Trends and Issues in Nursing
Exam Answer Key
Course Introduction
This course offers an in-depth exploration of current trends and pressing issues shaping the nursing profession today. It examines the dynamic healthcare landscape, highlighting evolving roles for nurses in areas such as technology integration, interdisciplinary collaboration, and patient-centered care. Students will critically analyze topics including workforce challenges, policy developments, ethical considerations, evidence-based practice, and cultural competency. By engaging with real-world case studies and scholarly literature, participants will gain the skills to adapt to emerging demands, advocate for professional standards, and contribute to innovation and quality improvement in diverse healthcare settings.
Recommended Textbook
Nursing Today Transition and Trends 9th Edition by JoAnn
Zerwekh
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26 Chapters
654 Verified Questions
654 Flashcards
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Chapter 1: Role Transitions
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Sample Questions
Q1) A nurse has worked the past 5 days in a row to make some extra money.Today is a scheduled day off.Which of the following actions would be the best for this nurse to take?
A)Call the unit to see if they need the nurse to work.
B)Read nursing articles and take practice quizzes to stay up-to-date.
C)Take his/her small children to the zoo.
D)Work on a continuing education requirement.
Answer: C
Q2) Which statement by the nursing student indicates an understanding of the importance of constructive feedback?
A)"I will wait until my clinical evaluation and then make any changes to my practice that are needed."
B)"I will request routine feedback from my instructor so I can make any changes needed to improve my skills."
C)"My instructor will let me know if I need to change anything."
D)"I will ask my colleagues if I need to make any changes to my practice."
Answer: B
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Chapter 2: Personal Management: Time and Self-Care Strategies
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Sample Questions
Q1) What actions can a student take to manage the phone calls received throughout the day?
A)Set a specific time during the day for business- or school-related phone calls.
B)Allow phone calls at any time as long as they are short.
C)If the student needs to leave a message,state that he/she can be contacted any time.
D)Keep the phone turned off until all studying is completed for the day.
Answer: A
Q2) Which is an example of an effective self-care strategy for a nurse?
A)Plan time for physical recuperation after working extra hours.
B)Push feelings of sadness,joy,anger,and fear out of awareness.
C)Use alcohol to reduce tension.
D)Respond to people and opportunities reactively.
Answer: A
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4
Chapter 3: Mentorship, Preceptorship, and Nurse Residency Programs
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22 Flashcards
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Sample Questions
Q1) The nurse professor is lecturing to students in their final semester of nursing school.Which statement by the nurse professor about mentoring is accurate?
A)"Mentoring involves solving an individual's problems."
B)"Mentoring focuses on the needs of someone else."
C)"Mentoring means helping someone reach his or her long-term goals."
D)"Mentoring requires pairing an experienced person with a novice."
Answer: B
Q2) You are a graduate nurse in search of a mentor.To find a good "match," what should you look for?
A)Choose an experienced nurse who is successful.
B)Look for things you and the potential mentor have in common.
C)Be very specific with the questions you ask of the possible mentor.
D)Be careful not to disclose too much personal information.
Answer: B
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5
Chapter 4: Employment Considerations: Opportunities,
Resumes, and Interviewing
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Sample Questions
Q1) The nurse knows that which of the following information is not part of a good resume?
A)Age
B)Education
C)Professional memberships
D)Occupational experience
Q2) The graduating student is preparing a portfolio prior to a job interview.What documents does the student include?
A)Completed skills checklists
B)Certificates of attendance at conferences
C)Documentation from group projects
D)Transcripts from all courses taken
E)Narrative notes from clinical instructors
Q3) A student nurse tells a faculty member that a real fear of finding employment is not liking the first job and wanting to leave right away.What is the best suggestion from the faculty member?
A)"If you leave,give at least 4 weeks' notice."
B)"Don't worry about leaving your first job;lots of people do it."
C)"Study up on reality shock so you are prepared to deal with it."
Page 6
D)"You will need to stick with it for at least 2 years."
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Chapter 5: Nclex-Rn and the New Graduate
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Sample Questions
Q1) What are helpful strategies for dealing with test anxiety?
A)Put as much time as possible into studying.
B)Practice relaxation techniques and positive thinking.
C)Use review books and tapes.
D)Focus on test-taking skills and emphasize facts less.
Q2) The nurse interprets "computer adaptive testing (CAT)" to mean
A)questions are selected,and the exam is adapted to the candidate's previous responses.
B)the test has been adapted to be administered via a computer.
C)the test is adapted to decrease the total number of questions.
