Chapter 1 NCLEX Questions + Prequiz

A registered nurse plans to return to the nursing profession after a long hiatus. Which statement about the trend in health care services would be most important for the nurse to keep in mind? a) Hospital stays are much longer these days b) Clients enter the health care system acutely ill c) Health care delivery systems are less controversial now d) Nurses rely on intuition to make decisions today

b) Clients enter the health care system acutely ill

Who established the first public health service for the sick and poor? a) Isabel Hampton Robb b) Lillian Wald c) Dorothea Dix d) Florence Nightingale

b) Lillian Wald

A class of nursing students is studying the history of nursing. The class learns that the founder of public health nursing is: a) Linda Richards b) Lillian Wald c) Dorothea Dix d) Clara Barton

b) Lillian Wald Lillian Wald established a neighborhood nursing service for the sick and poor of the Lower East Side in NYC and was the founder of public health nursing.

Which national nursing organization serves as a primary source of research data about nursing education, and is the professional organization for nurse education? a) American Nurses Association (ANA) b) National League for Nursing (NLN) c) American Association of Colleges of Nursing (AACN) d) Sigma Theta Tau International

b) National League for Nursing (NLN) The NLN serves as the primary source of research data about nursing education, conducting annual surveys of schools and new RNs.

The client's plan of care is created by the nurse using which guideline for nursing practice? a) Nurse practice act b) Nursing process c) Nursing's Social Policy Statement d) ANA standards of nursing practice

b) Nursing process

A nurse has recently completed the administration of seasonal influenza vaccinations for the residents of a long-term care facility. Which aim of nursing has the nurse most clearly demonstrated? a) Promoting health b) Preventing illness c) Facilitating coping d) Restoring health

b) Preventing illness

The need for university-based nursing education programs was brought to light during which important historical time? a) Korean War b) WWII c) WWI d) Spanish-American War

b) WWII

Although all of the following are nursing responsibilities, which one would be expected of a nurse with a baccalaureate degree? a) collaborating with other health care providers b) using research findings to improve practice c) providing direct physical care d) administering medications as prescribed

b) using research findings to improve practice

Clara Barton

Established the Red Cross in the US in 1882.

In what time period did nursing care as we now know it begin? a) Early civilization to the 16th century b) Pre-civilization c) 16th to 17th century d) 18th to 19 century

d) 18th to 19th century

Which nursing action best exemplifies the nurse's role in promoting health? a) Administering a beta-adrenergic blocker and diuretic to a client who has a history of hypertension. b) Performing deep suctioning on a client who has a tracheotomy and copious secretions. c) Facilitating a support group for the friends and families of clients affected by stroke. d) Encouraging a group of junior high school students to engage in regular physical activity.

d) Encouraging a group of junior high school students to engage in regular physical activity.

What was one barrier to the development of the nursing profession in the US after the civil war? a) Independence of nursing orders b) Lack of influence from nursing leaders c) Hospital-based schools of nursing d) Lack od educational standards

d) Lack of educational standards

A BSN nurse is discussing the benefits of a Ban to high school students. Which of the following is the best statement by the nurse? a) BSN programs attract the most males b) most nontraditional students obtain a BSN c) BSN nurses only work in the hospital d) Many nursing management jobs require a BSN

d) Many nursing management jobs require a BSN

Which of the following best exemplifies the role of the nurse as educator? a) a nurse allowing a client to verbalize fears of death b) a nurse referring to a client to outpatient services c) a nurse researching the best way to provide care d) a nurse discussing side effects of a medication with a client

d) a nurse discussing side effects of a medication with a client

American Association of Colleges or Nursing

The AACN is the national voice for the baccalaureate and higher-degree nursing education programs and provides accreditation for collegiate nursing programs.

The American Nurses Association

The ANA is the professional organization for RNs in the US and it establishes standards of practice, encourages research to advance nursing practice, and represents nursing for legislative actions.

The Joint Commission

The Joint Commission is a US based nonprofit tax-exempt 501 organization that accredits more than 21,000 US health care organizations and programs.

Sigma Theta Tau International

This is the honor society for nursing.

Dorothea Dix

Was a pioneering crusader for the reform of the treatment of the mentally ill.

Linda Richards

Was the first trained nurse in the US.

