Professional Nursing Practice
Practice Questions
Course Introduction
Professional Nursing Practice is designed to equip students with the foundational knowledge, skills, and ethical understanding required for effective nursing in diverse healthcare environments. The course emphasizes principles of patient-centered care, critical thinking, evidence-based practice, communication, and collaboration within interdisciplinary teams. Students explore the roles and responsibilities of professional nurses, including advocacy, leadership, and lifelong learning, while engaging with legal and ethical standards that govern nursing practice. Practical components and scenario-based learning foster the development of clinical judgement, cultural competence, and professional behaviors essential for delivering safe, high-quality care across various patient populations.
Recommended Textbook
Leading and Managing in Canadian Nursing 1st Canadian Edition by Patricia S. Yoder - Copy
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745 Verified Questions
745 Flashcards
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Chapter 1: Leading, Managing, and Following
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Sample Questions
Q1) As a leader on a rehabilitation unit,you encourage all staff members to see themselves as having a role in decision-making and quality care.You see your role as involving particular responsibilities in decision-making but not as a hierarchal role.This view of decision-making and leadership is consistent with A) trait theories.
B) complexity science.
C) situated theory.
D) emotional intelligence.
Answer: B
Q2) Which category is unique to management but is not part of leadership?
A) Initiating change
B) Personal qualities
C) Developing people
D) Information management
Answer: D
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Chapter 2: Patient Focus
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Sample Questions
Q1) Which of the following depicts a nursing-sensitive outcome?
A) Programming that increases individual nurse competency to offer smoking cessation programs
B) Implementation of informatics at the patient's bedside
C) Staff-manager conferences to reviewed reporting of adverse events
D) Patient council meetings to review food, recreation, and nurse-patient relations
Answer: A
Q2) As a patient care advocate,you regularly coach patients in how to stay safe in health care by educating them about
A) the need to understand and record all medications being taken.
B) bringing their own linens and other personal items to the hospital.
C) washing hands frequently while in a health care environment and using a hand sanitizer.
D) following closely the directions and orders of health care providers.
Answer: A
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Chapter 3: Developing the Role of Leader
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Q1) Akash graduated 5 years ago and is keenly interested in pursuing leadership opportunities.She has been active in learning about leadership through workshops and Internet research and recently began a graduate degree program with a focus on nursing administration.She has excellent clinical skills and eagerly accepts responsibility for various projects on the unit.Her sarcastic and sometimes aggressive behaviour tends to alienate other staff members on the unit.In coaching Akash,you
A) suggest that she reflect on situations in which she has had a positive influence and consider how her interactions contributed to the situation.
B) suggest that she not consider leadership roles because her interaction skills are more suited to roles in which she has limited opportunities to work with others.
C) ask staff members on the unit with whom she works to provide her feedback about ways in which her behaviour irritates or alienates them.
D) encourage her to continue her graduate courses, as information about strategies and technical aspects of the role will compensate for negative interactions.
Answer: A
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Chapter 4: Developing the Role of Manager
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Q1) As the manager of a unit with a high percentage of young professionals,you increase job satisfaction among this young staff by
A) providing high levels of job structure and task orientation.
B) developing schedules that are fair and observing contractual obligations.
C) utilizing skills in the staffing mix to optimize the delivery of patient care.
D) establishing opportunities to self-schedule.
Q2) Nurses on Unit 4 are unhappy and frustrated with their nurse manager.They complain that "nothing is ever good enough for him." Such statements suggest that the nurse manager's goals may be
A) measurable.
B) unrealistic.
C) attainable.
D) too low.
Q3) The successful integration of informatics into health care settings is key to
A) quality decision-making and processes related to management of resources.
B) accessing current information about business practices.
C) leveraging ideas from other managers.
D) speeding up calculations and decisions in budget development.
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6
Chapter 5: Legal Issues
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Q1) Which of the following is a publicly funded national health care program in Canada?
A) Blue Cross
B) Hospital Insurance Program
C) Medicare
D) Social assistance
Q2) One of your staff nurses asks for your advice because a patient refuses to sign a consent form for surgery.The patient says that he will not sign because he does not understand the nature of the surgery.You advise that
A) consent must not be coerced.
B) the patient has a right to choose not to consent.
