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59 Cards in this Set

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The graduate nurse understands the purpose of the NCLEX-RN® examwhen stating which of the following?


a. “The exam provides feedback to the candidate regarding areas of weakness in nursing practice.”


b. “The exam determines the candidate’s ability or inability to meet minimum standards for safe practice.”


c. “The exam gives employers an opportunity to hire graduates who have scored highest among first-time licensure candidates.”


d. “The exam prepares new graduates as efficient, effective staff nurses.”

The exam determines the candidate’s ability or inability to meet minimum standards for safe practice.

Which statement by the nursing professor is accurate about theNCLEX-RN® exam? The purpose of the NCLEX-RN® test plan is to ensure that all


a. “test takers answer items of comparable difficulty.”


b. “test takers answer approximately the same number of items.”


c. “test items are job related.”


d. “clinical specialties will be equally represented.”

test items are job related

In trends class, a student tells the instructor, “I don’t think Ican possibly pass the NCLEX-RN®. I hated psych nursing, but now I’ve heard thata huge amount of the NCLEX® is psych related.” What is the best response fromthe instructor?


a. “Perhaps you should consider retaking the psychiatric nursing course.”


b. “There are equal numbers of questions related to each aspect of client needs.”


c. “Psychosocial integrity is the basis for 6% to 12% of the examination.”


d. “You will need to take a review course in which they teach psychiatric nursing principles.”

Psychosocial integrity is the basis for 6% to 12% of the examination.

Which statement indicates the graduate nurses understanding of theprocess at the NCLEX® testing site?


a. “I will be thumbprinted and photographed.” b. “I will be placed in a locked testing cubicle.” c. “I will answer 300 test questions.”


d. “I will be given some questions as a paper-and-pencil test.”

I will be thumbprinted and photographed .

Which statement made by the graduate nurse indicates understandingof the NCLEX-RN® exam passing score?


a. “Candidates seeking licensure in California and New York must score higher.”


b. “The passing score is the same for licensure in all states.”


c. “Candidates from BSN programs must score one standard deviation higher than the ADN graduates.”


d. “ADN graduates must answer 80% of the 265 questions correctly to pass.”

The passing score is the same for licensure in all states.

What are helpful strategies for dealing with test anxiety?


a. Put as much time as possible into studying.


b. Practice relaxation techniques and positive thinking.


c. Use review books and tapes.


d. Focus on test-taking skills and emphasize facts less.

Practice relaxation techniques and positive thinking.

Which of the following statements indicate the nursesunderstanding of the content of the NCLEX® Exam?


a. “The exam is based on a practice analysis conducted by the National Council of State Boards of Nursing.”


b. “The exam is a survey of nursing faculty regarding areas of importance for testing.”


c. “The exam includes questions based on the National League of Nursing survey reports.”


d. “The exam includes contributions from all of the member boards of the National Council.”

The exam is based on a practice analysis conducted by the National Council of State Boards of Nursing.

The graduate nurse is preparing to take the NCLEX-RN® Exam. Whichblueprint category is interpreted as having the highest percentage of testitems?


a. Safe, effective care environment


b. Physiological integrity


c. Psychosocial integrity


d. Health promotion and maintenance

Physiological integrity

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 the 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.

questions are selected, and the exam is adapted to the candidate’s previous responses.

The graduate nurse has an adequate understanding of theAuthorization to Test when stating:


a. “The Authorization to Test arrives at the beginning of the last semester of nursing school.”


b. “The Authorization to Test arrives when the last day of clinical experience is complete.”


c. “The Authorization to Test arrives upon completion of all of the state and national applications.”


d. “The Authorization to Test arrives when all course work and applications have been completed and approved.”

The Authorization to Test arrives when all course work and applications have been completed and approved.

The graduate nurse understands the process of NCLEX-RN® Examscoring and reporting when stating:


a. “The NCLEX-RN® Exam is scored on a pass/fail basis and is reported directly to the candidate.”


b. “The candidate must score 80% or higher to be considered competent; scores are reported to the school.”


c. “If the candidate must answer more than 365 questions, he or she will not pass the examination; scores are reported to the board of nursing.”


d. “Scoring is based on the level of difficulty of the questions presented to the candidate; scores are reported to the candidate.”

The NCLEX-RN® Exam is scored on a pass/fail basis and is reported directly to the candidate.

