Introduction to Nursing
Exam Answer Key
Course Introduction
Introduction to Nursing offers students a foundational overview of the nursing profession, exploring its history, values, and essential roles within the healthcare system. The course covers the fundamental principles of nursing practice, including holistic patient care, communication, ethics, and the nursing process. Students will be introduced to basic clinical skills and critical thinking necessary for effective patient assessment and care. Emphasis is placed on the development of professional standards, patient safety, cultural sensitivity, and interdisciplinary collaboration, preparing students for subsequent practical experiences and advanced study in nursing.
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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Page 2
Chapter 1: Role Transitions
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Which action would greatly help the graduate nurse when seeking out employment?
A)Plan out interviews.
B)Ask to speak to nurses who work on the unit.
C)Wait until the interview to gather all of the information.
D)Find out what type of nursing care is delivered.
E)Determine the length of orientation.
Answer: A,B,D,E
Q2) 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
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3
Chapter 2: Personal Management: Time and Self-Care Strategies
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Sample Questions
Q1) When taking an online or web-enhanced course,what are effective time-management strategies?
A)Enroll in an online or web-enhanced course that has fewer than 15 students to reduce the amount of time it takes to respond to everyone in the class.
B)Print your syllabus and create a calendar with assignment due dates and discussion posting requirements.
C)Create a directory on your computer to place assignments and resources specific for the course.
D)Determine what the best time is for logging into the course website and create a schedule for weekly log-in times.
E)Develop an online group of colleagues that meet in the chat room or participate in instant messaging.
Answer: B,C,D,E
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4
Chapter 3: Mentorship, Preceptorship, and Nurse Residency Programs
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A nursing student is in the mentoring process.Which action would occur if the student nurse were in the "follow" phase?
A)The nursing student observes as the mentor places a urinary catheter.
B)The nursing student places a urinary catheter while the mentor stands nearby for guidance.
C)The nursing student reads the hospital policy regarding urinary catheter placement.
D)The nursing student places the urinary catheter without guidance from the mentor.
Answer: B
Q2) Which statement(s)by the nursing student best describes the attributes of a mentor?
A)"A mentor actively advises,supports,and promotes the mentee's career."
B)"A mentor is a professional who has any amount of experience as a nurse."
C)"Mentors have the mentee's best interest at heart."
D)"Mentors bolster self-confidence."
E)"Mentors provide support for only a short period of time."
Answer: A,C,D
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Page 5
Chapter 4: Employment Considerations: Opportunities,
Resumes, and Interviewing
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Sample Questions
Q1) A new graduate uses social networking (i.e.,Facebook)as a means of communicating with family and friends.What is important for the new graduate to consider when posting information on Facebook in terms of seeking employment?
A)Use a professional photo,perhaps just a headshot.
B)Set the Facebook site to public so recruiters can search and find.
C)Provide pictures of family and friends and remove any inappropriate information.
D)Avoid using social networking sites because employers do not like them.
Q2) Which of the following actions by the graduate nurse would not be advised during an interview campaign?
A)Plan three interviews in a day.
B)Identify a date to begin employment.
C)Ask questions about the interview process.
D)Research the prospective employer.
Q3) Which action by the graduate nurses shows understanding of resume writing?
A)Ensures that all of the dates for their employment history are specific
B)Does not overstate skills
C)Includes a thorough discussion of experiences as a nursing student
D)Includes only last two positions
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Chapter 5: Nclex-Rn and the New Graduate
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Sample Questions
Q1) The nurse interprets the role of the individual state boards of nursing in the NCLEX as which of the following?
A)To coordinate with the National Council State Boards of Nursing in administering the examination and licensing candidates to practice in respective states
B)To prepare a licensure examination that is reflective of entry-level practice in their respective states
C)To grade the examination,advise students of the results,and transmit all results to the National Council State Boards of Nursing for their files
D)To supervise and administer the examination to the candidates within their state jurisdictions
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.
