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NSG 2700 Nsg 2700 Professional Practice in Nursing –
Capstone Exam Questions And Correct Answers
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1. Which action best demonstrates accountability in professional nursing practice? a. Delegating all tasks to unlicensed assistive personnel b. Admitting a medication error to the charge nurse c. Avoiding confrontation with colleagues d. Ignoring policy updates until necessary Accountability requires the nurse to take responsibility for actions, including errors. 2. What is the primary purpose of nursing licensure? a. Provide recognition for nurses b. Promote nurse employment c. Protect the public by ensuring minimal competency d. Increase wages for nurses Licensure ensures nurses meet a minimum standard to protect patient safety. 3. Which component is central to evidence-based practice? a. Integration of clinical expertise with research and patient preferences b. Hospital policies
c. Physician preferences d. Intuition and experience alone Evidence-based practice combines research, expertise, and patient values.
4. What is the primary role of the nurse in informed consent? a. Explaining the surgical procedure b. Making decisions for the patient c. Witnessing the patient's voluntary signature d. Recommending a treatment The nurse ensures the patient signs voluntarily and understands the provider’s explanation. 5. Which of the following is considered a breach of patient confidentiality? a. Calling the patient by name b. Discussing patient information in the elevator c. Accessing your assigned patient’s chart d. Asking a colleague for assistance with care Patient privacy must be maintained; discussing care in public areas is a breach. 6. Which organization sets standards for nursing education? a. American Association of Colleges of Nursing (AACN) b. National League for Nursing (NLN) c. Joint Commission d. ANA The AACN helps guide academic nursing programs and ensures quality education.
d. Speaking rapidly to save time Clear and active communication enhances patient safety and team function.
11. The nurse prioritizes care using which principle? a. Physician’s convenience b. Who complains the most c. ABCs (Airway, Breathing, Circulation) d. Room number order Prioritization begins with life-threatening needs like airway and breathing. 12. What is the nurse’s role in quality improvement? a. Participate in audits and use data to improve care b. Avoid giving feedback c. Maintain status quo d. Report only large issues Nurses help improve patient outcomes by actively engaging in QI processes. 13. Which legal term describes a nurse failing to document a medication given? a. Negligence b. Battery c. Invasion of privacy d. Autonomy Negligence includes omission or failure to meet the standard of care.
14. Which action supports lifelong learning in nursing? a. Avoiding change b. Attending continuing education courses c. Relying solely on past experiences d. Following routine without questioning Lifelong learning ensures nurses stay current and competent. 15. A new graduate asks a preceptor for feedback. This reflects: a. Poor confidence b. Commitment to professional growth c. Fear of failure d. Avoidance of evaluation Seeking feedback supports development and reflective practice. 16. Professional boundaries are crossed when a nurse: a. Offers support in a crisis b. Gives a personal gift to a patient c. Listens empathetically d. Refers to the patient by name Gift-giving can compromise objectivity and violate boundaries. 17. Which ethical principle is most involved in end-of-life decision- making? a. Fidelity b. Autonomy c. Justice d. Nonmaleficence Respecting the patient’s choices honors their autonomy.
d. Encouraging teamwork Lateral violence includes sabotage, bullying, or passive-aggressive behavior.
22. The purpose of the ANA Code of Ethics is to: a. Replace hospital policies b. Mandate laws c. Guide ethical nursing practice d. Provide financial advice It sets expectations for ethical behavior and decision-making. 23. What should a nurse do after observing unsafe practice by a peer? a. Ignore it to maintain friendship b. Report it according to policy c. Post it on social media d. Immediately confront in public Following institutional policy protects patients and ensures due process. 24. Reflective practice in nursing encourages: a. Repetition of routines b. Self-assessment and growth c. Ignoring feedback d. Emotional distancing Reflection helps nurses improve care through insight and adaptation. 25. A nurse demonstrates cultural competence by: a. Treating all patients the same b. Respecting diverse health beliefs c. Assuming cultural stereotypes
d. Avoiding sensitive topics Cultural competence means tailoring care to respect patients' values.
26. What is the best action for a nurse to take when experiencing moral distress? a. Ignore the feelings and continue working b. Seek support and discuss the situation with a supervisor or ethics committee c. Call off work until the situation changes d. Transfer to a different unit immediately Moral distress requires support, discussion, and potential resolution through ethical resources. 27. Which behavior is most consistent with professional integrity? a. Justifying errors to protect one’s license b. Admitting mistakes and taking corrective action c. Delegating tasks inappropriately d. Bending rules to finish on time Integrity means being honest and accountable, even in difficult situations. 28. Which of the following actions by a nurse contributes to reducing health disparities? a. Ignoring cultural beliefs that conflict with Western medicine b. Providing individualized care based on patient needs and background c. Using a “one size fits all” model of care
32. What is the best response when a nurse disagrees with a provider’s order that seems unsafe? a. Carry out the order quickly b. Avoid confrontation c. Clarify the order and advocate for the patient d. Ignore it and inform no one Advocating for patient safety includes questioning potentially harmful orders. 33. A professional portfolio should include: a. Personal photos and social media links b. Daily task lists c. Resume, certifications, reflective statements, and continuing education d. Vacation logs Portfolios document competence, development, and growth. 34. Which action best exemplifies ethical leadership in nursing? a. Leading by control b. Promoting transparency and fairness in decision-making c. Avoiding difficult topics d. Following only what benefits management Ethical leadership involves honesty, integrity, and advocacy. 35. Which quality is essential for effective interprofessional collaboration? a. Dominance b. Competition c. Respectful communication
d. Working independently Respectful communication ensures effective teamwork and shared goals.
