Transition to Professional Nursing Test Questions
Course Introduction
This course prepares students for the transition from nursing education to professional clinical practice. Emphasizing the development of critical thinking, effective communication, clinical judgement, and ethical decision-making, it explores professional roles and responsibilities within diverse healthcare environments. Students examine legal, regulatory, and organizational frameworks guiding nursing practice, as well as strategies for collaboration, leadership, and lifelong learning. The course also covers topics such as delegation, time management, stress management, patient advocacy, and cultural competence, supporting students as they integrate theoretical knowledge with real-world application to become competent and confident professional nurses.
Recommended Textbook
Professional Nursing Practice Concepts and Perspectives 7th Edition by Blais
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Chapter 1: Beginning the Journey
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Q1) According to the 2013 National Workforce Survey,what is the highest level of educational preparation for the majority of RNs?
A)Diploma
B)Associate degree
C)Baccalaureate degree
D)Master's degree
Answer: C
Q2) What statement about specialty certification in nursing is true?
A)Specialty certification guarantees increase in salary for the nurse.
B)Healthcare agencies rarely recognize certifications by nursing specialty groups.
C)The nurse who works in hospital practice must hold at least one specialty certification.
D)The nurse must demonstrate extensive experience and continuing education in the specialty area.
Answer: D
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Chapter 2: Socialization to Professional Nursing Roles
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Q1) One model of professional socialization consists of three stages: Stage 1,proficiency in specific tasks;Stage 2,attachment to significant others in the work environment;and Stage 3,internalization of the values of the professional group and adoption of behaviors it prescribes.Who developed this model?
A)Simpson
B)Hinshaw
C)Davis
D)Benner
Answer: A
Q2) Which organization published a 1965 position paper that identified associate degree nurses as "technical nurses"?
A)The American Medical Association
B)The American Nurses Association
C)The American Association of Colleges of Nursing
D)The National League for Nursing
Answer: B
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Chapter 3: Historical Foundations of Professional Nursing
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Q1) Which African American woman was noted for her roles as both a nurse and an abolitionist during the Civil War of the United States?
A)Louisa May Alcott
B)Harriet Tubman
C)Jeanne Mance
D)Mary Seacole
Answer: B
Q2) What is the significance of Rufaidah in the development of nursing?
A)She is believed to have started the first nursing school in Islam.
B)She was a Knight Hospitaller of St.John.
C)She started the Parabolani Brotherhood.
D)After converting to Christianity,she started hospitals in Palestine.
Answer: A
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Chapter 4: Ethical Foundations of Professional Nursing
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Q1) The client has made a difficult decision to refuse treatment for a potentially curable malignancy.The nurse asks the client,"How are you going to tell your spouse about this decision?" What is the nurse attempting to assess?
A)Whether the client has considered all of the treatment options available.
B)Whether the client was able to choose freely among treatment options.
C)Whether the client is prepared to act on the decision.
D)Whether the client feels good about the decision made.
Q2) To what does the moral principle of nonmaleficence refer?
A)Truth telling
B)Duty to do no harm
C)Faithfulness
D)Doing good
Q3) To what does the moral principle of veracity refer?
A)Truth telling
B)Duty to do no harm
C)Faithfulness
D)Doing good
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Chapter 5: Legal Foundations of Professional Nursing
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Q1) For which nurse would the concern about chemical abuse be most appropriate?
A)A nurse who avoids colleagues and friends and has frequent mood swings.
B)A nurse who requests night shifts because of increasing financial responsibilities.
C)A nurse who always comes to work 15 minutes early by bus.
D)A nurse who arrives late for work with the excuse of a flat tire.
Q2) A new graduate is planning to delegate aspects of client care to unlicensed assistive personnel (UAP).Before completing this delegation,in which order should the graduate review the rights of delegation?
A)Task
B)Person
C)Circumstance
D)Supervision and evaluation
E)Direction and communication
Q3) The nurse has made a claim of sexual harassment against a coworker.What evidence must this nurse present?
A)The sexual advances occurred over a period of at least 6 weeks.
B)The conduct was explicit and was a condition of employment.
C)There was psychological damage from the conduct.
D)The actions created a hostile or abusive environment.
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Chapter 6: Remembering Development in Nursing
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Q1) The nursing faculty is revising their program's curriculum and is developing a conceptual framework.What will this faculty develop?
A)A document that relates concepts by defining their significance to one another.
B)An overall view or orientation to focus thoughts.
C)A system of ideas proposed to explain a given phenomenon.
D)A specific outline of the curriculum's topics and contents.
Q2) The nurse's research is directed toward testing a specific hypothesis deduced from a theory.Which research approach does this work represent?