A graduate nurse has arrived at the testing center when realizingthat the required ATT form is missing. Explain what events would happen next.


a. The testing center staff would not be able to look up his ATT online.


b. The testing center staff would not allow him to test without his ATT.


c. The graduate nurse could be admitted to the testing center with a photo ID.


d. The testing center staff would call the NCSBN for verbal approval to let the graduate nurse test.

The testing center staff would not allow him to test without his ATT.

A nursing professor is preparing students for the NCLEX-RN® Exam.Which of the following items should the professor inform the students to expecton the exam? (Select all that apply.)


a. Multiple choice questions with one correct answer


b. Drag and drop questions into an ordered response


c. True/false questions


d. Graphic questions with a hot spot to identify an area


e. Questions with an audio component where you need to wear a headset to listen


f. Questions where you select the correct answer from the graphics presented at the end of the question

a. Multiple choice questions with one correct answer


b. Drag and drop questions into an ordered response


d. Graphic questions with a hot spot to identify an area


e. Questions with an audio component where you need to wear a headset to listen


f. Questions where you select the correct answer from the graphics presented at the end of the question

Which actions by the graduate nurse can help reduce anxiety ontesting day? (Select all that apply.)


a. Drive to the testing site the day before.


b. Evaluate traffic.


c. Wait until testing day to drive to the testing site.


d. Drive to the hotel the day before.


e. Locate the parking area at the testing site.

a. Drive to the testing site the day before.


b. Evaluate traffic.


d. Drive to the hotel the day before.


e. Locate the parking area at the testing site.

What actions will help prepare the graduate nurse for testingsuccess? (Select all that apply.)


a. Dress comfortably.


b. Stay up late for last-minute studying.


c. Eat a balanced breakfast.


d. Have identification needed for entrance into the exam.


e. Celebrate your success with friends the night before.

a. Dress comfortably.


c. Eat a balanced breakfast.


d. Have identification needed for entrance into the exam.

What are acceptable forms of identification at the testing center?(Select all that apply.)


a. U.S. driver's license


b. U.S. state-issued identification


c. Credit or debit card with photo identification.


d. Passport


e. U.S. military identification


f. School or university picture identification

a. U.S. driver's license


b. U.S. state-issued identification


d. Passport


e. U.S. military identification

A nurse is educating an adult patient on patient rights, accordingto the American Hospital Association. The teaching has been effective when theadult states that the patient’s rights include:


a. “choice of diet to be eaten during hospitalization.”


b. “considerate and respectful care from all care providers.”


c. “medical care regardless of ability to pay.”


d. “information from nurses about diagnosis and prognosis.”

considerate and respectful care from all care providers.

A nurse manager is teaching the purpose of the nurse’s Code ofEthics to a group of high school students. Which statement by one of thestudents indicates that the teaching has been effective? The purpose of thenurse’s Code of Ethics is


a. “to assist in clarifying the individual nurse’s personal values and goals.”


b. “to differentiate between moral and immoral acts.”


c. “to guide the behavior of the professional nurse.”


d. “to identify acts that are legal for the nurse to perform.”

to guide the behavior of the professional nurse.

Which statement best describes the Code of Ethics of the AmericanNurses 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

A legal document describing the responsibilities of the nurse

Which ethical principle is applied when the nurse acts tosafeguard the patient and the public by reporting poor nursing practice?


a. Autonomy


b. Fidelity


c. Justice


d. Veracity

Veracity

What ethical principle is implemented, or supported, when thenurse encourages a patient to be involved in planning and implementingself-care?


a. Autonomy


b. Fidelity


c. Justice


d. Veracity

Autonomy

The ethical principle of autonomy is not applicable in whichpatient situation?


a. The patient does not speak or understand the English language.


b. The patient is unaware of who or where he or she is.


c. The patient has been in a long-term care facility for 10 years.


d. The patient has values that conflict with the caregiver’s values.

The patient is unaware of who or where he or she is.

