Leadership Exam 4
Which statement indicates the graduate nurses understanding of the process at the NCLEX® testing site? A. "I will be thumbprinted and photographed." B. "I will be placed in a locked testing cubicle." C. "I will answer 300 test questions." D. "I will be given some questions as a paper-and-pencil test."
A
A nursing professor correctly states the expectations of the job market for nursing as A. expected downsizing, decreased number of nursing positions. B. expected decrease in the number of unlicensed assistive personnel. C. expected increase in unlicensed assistive personnel: personnel. D. expected increased hiring of new graduates.
D
During a malpractice suit, how can the standard of "what the wise and prudent nurse would do" best be established? A. From the testimony of an expert nurse B. By consulting with nursing faculty regarding standards of care C. Conferring with a lawyer regarding malpractice parameters D. By consulting the standards of The Joint Commissions
A
A graduate nurse is preparing to start a first nursing job. What action would be the best legal safeguard for the graduate nurse to take? A. Competent practice B. A legal contract C. A valid license D. Following management policies
A
A new graduate uses social networking (i.e., Facebook) as a means of communicating with family and friends. What is important for the new graduate to consider when posting information on Facebook in terms of seeking employment? A. Use a professional photo, perhaps just a headshot. B. Set the Facebook site to public so recruiters can search and find. C. Provide pictures of family and friends and remove any inappropriate information. D. Avoid using social networking sites, such as Facebook and LinkedIn, because employers do not like them.
A
A nurse has just administered a medication when suddenly realizing that more medication was given than was ordered. Which action should the nurse take? A. Call the patient's physician and report the error. B. Say nothing about the medication error and continue to monitor the patient. C. Document the dose that was supposed to be given in the medical record. D. Document the amount given in the medical record but keep the error quiet.
A
A nurse is giving a presentation on malpractice. Which statement indicates the nurse understands malpractice? A. "The elements of duty, breach of duty, and patient injury must be present for a malpractice claim." B. "Negligent nursing care and failure to follow standards must be present for a malpractice claim." C. "Failure to report, defamation, and discrimination must be present for a malpractice claim." D. "Error in judgment and invasion of privacy must be present for a malpractice claim."
A
A nurse is self-educating on the role of the informatics nurse/informatics nurse specialist. The nurse has an adequate understanding when listing which as a primary success indicator? A. "Making sure that information technology did no harm to the patient." B. "There were no primary success indicators listed for the IN/INS." C. "There are not enough data on primary success indicators for the IN/INS role." D. "Primary success indicators include excellence in bedside patient care."
A
A nurse places a heating pad on the lower leg of a patient with peripheral vascular disease. When the heating pad is removed, it is apparent that the patient has sustained partial-thickness burns to the area covered by the pad, and the nurse is sued for malpractice. Which statement is true? A. All elements are present to find the nurse liable for damages. B. Proximate cause cannot be established, so the nurse will not be found liable. C. The standard of care in such a situation cannot be established, so the nurse will not be found liable. D. No duty to the patient exists, so the nurse will not be held liable.
A
A nurse tells a patient, "If you don't stop getting out of that chair, I'm going to put some restraints on you." What may this nurse be accused of? A. False imprisonment B. Defamation C. Invasion of privacy D. Malpractice
A
A student nurse is studying assault and battery. The student interprets assault and battery to include A. the nurse, without consent, touched the patient in an offensive, insulting, or injurious way. B. the nurse threatened to put the patient in restraints if they did not stay in bed. C. the nurse said the bill has to be paid before the patient can leave. D. the nurse failed to perform an act expected of a reasonable nurse.
A
The graduate nurse understands the process of NCLEX-RN® Exam scoring and reporting when stating: A. "The NCLEX-RN® Exam is scored on a pass/fail basis and is reported directly to the candidate." B. "The candidate must score 80% or higher to be considered competent; scores are reported to the school." C. "If the candidate must answer more than 365 questions, he or she will not pass the examination; scores are reported to the board of nursing." D. "Scoring is based on the level of difficulty of the questions presented to the candidate; scores are reported to the candidate."
A
The knowledgeable nurse can list which strategy as one that will foster a successful interview for the interviewee? A. Demonstrate interest in what the interviewer has to say. B. Exercise the option to disagree with the interviewer. C. Check off on a list when each item is covered by the interviewer. D. Answer questions with as much detail as possible.
A
The nurse can list when of the following as information that is not routinely included in a resume? A. Age B. Education C. Professional memberships D. Occupational experience
A
The nurse enters a patient's room to complete the discharge paperwork and finds the patient in tears. The patient reports that someone from the business office stated they could not leave the hospital until the bill was paid. What is the best nursing action? A. Comfort the patient and continue the preparations for discharge. B. Call the social worker for a financial evaluation. C. Call the family to arrange for the payment. D. Cancel the discharge plans and notify the physician of the situation.