A)Dynamicism
B)Positivist
C)Constructivist
D)Naturalistic
Q3) How is nursing research related to nursing conceptual models?
A)There is little relationship;researchers choose subjects based on need or interest.
B)These models drive nursing research and provide a way to organize findings.
C)Nursing research has proved that most conceptual models are false.
D)Nursing research can be undertaken only if it is tied to a conceptual model.
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Chapter 7: The Nurse As Health Promoter and Care Provider
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Q1) The nurse has been asked to provide a health-promotion session for a group of preschool children.Can the nurse work in this capacity?
A)No;health-promotion activities are limited to individual sessions.
B)The nurse may do so only if there is a medical order for the session.
C)No;health promotion is effective only with adult clients.
D)Yes;the nurse can work with groups or individuals of all ages.
Q2) Which model does the nurse employ while working in the role of health promoter?
A)Nursing process
B)Medical model
C)Scientific method
D)Problem-solving model
Q3) What is a mission of Healthy People 2020?
A)Encourage all people to change behavior.
B)Identify nationwide health improvement priorities.
C)Increase the number of health-related research studies.
D)Increase the number of healthcare professionals.
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Chapter 8: The Nurse As Learner and Teacher
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Q1) What would be the best environment for conducting client teaching?
A)The client is in the clinical educator's office.
B)The client is reclining in bed with the television on.
C)The client has just been medicated for pain.
D)The client is upright in bed with family members present.
Q2) The nurse is preparing a teaching session that focuses on Piaget's phases of cognitive development.In which order should the nurse present material about these phases?
A)Different viewpoints
B)Includes others in the environment.
C)Deductive and futuristic thinking and reasoning.
D)Discovery of new goals and ways to attain those goals.
Q3) A client had a mastectomy yesterday.Today,the nurse must teach this client exercises to promote function on the operative side.When should this teaching occur?
A)Before administering pain medication,so the client is still alert.
B)Whenever the client expresses a desire to learn,despite pain status.
C)Approximately 30 minutes after administering pain medication.
D)Immediately after administering pain medication.
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Chapter 9: The Nurse As Leader and Manager
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Q1) What is the focus of leadership?
A)People
B)Systems
C)Structures
D)Other organizations
Q2) At the institutional level,accountability is reflected in which manner?
A)The nurse's personal ethical integrity
B)Philosophy and objectives
C)Standards of practice
D)Nurse practice acts
Q3) What must the nurse consider when delegating responsibility to another? (Select all that apply. )
A)The client's needs
B)The skill level of the worker
C)The client's goals
D)The worker's gender
E)How long the worker has been at the facility
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Chapter 10: The Nurses Role in Evidence-Based Health Care
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Q1) Which level of literature should be the focus of the literature review?
A)Primary
B)Secondary
C)Tertiary
D)Raw data
Q2) The nurse is interested in implementing evidence-based care in practice and is conducting a search for pertinent research studies.Which type of research is most likely to produce best evidence?
A)Literature review of the topic
B)Randomized clinical trial
C)Research that explains phenomena
D)Descriptive research
Q3) What are the purposes of scientific research? (Select all that apply. )
A)Description
B)Review
C)Exploration
D)Explanation
E)Prediction
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Chapter 11: The Nurses Role in Quality and Safety
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Q1) The nurse receives the report for a client recovering from a repair of a fractured hip,who is being transferred to the orthopedic care area.The following information was obtained in the telephone report: Report received 14:00 hours: 76-year-old female;ORIF of right hip caused by falling in the home;receiving Morphine sulfate 2 mg IV every 4 to 6 hours for pain;difficult to keep turned on non-operative site;indwelling urinary catheter in place;Hgb 10 after 2 units PRBCs post-operatively.
Which National Patient Safety goals should the nurse make a priority for this client? (Select all that apply. )
A)Prevent wrong site/procedure/person surgery.
B)Prevent health-care associated pressure ulcers.
C)Improve the accuracy of patient identification.
D)Reduce the risk of patient harm resulting from falls.
E)Reduce the risk of health care-associated infections.
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Chapter 12: The Nurses Role As Political Advocate
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Q1) What is a strategy used to influence political decisions?
A)Demanding change
B)Acting as an individual
C)Negotiating
D)Complaining to peers
Q2) Which source of power is associated with talents and skills?
A)Expert
B)Coercive
C)Legitimate
D)Reward
Q3) The nurse has decided to contact state legislators regarding support for a health bill.Which is true about such requests?
A)Drop-in visits to the legislator's office are very effective.
B)Faxed copies of a form letter have the most impact.
C)Legislators should be addressed informally by first name.