D)questions are adapted to meet the practice analysis survey of the graduates.
Q3) A graduate nurse is planning to travel to a testing site and will need to have overnight accommodations.Which of the following is the best action for this graduate nurse to take to make the stay a success?
A)Share a room with the four other graduate nurses planning to test at the same testing center.
B)Stay up late studying.
C)Room alone or with someone who is supportive of a positive environment.
D)Room with another graduate nurse who frequently complains.
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Page 7
Chapter 6: Historical Perspectives: Influences on the
Present
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Sample Questions
Q1) Imposter nurses in the 1900s inspired Dock,Palmer,and Goodrich to take which of the following actions for the safety of the public?
A)Advocated for nurses to take an examination for licensure
B)Required nurses to show a driver's license to their patients
C)Advocated for nurse training schools
D)Pleaded for registration of nurses
E)Fought against home-study programs for nurses
Q2) The nursing student has an adequate grasp of nursing history when stating that after the fall of the Roman Empire,the knowledge of health practice was primarily preserved by
A)English monks in cloistered buildings.
B)Jewish physicians who could translate into Latin.
C)Roman priests who practiced medicine.
D)Fortuna,who practiced midwifery.
Q3) What was an important outcome of national events in the 21st century?
A)Nurses became more respected as experts in health care.
B)Disaster management and emergency preparedness emerged.
C)Pay for nurses increased to a sum equitable to education.
D)The HIV/AIDS epidemic impacted hospital nursing care.
Page 8
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Chapter 7: Nursing Education
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Sample Questions
Q1) A distinction that can be made between nursing licensure and certification is that licensure is
A)mandatory,and certification is voluntary.
B)optional,and certification is required to practice a nursing specialty.
C)renewed annually,and certification is renewed triannually.
D)approved by the ANA,and certification signifies the ability to give safe care.
Q2) Which action by health care facilities shows implementation of the recommendations set by the Institute of Medicine?
A)Increase the cost of outpatient services.
B)Set up a reward system for nurses who receive their baccalaureate degree.
C)Encourage nurses to be lifelong learners.
D)Set up a valet system to better serve patients and visitors.
E)Implement measures that will offer assistance to nurses who are pursuing doctoral degrees.
Q3) Select the following statement that describes the current student population.
A)The student population tends to be single.
B)The student population is younger than the age of 20 years.
C)The student population tends to be older.
D)The student population tends to be white.
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Page 9
Chapter 8: Nursing Theory
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Sample Questions
Q1) A patient is recovering from a femur repair after a car crash.The following day,lab results indicate that the hemoglobin is dangerously low and the patient needs to receive blood.The patient has identified as a Jehovah's Witness and has refused to receive the blood.Which action should the nurse take?
A)Notify the physician of the patient's decision.
B)Administer the blood anyway.
C)Try to convince the patient to receive the blood.
D)Call the patient's family members and alert them to the situation.
Q2) A student is in the last semester of nursing school.The student interprets nursing as
A)knowledge of past experiences.
B)the medical model of health care.
C)a science based on the principles of biology and medicine.
D)a science based on scientific research providing practice answers.
Q3) Systems-oriented theorists include
A)Neuman,Roy,and Johnson.
B)Peplau,Watson,and Orlando.
C)Nightingale,Abdellah,and Orem.
D)Rogers,Newman,Rizzo,and Parse.
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Page 10
Chapter 9: Image of Nursing: Influences on the Present
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17 Flashcards
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Sample Questions
Q1) Throughout the 1990s,a nationwide campaign worked to strengthen the image of nurses.Which of the following action(s)during the campaign aided in this?
A)Worked to improve the image of nurses as depicted on television
B)Reinforced the image of nurses as doctors' personal assistants
C)Reinforced the idea that nursing required little skill
D)Educated the public that nurses are critical thinkers
E)Reinforced that nurses have problem-solving skills
Q2) Which of the following predicts the outcome if the nursing profession continues to be devalued by demeaning or comical images of nurses?
A)Nurses will be able to request higher wages.
B)The nursing shortage will end.
C)There will not be enough jobs for new graduates.
D)The nursing shortage will extend.
Q3) What action can each nurse take to improve the image of nursing during his or her career?
A)Provide public education on what nurses really do.
B)Ignore the negative image of nurses.
C)Contribute to the negative image of nurses.
D)Remain silent when someone speaks negatively of nursing.
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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) 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"
Q2) The nurse manager tells the patient that he must eat his breakfast before getting out of bed.What type of power is the nurse manager using?