36. What is the purpose of using standardized handoff tools like SBAR? a. Shorten the report time b. Avoid writing anything down c. Improve communication and patient safety d. Replace documentation Standardized tools help prevent errors and ensure clear communication. 37. When delegating to unlicensed assistive personnel (UAP), the nurse remains responsible for: a. Completing the task personally b. UAP’s legal defense c. Ensuring appropriate supervision and outcomes d. The UAP’s schedule Nurses must supervise and evaluate delegated care. 38. A nurse who falsifies documentation has violated which standard? a. Social media policy b. Legal and ethical standards of practice c. Personal bias d. Time management Falsifying records is both illegal and unethical. 39. What is a key benefit of joining a professional nursing organization? a. Extra vacation time
b. Ask others to decide c. Identify the ethical dilemma d. Avoid the issue Recognizing the problem is essential to begin ethical problem-solving.
44. What does the principle of fidelity mean in nursing practice? a. Keeping promises and being trustworthy b. Doing no harm c. Promoting independence d. Acting fairly Fidelity is the duty to remain loyal and faithful to commitments. 45. What is the best way a nurse can support a culture of safety? a. Keep errors secret b. Report near misses and errors promptly c. Avoid safety education d. Focus on speed over accuracy Transparency in reporting fosters system improvements and protects patients. 46. Which nursing action reflects social justice? a. Providing more care to wealthy patients b. Avoiding underserved populations c. Advocating for equal access to care d. Supporting unequal policies Social justice promotes fair treatment for all individuals. 47. A nurse manager promotes staff development by: a. Limiting feedback
b. Encouraging mentorship and professional growth c. Discouraging education d. Avoiding staff evaluations Good leadership supports staff learning and engagement.
48. Which document outlines a nurse’s scope of practice? a. Patient Bill of Rights b. State Nurse Practice Act c. Hospital orientation manual d. Job description The Nurse Practice Act defines what nurses are legally authorized to do. 49. A nurse’s advocacy role includes: a. Avoiding conflict with other providers b. Making decisions for the patient c. Ensuring the patient’s voice is heard in care planning d. Promoting only what the family wants Advocacy centers on supporting the patient’s own preferences and rights. 50. How should a nurse respond when unsure about a legal aspect of care? a. Guess and proceed b. Consult a supervisor or legal resource c. Avoid the issue d. Ask a friend for advice Professional responsibility includes knowing when to seek guidance.
c. To identify underlying factors contributing to adverse events d. To terminate staff involved in errors RCA seeks to understand the cause of problems to improve systems and prevent recurrence.
55. What action should a nurse take when assigned a patient with a religious objection to a treatment? a. Convince the patient to comply b. Report the patient for noncompliance c. Respect the belief and collaborate on an alternative plan d. Transfer the patient immediately Respecting cultural and religious beliefs is part of ethical, patient- centered care. 56. Evidence-based practice improves patient outcomes by: a. Following outdated traditions b. Integrating best research, clinical expertise, and patient values c. Prioritizing intuition only d. Using physician opinion solely EBP improves safety and outcomes by combining research, clinical knowledge, and patient input. 57. A nurse leader empowers staff by: a. Avoiding delegation b. Making all decisions alone c. Involving them in unit decisions and providing learning opportunities d. Focusing only on policies Empowerment increases engagement, satisfaction, and growth.
58. What is the primary focus of the QSEN initiative? a. Nurse scheduling b. Enhancing quality and safety in nursing education and practice c. Financial documentation d. Legal prosecution of nurses QSEN prepares nurses with competencies to improve healthcare quality and safety. 59. A nurse facing a complex ethical dilemma should first: a. Choose the quickest solution b. Do what the family wants c. Identify all stakeholders and gather facts d. Rely on emotions Analyzing all perspectives is the first step in ethical decision-making. 60. A preceptor models ethical behavior by: a. Bypassing protocols for speed b. Upholding patient rights and confidentiality at all times c. Sharing shortcuts d. Ignoring student errors Ethical role modeling teaches standards of professionalism and accountability. 61. Which federal law ensures patient access to their medical records? a. EMTALA b. COBRA c. HIPAA
d. Ignoring discharge medications Patient education during discharge reduces readmissions and improves outcomes.
66. Shared governance empowers nurses by: a. Limiting their decisions b. Involving them in policy, leadership, and decision-making c. Increasing top-down control d. Eliminating committees Shared governance encourages collaboration and ownership. 67. A nurse acting with beneficence is: a. Avoiding all action b. Acting to benefit the patient c. Ignoring patient requests d. Supporting provider over patient Beneficence means promoting the good and well-being of patients. 68. What is the primary function of the State Board of Nursing? a. Determine healthcare facility policies b. Enforce labor laws c. Regulate nursing practice and licensure d. Provide CEU credits The board protects the public by enforcing nursing laws and discipline. 69. Which statement best reflects clinical judgment? a. Memorizing facts b. Making informed decisions based on patient data and context c. Repeating protocols without thinking
d. Asking for help every time Clinical judgment involves assessing the situation and applying critical thinking.
70. Nurses should review the institution's policies on: a. Furniture inventory b. Cafeteria discounts c. Scope of practice and delegation d. Visitor badge colors Knowing policy helps nurses stay compliant with safe and legal practices. 71. The concept of health literacy involves: a. Ability to use a stethoscope b. Understanding and using health information effectively c. Reading only medical journals d. Being a healthcare professional Health literacy empowers patients to manage their care. 72. A nurse demonstrates accountability by: a. Avoiding blame b. Accepting responsibility for their actions c. Denying mistakes d. Hiding documentation Being accountable means owning one’s actions and outcomes. 73. What does interprofessional collaboration promote? a. Individual work b. Nursing-only care plans