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Chapter 6: Historical Perspectives: Influences on the
Present
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Sample Questions
Q1) Which of the following is true of ancient Egyptian physicians and how they used ancient medicine to treat patients?
A)They focused on finding a cure for maladies.
B)They focused on treating maladies.
C)Treatments were often provided by antibiotics.
D)Treatments focused on driving out evil spirits.
Q2) 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.
Q3) While a nurse is caring for a patient who is scheduled to have surgery in 2 hours,the patient states,"My doctor was here and told me a lot of stuff I didn't understand.Then I signed a paper for her." To fulfill the role of advocate,what is the best nursing action?
A)Explain the surgery and possible outcomes to the patient.
B)Call the physician to return and clarify information for the patient.
C)Reassure the patient that the surgery will go as planned.
D)Complete the nurse's first priority-the preoperative teaching plan.
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Chapter 7: Nursing Education
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Sample Questions
Q1) The Tri-Council for Nursing Policy recently stated that "every student and nurse should have access to additional nursing education" (AACN,2012).What changes would educational institutions need to make in order to support this statement? (Select all that apply.)
A)Expand nursing programs to meet the needs for health care reform.
B)Increase the cost of nursing programs to pay for additional instructors.
C)Implement distance learning.
D)Set up simulation labs.
E)Lessen the amount of work in the nursing program to accommodate busy professionals.
Q2) Which of the following causes is most likely to contribute to the nursing shortage?
A)The aging of the nurse faculty population
B)General lack of interest in the nursing profession
C)Lack of accredited nursing programs
D)Decreased need for nursing staff
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9
Chapter 8: Nursing Theory
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Sample Questions
Q1) Which of the following action(s)by the nurse incorporates the Culture Care Theory?
A)Becoming educated about different cultures
B)Being mindful of folk practices
C)Requesting that patients withhold holistic care while in the hospital
D)Being respectful of different religions
E)Allowing the patient to experience healing according to his/her culture
Q2) Roy's adaptation model capitalized on health and wellness based on how well one copes with stressors and the environment.Which statement by the nurse shows understanding of equilibrium? "Equilibrium is reached through adaptation of our
A)safety needs."
B)self-esteem needs."
C)physiologic needs."
D)love and belonging needs."
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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Chapter 9: Image of Nursing: Influences on the Present
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Sample Questions
Q1) Which of the following assesses how nursing has relevance to social values?
A)Nurses have professional degrees.
B)Nurses perform community service.
C)Nursing licensure requires a baccalaureate degree.
D)Nurses are teachers of health promotion and wellness.
Q2) Which of the following organizations would the nursing advisor recommend that the nursing student join to best meet the student's current needs?
A)National League for Nursing
B)American Nurses Association
C)International Council of Nurses
D)National Student Nurses Association
Q3) Which actions by the nurse can help create a professional image?
A)Maintain effective communication skills.
B)Maintain a positive attitude.
C)Maintain a professional appearance.
D)Be prepared to interact with the public.
E)Keep one's head down and opinions to one's self.
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Chapter 10: Nursing Management and Leadership
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A nurse manager has an adequate understanding of this nursing role when making which of the following statements?
A)"A manager selects or assumes a role."
B)"I have the same function as a floor nurse."
C)"I have the same authority as the director of the hospital."
D)"I was appointed to my role."
Q2) A nurse is unhappy about the way medications are being administered on the unit.What does the nurse need to do first to facilitate a change in the process?
A)Initiate a new method starting with assigned patients.
B)Discuss concerns with fellow nurses to determine interest in changing.
C)Develop a better method to administer the medications.
D)Inform the charge nurse of how it can be done better.
Q3) Which of the following describe reward power used by the nurse manager?
A)A nurse manager who allows employees to initiate schedule changes
B)A nurse manager who uses salary increases to motivate staff
C)A nurse manager who is perceived as an expert due to specialized knowledge
D)A nurse manager who is well liked by the majority of staff
E)A nurse manager who has information that others need to perform their jobs
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Page 12
Chapter 11: Building Nursing Management Skills
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Sample Questions
Q1) The charge nurse is determining which activities to delegate to the nursing assistant.Which of the following would not be appropriate for the charge nurse to delegate to the nursing assistant?