A)Legitimate power
B)Expert power
C)Coercive power
D)Referent power
Q3) A nurse wants to implement a change in the work environment.Which of the following actions would be the most important thing to do?
A)Ask for suggestions from peers working in other institutions.
B)Explain to coworkers how a different plan would work better.
C)Seek input from coworkers from the beginning.
D)Incorporate all suggestions into the plan before implementing.
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Page 12
Chapter 11: Building Nursing Management Skills
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) What are critical points to communicate during a shift report or hand-off communication?
A)Patient name,current physical status,activities that have contributed to current status,problems that have occurred during the shift,nursing care to address problems,and a readback or response
B)Patient name,room number and date of birth,changes in current orders,provider's visits,laboratory tests that have been completed,and physical activity of the patient
C)Patient name,health care provider,diagnosis,review of all current orders,family visits and involvement in care,review of history leading to hospitalization,and current status of the patient
D)Physician orders for past 24 hours,patient name and date of birth,medical and social history prior to hospitalization,and review of health problems since hospitalization
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Chapter 12: Effective Communication, Team Building, and
Inter-professional Practice
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Sample Questions
Q1) Which term refers to the group member who watches others take the risks and responsibility for group input and agrees with everyone in the group?
A)Mouse
B)Motor mouth
C)Self-server
D)Know-it-all
Q2) Which of the following statements about listening indicate the nurse's adequate understanding?
A)"Listening is the hearing of words."
B)"Listening requires most of our communication time."
C)"We pay most attention to our listening skills."
D)"People remember 1/3 of the messages that they have heard."
E)"Listening requires a lot of energy."
Q3) Which action shows the cyclical phase of forming?
A)A group dissolving
B)Individuals coming together with a common bond
C)Developing mutual goals
D)A group completing tasks together
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Chapter 13: Conflict Management
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Sample Questions
Q1) Which statement by the nurse is true regarding sexual harassment?
A)"Sexual harassment no longer occurs in the workplace."
B)"Sexual harassment is only caused by men."
C)"The most common sexual harassment complaint is inappropriate remarks and touching."
D)"Nothing can be done to prove sexual harassment."
Q2) Of the following common areas of conflict between nurses and their patients and families,which does the nurse interpret as the most easily resolved?
A)Issues of concern about quality of care
B)Issues surrounding treatment decisions
C)Issues of family involvement
D)Issues about quality of parental care
Q3) The nurse manager is attempting to resolve an interpersonal conflict between two nurses.Which action below should be done first?
A)Determine the facts related to the situation.
B)Schedule a meeting time for resolution.
C)Have an accurate understanding of the problem or conflict.
D)Have the determination to resolve the conflict.
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15
Chapter 14: Delegation in the Clinical Setting
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Sample Questions
Q1) The nurse manager understands the causes of performance weaknesses when making which of the following statements?
A)"The employee does not know what is expected."
B)"The employee is getting adequate feedback."
C)"The employee requires additional education."
D)"The employee lacks motivation."
E)"The employee needs additional supervision."
Q2) What would be the best example of delegation?
A)Transferring to another nurse the responsibility of caring for a patient requiring a blood transfusion
B)Providing guidance to an LPN to hang blood on a patient
C)Assigning a series of nursing unit tasks to the certified nursing assistant
D)Assisting a new nurse to understand the rules and regulations of the Nurse Practice Act
Q3) Which of the following tasks can the nurse safely delegate to the nursing assistant?
A)Assessing the patients who are being discharged later today
B)Giving discharge instructions to a patient
C)Helping a patient select food according to the specified diet
D)Educating the patient on what foods to eat for his/her diet plan
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Page 16
Chapter 15: The Health Care Organization and Patterns of Nursing Care Delivery
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Sample Questions
Q1) 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
Q2) The nurse has an adequate understanding of patient-focused care when stating which of the following?
A)"Patient-focused care includes the physician,who supervises care."
B)"Patient-focused care decreases productivity."
C)"In patient-focused care,the nurse supervises delivery of care."
D)"The patient is not an active participant in patient-focused care."
Q3) Which statement regarding characteristics of clinical pathways shows the nurse's lack of understanding?
A)"Clinical pathways focus on patient outcomes."
B)"Clinical pathways use a timeline with sequenced interventions."
C)"Clinical pathways collaborate efforts by health care professionals."
D)"Clinical pathways involve nurse-centered orientation."
Page 17
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Chapter 16: Economics in the Health Care Delivery System
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Sample Questions
Q1) 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.
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) What action can nurses take to be fiscally responsible?
