Exam 1 ATI Test Questions: NUR3000

A nurse is educating a group of nurses about the Nurse Practice Act (NPA). Which of the following statements should the nurse include? Select all that apply. -The NPA contains the current laws and regulations for nursing practice -The NPA is the same for all states -The NPA contains standards and scope of practice -The federal government enforces the NPA for each state -The nurse is responsible to know the current roles and responsibilities defined by the NPA

-The NPA contains the current laws and regulations for nursing practice -The NPA contains standards and scope of practice -The nurse is responsible to know the current roles and responsibilities defined by the NPA The NPA can vary from state to state. The state legislature assigns a regulatory body such as the state board of nursing. This regulatory body has the authority to enforce the NPA, not the federal government.

A graduate nurse is offered a position in the emergency department upon the granting of initial licensure. Which of the following information should the graduate nurse identify as a requirement during the initial licensure process? select all that apply. -Verification of graduation -Criminal background check in certain states -passing score on the NCLEX -Submitting continuing education hours with the application -self-disclosure of any substance use in the past 5 years

-Verification of graduation -Criminal background check -Passing NCLEX score -Self-disclosure of any substance abuse in the past 5 years. Submitting education hours is a requirement in certain states for renewal of licensure, which occurs every 2 years, but is not a requirement in the initial licensure process.

A nurse is caring for aclient who tells the nurse they want to quit smoking. The nurse provides the client with information about smoking cessation and other ways to improve their health. Which of the following nursing roles is the nurse demonstrating? Select all that apply -advocate -collaborator -change manager -health promoter -nurse educator

-health promoter -nurse educator The nurse is serving as a health promoter by providing the client with information about smoking cessation and health improvement. The concept of educating clients to promote health is a priority to support individuals taking care and control of their own physical and mental health The nurse is serving as a nurse educator by providing educational information to the client regarding smoking cessation and other cessation empowers the client and helps the client improve their overall health and quality of life.

A nurse is providing client care using the nursing process. The nurse should identify which of the following standards or guidelines includes this criterion? A. standards of care B. Clinical practice guidelines C. Standards of practice D. Standard to plan nursing care

C. Standards of practice Standards of practice are explanatory statements that describe a competent level of care for all nurses using the critical thinking model known as the nursing process. Nursing has general standards of practice to which every nurse is held accountable.

A newly licensed nurse is reviewing Benner's Novice to Expert Model for nursing competence. At which of the following stages does the nurse first develop the ability to prioritize tasks by drawing on experience? a. Advanced beginner b. Proficient c. Competent d. Novice

C. competent The nurst in the competent stage is able to prioritize tasks by drawing on past experience. The competent nurse does not prioritize as quickly as a proficient nurse, but they do have mastery in multiple areas.

Which of the following agencies provides The Nursing Scope of Standards of Practice?

The American Nurses Association (ANA)

A nuse is reviewing the Institute of Medicine (IOM) Future of Nursing report to better understand proposed educational requirements of nurses. Which of the following organization is responsible for publishing this report?

The National Academy of Medicine The national academy of medicine, formerly known as IOM, published the future of nursing report in 2011, which includes how nursing education should evolve from 2010 to 2020

A nurse is discussing culturally competent care with another nurse. Which of the following statements should the nurse include? A. Use a medical interpreter for a client who does not speak the same language B. Provide the client with information in print only so they can have it as a resource C. Provide standard education materials to all clients for continuity D. Limit communication with the client if there is a language barrier.

Use a medical interpreter for a client who does not speak the same language The nurse should provide an interpreter for a client who speaks a different language than the nurse when providing culturally competent care. The interpreter should be able to translate in the clients native language so that information is clear and understandable

A nurse is caring for a client who reports experiencing chills and not feeling well. The nurse informs the client that they will need to have their temperature taken to monitor the manifestations. Which of the following terms describes that the nurses action is grounded in research? a. Evidence-based practice b. competencies c. lifelong learning d. change agent

a. Evidence based evidence. The nurse should identify that obtaining the temperature of a client who is not feeling well and experiencing chills is grounded in research and is referred to as evidence based practice. This type of practice indicates that actions the nurse takes have been tested with a scientific rationale for meaning, purpose, and importance.

A nurse is teaching a group of nurses and asks which of the NLN integrating competencies is defined as having respect for diversity, holistic care, client-centered approach, and client advocacy. Which of the following competencies does this describe? a. Human flourishing b. Nursing Judgement c. Patient-centered care d. Spirit of inquiry

a. Human flourishing The competency of human flourishing is defined as the nurse providing client care that demonstrates respect for diversity, approaches clients in a holistic and client-centered manner, and uses advocacy to enhance client's health.

A newly licensed nurse is reviewing info about the National Council of State Board Nursing (NCSBN) Transition to Practice (TTP) program. Which of the following factors should the nurse expect? a. TTP programs increase job retention b. TTP programs decrease the ability to provide safe client care c. TTP programs increase stress in the workplace d. TTP programs decrease competency

a. TTP programs increase job retention According to the NCSBN, new graduates who participated in the TTP program reported increased work satisfaction, resulting in higher nurse retention rates.

