be appropriate for the nurse to take?
A) Report the incident to the patient's physician.
B) Immediately report the incident to her manager.
C) Keep the incident to herself and continue to monitor the patient.
D) Continue to reassess the patient.
Page 15
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Chapter 14: Leading, Delegating, and Collaborating
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Q1) The nurse is a very busy charge nurse with responsibilities for a unit with 24 acute care patients. An experienced nursing assistant is assigned to the unit. The nursing assistant notes that the IV pump is beeping because the tubing appears kinked. The assistant unkinks the tubing, and this resets the pump. The assistant reports the action to the nurse. It is most important that the nurse
A) thank the nursing assistant for taking the initiative to correct the problem and to "keep up the good work."
B) provide the assistant with additional instructions on safety in IV management. C) warn the other staff to watch out for the nursing assistant because she works beyond her scope.
D) explain that help is appreciated; however, legally the nursing assistant cannot perform the action.
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16
Chapter 15: Promoting Healthful Living in the Primary Care Setting
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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) A patient is admitted to the hospital with a new diagnosis of diabetes mellitus type 1 and is scheduled for discharge on the second day after admission. In view of the patient's 2-day inpatient stay, the nurse should set realistic goals by planning to A) teach the patient how to monitor glucose and self-administer insulin.
B) include detailed information about diet and medication use in patient teaching.
C) use every interaction to teach the patient about the details of glucose control.
D) focus on teaching the family instead of the patient about diabetic management.
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Chapter 16: Managing Care in Secondary and Tertiary
Health Care
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Q1) The nurse is listening to a lecture on the Orem's theory. Which statement indicates that teaching has been effective?
A) "Patients enter the acute health care setting when they are experiencing a dependent-care agency."
B) "Patients enter the acute health care setting when they are experiencing a community-care agency."
C) "Patients enter the acute health care setting when they are experiencing a dependent-care deficit."
D) "Patients enter the acute health care setting when they are experiencing a community-care deficit."
Q2) A patient has endured 3 years of treatment for colon cancer but recently learned that the cancer has spread to her liver and bone. The patient and her family have learned she may have less than 6 months to live and there is nothing medically to consider. What tertiary service can the RN suggest to the patient and family?
A) Hospice care
B) Wound care
C) Home health care
D) Ostomy care
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Chapter 17: Reflecting on Your Transition
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Q1) 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.
Q2) Which of the following is an example of an anxiety-causing situation below that is potentially caused by a role transition from licensed practical nurse/license vocational nurse (LPN/LVN) to RN?
A) A shift assignment of four patients
B) Managing care based on your knowledge and skills
C) Changing work shifts from days to nights
D) Delegating tasks to LPNs/LVNs and medical assistants
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19
Chapter 18: Prepare Now to Pass NCLEX-RN
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Q1) 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."
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.
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