LPN to RN Transition - Fundamentals - Chapter 1: Introduction to Nursing
The primary aim of the Healthy People 2020 initiative is:
health promotion. page. 12.
A prospective nursing student desires a career that will allow the opportunity to provide client care and to assist professional nurses with routine technical procedures. The prospective student needs to be employed in a full-time position quickly due to economic hardship. What type of nursing program would best suit this student?
licensed or vocational nursing program Page 14
In the role of entrepreneur, the nurse's primary responsibility is:
managing a health-related business. Page 16
In what time period did nursing care as we now know it begin?
18th to 19th century Page 7
The nurse is performing care for a client in the end stage of cancer. How can the nurse best facilitate the client and family's ability to cope?
Assist the client with activities of daily living (ADLs). Assist the client and family with the preparation for end-of-life. Refer the client and family to hospice services. Page 13
The nurse is performing an extensive dressing change on a client with burns. The nurse explains each step as it is being performed. The nurse is acting in which role by providing explanation of each step?
Educator Page 11-16
A nurse manager is teaching staff how to use a new piece of hospital equipment. Which educational setting would be most appropriate for this process?
In-service education Page 16
The nurse discussing the importance of professional nursing organizations setting standards should include which statement?
It helps identify nursing as a profession. Page 5
A nurse educator is discussing the role of nursing based on the American Nurses Association (ANA). Which statement best describes this role?
It is the role of nursing to provide a caring relationship that facilitates health and healing. Page 10
A nurse practicing in the early Christian period might perform which nursing action characteristic of this era?
Making organized visits to the sick Page 7
The client's plan of care is created by the nurse using which guideline for nursing practice?
Nursing process Page 11
What might a nurse need to do to ensure the continuation of his or her nursing license?
Obtain continuing education credits. Page 14
The nurse is utilizing knowledge about a blood pressure medication's actions and side effects to determine whether or not to give a client, whose blood pressure is low, the prescribed blood pressure medication. What best describes the aspect of nursing demonstrated?
science of nursing Page 5-19-23
Which is the best example of a nurse demonstrating the role of caregiver?
starting an intravenous line in the client's arm Page 11
A novice nurse is excited to finally be able to put all the training to use on the inpatient unit. Which factor should the nurse be sure to prioritize when beginning to interact with clients?
be an advocate for appropriate care Page 10
After hearing a presentation about the American Nurses Association (ANA), a nurse decides to join the organization based on the understanding that:
ANA aims at fostering high standards of nursing in the United States. Page 10
The new nursing graduate is concerned about some of the critical changes that will be occurring in nursing. What changes does the nurse anticipate will impact nursing care?
Difficulty for nurses to remain current in a rapidly changing medical and technology environment Page 19-24
What is the best nursing intervention to promote health in a client at risk for heart disease?
Emphasizing a client's strengths to encourage weight loss Page 11-12
Which action should the nurse implement when working with a medically homeless client?
Encourage client to utilize the free health care clinic. Page 19
The registered nurse is performing a nutritional assessment to ensure that the client's diet is optimal for wound healing. The nurse's intervention can be traced back to which key contributor to nursing?
Florence Nightingale Page 7-8-9
Attracting minorities to the profession of nursing is an important consideration for the future of nursing. Which key historical nursing figure set a precedent in this area?
Mary Elizabeth Mahoney Page 9
The American Nurses Association (ANA) Standards of Professional Nursing Practice provides standard of care for all nurses. Which statement on the assessment of the nursing process is accurate?
The nurse collects comprehensive data pertinent to the client's health or situation. Page 17-18
A registered nurse wishes to work as a nurse researcher. Which is true regarding nurse researchers?
They are responsible for the continued development and advancement of nursing. Page 16
The registered nurse (RN) working with a licensed practical nurse (LPN) understands which about LPNs?
They must take a licensure exam. Page 13-14
A nurse is considering relocating to another state to practice nursing. Which is the most appropriate action by the nurse to ensure ability to practice in the new state?
applying for a reciprocal license in the new state page. 4.
