Nursing Final Exam

Question 1

Which is the true statement regarding the criteria for prioritizing the needs of a population?

a) Small and large problems are of equal importance

b) Stronger populations take priority

c) Community’s capacity and willingness is of little concern

d) It is significant if it is a root cause of other issues

Question 2

A nurse who enacts evidence-based practice into the work environment, understands this process always includes the best evidence in the literature, nursing expertise, and which of the following?

a) A scientific research project

b) Preferences and values of patients

c) Current trends in nursing

d) A random idea

Question 3

Telehealth can be conducted in a variety of settings, including:

a) Home

b) Clinic

c) Prisons

d) All of the above

Question 4

Which of the following is when staff nurses are included in decision making for practice and management?

a) Collective bargaining

b) Shared governance

c) Union

d) Collegiality

Question 5

To safeguard against workplace violence, nurses should

a) Gain power over others

b) Avoid using the elevator

c) Avoid poorly lit staircases

d) Have another staff with during patient encounters

Question 6

Which of the following is true related to a pandemic and epidemic?

a) In both an epidemic and pandemic, the disease always spreads world-wide

b) An epidemic is typically confined to a certain locality, where pandemic spreads worldwide

c) In both an epidemic and pandemic, most people are unaware it is happening

d) Patients with underlying health issues only need to be concerned with a pandemic

Question 7

Nightingale’s theory key concepts revolve around environmental factors with putting the patient in the best situation so they can heal, which theory below best aligns with Nightingale?

a) King’s Open Systems Theory

b) Abdellah’s Practice Model of Nursing

c) Watson’s Theory of human caring

d) Peplau’s interpersonal relations

Question 8

Which of the following describes Neuman’s System Model?

a) Offering a visual view on how stressors penetrate the patient’s system and how the system defends itself

b) Expecting nurses to develop skill and understanding of patient care over time through a combination of education and experience

c) Developing a relationship with a patient and awareness of the patient’s feelings in an effort to promote healing

Question 9

Best practice for oral presentations for community nursing include all of the following EXCEPT:

a) Speak clearly and confidently

b) Admit to not knowing an answer

c) Add as much information to visual materials as possible

d) Retrain from “um” and “like”

Question 10

Which of the following is NOT a reason research is important to the profession?

a) Research assists nurses to advance the nursing profession

b) Research assists nurses to stay updated and current

c) Research assists nurses to gain power in their field

d) Research assists nurses to offer the best possible patient care

Question 11

Which is a major reason for the increased focus on nutrition and exercise over the past few decades?

a) Acute conditions are on the rise

b) Food sources are changing

c) Prevalence of obesity is at an all-time high

d) People are living longer

Question 12

Which of these theories is based on patient behavior to promote system integrity?

a) Benner’s theory of novice to expert

b) Watson’s theory of human caring

c) Roy’s adaptation model

d) Neuman’s system model

Question 13

Physical health and mental health are correlated, especially with

a) The association with chronic conditions

b) The association with accidents

c) The association with acute ailments

d) The association with spiritual health

Question 14

Erikson’s Ego Integrity vs Despair stage allows reconciliation to transpire instead of?

a) Isolation

b) Shame

c) Role Confusion

d) Guilt and regret

Question 15

What is NOT a correct statement regarding ethics in research?

a) Simple human surveys do not require an Institutional Review Board (IRB)

b) Subjects can withdraw at any point in a study

c) Vulnerable populations are treated with special care in research

d) Confidentiality is a key action in all research

Question 16

A nurse who is communicating in an assertive manner…

a) In not violating the rights of others

b) Forces their wishes and ideas onto others

c) Remains silent on important issues

d) Uses a loud voice to get their message across

Question 17

Evidence-based practice implantation is the responsibility of:

a) Graduate level nurses

b) Other disciplines

c) Administrators

d) All of the above

Question 18

Which of the following related to types of power in an organization do nurses hold most often?

a) Authority and expert

b) Reward and coercion

c) Expert and reward

d) Coercion and authority

Question 19

Which of the following is an example of a leader?

a) They see and create a vision

b) They focus on setting measurable outcomes

c) They focus on the status quo

d) They work on short-term goals

Question 20

Which is a nursing assessment related to the whole person in body, mind, and spirit?

a) Comprehensive

b) Holistic

c) Focuses

d) Abbreviated

Question 21

A nurse leader who uses the threat of punishment to persuade employees to act a certain way, is using which type of power?

a) Referent

b) Authority

c) Expert

d) Coercive

Question 22

A nurse who begins an evidence-based practice change understands the first step must start with which of the following?