A
The nurse interprets "computer adaptive testing (CAT)" to mean A. questions are selected, and the exam is adapted to the candidate's previous responses. B. the test has been "adapted" to be administered via the computer. C. the test is adapted to decrease the total number of questions. D. questions are adapted to meet the practice analysis survey of the graduates.
A
The nurse interprets the role of the individual state boards of nursing in the NCLEX® Exam as which of the following? A. To coordinate with the National Council State Boards of Nursing in administering the examination and licensing candidates to practice in respective states B. To prepare a licensure examination that is reflective of entry-level practice in their respective states C. To grade the examination, advise students of the results, and transmit all results to the National Council State Boards of Nursing for their files D. To supervise and administer the examination to the candidates within their state jurisdictions
A
The nurse manager is teaching a new nurse about computer monitoring on a telemetry unit. The nurse manager judges the teaching to be effective when the new nurse states: A. "Computer monitoring provides continuous streaming of data that allows nurses to respond to patient changes quickly." B. "Computer monitoring provides for continuous around-the-clock direct observation of patients." C. "Computer monitoring improves documentation of patient care." D. "Computer monitoring reduces the need for additional nurses to provide patient care."
A
To adequately prepare for the NCLEX-RN® examination, which action by the graduate nurse is advised? A. Begin planning early at least 6 months ahead. B. Begin planning no more than 3 months ahead. C. Wait for the state board of nursing to contact the applicant about filing deadlines. D. Call the state board of nursing every week to set up a testing time.
A
What are examples of regulatory agencies that will affect health care policy with regard to informatics? A. Health Insurance Portability and Accountability Act (HIPAA) B. American Nursing Credentialing Center (ANCC) C. American Nurses Association (ANA) D. Medicare/Medicaid authorization
A
Which of the following actions by the graduate nurse would not be advised during an interview campaign? A. Plan 3 interviews in a day, B. Identify a date to begin employment. C. Ask questions about the interview process. D. Research the prospective employer.
A
Which of the following can result in a civil action against the nurse? A. Failure to monitor B. Enforcing strict compliance with contact precautions against the family's wishes C. Refusing to discuss the patient's medical history with the family per patient request D. Assisting the physician in a bedside procedure after obtaining informed consent
A
Which of the following statements by the nurse indicates understanding of legal actions? A. "A misdemeanor is a less serious crime resulting in a fine." B. "A felony is a less serious crime that can result in a fine." C. "Civil actions are serious and often result in prison time." D. "The defendant is the victim."
A
Which of the following statements indicate the nurses understanding of the content of the NCLEX® Exam? A. "The exam is based on a practice analysis conducted by the National Council of State Boards of Nursing." B. "The exam is a survey of nursing faculty regarding areas of importance for testing." C. "The exam includes questions based on the National League of Nursing survey reports." D. "The exam includes contributions from all of the member boards of the National Council."
A
Which of the following would be considered a criminal action? A. A nurse who steals narcotics from the hospital B. A nurse who gets into a verbal disagreement with a visitor C. A nurse who restrains a patient who is considered a threat to himself D. A nurse who refuses to allow a visitor onto the unit who appears intoxicated
A
Which statement by the nurse indicates understanding of general systems theory in regards to nursing informatics? A. "General systems theory organizes interdependent parts that, when working together, can produce a product that none used alone could produce." B. "General systems theory provides theory support for a system that maintains confidentiality when handling patient data and information." C. "General systems theory incorporates external databases from state agencies to allow for performance comparison within a specific institution." D. "General systems theory is a nursing theory regarding the use of nurse informatics to integrate the systems within health care for support of nursing education and practice."
A
Which statement by the nurse is true regarding the focus of nursing informatics? The focus of nursing informatics A. "is to improve patient care with health care technology." B. "is to improve patient care by increasing health care expertise." C. "is to improve patient care by improving nursing performance." D. "is to improve patient care by allowing the patient access to medical records."
A
The graduate nurse understands information that is necessary for a resume when making which of the following statements?(Select all that apply.) A. "I need to include my name, address, and phone number." B. "I should include the name of the position that I am applying for." C. "I need to include where I received my educational training." D. "I need to list my previous employer(s)." E. "I should include avoid putting references on my resume." F. "I should list my age and marital status."
A, B, C, D,
What actions should the graduate nurse take to assess an organization? (Select all that apply.) A. Talk to those who work in the organization of interest. B. Read the organization's mission statement. C. Evaluate the reputation of the leadership. D. Listen to rumors about the organization. E. Read and analyze the recruitment materials.