A)Changing soiled linen
B)Taking a blood pressure on someone receiving blood
C)Removing a urinary catheter
D)Assessing a patient's lung sounds
Q2) A nurse has received an abnormal result on a critical test for an assigned patient.The nurse has been trying to reach the resident for 20 minutes but has been unsuccessful.What should be done to ensure the best care for the patient?
A)Page the resident once and document this in the chart;he/she will make rounds soon.
B)Page the attending physician.
C)Continue to provide care for the patient,and document all actions in the medical record.
D)Wait until the resident makes rounds to review the test results.
E)Begin treating the patient for the test result because the nurse knows what the resident will likely order.
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Page 13
Chapter 12: Effective Communication, Team Building, and
Inter-professional Practice
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25 Flashcards
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Sample Questions
Q1) 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."
Q2) Which of the following actions can the nurse take to communicate with the supervisor?
A)Keep the supervisor informed.
B)Focus on problem solving.
C)Use "you" statements.
D)Calm down before speaking.
E)Choose words wisely.
Q3) The graduate nurse has an adequate understanding of effective listening when stating which of the following?
A)"Limited level of vocabulary often affects listening skills."
B)"Underdeveloped attention span affects listening skills."
C)"External noise distractions affect listening skills."
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D)"Emotional reactions interfere with the actual message."
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Chapter 13: Conflict Management
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Sample Questions
Q1) What action(s)by the staff nurse is an effective way to deal with a sexual harassment issue in the workplace?
A)Tell the person to stop.
B)Tell your best friend about the incident.
C)File a formal grievance.
D)Explain the situation to your spouse.
E)Play along with the person and document the activities.
F)Threaten the person with a sexual harassment lawsuit.
Q2) What is important for the nurse manager to understand about resolving conflict in the workplace?
A)Realize that most new graduates use competition as a form of conflict response.
B)Effective role socialization reduces negative conflict behaviors among nursing staff.
C)Use of collaboration to solve conflict issues is an important strategy to encourage.
D)Thinking like a nurse promotes role socialization and reduces conflict.
E)Nurse managers need to create working environments that facilitate professional practice.
F)High self-esteem fosters entitlement-type behavior that promotes conflict.
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Chapter 14: Delegation in the Clinical Setting
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Sample Questions
Q1) To optimally use the level of preparation of the LPN who previously worked in an emergency department,which task should the registered nurse delegate to the LPN?
A)Transporting a patient to the laboratory
B)Assisting with a thoracentesis
C)Restocking and counting the sterile supplies
D)Passing afternoon nutrition supplements and waters
Q2) Which statement(s)will help the nurse give feedback to a coworker?
A)"Can you tell me what happened?"
B)"You did a great job positioning the postoperative patient."
C)"What do you think can be done to ensure that the blood pressures are charted?"
D)"I don't understand why you didn't do what I asked you to do."
E)"I only gave you one job to complete."
Q3) What should the nurse do to assess competence before delegating a task to an LPN?
A)Ask if the LPN has previous experience performing the task.
B)Ask if the LPN is willing to perform the task.
C)Ask another nurse if the LPN is competent.
D)Assume the LPN is competent due to her years of service.
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Chapter 15: The Health Care Organization and Patterns of Nursing Care Delivery
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Sample Questions
Q1) 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."
Q2) Which statements by the nurse indicate understanding of the case manager's role?
The case manager
A)"guides patients through the health care delivery process."
B)"ensures quicker discharge for patients without insurance."
C)"coordinates care for the patient."
D)"assists patients in achieving goals effectively and efficiently."
E)"collaborates with the health care team."
Q3) Which of the following best describes the concept of evidence-based practice?
A)It is a method of improving nursing care and effectively maintaining cost containment.
B)Insurance companies review the evidence of the health care practice for reimbursement.