C) the patient must sign the consent because the doctor wants him to sign.
D) witnessing the signing of a consent from is related only to the voluntary nature of the signature.
Q3) Which province in Canada does not have a set of common laws?
A) British Columbia
B) Ontario
C) Quebec
D) Newfoundland
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Chapter 6: Ethical Issues
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Sample Questions
Q1) Nursing management actions and decisions are guided by A) the law.
B) ethical principles.
C) leadership style.
D) professional accountabilities.
E) staff preferences.
Q2) Autonomy is best promoted through which of the following,in taking a relational approach to autonomy?
A) Specific roles within the relationship
B) Social change
C) Protecting an individual's freedom of choice
D) The necessity of treating everyone fairly
Q3) Normative ethics is concerned with the
A) broader theory and meaning of morality.
B) foundation and scope of moral values, words, and practice.
C) standards that most people use to guide their behaviours.
D) relationship of ethical principles to real-life moral issues.
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Chapter 7: Making Decisions and Solving Problems
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Q1) To solve a problem,the nurse manager understands that the most important problem-solving step is
A) the implementation phase.
B) identification of numerous solutions.
C) accurate identification of the problem.
D) evaluation of the effectiveness of problem resolution.
Q2) The risk manager wants to evaluate the reasons for an increased number of falls on the rehabilitation unit.The risk manager devises a fishbone diagram.A fishbone diagram is a useful tool to
A) identify the root causes of problems.
B) list possible solutions to problems.
C) help leaders select the best options.
D) evaluate the outcomes of decisions made.
Q3) The nurse manager of a rehabilitation unit wants to purchase a new anti-embolic stocking.To make a high-quality decision,the nurse manager would
A) involve the rehabilitation staff in the decision.
B) involve the sales representative.
C) make the decision alone.
D) involve administration in the decision.
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Page 9
Chapter 8: Health Care Organizations
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Sample Questions
Q1) The Canada Health Act (1985)establishes the criteria for A) provincial health care funding priorities.
B) nurse-to-patient ratios.
C) hospital accreditation standards.
D) federal financial support of a national health care insurance system.
Q2) The Canadian Classification of Health Interventions database was created for A) physicians.
B) registered nurses.
C) unregulated health care providers.
D) all health provider groups.
Q3) A nurse manager at a home health care service has resigned to take a position at a local ambulatory care centre.To initiate current changes,the nurse manager has to be knowledgeable about the differences between a home health care institution and an ambulatory care centre,which is a primary care institution.Primary care institutions are facilities that provide
A) rehabilitative or long-term care.
B) disease-restorative care.
C) first access to care.
D) only outpatient services.
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Page 10
Chapter 9: Understanding and Designing Organizational Structures
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Q1) Organizational culture includes A) norms.
B) traditions.
C) behaviours.
D) values.
Q2) At Limeville Hospital,the nursing department is developing a mission statement for nursing.Which of the following would be a suitable mission statement?
A) "Nursing provides services for patients admitted to Limeville Hospital."
B) "Nurses participate fully in the professional services offered by Limeville Hospital."
C) "Limeville Hospital leads by the lamp, providing services for seniors."
D) "At Limeville, the nursing department provides caring services that recognize the diversity of patients and promote optimal health with patients through partnership and education and in close partnership with other disciplines."
Q3) In a health care agency that has a bureaucratic organization,communication flows
A) laterally.
B) bottom to top.
C) top to bottom.
D) intermittently.
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Chapter 10: Cultural Diversity in Health Care
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Q1) One of the staff nurses on your unit makes the comment,"All this time I thought Mary was Black.She says she is Jamaican." The best response would be
A) "Who cares what she is?"
B) "What did you think when you learned she was Jamaican?"
C) "Why did you assume she was Black?"
D) "We have never had a Jamaican on this unit before."
Q2) Serena,RN,complains to you that a male nurse from a different culture sits very close during charting and leans toward her when speaking.In responding to Serena,you consider that differences across cultures that are relevant to this situation include
A) eye contact.
B) personal space.
C) harassment.
D) expressions of feeling.
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12
Chapter 11: Power,Politics,and Influence
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Sample Questions
Q1) A manager relies on his director of nursing (immediate supervisor)for advice about enrolling in graduate school to prepare for a career as a nurse executive.The director may exercise what kinds of power in the relationship with the manager in this advisory situation?