The nurse is caring for a postoperative client. The health care provider has written a prescription for a pain medication, and the prescription gives a dosage range for the amount the nurse may give depending on the severity of the client's pain. This type of functioning within the health care team is called:
collaborative functioning. Page 8
Which action by the nurse is the best indication that the nurse is incorporating the quality and safety education for nursing (QSEN) competency of teamwork and collaboration in the plan of care for a client?
including the client in the morning rounds of the health care team Page 6 - 11
The nurse is caring for a client who ascribes to the theory of animism. When attempting to explain this theory to other staff members, the nurse should state:
"Everything in nature is alive with invisible forces." Page 7
The nurse is attempting to provide anticipatory guidance for the parents of an 18-month-old child. Which statement would be best for the nurse to make?
"Keep all medications in a locked cabinet." Page 12
A client asks an RN to prescribe a medication for pain. What is the best answer by the nurse?
"Only advanced practice registered nurses have prescriptive authority." Page 15
Which advanced nurse practitioner is best qualified to provide prenatal care for a pregnant client?
A nurse mid-wife Page 16
A nurse is planning to pursue further education in the hopes of becoming an expert in geriatric nursing who carries out direct care. For which expanded career role is the nurse preparing?
Clinical nurse specialist Page 16
The nurse understands that for nursing to be considered a profession, many things need to be in place. Which element is not part of those considerations?
Multidisciplinary approach Page 13
Which is the best example of a client-centered approach to care?
The nurse asks the client about health goals. Page 11
Why do nurses need to care for their own health needs?
To allow them to give effective nursing care to others To enable them to practice more efficiently To help them serve as role models for clients Page 20
The nurse is caring for a client after a stroke rendered the client's right side weaker than the left. The nurse coordinates the plan of care with the physical therapist. The nurse's interventions reflect which one of nursing's four broad goals?
To restore health page. 11.
The RN is working with hospital administrators to transform care at their facility. Which nursing competency will be critical for the nurse to utilize?
Work effectively in interdisciplinary teams Page 6
The need for university-based nursing education programs was brought to light during which important historical time?
World War II Page 7-8
The nurse is caring for a client with a new diagnosis of cancer, and allows the client to verbalize fears relating to how to tell the children. The nurse's intervention reflects which aspect of nursing?
art of nursing page 23.
The nurse is caring for a client who cannot meet health needs independently. Which action made by the nurse depicts concern and attachment?
asking the client, "How are you today? I am really worried about you." Page 11
A nurse mentoring second-year nursing students from a community college plans clinical experiences for them. These students will most likely graduate in which time frame?
at the end of the year Page 14
he nursing process includes step(s)?
Assess Plan Prescribe Implement Evaluate page 11-18.
Which scenario is the best example of the nurse in the role of teacher/educator?
Assessing whether the client is able to perform a dressing change Page 11
Which nursing actions are characteristic of the nurse's role as communicator?
Establishing and maintaining helping relationships with clients of all ages in a variety of settings Page 11
Which nursing intervention would be most appropriate for a new mother that calls the nursery for help with breastfeeding?
Refer the mother for a home care visit. Page 11-12
The registered nurse communicates with the physical therapist that a client is now on strict bed rest due to bradycardia. Which statement best explains the standard exemplified by the nurse?
The RN coordinates care delivery. Page 18
The nurse conducts a home safety assessment for a client. Which statement best explains the standard of care being implemented?
The RN promotes a safe environment. Page 8
A nurse is providing care for clients in a long-term care facility. What should be the central focus of this care?
The client receiving the care Page 11
When administering immunizations, the nurse is engaged in:
illness prevention. Page 13
A nurse in the community has been asked to join an organization based on the leadership abilities demonstrated both in the facility of employment and community-based activities. Which organization is most likely being described?
Sigma Theta Tau International Page 17
Which explanation accurately differentiates the role of the registered nurse (RN) from that of the licensed practical/vocational nurse (LPN/LVN)?
The LPN/LVN should work under the supervision of an RN. page. 13-14.