A nurse manager is providing education to a group of newly licensed nurses about various organizations. Which of the following information should the nurse manager include? a. The American Nurses Association's, The Code of Ethics for Nurses with Interpretive Statements guides nurses through difficult decisions. b. The national academy of Medicine developed the Healthy People Campaign to improve the health of all Americans c. The American Academy of Nursing requires members to have a doctorate degree in nursing to join. d. The National Students nurses association is an organization created to encourage students

a. The American Nurses Association created The Code of Ethics for Nurses with interpretive statements to help nurses work through ethical issues that can be complicated and sensitive in nature.

A nurse is performing the role of case manager for a client. Which of the following actions demonstrates this nursing role? a. coordinating and overseeing the care the client is receiving b. helping to develop nursing knowledge for clinical interventions c. providing knowledgeable and compassionate care to promote health and address illness. d. instructing the client on specialized topics such as diabetes care.

a. coordinating and overseeing the care the client is receiving. A case manager is an RN who coordinates and oversees client care, working with their family and the health care team, usually when clients need a variety of services.

A newly licensed nurse is reviewing electronic information about the NCLEX exam from the National Council of State Board of Nursing website. Which of the following information should the nurse identify as passing criteria for the NCLEX computerized adaptive test (CAT)? a.) The computer will stop giving items using the 95% confidence interval rule. b.) The board of nursing for each state determines the passing grade for the NCLEX exam. c.) The candidate receives the maximum number of items available. d. ) The candidate runs out of time before answering the minimum number of items is answered.

a.) the computer will stop giving items using the 95% confidence interval rule. The NCLEX is graded as pass or fail. The candidate will pass the NCLEX once it is determined by the 95% confidence interval that the candidates ability is above passing standards. This is the pass or fail criteria for the 95% confidence interval rule.

A nurse educator is planning a presentation for nurses about the opioid epidemic. Which of the following is a strategy promoted by the U.S department of Health and Human services to address this epidemic? a. continue to evaluate to determine if the use of opioids improves on its own. b. educate nurses and other health care personnel about naloxone c. keep the issue private to avoid embarrassment d. reduce efforts to explore alternative pain management practices until the opioid epidemic is over.

b. Educate nurses and other health care personnel about naloxone Promoting the use and administration techniques of overdose-reversing medication is one of the five priority strategies for the opioid epidemic. Naloxone is a medication that is promoted because it is widely available and can be administered by laypersons with minimal training.

A nurse is responsible for their actions with whom they interact professionally, including clients, colleagues, and society as a whole. Which of the following components of the practice of nursing addresses this expected behavior? a. Standard to plan nursing care b. Standards of professional performance c. standards of care d. Clinical practice guidelines

b. Standards of professional performance The standards of professional performance are a component of the nursing scope of practice, which specifies the competent level of behavior expected in the professional role. A nurse is responsible for their actions to those with whom they interact professionally including clients, their colleagues, and society as whole.

A nurse receives a license renewal notification from the board of nursing. The nurse should identify that a license renewal requires the disclosure of which of the following? a. medical history b. substance use within the past 5 years c. certifications received d. current salary

b. Substance abuse within the past 5 years. When renewing a nursing license, the applicant is required to disclose any history of criminal record, substance use within the past 5 years, and any action taken against a professional license, registration, or certification.

A nurse resides in a state that recently enacted the Nurse Licensure Compact (NLC). Which of the following info should the nurse identify as part of the NLC? a. The NLC requires a nurse to obtain a license for each state in which they wish to practice b. The NLC allows a nurse to practice across state lines with one license c. The NLC allows a nurse to have a suspended license when practicing under a multi state license d. The NLC is not a good option for telehealth nursing

b. The NLC allows a nurse to practice across state lines with one license. The NLC allows a nurse to practice in their primary state of residence and in other compact states under one multistate license.

A nurse has accepted a position at a hospital in the state where they live. The nurse should identify that which of the following regulates the nurses actions when they begin working? a. American Nurses Association (ANA) code of ethics for nurses with interpretive statements b. The state Nurse Practice Act c. The National Student Nurses Association (NSNA) d. The National League of Nursing

b. The state Nurse Practice Act Upon licensure, a nurse will follow the Nurse Practice Act for the state in which they choose to practice. This document states the rules and regulations surrounding the practice of nursing set forth by each states board of nursing.

A nurse is reviewing the licensing laws in their state of residence. Which of the following statements should the nurse use to define licensure? a. "licensure increases state revenue" b. "Licensure limits the number of practicing nurses c. "licensure protects the health and welfare of the public" d. "Licensure protects a nurse from a malpractice lawsuit"

c. "licensure protects the health and welfare of the public. Because a nurse has the potential to cause harm to a client if they are unprepared or incompetent, licensure ensures that the practicing nurse has met predetermined qualifications in providing safe and competent care.

