Question 1 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 2 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 3 Which of the following is required by the RN and should not be delegated?
a) Hygiene
b) Feeding
c) Vital signs
d) Assessment
Question 4 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 5 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 6 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 7 Adults over the age of 65 are still at risk for infectious disease. All of the following are correct vaccines for this age group EXCEPT
a) PCV13 1xdose
b) HPV annually
c) Influenza annually
d) Tetanus booster every 10 years
Question 8 A nurse who wants to become more culturally competent understands
a) Culture extends beyond race
b) Cultural awareness is only about the patient
c) Stereotyping is necessary for proper care
d) Self-identity and analysis are only helpful if the patient is of a different culture
Question 9 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 10 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 11As telehealth services become more widespread, an aspect related to this type of care includes
Question 11 options:
a) Is an out of pocket expense
b) Is only set up to assist the elderly population
c) Uses video conferencing to reach those unable to get to providers
d) Costs more than in-person care
Question 12 Which of the following is NOT a related theory of Orem's Self-Care Deficit Theory?
a) Theory of Self-Care
b) Theory of Self-Care Deficit
c) Theory of Nursing Systems
d) Theory of Interpersonal Relations
Question 13 Katharine Kolcaba's Theory of Comfort focuses on a specific concept of comfort. All of the following relate to this theory EXCEPT?
a) Environment plays a key role in enhancing comfort
b) It is a grand theory
c) Relief, ease, and transcendence are major concepts
d) It is a middle-range theory
Question 14 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 15 Which of the following is an agreement that offers power in numbers?
a) Representation
b) Collegiality
c) Shared governance
d) Collective bargaining
Question 16 Primary prevention is key in the fight against chronic disease. Which of the below is an example of primary prevention?
a) Blood pressure screenings at the local pharmacy
b) Educating adolescents at the city high school's the importance of healthy eating and exercise
c) Developing a diabetes management program
d) Instructing stroke patients to begin an exercise regimen
Question 17 Which is a nursing assessment related to the whole person in body, mind, and spirit?
a) Comprehensive
b) Holistic
c) Focused
d) Abbreviated
Question 18 The Institute of Medicines' Five Core Competencies were developed for all healthcare workers. Which of the following definition matches with its competency?
a) Provide patient centered care = informs on the importance of technology
b) Utilizing informatics = guides on best research outcomes for patient care
c) Work in interdisciplinary teams = focuses on respect for differences in patients
d) Apply quality improvement = informs on importance of identifying unsafe practices
Question 19 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 20 Which of the following is true related to a pandemic and an 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 21 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 22 When considering disasters, the public health nurse knows their role will include all these EXCEPT:
a) Preparedness
b) Recovery
c) Reclaiming
d) Response
Question 23 A step of Evidence-Based Practice process is to ask the clinical question in PICOT format. Which of the following is the best example of the question in this format?
a) In teenagers, how does cognitive-behavioral skills building compared to yoga affect anxiety after 6 weeks of treatment?
b) How does cognitive-behavioral skills building compared to yoga affect anxiety after 6 weeks of treatment?
c) In teenagers, how does cognitive-behavioral skills building affect anxiety after 6 weeks of treatment?
d) How does cognitive-behavioral skills building compared to yoga affect anxiety?
Question 24 Emergency plans for older adults are imperative. The American Red Cross has several plans available for different possible disasters. Which item is always at the top of the list?
a) Water
b) Extra batteries
c) Cell phone
d) Food
Question 25 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 26 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 27 When selecting teaching materials for a community education project, the nurse should consider the below related to the target audience?
a) Age
b) Primary spoken language
c) Presentation site
d) All of the above
Question 28 Which is a technique to assist in dealing with on the job physical and emotional stress and trauma?
a) Recycling
b) Debriefing
c) Inventing
d) Deliberating
Question 29 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 30 Barriers to evidence-based practice often include resistance to change. Which of the following can best assist in overcoming this barrier?
a) Building a culture that supports inquiry towards evidence-based practice
b) Requiring staff to accept the change
c) Setting a time-frame for making the change
d) Discussing at length the change until it is accepted
Question 31 Upholding integrity is an important concept throughout nursing theories. All of the following are examples of breaking integrity EXCEPT
a) Covering up a medication mistakez
b) Fabricating job skills on a resume
c) Charting a late entry with identifying it as late
d) Taking overstock of supplies for a sick family member
Question 32 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 33 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 34 Which of the following is the best explanation of what the Institutional 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 35 Nurses have a duty to care for patients without causing harm. Which of the following civil law could be broke with a breach in confidentiality?
a) Quasi-Intentional Tort
b) Felony
c) Malpractice
d) Misdemeanor
Question 36 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 37 A nurse who uses focus group discussions and one-on-one interviews to collect data is utilizing which type of research?
Qualitative
Quantitative
Experimental
Quasi-Experimental
Question 38 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 39 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
Question 40 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 41 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 42All of the below are effective strategies to engage others in Evidence-based practice change EXCEPT?
a) Using experts 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 43 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 44 Erikson developed 8 psychosocial conflicts people navigate through over a life-span. The final stage of Ego Integrity vs Despair is about finding?
a) Love
b) Hope
c) Wisdom
d) Purpose
Question 45 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 46 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 47 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 48 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 49 The Minnesota Intervention Wheel, a public health nursing tool, includes what three levels of public health practice focus?
a) Emergency rooms, Clinic, Hospital
b) Community, Systems, Individual/Family
c) Homecare, Community, Emergency care
d) Hospitals, Systems, Homecare
Question 50 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 51 What is NOT a correct statement regarding ethics in research?
a) Simple human surveys do not require an Institutional Review Board (IRB) review
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 52 In public health nursing, collaborative partnerships are essential. Which item below describes the essence of this process?
a) Letting only experts complete planning phases
b) An alliance of individuals and organizations
c) Organizations having their own purpose
d) Focusing on the individual
Question 53 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 54 A vital step in Erikson's Ego vs Despair phase includes the older adult to participate in?
a) Storytelling through reminiscent interventions
b) Promotion of self-acceptance
c) Restructuring of memories towards a positive outlook
d) All of the above
Question 55 Which of the following is an important concept in appraising qualitative studies?
Comprehension
Timing
Trustworthiness
Relevance
Question 56 Physical labor, work hours, staffing issues can all contribute to which of the following in nursing?
a) Increased collaboration
b) Higher pay
c) Role strain and stress
d) Increased knowledge and skill
Question 57 Which theorist describes nursing as a healing art and an interpersonal process between two people focused on a goal through several phases?
a) Beck's theory of postpartum depression
b) King's open systems theory
c) Peplau's interpersonal relations theory
d) Maslow's hierarchy of human needs
Question 58 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 59 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 60 Workplace violence is part of the nursing profession and includes all of the following EXCEPT
a) Intimidation to overpower another staff member
b) Harassment of new employees
c) Physically and verbally aggressive patients
d) Rude behavior by a staff after a bad day