A)Let patients determine if the cost of medications fits into their budget.
B)Allow nurses to work on the unit when the census drops.
C)Use proper hand hygiene.
D)Document minimally on each patient.
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Chapter 17: Political Action in Nursing
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Sample Questions
Q1) What actions makes up a nurse's political savvy?
A)Analyzing a situation
B)Participating in a constructive way
C)Following directions
D)Voicing an opinion
E)Presenting a possible resolution
Q2) The clinical nurse leader makes out the daily assignments.One staff nurse tells another,"Last week I was asked to change my days off so the clinical nurse leader could go to a play in another city.I told the clinical nurse leader I couldn't do it.Ever since then,I've been given the most difficult patients on the unit for my assignment." The staff nurse can label this type of power as which of the following?
A)Inherent
B)Referent
C)Legitimate
D)Expert
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Chapter 18: Collective Bargaining: Traditional Unionand
Nontraditional
Approaches
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Sample Questions
Q1) A nurse believes that an assignment is unfair and refuses to care for the assigned patients.What could be the outcome if the nurse abandoned the patient assignment?
A)The nurse would be assigned to another group of patients.
B)Untoward patient outcomes
C)Other nurses would take on the nurse's assignment.
D)Disciplinary action by the Board of Nursing
E)Disciplinary action by the nurse's employer
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 striving to control personal nursing practice.Which action should the nurse avoid?
A)Recommend a new system for bedside report.
B)Refrain from participating in peer review.
C)Create a unit presentation on how to increase patient safety.
D)Identify ways to reduce hazards.
Page 20
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Chapter 19: Ethical Issues
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Sample Questions
Q1) The nurse has an adequate understanding of ethical issues regarding transplantation when stating which of the following?
A)"There are few Americans on the transplantation list."
B)"Everyone on the transplantation list receives the organ he/she needs."
C)"There is an overabundance of organ donors."
D)"Most people on the transplantation list die due to the shortage of organs."
Q2) A nurse and a patient are discussing the patient's wishes regarding resuscitation.The patient decides that resuscitation is not wanted under any circumstances.What action can the nurse take to identify the ethical issues of the situation?
A)Encourage the patient to discuss his/her wishes with his/her family.
B)Encourage the patient to change his/her mind.
C)Coerce the patient into changing his/her mind by calling the physician to the bedside.
D)Continue to treat the patient as a "full code."
Q3) What action can the nurse take to uphold the ethical principle of fidelity?
A)Report unscrupulous billing practices.
B)Disclose the results of an HIV test to a patient's family.
C)Make health care decisions for a patient.
D)Accept an assignment that is unsafe.
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21
Chapter 20: Legal Issues
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Sample Questions
Q1) A graduate nurse is preparing to start a first nursing job.What action would be the best legal safeguard for the graduate nurse to take?
A)Competent practice
B)A legal contract
C)A valid license
D)Following management policies
Q2) Which of the following would be considered a criminal action?
A)A nurse who steals narcotics from the hospital
B)A nurse who gets into a verbal disagreement with a visitor
C)A nurse who restrains a patient who is considered a threat to him/herself
D)A nurse who refuses to allow a visitor onto the unit who appears intoxicated
Q3) In transcribing orders for a patient,the nurse finds a new order for aspirin,500 mg,QID.The patient has a long history of gastrointestinal bleeding.What is the best nursing action?
A)Give the medication.
B)Withhold the medication,and chart why it was not given.
C)Call the provider,and question the order in light of the patient's history.
D)Ask if the patient is allergic to aspirin.
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22
Chapter 21: Cultural and Spiritual Awareness
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Sample Questions
Q1) In what culture are older adults respected and unquestioned?
A)Asian
B)African American
C)Hispanic
D)Native American
Q2) A nurse manager is looking for ways to improve the cultural competency of unit staff.Which action would help the manager accomplish this?
A)Propose voluntary cultural competence training.
B)Hire bicultural clinical and administrative staff.
C)Hire staff from the same ethnic background.
D)Avoid issues pertaining to cultural competence.
Q3) The nurse understands that the following organization believes that cultural competence in nursing is necessary.
A)Nurse Practice Acts of state boards of nursing
B)Code of Ethics of the American Nurses Association
C)Accreditation standards of the National League of Nursing
D)Accreditation standards of The Joint Commission (TJC)
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Chapter 22: Quality Patient Care
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Sample Questions
Q1) Which of the following are considered core measure sets and monitored by The Joint Commission?
