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    Exam Review

    1. When providing care to a patient whose beliefs differ from the nurse's own, how should the nurse demonstrate integrity?
      A)
      Ask a colleague to take over the patient's care due to conflicting beliefs.
      B)
      Attempt to educate the patient on why the nurse's beliefs might be more beneficial.
      C)
      Provide care based on the nurse's personal beliefs.
      D)
      Respect the patient's beliefs and provide unbiased care.
    2. A nurse is preparing a care plan for a patient expressing interest in holistic health practices. Which intervention best demonstrates the nurse's application of holistic nursing principles?
      A)
      Educate the patient on the benefits of complementary and alternative medicine (CAM) techniques such as acupuncture and meditation.
      B)
      Focus solely on managing the patient's physical symptoms through prescribed medications.
      C)
      Refer the patient only to conventional health care providers for treatment.
      D)
      Provide education on nutrition while ignoring the patient's emotional and spiritual needs.
    3. A nurse manager is developing a plan to enhance nursing accountability within the unit. Which strategy is most effective?
      A)
      Implementing a peer review process for evaluating nursing practice.
      B)
      Requiring nurses to report all errors to the administration only.
      C)
      Mandating additional paperwork for every nursing task.
      D)
      Encouraging nurses to work independently without oversight.
    4. A patient with a terminal illness wishes to discontinue life support against the family's wishes. As a nurse, which ethical principle should guide your support for the patient's decision?
      A)
      Autonomy
      B)
      Nonmaleficence
      C)
      Justice
      D)
      Beneficence
    Page 1 of 13

    Exam Review

    1. A nurse manager wants to implement a laissez-faire leadership style in the unit. Which of the following scenarios would most likely benefit from this approach?
      A)
      Experienced nurses working independently on a research project
      B)
      Developing a new protocol for emergency situations
      C)
      Training new graduates in clinical skills
      D)
      A team of nurses developing a patient care plan collaboratively
    2. A research study involving human subjects is being planned. Which of the following actions should the Institutional Review Board (IRB) prioritize to ensure ethical compliance?
      A)
      Evaluate the research team's academic credentials.
      B)
      Ensure participants are provided with informed consent forms detailing their rights.
      C)
      Determine the study's potential for high publication impact.
      D)
      Review the study's budget to ensure financial feasibility.
    3. A hospital is conducting research and needs access to patient records. Under HIPAA, what is a required condition for research-related disclosure of
      A)
      The hospital must obtain explicit HIPAA Authorization from the patients.
      B)
      The hospital can share PHI with internal researchers without restrictions.
      C)
      The hospital can disclose PHI without patient consent for research purposes.
      D)
      The hospital can use PHI for research as long as it is anonymized.
    4. A nurse is preparing to administer a medication to a patient. Which action demonstrates the nurse's accountability in this situation?
      A)
      Delegating the task to a nursing assistant without supervision.
      B)
      Relying solely on the electronic health record for dosing information.
      C)
      Administering the medication without verifying the patient's identity.
      D)
      Consulting the patient's chart for potential allergies before administration.
    Page 2 of 13

    Exam Review

    1. A nurse is starting a shift in an acute care setting and receives the following client reports. Which client should the nurse prioritize to assess first?
      A)
      A client in heart failure with 2+ edema in the lower extremities
      B)
      A client with pneumonia and a saturation of 92%
      C)
      A post-op client with no bowel sounds in the last 12 hours
      D)
      A client in renal failure with elevated serum potassium levels needing dialysis
    2. A nurse is assessing a client who complains of severe headache and dizziness. What is the best method to document this subjective data?
      A)
      Provide detailed observations of the client's facial expressions.
      B)
      Document the client's statements in direct quotes.
      C)
      Avoid documenting subjective data unless supported by objective findings.
      D)
      Summarize the client's symptoms using medical terms.
    3. In considering the ethical implications of organ transplantation, which principle primarily addresses the fair allocation of organs?
      A)
      Justice
      B)
      Autonomy
      C)
      Beneficence
      D)
      Nonmaleficence
    4. A novice nurse struggles with prioritizing client care. According to Benner's novice-to-expert model, what is the most effective approach to improve their clinical judgment?
      A)
      Advise the nurse to focus solely on memorizing protocols.
      B)
      Assign the nurse to administrative tasks to avoid direct client care.
      C)
      Encourage the nurse to independently manage critical cases.
      D)
      Provide opportunities to observe and collaborate with experienced nurses.
    Page 3 of 13