A) Expert, coercive, and referent
B) Reward, connection, and information
C) Perceived, expert, and connection
D) Reward, referent, and connection
Q2) A nurse manager is encountering poor staff morale on her unit.While participating in a baccalaureate course,the nurse manager had learned that one of the reasons nurses lack power today is probably because of the past.In the early decades of the profession,nurses lacked power because
A) nurses freely chose to defer to physicians and administrators with more education.
B) women were not socialized to exert power.
C) the first nursing licensure laws prohibited nurses from making most decisions.
D) nurses astutely recognized the risks of grabbing too much power too soon.
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13
Chapter 12: Caring,Communicating and Managing With Technology
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Q1) When assessing the appropriateness of adopting personal digital assistants (PDAs)for a nursing unit,you need to consider which of the following advantages?
A) Lower cost in relation to personal computers
B) Small display screen
C) Font size
D) Speed of operation
Q2) A necessary,basic condition for successful integration of clinical information systems is
A) Software
B) Standard medical nomenclature
C) Confirmatory evidence from nursing-led studies
D) Strong interdisciplinary cultures
Q3) Nurses need to know how to operate a computer,compare data across time,and look for patterns in patient responses to treatments.These are examples of which of the following?
A) Canadian Nursing Informatics Association standards
B) Information systems
C) Informatics competencies
D) Requirements for nursing licensure
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Chapter 13: Managing Costs and Budgets
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Q1) A nurse manager is planning to request three new infusion pumps at a cost of approximately $1500 each.This item would typically be included in which budget?
A) Operating
B) Strategic
C) Unit of service
D) Capital
Q2) A nurse manager determines that RN 1 has 5 weeks of vacation time and 3 days of education and has averaged 3 sick days a year.RN 2 has 6 weeks of vacation time,has asked to attend a 3-day conference and a 2-day workshop,and has no history of sick time.RN 3 is new,and you anticipate 3 weeks of orientation,as well as 4 weeks of vacation time.RN 4 has 6 weeks of vacation and has an ongoing health condition,so you anticipate 2 weeks of sick time,as well as 3 days for education.RN 5 has 5 weeks of vacation,has no education plans,and averages 5 sick days per year.RN 6 has 6 weeks of vacation,has no education plans,and has been off ill for 4 weeks.How many hours of productive paid time can be anticipated for the budget?
A) 12,480
B) 11,200
C) 10,848
D) 10,688
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Page 15
Chapter 14: Care Delivery Strategies
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Q1) A patient is admitted to a medical unit with pulmonary edema.His primary nurse admits him and then provides a written plan of care.What type of educational preparation best fits the role of primary nurse?
A) Baccalaureate
B) Associate
C) Diploma
D) Licensed practical nurse/licensed vocational nurse
Q2) In the hiring of nurses during the transition from team nursing to a primary nursing model,Benner's (2001)work suggests that you give priority to nurses who are at least at which level of competency?
A) Advanced beginner
B) Competent
C) Proficient
D) Novice
Q3) Case-managed care may enhance profit in a for-profit health organization by
A) minimizing costs in areas of high resource consumption.
B) combining licensed and nonlicenced care providers in delivering patient care.
C) increasing reimbursement from third-party payers.
D) reducing the amount of technology used to support clinical decision-making.
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Page 16
Chapter 15: Staffing and Scheduling
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Q1) A nurse manager must also consider a number of internal variables that will affect staffing patterns.Which of the following is an internal variable to be considered?
A) Organizational staffing policies
B) Provincial/territorial licensing standards
C) Canadian Nurses Association guidelines
D) Consumer expectations
Q2) In a job interview for a staff position,which of the following indicates your knowledge of patient safety?
A) "Will I be able to get overtime hours on your unit?"
B) "If there is an opportunity to work extra shifts, I would really like that."
C) "Is there a strategy in place to reduce the number of overtime hours on the unit?"
D) "I see no reason why I wouldn't be able to work overtime."
Q3) A busy neurologic intensive care unit and a step-down unit are most likely to use which patient classification system?