C)It achieves large-scale economics while providing cost-effective care.
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D)It provides for the use of recent research in current nursing practice.
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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) Which action by the nurse shows fiscal responsibility to the employing organization?
A)Wash hands after each patient contact.
B)Turn patients every 2 hours.
C)Round on patients per policy.
D)Toilet patients frequently to prevent falls.
E)Use resources of the institution wisely.
Q3) What is the most important way that a nurse can be fiscally responsible to the employing institution?
A)By providing quality,safe nursing care
B)By considering patient needs and prioritizing appropriately
C)By accurately documenting the patient's condition
D)By maintaining accurate charges for supplies used in patient care
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18
Chapter 17: Political Action in Nursing
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Sample Questions
Q1) How does the political action committee support candidates?
A)Donates large sums to money to a candidate only
B)Lobbies various elected officials
C)Evaluates candidates on nursing and health concerns only
D)Does not endorse candidates for public office
Q2) The nurse understands the importance of participation in politics when stating which of the following?
A)"It is important for nursing to be presented in a positive light."
B)"Nurses should fight for better health care for all patients."
C)"Nurses should only worry about what is occurring where they practice nursing."
D)"Nurses should lobby for the availability of health care."
E)"The public should see what nurses really do."
Q3) 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
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19
Chapter 18: Collective Bargaining: Traditional Unionand
Nontraditional
Approaches
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Sample Questions
Q1) A nurse is discussing personal seniority with the department manager.The nurse has an adequate understanding of seniority when stating which of the following?
A)"Seniority provides certain rights to those with the highest number of years of service."
B)"Seniority provides the same amount of vacation time as new hires."
C)"Seniority no longer provides protection in today's economy."
D)"Seniority means that those with the highest number of years of service can be forced to retire."
Q2) Which provision-if labor management included it in a contract-would not be to nursing's advantage?
A)A workforce retraining provision
B)Seniority rights
C)A grievance procedure
D)Wage adjustments based on bed occupancy
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Chapter 19: Ethical Issues
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Sample Questions
Q1) Which statement best describes the Code of Ethics of the American Nurses Association?
A)A moral statement of accountability for practicing nurses and for student nurses
B)A legal document describing the responsibilities of the nurse
C)A statement regarding nursing care that outlines principles for the hospital to use to evaluate quality of care
D)A document that is used as a guide for the nurse to consider in the decision-making process in legal situations
Q2) Advance directives such as the health care proxy and living will support what ethical principle?
A)Veracity
B)Advocacy
C)Beneficence
D)Autonomy
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21
Chapter 20: Legal Issues
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Sample Questions
Q1) Which of the following can result in a civil action against the nurse?
A)Failure to monitor
B)Enforcing strict compliance with contact precautions against the family's wishes
C)Refusing to discuss the patient's condition with the family per patient request
D)Assisting the physician in a bedside procedure after obtaining informed consent
Q2) The nurse understands "scope of nursing practice" when making which of the following statements?
A)"The scope of nursing practice includes acts that permit some overlap between nursing and medicine."
B)"The scope of nursing practice includes activities that are legally permissible for a nurse to perform in a particular state."
C)"The scope of nursing practice are the specific duties the nurse owes to a patient."
D)"The scope of nursing practice involves those activities for which a nurse can be held liable for malpractice."
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Chapter 21: Cultural and Spiritual Awareness
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Sample Questions
Q1) A nurse is caring for a diabetic patient who frequently uses alternative medicine to manage ailments.The patient feels nauseous and requests ginger tea.What should the nurse be aware of before giving the patient ginger tea?
A)Nothing;natural remedies do not cause unwanted side effects.
B)Ginger can cause blood glucose levels to decrease.
C)Ginger causes blood glucose levels to rise.
D)Ginger can cause a diabetic patient to become more nauseous.
Q2) By asking "How has being sick affected your spiritual practices?" the nurse is trying to determine the need in what spiritual dimension?