a) Identifying a problem that needs to be addressed

b) Identifying change agents to assist with making it happen

c) Completing a literature search on the problem

d) Addressing possible barriers to the change

Question 23

All the below are effective strategies to engage others in Evidence-based practice change EXCEPT?

a) Using expects to increase knowledge of Evidence-based practice

b) Continuing on with satisfying practice and outcomes

c) Reminding staff optimal care is their obligation

d) Sharing evidence to support change proposals

Question 24

Which of the following is an important concept in appraising qualitative studies?

a) Comprehension

b) Timing

c) Trustworthiness

d) Relevance

Question 25

Which is the ethical principle that guides healthcare practices on the importance of doing good on behalf of patients?

a) Autonomy

b) Nonmaleficence

c) Justice

Question 26

Which is technique to assist in dealing with on the job physical and emotional stress and trauma?

a) Recycling

b) Debriefing

c) Inventing

d) Deliberating

Question 27

Which of the following is an example of a manager?

a) They see and create a vision and inspire others

b) They focus on setting measurable outcomes

c) They embrace change and innovation

d) They focus on the big picture and very distant goals

Question 28

A nurse who pulls a curtain closed, holds the gown together in the back, drapes their patient during bath time, and takes more time with the elderly is working through nursing theories that uphold which of the below?

a) Human dignity

b) Integrity

c) Autonomy

d) Legal acts

Question 29

Using Trauma Informed Care in nursing brings an understanding of:

a) Mapping out a plan to focus on the patient’s weaknesses to better cope

b) Creating a safe space as a key to recovery

c) Taking control so the patient can relax

d) Offering information over time as to not overwhelm the patient

Question 30

The Lesbian, Gay, Bisexual, Transgender, Queer (LGBTQ) community often find additional challenges within the health care environment. Nurses can do which of the following to improve LGBTQ individuals experience?

a) Expand personal knowledge of sexual orientation or attraction and gender identity

b) Understand key LGBTQ definitions

c) Create a safe, accepted, and welcoming environment

d) All of the above

Question 31

The nurse who chooses the quantitative method for a research project understands which of the following is a characteristic for this method?

a) One-on-one interviews are typically used for data collection

b) Sample size is larger in order to generalize beyond the research

c) Data instrument is typically a structured measurement tool

Question 32

Healthy People 2020 has national objectives in an attempt to improve the health of Americans. The main overall goals of Health People 2020 are to accomplish all of the below EXCEPT

a) To encourage communities to collaborate for better health outcomes

b) Guide people towards making improved and informed health decisions

c) Used as a measurement tool to show the impact of prevention activities

d) Increase the ability of providers to diagnose chronic disease

Question 33

Which of the following is an example of social determinants of health?

a) Biology and genetic makeup

b) Access for disabilities at the work site

c) Exposure to emerging media technology

d) Building and home structure

Question 34

Who should be addressed first when a finding shows a need to advance knowledge of a unit’s personnel on Evidence-based practice?

a) Academic experts

b) Unit managers

c) Experienced staff

d) Medical librarians

Question 35

Shingles is a growing concern in the older adult population. Which vaccine is offered to adults to combat this illness?

a) RZV

b) HPV

c) PVC

d) VAR

Question 36

Which of the following integrates Parse’s Theory of Human Becoming in the workplace?

a) Changing soiled bed linens

b) Expecting nurses to develop skill and understanding of patient care over time through a combination of education and experience

c) Developing a relationship with a patient and awareness of the patient’s feelings in an effort to promote healing

d) Guiding the patient through their own perception of events

Question 37

Which of the following is an agreement that offers power in numbers?

a) Representation

b) Collegiality

c) Shared governance

d) Collective bargaining

Question 38

A nurse who uses focus group discussions and one-on-one interviews to collect data is utilizing which type of research?

a) Qualitative

b) Quantitative

c) Experimental

d) Quasi-Experimental

Question 39

Which of the following is the best explanation of what the institution Review Board (IRB) sets out to accomplish?

a) Is an overarching power for research studies

b) Protect the rights and welfare of human subjects

c) Mitigate modifications throughout the research process

d) Stop research at any time during the process

Question 40

A community assessment includes both data generation and data gathering.