A) Factor evaluation
B) Prototype evaluation
C) Canadian National Database of Nursing Quality Indicators
D) Agency for Healthcare Research and Quality (AHRQ) system
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17
Chapter 16: Selecting, developing, and Evaluating Staff
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Q1) During a performance appraisal,Joanne,the nurse manager,indicates that Alysha has difficulty mentoring students on the unit.Alysha responds that this is not her responsibility.In responding to Alysha,Joanne needs to consider
A) Alysha's level of confidence.
B) whether mentoring is included in the position description.
C) whether mentoring is an essential component of the position description.
D) whether mentoring can be accurately observed and measured.
Q2) The nurse manager schedules evaluations of staff members by using a newly developed performance appraisal tool.The development of a performance appraisal tool should include
A) the organizational mission and philosophy and the position requirements.
B) a generalized overview of the duties of a position.
C) a skills checklist and accreditation requirements.
D) an ordinal scale that ranks all employees.
Q3) The primary disadvantage of a BARS is that it is
A) situation specific.
B) well understood by the staff.
C) too generalized.
D) expensive to develop.
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Page 18
Chapter 17: Strategic Planning and Goal Setting
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Q1) In establishing the strategic plan for effective use of evidence to guide nursing practice at Pacific Hospital,the nursing unit managers take the next step,which is the implementation.Implementation would probably involve
A) revisiting the mission statement and objectives.
B) reevaluating external and internal factors affecting evidence-informed practice.
C) preparing a budget to support implementation.
D) developing unit-based objectives related to the plan.
Q2) The nurse manager is conducting an organizational "SWOT" analysis.When the final step is completed,which of the following would the nurse manager be assessing?
A) Time
B) Threats
C) Technology
D) Team relationships
Q3) The clinic nurse understands that the advantages of planning include
A) assisting staff in critical thinking and improving decisions.
B) orienting people to react instead of act.
C) forcing managers to be financially efficient and effective.
D) focusing on activities, not results.
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Chapter 18: Leading Change
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Q1) Selina,RN,one of your most enthusiastic staff members,has attended a workshop on preparing educational materials for patients.On the basis of this workshop,she would like to develop an information website for patients who are being admitted to the ward.An appropriate response to Selina's suggestion would be
A) "That is a great suggestion, but we have no resources for such an expensive undertaking right now."
B) "Perhaps you can keep that in mind as we redesign our charting system."
C) "We have too many older people as patients, and you know that they don't use technology."
D) "There is a great group here that meets to look at technology pilots. Let's see if you can join them and discuss your idea further."
Q2) The wound care nurse decided to inform members of the health care team to be affected by change early in the change management process.This can positively result in
A) coordination.
B) resistance.
C) anticipation.
D) participation.
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Page 20
Chapter 19: Building Teams Through Communication and Partnerships
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Q1) Kelis and Melissa,both RNs,have shared an ongoing conflict since the first day that Melissa worked on the unit.Kelis has confided to another colleague that she did not even know why the conflict started or what it was about.This is an example of
A) how expectations and objectives need to be made clear in team situations.
B) the need to encourage open discussion of disagreements in opinions.
C) the importance of involving all staff in discussions in group settings.
D) the enduring nature of first impressions.
Q2) The nurse educator was giving a workshop on team building.She noted that effective communication is essential for team building.One of the key questions in the workshop was "What is the best way to check to see whether what you have communicated to a team member is understood the way you meant it to be understood?" The correct response is which of the following options?
A) Active listening and feedback
B) Cues from nonverbal communications
C) Content and context clues
D) Reliance on paralanguage
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21
Chapter 20: Collective Nursing Advocacy
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Q1) Evidence-informed practices (EIPs)are a key strategy for enhancing learning and increasing nurse capacity,as well as for contributing to
A) morale on the unit.
B) a decline in participatory decision-making.
C) professional autonomy.
D) ethical practice.
Q2) In accomplishing the goal of providing breakfast for children in elementary school,Leanne is particularly effective in approaching businesses with the needs that the group has determined and articulating the ways that the group has found for businesses to participate.Recently,Leanne has been taking a new graduate nurse with her and encouraging her to lead the conversations with businesses.Leanne is demonstrating
A) empowerment.
B) followership.
C) professionalism.
D) knowledge of context.