A)Sources of hope and strength
B)Spirit-enhancing practices or rituals
C)Involvement in spiritual community
D)Experience of God or transcendence
Q3) Which actions by the nurse show cultural competence of Native American culture?
A)Refuse to allow rituals to be practiced at the bedside.
B)Allow the family to bring in a medicine man for healing.
C)Allow the family and patient time for prayer.
D)Provide space for rituals.
E)Work hard to gain trust.
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Page 23
Chapter 22: Quality Patient Care
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Sample Questions
Q1) The primary role of The Joint Commission (TJC)is
A)granting magnet status to excellent hospitals.
B)lobbying Congress on behalf of Medicare/Medicaid patients.
C)ensuring that medical facilities meet patient safety guidelines.
D)inspecting hospitals for compliance of infection control standards.
Q2) A nurse is interested in becoming credentialed as a Certified Professional in Health Care Quality.Which action would the nurse take to achieve this?
A)Take an exam.
B)Complete a 6-week internship.
C)Have at least a bachelor's degree.
D)Have at least 1 year of experience in quality management.
Q3) 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."
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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) Which statement by the nurse indicates understanding of the General Systems Theory?
A)"It is a 5-step process of an individual's decision to adopt an innovation."
B)"It is known as a change theory."
C)"It includes knowledge,persuasion,decision,implementation,and confirmation."
D)"It organizes interdependent parts working together to produce a product that none used alone could produce."
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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Chapter 24: Using Evidence-Based Practice and Nursing Research
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Sample Questions
Q1) Which action can the nurse expect in the preutilization step in nursing research utilization?
A)Recognition that some aspect of nursing care could be done in a different way
B)Recognizing that nurses need shortcuts in order to manage their workload
C)Critical evaluation of published research
D)Using electronic databases to search current literature
Q2) A student asks the nurse manager,"When I was reading an article about research utilization,I ran across the phrase 'practice context.' What does that mean?" What is the best response?
A)"It is made up of the factors and systems that contribute to delivery of nursing care in a particular setting."
B)"It refers to the specific group of patients who are to receive care in a particular setting."
C)"It describes the type of health care delivery system that is currently in place in a particular setting."
D)"It refers to the policies,procedures,and staffing patterns of a nursing unit."
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Chapter 25: Workplace Issues
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Q1) A nurse is working on a unit with short staffing.The nurse has voiced concerns to the charge nurse,who appears to brush them off.Which action would be the most appropriate for the nurse to take?
A)Document the concerns.
B)Raise a voice to get the point across.
C)Talk about the charge nurse to coworkers.
D)Keep the issues to him/herself.
Q2) The new nurse has an adequate understanding of bullying when stating which of the following?
A)"The purpose of bullying is to control the target."
B)"Bullying can be verbal or nonverbal in nature."
C)"Bullying usually occurs as a single event."
D)"Bullying is initiated by the perpetrator."
E)"The victim usually deserves the bullying."
Q3) A nurse feels bullied at work.Which of the following actions should the nurse take first?
A)Ignore the bullying.
B)Report the bullying.
C)Take action against the bully him/herself.
D)Take time off from work.
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Chapter 26: Emergency Preparedness
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Sample Questions
Q1) The charge nurse is educating a nurse on the process of surveillance for the outbreak of disease in the hospital setting.The charge nurse judges the education to be effective when the nurse states
A)"Surveillance is primarily the responsibility of the safety officer."
B)"Surveillance is primarily the responsibility of the risk manager."
C)"Surveillance is primarily the responsibility of the infection control nurse."
D)"Surveillance is primarily the responsibility of the hospital radiation safety officer."
Q2) Which of the following represents a Level II disaster?
A)A building collapse that fills the local emergency room with patients
B)A freeway accident that involves multiple vehicles
C)Flooding of a three-state area affecting food and water resources
D)An earthquake that destroys homes and transportation facilities
Q3) The nurse interprets which of the following to be a Level III disaster?
A)Car accident
B)Train derailment
C)Hurricane
D)Tsunami
E)House fire
F)Tornado
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