The nurse is very busy caring for a large case load. An adultpatient mentions that by having slow mobility, “people just do things for merather than allowing me to do as much as possible on my own.” To solve thedilemma of needing to conserve time versus supporting the patient’s involvementin self- care, what principle may help the nurse?


a. Veracity


b. Fidelity


c. Justice


d. Autonomy

Autonomy

Advance directives such as the health care proxy and living willsupport what ethical principle?


a. Veracity


b. Advocacy


c. Beneficence


d. Autonomy

Autonomy

A nurse is educating themself on the ANA Code of Ethics. Whichaction by the nurse would be unethical, according to the ANA Code of Ethics?


a. Joining unions or bargaining units


b. Engaging in lobbying related to health care issues


c. Reporting an incompetent or impaired colleague


d. Refusing to care for a patient who is diagnosed as HIV positive

Refusing to care for a patient who is diagnosed as HIV positive

Which action by the nurse shows an understanding of the ethicalprinciple of autonomy?


a. Allowing a patient the right to make decisions regarding his health care even if the nurse does not agree with his decisions.


b. Making decisions for the patient regarding his care


c. Disregarding the patient’s decisions because they are not “normal” according to society


d. Consulting the attending physician to make decisions for the patient

Allowing a patient the right to make decisions regarding his health care even if the nurse does not agree with his decisions.

The nurse is educating a coworker on the ethical principle ofbeneficence. The nurse judges the teaching to be effective when her coworkerstates:


a. “Beneficence involves allowing patient to make their own health care decisions.”


b. “Beneficence is the duty to actively do good for patients.”


c. “Beneficence is the duty to do no harm.”


d. “Beneficence involves treating all patients equally.”

Beneficence is the duty to actively do good for patients.

A nurse is caring for a patient who has just been diagnosed withcancer. The patient’s family has requested that the patient not be told at thistime because it would be devastating. The patient asks the nurse if thediagnosis is cancer. If the nurse were to uphold the ethical principle ofveracity, what would the response be?


a. “No, you do not have cancer.”


b. “The physician is unsure of your diagnosis at this time.”


c. “Yes, that is the diagnosis. Let me call the doctor so that we can have a discussion.”


d. “Yes, but your family told me that I could not talk to you about the diagnosis.”

Yes, that is the diagnosis. Let me call the doctor so that we can have a discussion.

A nurse is giving a presentation on malpractice. Which statementindicates the nurse understands malpractice?


a. “The elements of duty, breach of duty, and patient injury must be present for a malpractice claim.”


b. “Negligent nursing care and failure to follow standards must be present for a malpractice claim.”


c. “Failure to report, defamation, and discrimination must be present for a malpractice claim.”


d. “Error in judgment and invasion of privacy must be present for a malpractice claim.”

The elements of duty, breach of duty, and patient injury must be present for a malpractice claim.

In transcribing orders for a patient, the nurse finds a new orderfor aspirin, 500 mg, QID. The patient has a long history of gastrointestinalbleeding. What is the best nursing action?


a. Give the medication.


b. Withhold the medication and chart why it was not given.


c. Call the physician and question the order in light of the patient’s history.


d. Ask if the patient is allergic to aspirin.

Call the physician and question the order in light of the patient’s history.

What is a correct statement regarding a nurse who acts beyond thescope of practice?


a. Demonstrates what a good nurse he or she can be


b. Provides enriched services to patients who would not otherwise receive them


c. May make other nurses angry because of the increased expectations created


d. May be disciplined by the board of nursing

May be disciplined by the board of nursing

Which error in judgment would be the most serious for the nursedefendant in a legal case? a. Discussing the case with the plaintiff


b. Tampering with the chart


c. Hiding information from the plaintiff’s attorney


d. Being discourteous on the witness stand

Tampering with the chart

What would be the most effective way for a nurse to validate“informed consent?”


a. Check the chart for a completed and signed consent form.


b. Determine from the physician what was discussed with the patient.


c. Ask the family whether the patient understands the procedure.


d. Ask the patient what he or she understand regarding the procedure.

Ask the patient what he or she understand regarding the procedure.

A nurse is providing care to a 6-year-old child with a broken arm.The nurse notices multiple bruises. The child says, “my father got mad becauseI was bad, and he hit and broke my arm so that I would remember to be good.”What is the best nursing action?


a. Chart that the child is a victim of abuse.


b. Do nothing because the nurse cannot prove the child was abused.


c. Report the situation to the appropriate authorities.


d. Ignore what the child said because little children often lie.

Report the situation to the appropriate authorities.