D)Letters should be thoughtful and informed,but concise.
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Chapter 13: The Nurse As Colleague and Collaborator
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Q1) The conflict negotiator tells the group that the desire is a win-win solution.What does this desire indicate?
A)Each side of the argument gets all it requests.
B)One side and the negotiator are successful in winning at least one point in the argument.
C)Each side is satisfied with the resolution.
D)In order to achieve resolution,each side compromises on items it views as important.
Q2) When considering collaborative practice,interdisciplinary healthcare teams have been particularly effective in which environment?
A)Emergency departments
B)Critical care units
C)Outpatient services
D)Obstetrical services
Q3) How does today's healthcare consumerism affect the need for collaboration?
A)Consumers are not interested in how lifestyle affects health.
B)Consumers expect to be involved in decision making.
C)Consumers are hesitant to assume responsibility for their own health.
D)Consumers expect physicians to make decisions for them.
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Chapter 14: Communicating Effectively
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Q1) The nurse sends an e-mail to the unit manager requesting a vacation day.The manager does not answer the e-mail and schedules the wrong day.Has a response to the original message occurred?
A)Yes;when the day was scheduled,the response occurred.
B)Yes;the action of not sending a reply to the e-mail was the response.
C)No;this scenario required an e-mail reply as a response.
D)No;the action taken has to be correct in order for a response to occur.
Q2) A client has just been told that her breast biopsy was positive for cancer.The client is crying when the nurse enters the room.What is the nurse's best response?
A)"Why are you crying?"
B)"We can sit here quietly.You don't need to talk unless you want to."
C)"I'm so sorry about your diagnosis."
D)"Everything will be okay.Treatments today are very successful."
Q3) What does the term channel mean when associated with the communication process?
A)The method selected to convey the message
B)The information or feelings to be transmitted
C)The aural message
D)The originator of the message
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Chapter 15: Managing Change
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Q1) Which approach to change relies on interpersonal relationships as the power ingredient?
A)Empirical-rational
B)Technostructural
C)Normative-reeducative
D)Power-coercive
Q2) Which is the most obtrusive approach to change?
A)Empirical-rational
B)Mandatory education
C)Power-coercive
D)Normative-reeducative
Q3) A consultant is hired to recommend organizational changes in a healthcare institution.What best describes this consultant's role?
A)Leader
B)Legitimate authority
C)Internal change agent
D)External change agent
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Chapter 16: Technology and Informatics
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Q1) What is nursing informatics?
A)The combination of computer and information science with nursing science
B)All computer technology
C)The medical record
D)Internet and World Wide Web sources of healthcare information
Q2) In the hospital setting,which overarching concepts are used in informatics theories and sciences? (Select all that apply. )
A)Telehealth needs
B)Data,information,and knowledge
C)Ergonomics
D)Phenomena of nursing
E)Computer science and information science
Q3) The informatics nurse is concerned about the height of the stand for the portable laptop computers that the hospital is considering buying.Which concept is being addressing?
A)Finances
B)Ergonomics
C)Situational awareness
D)Evidenced-based practice
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Chapter 17: Nursing in an Evolving Health Care Delivery System
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Q1) Which resource management strategies have hospitals utilized?
A)The use of clinical nursing assistants (CNAs)
B)The hiring of medical librarians
C)Certification in a specialty area
D)Clinical ladders
Q2) When accepting a position in a Swedish hospital,a nurse would need to understand that physicians work under contracts dictated by standards of which system?
A)Socialized medicine
B)Capitalism
C)Communism
D)Free enterprise
Q3) What does fee-for-service payment mean?
A)The patient has a healthcare card that must be presented at the point of care.
B)Patients pay the practitioner for each service they receive.
C)Healthcare providers are paid a fixed amount per person to provide care.
D)Charges are waived by the government.
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Chapter 18: Providing Care in Home and Community
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Q1) When formulating a nursing diagnosis for a client,what must the home health nurse consider?
A)The needs of the client,needs of the client's family,and the characteristics of the home.
B)The needs of the client and the caregivers of the client.
C)The current needs of the client and any potential "at risk" needs.
D)The community the client lives in and any potential risks for the client.
Q2) The administrator of an organization is preparing a posting for an online employment web site and includes the following sentence: "Nurses in this role have the main objective of primary prevention with the goal of achieving health equity." For which type of organization is the administrator seeking a registered nurse to hire?
A)Parish
B)School
C)Home health
D)Public health
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Chapter 19: Global Health
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Q1) The nurse is interested in becoming active in global health initiatives.What role should the nurse be prepared to perform when serving in this capacity?