Examples of data generation activities include

a) Windshield survey

b) Researching demographics

c) Contacting agencies for facts and data

d) Internet search

Question 41

Cultural competence in nursing is reported as all the below EXCEPT

a) Having an awareness of persons own existence and beliefs

b) Not allowing self-ideals impact connection with others of a different culture

c) Continuing status quo care regardless of patient’s culture

d) Accepting and searching out cultural differences

Question 42

With the increase in medical cannabis utilization, nurses should be aware that the major difference between cannabidiol (CBD) and tetrahydrocannabinol (THC) is

a) Both offer benefits, but where THC gives a ‘stoned’ feeling, CBD does not

b) THC is the only property which offers benefits

c) CBD and THC have to be taken together for benefits

d) Both offer benefits, but where CBD gives a ‘stoned’ feeling, THC does not

Question 43

Which of the following is an example of King’s social system?

a) Having a positive nurse-patient dialogue

b) Growth and development in the individual

c) Being a member of a community organization

d) All of the above

Question 44

A nurse is aware of the most common reason for the use of cannabis and cannabinoids if they make the below statement:

a) “A patient could benefit from its complementary use to prevent disease and injury”

b) “The use could improve health when currently accepted first and second line therapies have been insufficient”

c) “Patients who express a desire regardless of diagnosis for its use, should be able to gain access”

d) Both A and B

Question 45

In order to prioritize, a public health nurse who completes a community education project must complete an analysis of the collected data to accomplish the following

a) Identify health themes or trends in the population

b) Identify existing interventions focused on the issue

c) Both A and B

Question 46

A PICOT format is the manner in which Evidence-based practice questions are developed. The ‘T’ in this format refers to which of the below?

a) Top interest

b) Time frame

c) Trending comparisons

d) Tier of evidence

Question 47

A patient who charges a nurse with professional negligence must prove certain elements which includes all the below EXCEPT?

a) The patient was injured

b) Proof through verbal accounts

c) A breach of duty occurred

d) A duty to the patient existed

Question 48

Which of the following is required by the RN and should not be delegated?

a) Hygiene

b) Feeding

c) Vital sings

d) Assessment

Question 49

Which of the following is a true statement between managers and leaders?

a) Both focus on short-term goals

b) Leaders are risk takers, managers minimize risks

c) Both are constantly curious and take risks

d) Managers focus on inspiring people, leaders focus on structure

Question 50

Which is the best resource to check for roles of the RN and delegation practices?

a) American Nurse Association

b) National League for Nurses

c) State Board of Nursing

d) Board of Nursing Registry

Question 51

Which is the ethical principle that guides healthcare practices on the importance of do no harm?

a) Autonomy

b) Nonmaleficence

c) Justice

d) Beneficence

Question 52

Medical cannabis has several common routes of administration which include the following EXCEPT

a) Inhalation

b) Oral

c) Topical

d) Injection

Question 53

Which of the following shows a person with Emotional Intelligence?

a) Stays calm and clear-headed during conflict

b) Acknowledges others perceptions

c) Welcomes constructive criticism

d) All of the above

Question 54

A nurse who uses Maslow’s Hierarchy of Needs theory in the care of a patient to promote physical wellbeing before psychosocial wellbeing is utilizing which type of theory in the care?

a) Borrowed theories

b) Grand theories

c) Middle range theories

d) Practice theories

Question 55

Homecare is becoming increasingly common due to evolving technology and telehealth. The Homecare National Patient Safety Goals (NPSG) to increase safety in the home environment includes all of the below EXCEPT

a) Correct test and lab results

b) Good handwashing

c) Preventing fall risks

d) Medication management

Question 56

A nurse who begins to experience emotional exhaustion, loss of identity, decreased personal accomplishment is suffering from

a) Dissatisfaction

b) Fatigue

c) Stress

d) Burnout

Question 57

As the nurse cares for the patient utilizing Peplau’s theory of interpersonal relations, which of the following is a true statement related to the final phase of the theory?

a) The final phase is called the exploitation phase

b) The relationship continues to build past the final phase

c) The connection is severed as the patient drifts away

d) The final phase is the easiest phase for both patient and nurse

Question 58

Virginia Henderson developed the Nursing Need Theory which comprises of all of the below EXCEPT

a) Four major concepts: individual, environment, health, nursing

b) Represents the patient as the sum of the its parts with biophysical needs

c) There are 14 components

d) Focuses on self-care deficits

Question 59

Which is an example of the element of professional negligence concerning “The injury was directly caused by the breach of a standard of care”?

a) Nurse missed antibiotic dose and the patient fell getting out of bed

b) Nurse instructs patient to stay in bed, patient falls getting out of bed and breaks a leg

c) Nurse not following her state practice act

d) Nurse missed a dose of antibiotic and set back healing of patient’s infection

Question 60

Stress is a common daily occurrence for nurses and can contribute to a wide range of issues including?

a) Poor concentration

b) Migraines

c) Depression

d) All of the above

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