What action might be taken on a nurse who commits an infraction ofthe Nurse Practice Act?


a. The nurse is subject to discipline by a court of law.


b. The nurse is subject to discipline by the state board of nursing.


c. The nurse is subject to discipline by the local chapter of the state nurses association.


d. The nurse is subject to discipline by the National League for Nursing

The nurse is subject to discipline by the state board of nursing

A student nurse is studying assault and battery. The studentinterprets assault and battery to include


a. the nurse, without consent, touched the patient in an offensive, insulting, or injurious way.


b. the nurse threatened to put the patient in restraints if they did not stay in bed.


c. the nurse said the bill has to be paid before the patient can leave.


d. the nurse failed to perform an act expected of a reasonable nurse.

the nurse, without consent, touched the patient in an offensive, insulting, or injurious way.

A nurse understands informed consent when making which of thefollowing statements?


a. “Informed consent is a binding agreement.” b. “Informed consent involves filling out an incident report.”


c. “Informed consent occurs when the patient receives information about a procedure before giving consent.”


d. “Informed consent is a name for a written legal policy.”

Informed consent occurs when the patient receives information about a procedure before giving consent.

Which definition, given by the nurse indicates understanding ofmalpractice?


a. “Malpractice is a criminal act committed against society.”


b. “Malpractice means doing something a reasonable person or nurse would not do.”


c. “Malpractice is an intentional professional act of negligence.”


d. “Malpractice is a professional act or failure to act that leads to injury of a patient.”

Malpractice is a professional act or failure to act that leads to injury of a patient.

A nurse tells a patient, “If you don’t stop getting out of thatchair, I’m going to put some restraints on you.” What may this nurse be accusedof?


a. False imprisonment


b. Defamation


c. Invasion of privacy


d. Malpractice

False imprisonment

During a malpractice suit, how can the standard of “what the wiseand prudent nurse would do” best be established?


a. From the testimony of an expert nurse


b. By consulting with nursing faculty regarding standards of care


c. Conferring with a lawyer regarding malpractice parameters


d. By consulting the standards of The Joint Commissions

From the testimony of an expert nurse

During a life-threatening emergency, a nurse hurriedly gives thepatient a medication by IV push. There is extravasation of medication. Later,necrosis and tissue sloughing take place. The nurse’s behavior may be the basisfor what action?


a. Felony charge


b. Misdemeanor charge


c. Tort suit


d. Defamation suit

Tort suit

At the time of admission, a patient gave a history of allergy to penicillinthat was duly noted in all critical areas of the patient’s record. While givingmedications, a nurse accidentally administered penicillin to this patient. Thepatient had a severe reaction but recovered. What is the implication of thenurse’s action?


a. The nurse cannot be sued for malpractice because the patient did not directly the nurse of the allergy.


b. The nurse failed to act in a reasonable and prudent fashion and thus is liable for malpractice.


c. The nurse who gave the medication can bring a countersuit against the nurse who took the history.


d. There is no cause for concern because the action did not result in the patient’s death.

The nurse failed to act in a reasonable and prudent fashion and thus is liable for malpractice.

In a legal suit, what element is necessary to prove a tort hasbeen committed?


a. Intent


b. Assault


c. Injury


d. Malpractice

Injury

What is a significant action a nurse can take to prevent beingnamed in malpractice suits?


a. Refuse to care for suit-prone patients.


b. Carry professional liability insurance.


c. Maintain updated professional knowledge and skills.


d. Check with a nursing supervisor before undertaking care.

Maintain updated professional knowledge and skills.

A nurse has relocated to another state and wants to find afull-time nursing job. What action should be taken first in order to providecare as a nurse?


a. Begin applying for jobs at the local hospital. b. Contact the board of nursing in the nurse’s new state to obtain licensure to practice.


c. Begin practicing immediately, as the nurse is still licensed in the formerly lived in state.


d. Begin practice on a part-time basis so that a new license is not needed.

Contact the board of nursing in the nurse’s new state to obtain licensure to practice.

The nurse has an adequate understanding of nurse practice actswhen stating which of the following?


a. “Nurse practice acts do not help guide nurses.”


b. “Nurse practice acts describe how to prepare for the NCLEX exam.”


c. “Nurse practice acts describe how and when to renew a nursing license.”


d. “Nurse practice acts provide a list of job openings.”

