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    Exam Review

    1. A nurse is caring for an adolescent client who has recently sent the nurse a request to communicate on a social network. Which of the following is an appropriate response by the nurse?
      A)
      "I'll need to wait until my shift ends to communicate via social network."
      B)
      "I'll need a parent's permission to communicate with you via a social network."
      C)
      "It isn't appropriate for me to interact with clients on social networks."
    2. A nurse is caring for a client who is unconscious and has advance directives indicating artificial nutrition should be initiated if necessary. By upholding the client's directive, the nurse is adhering to which of the following?
      A)
      Altruism
      B)
      Paternalism
      C)
      Autonomy
    3. An experienced nurse is helping a newly licensed nurse understand the concept of assertiveness. Which of the following actions is assertive?
      A)
      Using silence when a team discussion is becoming uncomfortable
      B)
      Discussing feeling unprepared for an assignment with the charge nurse
      C)
      Apologizing to a coworker for needing help in finishing an assignment
    4. A nurse is reviewing legal principles associated with nursing practice. Which of the following is an example of negligence?
      A)
      Administering an incorrect dosage of a medication to a client
      B)
      Placing restraints on a client without notifying the provider
      C)
      Giving an intramuscular medication after a client refuses it
    Page 1 of 15

    Exam Review

    1. A nurse is caring for a client who is receiving chemotherapy. The client tells the nurse, "I'm so tired of these treatments and don't want to continue them." Which of the following responses by the nurse is appropriate?
      A)
      "I respect your decision. I will communicate your choice with the appropriate personnel."
      B)
      "Why are you wanting to stop treatment? It provides the best chance for survival."
      C)
      "You're going to do just fine. You need to continue with the treatments as prescribed."
    2. A nurse is preparing an article for publication in a professional nursing journal. Which of the following is an appropriate action by the nurse to avoid plagiarism?
      A)
      Resubmitting work previously published in a local magazine
      B)
      Presenting new ideas to supplement referenced material
      C)
      Listing numerous secondary sources as references
    3. A newly licensed nurse and a nurse manager are discussing the importance of lifelong learning. Which of the following statements by the newly licensed nurse requires additional discussion?
      A)
      "Obtaining CPR certification is optional for long-term care nurses."
      B)
      "I'm too busy at this time to continue my formal education, but I'll continue to read journal articles."
      C)
      "I should access government-sponsored Internet sites as a way to review health care updates."
    4. A nurse is caring for a client who has end-stage renal disease and desires to stop dialysis. Which of the following responses by the nurse acknowledges the client's right to self-determination?
      A)
      "I understand this was a difficult choice to make, and I support your decision."
      B)
      "Have you considered the consequences of this decision on your health?"
      C)
      "You should wait and make this decision after talking with your family."
    Page 2 of 15

    Exam Review

    1. A nurse is explaining to a newly licensed nurse what distinguishes nursing as a professional career from nursing as an occupation. Which of the following attitudes exemplifies nursing professionalism?
      A)
      Significant job responsibilities
      B)
      Commitment to continuous learning
      C)
      Adequate compensation for service
    2. A nurse manager is working with a nurse who has agreed to serve as a preceptor for the first time. Which of the following statements by the nurse indicates an understanding of the responsibilities associated with this new role?
      A)
      "I will allow new nurses to use trial and error to determine what actions to take."
      B)
      "I will provide constructive feedback to assist new nurses in developing critical thinking skills."
      C)
      "I will remain with new nurses whenever they enter a client's room."
    3. A nurse reports to the nurse manager that a coworker is engaging in unethical nursing practices. Which of the following aspects of professional behavior does the nurse's report of a coworker demonstrate?
      A)
      Perseverance
      B)
      Competency
      C)
      Integrity
    4. A nurse is functioning as a member of an interprofessional team. To be an effective member, the nurse should be knowledgeable of which of the following?
      A)
      Team members' learning styles
      B)
      Scope of practice of the team members
      C)
      How to perform the tasks of the team members
    Page 3 of 15