A)Code rates
B)Venous thromboembolism
C)Pneumonia
D)Nurse staffing and vacation patterns
E)Congestive heart failure
F)Numbers of hospital admissions
Q2) Which of the following statements by the nurse indicates an understanding of Quality and Safety for Nurses (QSEN)?
A)"QSEN helps prepare future nurses for improving patient safety."
B)"QSEN helps prepare future nurses for working mandatory overtime."
C)"QSEN helps train nurses in the clinical setting."
D)"QSEN provides nurses with strategies for passing the NCLEX exam."
Q3) Which action takes place during the design phase of the DMAIC process?
A)A charter is developed.
B)Key performance indicators are agreed upon.
C)Analyze baseline data.
D)Determine whether measures reflect the true problems.
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Page 24
Chapter 23: Nursing Informatics
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Sample Questions
Q1) A nurse is preparing to graduate with a degree in nursing informatics.The nurse is explaining career options to friends.The nurse understands the options when stating
A)"I can work alongside engineers as they create new products."
B)"I can work for a consulting firm and specialize in workflow improvement."
C)"I cannot work for third-party payers."
D)"I do not have the option of working for the government."
E)"I am excited to work for an educational institution."
Q2) How does the IN/INS use HIPAA regulations and TJC requirements in daily practice?
A)Investigation of violations
B)Writing of policies
C)Involvement in the discipline process
D)Writing of procedures
E)Managing the nursing unit
Q3) Which action can the nurse take to evaluate an Internet resource?
A)Assume that the resource is credible if it is on an Internet page.
B)Determine if the resource provides evidence for claims made.
C)Assess the popularity of the resource.
D)Determine the date the resource was published;older material is more reliable.
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Page 25
Chapter 24: Using Evidence-Based Practice and Nursing Research
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Sample Questions
Q1) A nursing professor has just joined the National Institute of Nursing Research (NINR).Which activities should the professor anticipate being a part of?
A)Providing financial support for any worthy nursing research study
B)Channeling federal money into nursing research related to the national nursing research agenda
C)Publishing information detailing successful research utilization projects
D)Arranging traineeships in development of research proposals
Q2) How can nurses being to define their practice context?
A)Identify characteristics that are specific to the group of people who will receive nursing care.
B)Specify all types of settings that nursing occurs in.
C)Determine all characteristics of the setting that contribute to nursing care.
D)Determine all characteristics of the setting that inhibit nursing care.
Q3) Which statement would indicate a unit nursing staff is entering the preutilization step of research utilization?
A)"We've found two studies exploring methods to reduce violence on psych units."
B)"We need a new approach to containing violence on the psych unit."
C)"This is the plan for implementing the new antiviolence strategies."
D)"This is a summary of the evaluation data we collected."
Page 26
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Chapter 25: Workplace Issues
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Sample Questions
Q1) A nurse manager is brainstorming creative solutions to mandatory overtime.Which of the following actions would help prevent the occurrence of mandatory overtime?
A)Create an on-call system with one or two extra nurses on per shift.
B)Create an incentives system for part-time nurses to pick up extra shifts.
C)Ask the nurses to take on extra patients during the short shifts.
D)Reward nurses who put forth an extra effort for the organization.
E)Create shifts for high-volume times.
Q2) The staff nurse,in the tenth hour of a 12-hour shift,is told by the house supervisor that the nurse replacement will be 2 hours late and the staff nurse must work these extra 2 hours.The nurse is unable to stay over.What is the best action for the nurse to take?
A)Talk to the person over the house supervisor.
B)Refuse and go home on time because of being too tired to work.
C)Fix some strong coffee and call home to explain the situation.
D)Ask if the supervisor could work a double because the supervisor needs the money.
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Chapter 26: Emergency Preparedness
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Source URL: https://quizplus.com/quiz/43319
Sample Questions
Q1) An infection control nurse is educating a nurse about potential bioterrorism agents.The nurse knows the teaching has been effective when the nurse states
A)"Smallpox has three routes of exposure to humans."
B)"Anthrax has three routes of exposure to humans."
C)"Botulism is caused by a bacterium found only in animals."
D)"Tularemia is transmitted via ingestion of toxin-contaminated food."
Q2) Second- or third-degree burns that cover more than 50% of the body would be classified under what stage of triage?
A)Expectant
B)Delayed
C)Minor
D)Immediate
Q3) A nurse is caring for a group of sick patients.Which patient would the nurse be least likely to use isolation precautions with?
A)Tuberculosis (TB)
B)Plague
C)Botulism
D)Smallpox
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