A nurse is caring for a client who asks about healthy choices to lose weight. The nurse shares information from healthy people 2030 to address the clients questions. Which of the following describes the healthy people initiative? a. it is a program for health care practitioners to get healthy b. it is a social media platform for nurses c. it is a set of objectives for improving the health of American Lives d. It is a rehabilitation program for clients who have substance use disorders.

c. It is a set of objectives for improving the health of American lives.

A nurse is reviewing the health history of a client during a routine office visit. Which of the following observations by the nurse is an example of the client demonstrating health literacy? a. The client states they want to improve their current knowledge about their health b. The client asks for info that will help them improve their eating habits. c. The client states they understand their health care information and treatments. d. The client requests a meeting with the nurse, the physical therapist, and the provider.

c. The client states they understand their health care information and treatments. Health literacy can be ddescribed as the capacity to obtain, communicate, and understand basic health information and service in order to make appropriate health decisions. This client is demonstrating health literacy by being knowledgeable about and understanding their health care information.

A nurse is describing to another nurse how to use social media in client care. Which of the following examples should the nurse include as an acceptable use of social media? a. posting a comment on social media about facility staffing shortages b. accepting a social media friend request from a client c. reviewing the use of a fitness application with a client d. sharing client info with a coworker in private social media message.

c. reviewing the use of a fitness application with a client This is an acceptable use of social media. This can lead to an improvement in client outcomes and a healthier lifestyle

A nurse is reviewing historical nursing data and how it has impacted nursing care. The nurse should identify that which of the following nursing pioneers is credited with first using evidence based practice in caring for clients? a. Clara Barton b. Dorthea Dix c. Eddie Bernice Johnson d. Florence Nightingale.

d. Florence Nightingale Florence Nightingale is credited with first using evidence based practice. She collected data and was able to connect the unclean conditions to wound infections during the Crimean War. She reported that overall cleanliness and handwashing reduced the infection rates.

A nurse realized they forgot to take a clients vitals as frequently as prescribed. Which of the following actions should the nurse take to uphold the American Nurses Associations Code of Ethics for Nurses with Interpretive Statements? a. Take the clients vital signs now and document them as being completed 8 hr earlier. b. Document the vitals that are the same as those obtained earlier. c. Make a reminder note to be more diligent when returning the next day. d. Report this omission to the charge nurse and the nurse on the next shift.

d. Report this omission to the charge nurse and the nurse on the next shift. The Code of Ethics for Nurses with Interpretive Statements requires nurses to provide quality care responsibly and ethically.

A newly licensed nurse is reviewing the standards of care when performing client care. Which of the following describes a standard of care? a. Explanatory statements that describe the competent level of care for all nurses to follow in practice b. a component of the nursing scope of practice that specifies the competent level of behavior expected in the professional role. c. Part of the nursing scope of practice that specifies the nurses role in alleviating client suffering and promoting client healing. d. The level of care a nurse provides that is the same for all nurses who have comparable education, competency, and experience.

d. The level of care a nurse provides that is the same for all nurses who have comparable education, competency, and experience. A standard of care is defined as the level of care a nurse provides that is the same for all nurses who have a comparable education, competency and experience.

Which of the following are examples of learning opportunities for nurses? -nursing blogs or opinions -online continuing education journal articles -continuing education presentations -participating in healthcare research.

-online continuing education journal articles -continuing education presentations -participating in healthcare research. Nursing blogs or opinion pieces do not contain the rigor required to meet continuing education accreditation and may not be evidence-or research based.

A nurse is delivering client care in partnership with multidisciplinary members of the health care team. This is an example of which of the following QSEN competencies? a. Safety b. Patient-centered care c. quality improvement d. teamwork and collaboration

d. teamwork and collaboration The QSEN competency of teamwork and collaboration focuses on a nurse being aware of their own strengths and limitation and includes teamwork and collaboration within the interdisciplinary team

A Nurse holds a single state nursing license and is preparing to move to another state. For the nurse to apply for a reciprocity, which of the following actions should the nurse take? Select all that apply. -present a current and valid nursing license -submit and application -pay the fees for a new license -retake the NCLEX -Reapply for specialty nursing certifications held in their previous home state

-present a current and valid nursing license -submit and application -pay the fees for a new license The nurse who wishes to transfer must have a valid license and a clean record. They must apply for a new license and pay the fees.

A nurse is reviewing the contributions made by various nursing organizations that have impacted the nursing profession. The nurse should identify that which of the following are contributions made by the American Nurses association (ANA) select all that apply -providing a definition of nursing -lobbying for whistle blower protection -providing objective data to improve the health of society -providing all registered nurses with competency expectation -providing the nursing magazine imprint

-providing a definition of nursing -lobbying for whistle blower protection -providing all registered nurses with competency expectation

A nurse is reviewing the scope of nursing practice. Which of the following is the purpose of the nursing scope of practice? a. provides recommendations for nursing practice b. provides competencies for the nurse to achieve before receiving initial licensure. c. serves as a contractual document between the nurse and their employer. d. Specifies the actions a nurse can perform

d. Specifies the actions a nurse can perform The scope of nursing practice legally defines the actions a nurse can and cannot perform