MULTIPLE CHOICE

1. A nurse uses effective strategies to communicate and handle conflict with nurses and other

health care professionals. Which Quality and Safety Education for Nurses (QSEN)

competency is the nurse demonstrating?

a. Informatics

b. Quality improvement

c. Teamwork and collaboration

d. Evidence-based practice

ANS: C

Teamwork and collaboration uses effective strategies to communicate and handle conflict.

Informatics includes navigating electronic health records. Quality improvement uses tools

such as flow charts and diagrams to improve care. Evidence-based practice integrates best

current evidence with clinical expertise and patient/family preferences and values for

delivery of optimal health care.

PTS: 1 DIF: Cognitive Level: Applying (Application)

REF: 11

OBJ: Describe the purpose of professional standards of nursing practice.

TOP: Nursing Process: Implementation MSC: NCLEX: Management of Care

2. A nurse is employed by a provides an informal training session on 

how to properly use a new vital sign monitor. Which type of education did the nurse

receive?

a. In-service education

b. Advanced education

c. Continuing education

d. Registered nurse education

ANS: A

In-service education programs are instruction or training provided by a health care agency or

institution designed to increase the knowledge, skills, and competencies of nurses and other

health care professionals employed by the institution. Some roles for RNs in nursing require

advanced graduate degrees, such as a clinical nurse specialist or nurse practitioner. There are

various educational routes for becoming a registered nurse (RN), such as associate, diploma,

and baccalaureate. Continuing education involves formal, organized educational programs

offered by universities, hospitals, state nurses’ associations, professional nursing

organizations, and educational and health care institutions.

PTS: 1 DIF: Cognitive Level: Applying (Application)

REF: 6

OBJ: Discuss the importance of education in professional nursing practice.

TOP: Nursing Process: Evaluation MSC: NCLEX: Management of Care

3. A nurse listens to a patient’s lungs and determines that the patient needs to cough and deep

breath. The nurse has the patient cough and deep breath. Which concept did the nurse

demonstrate?

a. Accountability

b. Autonomy

c. Licensure

d. Certification

ANS: B

Autonomy is essential to professional nursing and involves the initiation of independent

nursing interventions without medical orders. Accountability means that you are

professionally and legally responsible for the type and quality of nursing care provided. To

obtain licensure in the United States, RN candidates must pass the NCLEX-RN®

examination administered by the individual State Boards of Nursing to obtain a nursing

license. Beyond the NCLEX-RN®, some nurses choose to work toward certification in a

specific area of nursing practice.

PTS: 1 DIF: Cognitive Level: Analyzing (Analysis)

REF: 6 OBJ: Discuss the characteristics of professionalism in nursing.

TOP: Nursing Process: Evaluation MSC: NCLEX: Management of Care

4. A registered nurse is required to participate in a simulation to learn how to triage patients

who are arriving to the hospital after exposure to an unknown gas. This is an example of a

response to what type of influence on nursing?

a. Workplace hazards

b. Nursing shortage

c. Professionalism

d. Emergency preparedness

ANS: D

Many health care agencies, schools, and communities have educational programs to prepare

for nuclear, chemical, or biological attack and other types of disasters. Nurses play an active

role in emergency preparedness. Workplace hazards include violence, harassment, and

ergonomics. A person who acts professionally is conscientious in actions, knowledgeable in

the subject, and responsible to self and others. There is an ongoing global nursing shortage,

which results from insufficient qualified registered nurses (RNs) to fill vacant positions and

the loss of qualified RNs to other professions.

PTS: 1 DIF: Cognitive Level: Applying (Application)

REF: 4

OBJ: Discuss the influence of social, political, and economic changes on nursing practices.

TOP: Nursing Process: Evaluation MSC: NCLEX: Safety and Infection Control

5. A nurse is an advanced practice registered nurse (APRN) who cares for geriatrics. This

nurse is which type of advanced practice nurse?

a. Clinical nurse specialist

b. Nurse practitioner

c. Certified nurse-midwife

d. Certified registered nurse anesthetist

ANS: A

The clinical nurse specialist (CNS) is an APRN who is an expert clinician in a specialized

area of practice, such as geriatrics or pediatrics. The nurse practitioner (NP) is an APRN

who provides health care to a group of patients, usually in an outpatient, ambulatory care, or

community-based setting. A certified nurse-midwife (CNM) is an APRN who is educated in

midwifery and is certified by the American College of Nurse-Midwives. A certified

registered nurse anesthetist (CRNA) is an APRN with advanced education in a nurse

anesthesia accredited program.

PTS: 1 DIF: Cognitive Level: Applying (Application)

REF: 8 OBJ: Describe the roles and career opportunities for nurses.

TOP: Nursing Process: Evaluation MSC: NCLEX: Management of Care

6. A patient does not want the treatment that was prescribed. The nurse helps the patient talk to

the primary health care provider and even talks to the primary health care provider when

needed. The nurse is acting in which professional role?

a. Educator

b. Manager

c. Advocate

d. Provider of care

ANS: C

As an advocate you act on behalf of your patient, securing and standing up for your patient’s

health care rights. As an educator you explain concepts and facts about health, describe the

reason for routine care activities, demonstrate procedures such as self-care activities,

reinforce learning or patient behavior, and evaluate the patient’s progress in learning. Most

nurses provide direct patient setting, and this describes the role of 

provider of care. A manager coordinates the activities of members of the nursing staff in

delivering nursing care and has personnel, policy, and budgetary responsibility for a specific

nursing unit or agency.

PTS: 1 DIF: Cognitive Level: Applying (Application)

REF: 7 OBJ: Describe the roles and career opportunities for nurses.

TOP: Nursing Process: Evaluation MSC: NCLEX: Management of Care

7. A nurse must follow legal laws that protect public health, safety, and welfare. Which law is

the nurse following?

a. Code of Ethics

b. Nurse Practice Act

c. Standards of practice

d. Quality and safety education for nurses

ANS: B

In the United States each State Board of Nursing oversees its Nurse Practice Act (NPA),

which regulates the scope of nursing practice for the state and protects public health, safety,

and welfare. The ANA’s Code of Ethics for Nurses: Interpretation and Application (2010)

provides a guide (not a law) for carrying out nursing responsibilities to ensure high-quality

nursing care and provide for the ethical obligations of the profession. The purpose of a

standard of care is to describe the common level of professional nursing care to judge the

quality of nursing practice. The Robert Wood Johnson Foundation sponsored the Quality

and Safety Education for Nurses (QSEN) initiative to respond to reports about safety and

quality patient care by the Institute of Medicine.

PTS: 1 DIF: Cognitive Level: Applying (Application)

REF: 7

OBJ: Describe the purpose of professional standards of nursing practice.

TOP: Nursing Process: Evaluation MSC: NCLEX: Management of Care

8. A nurse is directing the care and staffing of three cardiac units. The nurse is practicing in

which nursing role?

a. Advanced practice registered nurse

b. Nurse researcher

c. Nurse educator

d. Nurse administrator

ANS: D

A nurse administrator manages patient care and the delivery of specific nursing services

within a health care agency. An advanced practice registered nurse has a master’s degree in

nursing; advanced education in pathophysiology, pharmacology, and physical assessment;

and certification and expert of practice. A nurse educator works 

primarily in schools of nursing, staff development departments of health care agencies, and

patient education departments. The nurse researcher investigates problems to improve

nursing care and further define and expand the scope of nursing practice.

PTS: 1 DIF: Cognitive Level: Applying (Application)

REF: 9 OBJ: Describe the roles and career opportunities for nurses.

TOP: Nursing Process: Evaluation MSC: NCLEX: Management of Care