Which of the following nursing groups provides a definition and scope of practice for nursing? a) ANA b) ICN c) The Joint Commission d) AAN

a) ANA

Which organization is the best source of information when a nurse wishes to determine whether an action is within the scope of nursing practice? a) American Nurses Association (ANA) b) National League for Nursing (NLN) c) American Association of Colleges in Nursing (AACN) d) International Council of Nurses (ICN)

a) ANA The ANA produced the 2015 Nursing: Scope and Standards of Practice which defines the activities of specific unique to nursing.

The standards of practice provide nurses with: a) Guidelines for providing care b) Measurement criteria for payment c) Evaluation of care provided by nurses d) Legislation for health care reform

a) Guidelines for providing care

A nurse wishes to advance his or her career and work as a clinical nurse specialist. Which of the following should the nurse keep in mind? a) The nurse may teach advanced education for nurses b) This requires at least a doctoral degree education c) The nurse oversees the care coordination of a group of clients d) Th nurse practices only with a private practitioner

a) The nurse may teach advanced education for nurses

A group of nursing students has attended a presentation about the National Student Nurses' Association (NSNA). Which statement by the group indicates that they have understood the information presented? a) The organization provides programs of current professional interest b) The NSNA is run by a group of RNs c) The organization is funded by the national government d) The NSNA contributes to the improvement of public health

a) The organization provides programs of current professional interest

A RN wishes to work as a nurse researcher. Which is true regarding nurse researchers? a) They are responsible for the continued development and advancement of nursing. b) They usually have a baccalaureate degree of nursing c) They tend to work in community health centers and long-term care units d) They serve as liaisons between staff members and directors of nursing

a) They are responsible for the continued development and advancement of nursing

Which of the following practices by the nurse indicate that the nurse is a professional? a) Using evidence based practice interventions b) Submitting an article to a local newspaper c) Using intuition to make client decisions d) Doing things the way they have always been done

a) Using evidence based practice interventions

Why are nursing organizations important for the continued development and improvement of nursing as a whole? a) to set standards for nursing education and practice b) to regulate work activities for members c) to provide socialization and networking for members d) to provide information to nurses about legal requirements

a) to set standards for nursing education and practice

A client admitted to the telemetry floor informs the nurse that he has an advance directive and does not wish to be resuscitated if his heart stops beating. The client takes a copy of the advance directive from his wallet and hands it to the nurse. The nurse documents on the electronic chart that the client has an advance directive, makes a copy of the advance directive, and immediately informs the client's physician. In this situation, what is the nursing role demonstrated by the nurse? a) Researcher b) Counselor c) Advocate d) Leader

c) Advocate The nursing role that focuses on advocacy involves the protection of human or legal rights and the securing of care for all clients, based on the belief that clients have the right to make informed decisions about their own health.

Which organization has established standards that help the nurse determine which clinical actions fall under the scope of nursing practice? a) National League for Nursing b) International Council of Nurses c) American Nurses Association d) State Board of Nursing

c) American Nurses Association

A nurse is caring for a young victim of a terrorist attack. During the rehab process, the nurse assists the client in bathing and dressing. What role is the nurse engaged in? a) Advocate b) Educator c) Caregiver d) Counselor

c) Caregiver

A man age 61 years is distraught because he has just learned that his most recent computed tomography (CT) scan shows that his colon cancer has metastasized to his lungs. Which of the following nursing aims should the nurse prioritize in the immediate care of this patient? a) Preventing illness b) Restoring health c) Facilitating coping d) Promoting health

c) Facilitating coping

Which individual provided community-based care and founded public health nursing? a) Mary Adelaide Nutting b) Clara Barton c) Lillian Wald d) Sojourner Truth

c) Lillian Wald

Which of the following is a characteristic of nursing practices from early civilization to the 16th century? a) Nursing changed from a spiritual focus to an emphasis on knowledge expansion. b) The physician was the priest who treated disease with prayer. c) Most early civilizations believed that illness had supernatural causes. d) The nurse was a nun committed to caring for the needs and homeless.

c) Most early civilizations believed that illness had supernatural causes

The nurse is providing flu shots to elderly clients at a nurse managed wellness center. This is an example of which following aims of nursing? a) Restoring health b) Promoting health literacy c) Preventing illness d) Coping with disability

c) Preventing illness