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Nursing Test Bank Questions & Answers
What is the most influential factor that has shaped the nursing profession?
Physicians need for handmaidens
Societal need for healthcare outside the home
Military demand for nurses in the field
Germ theory influence on sanitation - ✔ 3 Which of the following is an example of an illness prevention activity? Select all that apply.
Encouraging the use of a food diary
Joining a cancer support group
Administering immunization for HPV
Teaching a diabetic patient about his diet - ✔ 3 Which of the following contributions of Florence Nightingale had an immediate impact on improving patients health?
Providing a clean environment
Improving nursing education
Changing the delivery of care in hospitals
Establishing nursing as a distinct profession - ✔ 1 All of the following are aspects of the full-spectrum nursing role. Which one is essential for the nurse to do in order to successfully carry out all the others?
Thinking and reasoning about the clients care
Providing hands-on client care
Carrying out physician orders
Delegating to assistive personnel - ✔ 1 Which statement pertaining to Benners practice model for clinical competence is true?
Progression through the stages is constant, with most nurses reaching the proficient stage.
Progression through the stages involves continual development of thinking and technical skills.
The nurse must have experience in many areas before being considered an expert.
The nurses progress through the stages is determined by years of experience and skills. - ✔ 2 Which of the following best explains why it is difficult for the profession to develop a definition of nursing?
There are too many different and conflicting images of nurses.
There are constant changes in healthcare and the activities of nurses.
There is disagreement among the different nursing organizations.
There are different education pathways and levels of practice. - ✔ 2 Nurses have the potential to be very influential in shaping healthcare policy. Which of the following factors contributes most to nurses influence?
Nurses are the largest health professional group.
Nurses have a long history of serving the public.
Nurses have achieved some independence from physicians in recent years.
Political involvement has helped refute negative images portrayed in the media. - ✔ 1 Nursing was described as a distinct occupation in the sacred books of which faith?
Buddhism
Christianity
Hinduism
Judaism -
Must know what aspects of care can legally and safely be delegated to the NAP
May rely too heavily on information gathered by the NAP when making patient care decisions
Is removed from many components of direct patient care that have been delegated to the NAP
Still maintains responsibility for the patient care given by the NAP - ✔ 2 An older adult has type 1 diabetes. He can perform self-care activities but needs help with shopping and meal preparation as well as with blood glucose monitoring and insulin administration. Which type of healthcare facility would be most appropriate for him?
Acute care facility
Ambulatory care facility
Extended care facility
Assisted living facility - ✔ 4 The nurse in the intensive care unit is providing care for only one patient, who was admitted in septic shock. Based on this information, which care delivery model can you infer that this nurse is following?
Functional
Primary
Case method
Team - ✔ 3 Which healthcare worker should the nurse consult to counsel a patient about financial and family stressors affecting healthcare?
Social worker
Occupational therapist
Physicians assistant
Technologist - ✔ 1
Which type of managed care allows patients the greatest choice of providers, medications, and medical devices?
Health maintenance organization
Integrated delivery network
Preferred provider organization
Employment-based private insurance - ✔ 3 A patient who underwent a total abdominal hysterectomy is assisted out of bed as soon as her vital signs are stable. This intervention is most likely being directed by a
Critical pathway
Nursing care plan
Case manager
Traditional care model - ✔ 1 Which member of the healthcare team typically serves as the case manager?
Occupational therapist
Physician
Physicians assistant
Registered nurse - ✔ 4 Which of the following is considered a primary care service?
Providing wound care
Administering childhood immunizations
Providing drug rehabilitation
Outpatient hernia repair - ✔ 2 Which of the following nursing activities represent direct care? Choose all that apply.
Bathing a patient
system. Why is it important for the nurse manager to have a critical attitude? It will help the manager to
Consider all the possible advantages and disadvantages
Maintain an open mind about the proposed change
Apply the nursing process to the situation
Make a decision based on past experience with documentation - ✔ 2 The nurse has just been assigned to the clinical care of a newly admitted patient. To know how to best care for the patient, the nurse uses the nursing process. Which step would the nurse probably do first?
Assessment
Diagnosis
Plan outcomes
Plan interventions - ✔ 1 Which of the following is an example of theoretical knowledge?
A nurse uses sterile technique to catheterize a patient.
Room air has an oxygen concentration of 21%.
Glucose monitoring machines should be calibrated daily.
An irregular apical heart rate should be compared with the radial pulse. - ✔ 2 Which of the following is an example of practical knowledge? (Assume all are true.)
The tricuspid valve is between the right atrium and ventricle of the heart.
The pancreas does not produce enough insulin in type 1 diabetes.
When assessing the abdomen, you should auscultate before palpating.
Research shows pain medication given intravenously acts faster than by other routes. - ✔ 3 Which of the following is an example of self-knowledge? The nurse thinks, I know that I
Should take the clients apical pulse for 1 minute before giving digoxin
Should follow the clients wishes even though it is not what I would want
Have religious beliefs that may make it difficult to take care of some clients
Need to honor the clients request not to discuss his health concern with the family - ✔ 3 Which of the following is the most important reason for nurses to be critical thinkers?