Nurse practice acts describe how and when to renew a nursing license.

A nurse wants to avoid malpractice claims. What action can betaken to greatly reduce the risk of a lawsuit?


a. Reduce work status to part time.


b. Implement fall precautions on an older adult patient.


c. Leave clutter on the floor in patient rooms. d. Leave the patient’s bed in the highest position.

Implement fall precautions on an older adult patient.

Which statement by the nurse indicates understanding of the nursepractice act?


a. “The nurse practice act defends any action the nurse may take.”


b. “The nurse practice act defines the scope of practice for each level of licensure.”


c. “The nurse practice act details pay raises for each year of service to an organization.”


d. “The nurse practice act has language that grants nurses vacation time.”

The nurse practice act defines the scope of practice for each level of licensure.

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 medical facilities meet patient safety guidelines.


d. inspecting hospitals for compliance of infection control standards.

ensuring medical facilities meet patient safety guidelines.

A nurse is reviewing the technique used to identify the factorsinvolved in an error. Which statement indicates the nurse has an adequateunderstanding?


a. “The rapid cycle test is a technique that is widely used.”


b. “A root cause analysis is a process designed to investigate and categorize the root cause of the event.”


c. “A failure mode and effects analysis is a procedure to investigate the cause of the error.”


d. “Define, measure, analyze, improve, control prevents events from occurring.”

A root cause analysis is a process designed to investigate and categorize the root cause of the event.

A nurse is discussing the Pareto principle (80/20 rule), whichleads to the idea of total quality management. Which statement indicates anadequate understanding of this principle?


a. Peter Pareto


b. Joseph Juran


c. Phillip Crosby


d. Edward Deming

Joseph Juran

A nurse is interested in becoming credentialed as a CertifiedProfessional in Health Care Quality. Which action would the nurse take toachieve 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.

Take an exam.

Thenurse manager has an adequate understanding of root cause analysis when statingwhich of the following?


a. “Root cause analysis determines who to place the blame on.”


b. “Root cause analysis can identify some factors leading up to an error.”


c. “Root cause analysis is rarely conducted effectively.”


d. “Root cause analysis investigates the root causes of events that occur.”

Root cause analysis investigates the root causes of events that occur.

A nurse is educating students on the history of qualityimprovement. The teaching has been effective when one of the students statesthat the historically, quality improvement focused on


a. “controlling process by inspection so that errors were prevented.”


b. “quality improvement did not begin until recently.”


c. “proactive approaches to lessen errors.”


d. “error prevention strategies.”

controlling process by inspection so that errors were prevented.

A nurse is explaining to another nurse about the contributions ofEdward Deming. The nurse judges that the explanation is effective when thenurse states:


a. “Quality is the responsibility of everyone within an organization.”


b. “Quality is the responsibility of the quality control inspector.”


c. “Quality is the responsibility of the CEO of the organization.”


d. “Quality is the responsibility of the manager of the organization.”

Quality is the responsibility of everyone within an organization.

Which of the following statements by the nurse indicates anunderstanding 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.”

QSEN helps prepare future nurses for improving patient safety.

A nurse manager is brainstorming quality improvement methods.Which action would help implement these methods on the assigned unit? a. Continue without change.


b. Resist change from upper management.


c. Empower employees to carry out needed strategies for change.


d. Agree to change what is directly beneficial.

Agree to change what is directly beneficial.

Which of the following are considered core measures and monitoredby The Joint Commission? (Select all that apply.)


a. Code arrests infection rates


b. Advance directives


c. Medication error rates


d. Nurse staffing and vacation patterns


e. Restraint use


f. Numbers of hospital admissions

a. Code arrests infection rates


b. Advance directives


c. Medication error rates


e. Restraint use

A nurse has an adequate understanding of barriers to qualityimprovement when stating which of the following? (Select all that apply.) a. “Cost is a barrier in quality improvement.”


b. “There are no barriers to quality improvement.”


c. “Nurses’ loyalty to old practices is a barrier.” d. “Failure to recognize that change is needed is a barrier.”


e. “Being unwilling to change is a barrier.”

a. “Cost is a barrier in quality improvement.”


c. “Nurses’ loyalty to old practices is a barrier.” d. “Failure to recognize that change is needed is a barrier.”


e. “Being unwilling to change is a barrier.”