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Chapter 21: Managing Quality and Risk
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Q1) At Hospital Ajax,staff members are reluctant to admit to medication errors because of previous litigation and a culture that seeks to assign blame.This culture demonstrates
A) QM principles that emphasize customer safety.
B) a deep concern with improvement of quality and processes.
C) effective employee orientation and development in relation to QM.
D) goals that are inconsistent with QM.
Q2) The nurse gives an inaccurate dose of medication to a patient.After assessment of the patient,the nurse completes an incident report.The nurse notifies the nursing supervisor of the medication error and calls the physician to report the occurrence.The nurse who administered the inaccurate medication understands that
A) the error will result in suspension.
B) an incident report is optional for an event that does not result in injury.
C) the error will be documented in her personnel file.
D) risk management programs are not designed to assign blame.
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Chapter 22: Translating Research Into Practice
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Q1) The clinical guidelines for management of incontinence developed by the Registered Nurses Association of Ontario
A) reflect practice that is fiscally directed and sound.
B) articulate practice recommendations developed from synthesis and review of evidence.
C) are intended to increase awareness of issues in incontinence management.
D) reflect a compilation of information from a variety and range of sources related to incontinence.
Q2) Once evidence related to the use of prompted voiding in patients with cognitive impairment has been appraised and integrated with practice,it is important to A) consider whether patients' families see this as necessary for the well-being of family members.
B) search large databases such as the Cumulative Index to Nursing and Allied Health Literature (CINAHL) to amass further evidence.
C) clarify the clinical practice question.
D) solicit input regarding integration with practice.
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Chapter 23: Understanding and Resolving Conflict
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Q1) Tina is a nurse manager in a surgical unit.She is concerned about an ongoing conflict between Lucy,a staff nurse,and one of the maintenance personnel.She explains to Lucy that unsatisfactory resolution of the conflict is typically destructive and will result in
A) decreased frustration between the maintenance worker and her.
B) a good relationship with the maintenance department.
C) eventual resolution of the problem without further intervention.
D) decreased productivity on her part.
Q2) Marcus is a circulating nurse in the operating room.He is usually assigned to general surgery,but on this day he is assigned to the orthopedic room.He is unfamiliar with the routines and studies the doctor's preference cards before each patient.The fourth patient comes into the room,and Marcus prepares a site for a biopsy by using a Betadine solution.The surgeon prefers another solution.He notices what Marcus has done and immediately corrects him by rudely insulting him.Which of the following is the most appropriate approach to conflict resolution in this example?
A) Collaboration
B) Compromising
C) Avoiding
D) Withdraw
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Page 25
Chapter 24: Managing Personalpersonnel Problems
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Q1) In keeping with guidelines of the organization,the nurse manager documents staff problems.Documentation of disciplinary problems should
A) include a plan to correct them and to prevent future occurrences.
B) state a detailed history of past problems that are related to the current one.
C) be written at the convenience of the manager.
D) accumulate until the evaluation period begins.
Q2) Nurses generally experience difficulty in identifying behaviours and actions that could signal chemical dependency in a co-worker.Which of the following is not a behavioural change that occurs with chemical dependency?
A) Personality and behavioural changes
B) Job performance changes
C) Changes in educational involvement and pursuit
D) Absenteeism
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Chapter 25: Workplace Violence and Incivility
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Q1) Your health care organization places a high value on workplace safety and integrates this into all aspects of administrative and patient care processes.As a unit manager,you thoroughly endorse this direction,and during the selection and hiring of new staff,you consistently
A) refuse to hire applicants who are pushy during interviews.
B) thoroughly follow up with all references before offering a position.
C) ask applicants during the interview whether drug or alcohol abuse is a problem.
D) refuse to interview applicants with sporadic work histories.
Q2) In addressing a high staff turnover rate that results from violence on a nursing unit,you are
A) confirming the high correlation between managerial incompetence and violence.
B) demonstrating awareness that workplace violence, if present, has significant costs.
C) aware that staff and manager experiences contribute to high turnover.
D) aware that violence is a rare but present factor in the workplace.
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Chapter 26: Practising and Leading in Interdisciplinary Settings
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Q1) Which of the following is considered an organizational facilitator to primary care and public health collaboration?