Nurses need to follow policies and procedures.
Nurses work with other healthcare team members.
Nurses care for clients who have multiple health problems.
Nurses have to be flexible and work variable schedules. - ✔ 3 The nurse administering pain medication every 4 hours is an example of which aspect of patient care?
Assessment data
Nursing diagnosis
Patient outcome
Nursing intervention - ✔ 4 How does nursing diagnosis differ from a medical diagnosis? A nursing diagnosis is
Terminology for the clients disease or injury
A part of the clients medical diagnosis
The clients presenting signs and symptoms
A clients response to a health problem - ✔ 4 Which statement about the nursing process is correct?
It was developed from the ANA Standards of Care.
It is a problem-solving method to guide nursing activities.
It is a linear process with separate, distinct steps.
Nursing process
Nursing knowledge - ✔ 1 The nurse is preparing to admit a patient from the emergency department. The transferring nurse reports that the patient is obese. The nurse has been overweight at one time and works very hard now to maintain a healthy weight. She immediately thinks, I know I tend to feel negatively about obese people; I figure if I can stop eating, they should be able to. I must remember how very difficult that is and be very careful not to be judgmental of this patient. This best illustrates
Theoretical knowledge
Self-knowledge
Using reliable resources
Use of the nursing process - ✔ 2 Which aspects of healthcare are affected by a clients culture? Select all that apply.
How the clients views healthcare
How the client views illness
How the client will pay for healthcare services
The types of treatments the client will accept
When the client will seek healthcare services
The environment where the healthcare services are provided
The ease of accessibility of healthcare services - ✔1,2,4,
- Independent thinking Questioning the reason for a new staffing policy
- Intellectual curiosity Reading the instruction manual of a new glucose monitoring machine
- Intellectual humility Asking for help with a procedure because you have not done it before
- Intellectual empathy Asking a patients feelings about his cancer diagnosis
- Intellectual courage Questioning your feelings when a patients family requests withholding nutrition for a terminally ill client
- Intellectual perseverance Obtaining the latest research about a new diagnostic procedure even though the articles are difficult to find - ✔ What is the role of the Joint Commission in regard to patient assessment? The Joint Commission
States what assessments are collected by individuals with different credentials
Regulates the time frames for when assessments should be completed
Identifies how data are to be collected and documented
Sets standards for what and when to assess the patient - ✔ 4 Which of the following is an example of data that should be validated?
The clients weight measures 185 lb at the clinic.
The clients liver function test results are elevated.
The clients blood pressure is 160/94 mm Hg; he states that that is typical for him.
The client states she eats a low-sodium diet and reports eating processed food. - ✔ 4 Which of the following examples includes both objective and subjective data?
The clients blood pressure is 132/68 and her heart rate is 88.
The clients cholesterol is elevated, and he states he likes fried food.
The client states she has trouble sleeping and that she drinks coffee in the evening.
The client states he gets frequent headaches and that he takes aspirin for the pain. - ✔ 2 The Joint Commission requires which type of assessment to be performed on all patients?
Functional ability
Pain
Which of the following is an example of the most basic motivation in Maslows hierarchy of needs?
Experiencing loving relationships
Having adequate housing
Receiving education
Living in a crime-free neighborhood - ✔ 2 What makes a nursing history different from a medical history?
A nursing history focuses on the patients responses to the health problem.
The same information is gathered; the difference is in who obtains the information.
A nursing history is gathered using a specific format.
A medical history collects more in-depth information. - ✔ 1 Why is it important to obtain information about nutritional and herbal supplements as well as about complementary and alternative therapies?
To determine what type of therapies are acceptable to the client
To identify whether the client has a nutrition deficiency
To help you to understand cultural and spiritual beliefs
To identify potential interaction with prescribed medication and therapies - ✔ 4 What do the nursing assessment models have in common?
They assess and cluster data into model categories.
They organize assessment data according to body systems.
They specify use of the nursing process to collect data.
They are based on the ANA Standards of Care. - ✔ 1 Nondirective interviewing is a useful technique because it
Allows the nurse to have control of the interview
Is an efficient way to interview a patient
Facilitates open communication
Helps focus patients who are anxious - ✔ 3 A nursing instructor is guiding nursing students on best practices for interviewing patients. Which of the following comments by a student would indicate the need for further instruction?
My patient is a young adult, so I plan to talk to her without her parents in the room.
Because my patient is old enough to be my grandfather, I will call him Mr.
When reading my patients health record, I thought of a few questions to ask.
When I give my patient his pain medication, I will have time to ask questions. - ✔ 4 A patient comes to the urgent care clinic because he stepped on a rusty nail. What type of assessment would the nurse perform?
Comprehensive
Ongoing
Initial focused
Special needs - ✔ 3 A patient has left-sided weakness because of a recent stroke. Which type of special needs assessment would it be most important to perform?