    Exam Review

    1. A nurse is preparing a workshop for the unit staff on the involvement of nurses in the political process. Which of the following should be emphasized in this workshop?
      A)
      Nurses as a group should use coercive power to direct policy development
      B)
      Nurses should prevent the development of coalitions within the health care facility
      C)
      Nurses should voice community health concerns to elected officials
    2. A newly licensed nurse is talking with his mentor about professional responsibilities of involvement in professional organizations, such as the American Nurses Association (ANA). For additional information, the mentor should direct the newly licensed nurse to which of the following resources?
      A)
      ANA Social Policy Statement
      B)
      State nurse practice act
      C)
      ANA Scope & Standards of Practice
    3. A nurse manager is removing a nurse who is suspected of being chemically impaired from the facility. Which of the following is an appropriate action by the nurse manager?
      A)
      Arranging a way for the nurse to get home
      B)
      Searching for controlled substances in the nurse's belongings
      C)
      Scheduling a formal meeting with the nurse within 72 hr
    4. A nurse is reviewing the purpose of various professional nursing associations. Which of the following is a function of the American Nurses Association?
      A)
      To provide political representation for registered nurses
      B)
      To ensure schools of nursing are nationally accredited
      C)
      To offer training programs for nursing competencies
    Page 4 of 15

    Exam Review

    1. A nurse educator is discussing Benner's Stages of Nursing Expertise with a group of newly licensed nurses. Which of the following is a characteristic of an expert nurse?
      A)
      Demonstrates analytic abilities in new situations
      B)
      Uses general rules to guide decision-making
      C)
      Prefers being told appropriate actions to take
    2. A nursing team leader is presenting an in-service program about the importance of caring. Which of the following ethical principles specifically addresses doing good?
      A)
      Morality
      B)
      Justice
      C)
      Beneficence
    3. A nurse recognizes a change in a colleague's behavior and suspects the nurse is practicing while chemically impaired. Which of the following actions should the nurse take?
      A)
      Notify the nurse manager.
      B)
      Ask the colleague if he is impaired.
      C)
      Contact risk management.
    4. A newly licensed nurse accepts a position on a medical-surgical unit. Which of the following is an example of the nurse displaying confidence?
      A)
      Gathering supplies before entering a client's room to insert an indwelling urinary catheter
      B)
      Delaying documentation of clinical findings until approved by the charge nurse
      C)
      Redirecting the conversation when a client who is terminal asks about the dying process
    Page 5 of 15

    Exam Review

    1. A nurse recommends that a group of newly licensed nurses read current nursing research to maintain professional competence. Maintaining competence supports which of the following aspects of professional nursing practice?
      A)
      Resilience
      B)
      Accountability
      C)
      Autonomy
    2. A newly licensed nurse commits a medication error resulting in no harm to the client. Which of the following actions should the nurse take first?
      A)
      Notify the provider about the error.
      B)
      Contact risk management about the error.
      C)
      Document the error in the client's medical record.
    3. A group of nurses is attending an in-service regarding lateral violence. Which of the following situations is an example of lateral violence? (Select all that apply.)
      A)
      A nurse discovers a medication error and teaches the nurse who made the error about proper procedure.
      B)
      A nurse criticizes another nurse for not managing a client's pain appropriately.
      C)
      A nurse is complaining at the nurses' station about another nurse on the unit.
      D)
      A nurse is avoiding a newly hired nurse in order to make him feel isolated.
      E)
      A provider raises her voice to the charge nurse to show dissatisfaction with a decision.
    4. A nurse is planning a presentation on the concept of lifelong learning. Which of the following information should the nurse include?
      A)
      Acquiring an advanced degree is recommended to maintain competency.
      B)
      Lifelong learning is a factor in improving client outcomes.
      C)
      Belonging to a professional nursing organization is essential to continue lifelong learning
    Page 6 of 15