A) Shared protocols
B) Role clarity
C) Education and training
D) Philosophy and personal identity
Q2) In transferring a patient,Leslie,an unregulated care provider,uses improper technique.The patient is injured,and as a result,a lawsuit is launched in which both Neha,the delegator,and Leslie,the delegatee,are named.Neha is named in the suit because she
A) retains responsibility for the care of the patient.
B) worked the same shift as Leslie.
C) has passive accountability for delegation.
D) retains accountability for the outcomes of care for the patient.
Q3) One strategy to facilitate clarity about team members and the team process is to
A) ensure a range of personality styles on the team.
B) establish co-location of the team.
C) appoint a physician as the team leader.
D) engage a variety of health care providers on the team with different levels of power.
Page 28
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Chapter 27: Role Transition
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Q1) The new nurse manager feels torn by the expectations of staff,the demands of hospital administrators,and family obligations.According to Hardy (1978),unrelieved role stress and strain will lead to
A) frustration and anger.
B) alienation of family and friends.
C) low productivity and performance.
D) physical symptoms and acute illness.
Q2) According to Duchscher (2011),the integration phase in the transition to a new professional role for the new nursing graduate includes actions such as
A) performing and learning.
B) separating and exploring.
C) adjusting and accommodating.
D) doubting and revealing.
Q3) A nurse is interviewing for a manager's position.Which of the following actions is considered a role preview?
A) Formal commitment of the employment contract
B) Improving role performance
C) Touring the unit
D) Disillusionment about the expectations of the job
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Page 29
Chapter 28: Self-Management: Stress and Time
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Q1) A hospice nurse has been feeling very stressed at work because of both the physical strain and the emotional drain of working with patients with acquired immune deficiency syndrome (AIDS).She tries to walk 1 to 2 miles three times a week and to talk regularly with her husband about her work-related feelings.Another reasonable stress management strategy would be to
A) start taking yoga lessons.
B) make an appointment to meet with a psychiatrist.
C) start jogging 5 to 6 miles every day.
D) plan to go out for a drink with fellow nurses after work every day.
Q2) High levels of work-related stress affect all but which of the following?
A) Job satisfaction
B) Absenteeism and turnover
C) Nurses' health
D) Patients' welfare
Q3) Sources of occupational stress in nursing include all except which of the following?
A) Authoritarian leadership
B) Concern about moral wrongdoing by colleagues
C) Multiple changes in a short time
D) Job insecurity
To view all questions and flashcards with answers, click on the resource link above.
Page 30
Chapter 29: Managing Your Career
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/44774
Sample Questions
Q1) Steady-state styles would be most likely to be present in which of the following situations?
A) Small hospital, in an isolated rural setting, with limited hierarchy
B) Large urban teaching hospital
C) Health network with several organizations
D) Travel nurse agency
Q2) A nurse manager has been employed in the same facility for 20 years and has held the same position.This career style is known as
A) linear.
B) spiral.
C) steady state.
D) entrepreneurial/transient.
Q3) A well-written letter of resignation is critical to A) first announce your intent to resign.
B) formally signal discontent in your current position.
C) maintain a positive relationship with your former organization and colleagues.
D) fulfill your legal obligations as a departing employee.
To view all questions and flashcards with answers, click on the resource link above.
Page 31
Chapter 30: Thriving for the Future
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/44775
Sample Questions
Q1) The phenomenon experienced by the staff in question 18 is termed A) eustress.
B) care process.
C) stereotypical thinking.
D) complexity compression.
Q2) Jadzia is a school nurse in a large urban high school.She observes the numbers of students smoking and understands the usefulness of increased evidence of acute and chronic disorders related to smoking.After involving teachers,parents,students,and the community,she implements a smoking cessation program.Her program reflects which strength of connected leadership?
A) Quest for meaning
B) Authenticity and accountability
C) Thinking for the long term, acting for the short term
D) Leadership through expectation
Q3) A necessary leadership strength for nurses of the future is
A) the ability to involve health care teams in common interests to achieve outcomes that meet their needs.
B) enhanced skills and knowledge in advanced clinical techniques.
C) understanding of the nuances of fundraising to make up funding shortfalls.
D) the ability to manage a workforce that lacks loyalty to one organization.
To view all questions and flashcards with answers, click on the resource link above. Page 32