A)Educator
B)Consultant
C)Collaborator
D)Direct care provider
Q2) The nurse is concerned that a proposed health program lacks sufficient support for global health.What should be included in this program? (Select all that apply. )
A)Prevention activities
B)Strategic partnerships
C)Income measurements
D)Responses to local needs
E)Evidence-based knowledge
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Chapter 20: Dimensions of Holistic Health Care
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Q1) Chiropractic medicine,massage,osteopathic manipulation,and naturopathy are what complementary and alternative medicine category-based therapies?
A)Biologically-based
B)Energy
C)Manipulative body-based
D)Mind-body
Q2) Which two components encouraged the change in view of health care from one of biological focus on disease management to comprehensive health care?
A)Medicare and Healthy People 2020
B)Healthy People 2020 and nursing theorists
C)Integrative health and Healthy People 2020
D)Integrative health and foreign exchange of ideas
Q3) Of what is providing cholesterol screenings an example?
A)Primary prevention
B)Secondary prevention
C)Tertiary prevention
D)Preventive care
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Chapter 21: Nursing in a Culturally Diverse World
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Q1) A client of Chinese heritage requests that a healer use acupuncture to treat back pain.What action should the nurse take?
A)Traditional remedies should be considered in conjunction with physician-prescribed treatments for their risks and benefits.
B)Traditional remedies are helpful and should be supported.
C)Some traditional remedies may be helpful and should be encouraged.
D)Traditional remedies are harmful and should be avoided.
Q2) Which statement indicates the reason for nurses to reflect on their own cultural values and beliefs?
A)This ensures that nurses provide care only for patients of similar values and beliefs.
B)Nurses' values and beliefs should guide their interactions with their patients.
C)Conflicting values and beliefs may interfere with culturally competent care.
D)It is important to understand the similar values and beliefs of all cultures.
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Chapter 22: Nursing in a Spiritually Diverse World
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Q1) The nurse is using the HOPE tool when assessing a patient's spiritual needs.In which order should the nurse ask the patient the following questions?
A)Identify sources of strength
B)What specific actions conducted?
C)Does religion influence health care?
D)What is the role of religion in your life?
Q2) When using the SPIRIT model for assessing spirituality,what does the 'R' represent?
A)Religious beliefs
B)Relationships
C)Requests
D)Ritualized practices and restrictions
Q3) Which phrase describes spirituality?
A)The belief in something that cannot be directly observed
B)An organized belief system that requires religious worship of a Supreme Being
C)The core of a person's being,involving one's relationship with God or a higher power
D)A belief system unique to a specific religion
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Chapter 23: Nursing in a Culture of Violence
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Q1) What should the nurse do when caring for a victim of abuse? (Select all that apply. )
A)Ensure the client's safety
B)Support the client
C)Empower the client to take control
D)Avoid the team approach when assessing the patient
E)Provide information regarding available services for the patient
Q2) What behavior should the nurse demonstrate when caring for victims of abuse?
A)Distant
B)Authoritarian
C)Nonjudgmental
D)Judgmental
Q3) A nurse assesses a client and strongly suspects child abuse.What should the nurse do next?
A)Ask the child to speak to the police.
B)Report the finding to child protection authorities.
C)Provide necessary immediate care and arrange for follow-up care of the injured.
D)Tell the parents that the nurse suspects abuse.
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Chapter 24: Advanced Nursing Education and Practice
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Q1) While completing courses for a master's degree in nursing education the nurse has taken electives for gerontology,informatics,and pain management.Using the table below,which certifications should this nurse plan to obtain upon graduation from the program?
[Insert Table 24-2 here]
A)Informatics
B)Gerontological
C)Adult Gerontology
D)Adult Gerontology-Acute
E)Adult Gerontology-Primary
Q2) What did Dr.Loretta Ford and Dr.Henry Silver at the University of Colorado develop first?
A)Clinical specialist role
B)Graduate program in nursing
C)Nurse practitioner role
D)Group practice
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Chapter 25: The Future of Nursing
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Q1) While managed care is available,there will be fewer professional nurses in hospitals and more of which type of workers supervised by professional nurses?
A)Janitorial
B)Physicians
C)Multi-skilled
D)Academic
Q2) The World Future Society made 10 future forecasts.Which forecast will affect nursing?
(Select all that apply. )
A)We will revive recently extinct species.
B)By 2020 populations will shrink,and wealth will shrink with them.
C)Doctors will see brain diseases many years before they arise.
D)Buying and owning things will go out of style.
E)The future of science is in the hands of crowd-sourcing amateurs.
Q3) On what should nurses focus in order to keep up with the globalization of health care?
A)Medical care development
B)Advanced practice nursing
C)Culturally competent care
D)Standards of practice
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