Family
Functional
Community
Psychosocial - ✔ 2 The nurse is interviewing a patient who has a recent onset of migraine headaches. The patient is highly anxious and cannot seem to focus on what the nurse is saying. Which of the following questions would be best for the nurse to use to begin gathering data about the headaches?
When did your migraines begin?
Separate subjective and objective data
Identify primary from secondary data - ✔ 2 Which situation is the most conducive to conducting a successful interview of an elderly woman whose husband and two children are in the hospital room visiting and watching television? The woman is alert and oriented.
Provide enough chairs so the family and you are able to sit facing the client.
Introduce yourself and ask, Dear, what name do you prefer to go by? before asking any questions.
After the family leaves, ask the client if she is comfortable and willing to answer a few questions.
Ask the client if you can talk with her while her family is watching the television. - ✔ 3 Which of the following questions would be effective for obtaining information from a patient? Choose all that apply.
How did this happen to you?
What was your first symptom?
Why didnt you seek healthcare earlier?
When did you start having symptoms? - ✔1,2, A nurse with a large caseload of patients needs to delegate some assessment tasks to other members of the health team. The nurse is unsure which tasks can be delegated to nursing assistive personnel (NAP) and which are appropriate for a licensed practical nurse (LPN) or a registered nurse (RN). To which sources should the nurse turn for the answer to his question? Choose all that are appropriate.
The nurse practice act of his state
The American Medical Association guidelines
The Code of Ethics for Nurses
The American Nurses Associations Scope and Standards of Practice - ✔1, Which of the following are cues rather than inferences? Choose all correct answers.
Ate 50% of his meal
Patient feels better today
States, I slept well
White blood cell count 15,000/mm3 - ✔1,3, Which of the following is an example of a problem that nurses can treat independently?
Hemorrhage
Nausea
Fracture
Infection - ✔ 2 Which of the following is an example of a cluster of related cues?
Complains of nausea and stomach pain after eating
Has a productive cough and states stools are loose
Has a daily bowel movement and eats a high-fiber diet
Respiratory rate 20 breaths/min, heart rate 85 beats/min, blood pressure 136/84 - ✔ 1 Which of the following explains why it is important to have the correct etiology for a nursing diagnosis? The etiology
Is the cause of the problem
Cannot always be observed
Directs nursing care
Is an inference - ✔ 3 How does a risk nursing diagnosis differ from a possible nursing diagnosis?
A risk diagnosis is based on data about the patient.
A possible diagnosis is based on partial (or incomplete) data.
Nurses collect the data to support risk diagnoses.
Defining characteristics - ✔ 4 Based only on Maslows hierarchy of needs, which nursing diagnosis should have the highest priority?
Self-care Deficit
Risk for Aspiration
Impaired Physical Mobility
Disturbed Sensory Perception - ✔ 2 Which of the following describes the most important use of nursing diagnosis? (All statements are true.)
Differentiates the nurses role from that of the physician
Identifies a body of knowledge unique to nursing
Helps nursing develop a more professional image
Describes the clients needs for nursing care - ✔ 4 Which of the following is a criticism of standardized nursing diagnoses developed by NANDA-I?
There is little research to support nursing diagnoses labels.
A perfect nursing diagnosis must be written for it to be useful.
They are not included in all states nurse practice acts.
Other professions do not recognize nursing diagnoses. - ✔ 1 Which of the following most accurately describes nursing diagnoses? A nursing diagnosis
Supports the nurses diagnostic reasoning
Supports the clients medical diagnosis
Identifies a clients response to a health problem
Identifies a clients health problem -
The diagnostic label, or patient problem, is used primarily to suggest
Client goals
Cue clusters
Interventions
Etiology - ✔ 1 Which nursing diagnosis is written in the correct format when using the NANDA-I taxonomy?
Bowel Obstruction related to recent abdominal surgery A.M.B. nausea, vomiting, and abdominal pain
Inability to Ingest Food related to imbalanced nutrition: less than body requirements A.M.B. inadequate food intake, weight less than 20% under ideal body weight
Impaired Skin Integrity related to physical immobility A.M.B. skin tear over sacral area
Caregiver Role Strain related to alienation from family and friends A.M.B 24-hour care responsibilities - ✔ 3 What is wrong with the format of this diagnostic statement: Possible Risk for Constipation related to irregular defecation habits A.M.B. statement that When Im busy, I cant always take the time to go to the bathroom.
Possible nursing diagnoses do not have signs and symptoms.
A nursing diagnosis is either a possible risk or a risk, not both.
Constipation is a medical diagnosis.
The etiology is actually a defining characteristic. - ✔ 2 Which nursing diagnosis is written in the correct format?
Imbalanced Nutrition: Less than Body Requirements related to body weight less than 20% under ideal weight
Ineffective Airway Clearance related to increased respiratory rate and irregular rhythm
Impaired Swallowing related to absent gag reflex