    Exam Review

    1. A nurse is faced with a dilemma where the hospital's policy conflicts with the ethical standards of care. How should the nurse address this situation to maintain integrity?
      A)
      Seek guidance from the hospital's ethics committee while advocating for the patient.
      B)
      Discuss the issue with the patient's family and let them decide.
      C)
      Follow the hospital policy strictly to avoid any disciplinary action.
      D)
      Ignore the policy and act according to personal judgment.
    2. A nurse is assessing a client who reports leg pain after walking for 10 minutes. Which of the following findings should the nurse document as objective data?
      A)
      The client walks with a limp.
      B)
      The client rates their pain as 3 on a scale of 0 to 10.
      C)
      The client describes the pain as burning.
      D)
      The client's partner states the client had burning leg pain.
    3. A public health nurse is collaborating with an acute care nurse to improve patient outcomes. Which strategy best reflects the principles of effective health information exchange between the two professionals?
      A)
      Sharing all patient data via email to ensure both parties have access to complete information.
      B)
      Documenting patient information on public display boards for quick reference.
      C)
      Relying solely on verbal updates during shift changes to communicate patient information.
      D)
      Utilizing a structured handoff tool like I-SBAR-R to ensure comprehensive communication.
    4. Which of the following actions would most likely promote interprofessional collaboration in a healthcare team?
      A)
      Focusing solely on individual expertise rather than team input.
      B)
      Making decisions independently without consulting team members.
      C)
      Avoiding communication with other team members to minimize conflicts.
      D)
      Ensuring that each team member is aware of their roles and responsibilities.
    Page 4 of 13

    Exam Review

    1. A nurse is planning care for a patient from a culture where family involvement is critical in health decisions. What should the nurse do to ensure cult competent care?
      A)
      Collaborate with the family in the decision-making process and incorporate their preferences in the care plan.
      B)
      Make all decisions independently to avoid confusion and ensure efficiency in care delivery.
      C)
      Educate the family about the nurse's professional authority and their limited role in decision-making.
      D)
      Limit family interactions to only emergency situations to maintain professional boundaries.
    2. A nurse is attending to an adolescent client who requests confidentiality regarding their positive pregnancy test. What should the nurse do to maintain this confidentiality?
      A)
      Document the result in the electronic health record with restricted access.
      B)
      Inform the parents immediately.
      C)
      Ask the client to inform their parents.
      D)
      Discuss the result with the entire healthcare team.
    3. A nurse is reviewing a client's request for their medical records. Which action is compliant with HIPAA regulations?
      A)
      Provide the client an electronic copy of their records upon request.
      B)
      Only allow the client to view the records in person without providing copies.
      C)
      Refuse the client's request unless they provide a notarized authorization.
      D)
      Charge the client an excessive fee to discourage requests.
    4. A nurse is preparing a client for a surgical procedure. The client expresses confusion about the risks involved in the surgery. What is the nurse's most appropriate action?
      A)
      Proceed with obtaining the client's signature on the informed consent form.
      B)
      Explain the risks of the procedure to the client in detail.
      C)
      Notify the provider about the client's confusion and request clarification.
      D)
      Cancel the procedure until the client feels ready to proceed.
    Page 5 of 13

    Exam Review

    1. Considering the projected nursing shortage and the need for a paradigm shift in nursing deployment, what is a key strategy for addressing this issue?
      A)
      Reducing nursing education requirements to faster fill vacancies.
      B)
      Enhancing nursing education to focus on care coordination and interdisciplinary collaboration.
      C)
      Increasing the number of nurses in managerial positions.
      D)
      Increasing pay for hospital-based acute care nurses.
    2. Dorothea Dix was appointed as the Superintendent of Army Nurses during the Civil War. What key contributions did she make in this role that impacted nursing practices?
      A)
      Developing advanced surgical techniques for war injuries.
      B)
      Establishing the first nursing school in the United States.
      C)
      Introducing antiseptic techniques to prevent infection.
      D)
      Organizing and training nursing recruits for battlefield care.
    3. What motivated Clara Barton to establish the American Red Cross?
      A)
      Her formal nursing education which prepared her for organizational leadership.
      B)
      Her experiences during the U.S. Civil War witnessing the desperate needs of soldiers.
      C)
      Her travels to Europe to study medicine and advanced nursing techniques.
      D)
      Her advocacy for mental health reform and indigenous rights inspired her efforts.
    4. A nurse is conducting a secondary prevention screening for a community group. Which intervention is most appropriate for early detection of a disease?
      A)
      Educating about healthy nutrition and exercise
      B)
      Providing transportation assistance for medical appointments
      C)
      Performing vision screening in adults over age 40
      D)
      Educating about proper hygiene techniques
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