A, B, C, E
Which actions take place in organizations to monitor quality improvement? (Select all that apply.) A. Evaluation of what nurses are doing for patients B. Development of policies and procedures C. Employee evaluations D. Intermittent monitoring E. Continuing education
A, B, C, E
A nurse manager is lecturing staff nurses on the barriers to the full integration health information technology. The nurse manager judges the teaching to be effective when a staff nurse states: (Select all that apply.) A. "Barriers include lack of standardization across care areas." B. "A barrier to the full integration is funding." C. "Currently there are no barriers." D. "A current barrier is privacy laws." E. "Barriers to full integration are not likely to be overcome."
A, B, D
How does the IN/INS use HIPPA regulations and TJC requirements in daily practice? (Select all that apply.) A. Investigation of violations B. Writing of policies C. Involvement in the discipline process D. Writing of procedures E. Managing the nursing unit
A, B, D
The nurse has an adequate understanding of risk management when stating which of the following? (Select all that apply.) A. "Risk management becomes involved when incidents occur." B. "Risk management becomes involved when untoward events occur." C. "Risk management becomes involved to discipline the nurse." D. "Risk managers gather evidence surrounding the event." E. "Risk managers will interview those involved in an event."
A, B, D, E
A nursing professor is preparing students for the NCLEX-RN® Exam. Which of the following items should the professor inform the students to expect on the exam? (Select all that apply.) A. Multiple choice questions with one correct answer B. Drag and drop questions into an ordered response C. True/false questions D. Graphic questions with a hot spot to identify an area E. Questions with an audio component where you need to wear a headset to listen F. Questions where you select the correct answer from the graphics presented at the end of the question
A, B, D, E, F
A nurse is preparing to graduate with a degree in nursing informatics. The nurse is explaining career options to friends. The nurse understands the options when stating: (Select all that apply.) A. "I can work alongside engineers as they create new products." B. "I can work for a consulting firm and specialize in workflow improvement." C. "I cannot work for third-party payers." D. "I do not have the option of working for the government." E. "I am excited to work for an educational institution."
A, B, E
A nurse is completing an incident report. The nurse demonstrates an adequate understanding of the report when refraining from putting which of the following on the form (Select all that apply.) A. Conclusions about the incident B. The name of the patient C. Blame of others D. Judgment E. The nurse's opinion about what happened
A, C, D, E
Which action by the nurse incorporates standard practice for protecting patient privacy on mobile devices? (Select all that apply.) A. Keep careful physical control of the device at all times. B. Avoid use of mobile devices. C. Use a password and a time-out to authenticate the re-activation. D. Enable encryption. E. Keep security software up to date.
A, C, D, E
The nurse has adequate understanding of HIPAA when stating that the major impact from this privacy regulation is in (Select all that apply.) A. "health information privacy law." B. "bedside nursing care." C. "nursing report communication." D. "data security standards." E. "electronic transaction standards."
A, D, E
What is a significant action a nurse can take to prevent being named in malpractice suits? A. Refuse to care for suit-prone patients. B. Carry professional liability insurance. C. Maintain updated professional knowledge and skills. D. Check with a nursing supervisor before undertaking care.
C
What is the best review strategy to use to prepare for the NCLEX-RN® Exam? A. Spend about 8 hours a day on your days off until you take the examination. B. Study for 4 hours a night while taking a 2-week review course. C. Review basic nursing content 2 to 3 hours a day 3 days a week for 5 to 6 weeks. D. Study 10 hours on the day and evening before the examination.
C
A candidate has scheduled to take the NCLEX® Exam and has a family emergency before the scheduled date. What is the best action for the candidate to take? A. Call the respective state board of nursing and request a change in the testing date. B. Call the Candidate Services office at least 24 hours or 1 business day before the scheduled testing day. C. Call the school and request that someone notify the board of nursing regarding your change in schedule. D. It is not necessary to notify anyone regarding rescheduling the testing date; it will be rescheduled automatically.
B
A graduate nurse has arrived at the testing center when realizing that the required ATT form is missing. Explain what events would happen next. A. The testing center staff would not be able to look up his ATT online. B. The testing center staff would not allow him to test without his ATT. C. The graduate nurse could be admitted to the testing center with a photo ID. D. The testing center staff would call the NCSBN for verbal approval to let the graduate nurse test.
B
A nurse has relocated to another state and wants to find a full-time nursing job. What action should be taken first in order to provide care as a nurse? A. Begin applying for jobs at the local hospital. B. Contact the board of nursing in the nurse's new state to obtain licensure to practice. C. Begin practicing immediately, as the nurse is still licensed in the formerly lived in state. D. Begin practice on a part-time basis so that a new license is not needed.
B
A nurse is educating students on how to evaluate a website. The nurse judges the teaching to be effective when the students can state: A. "Internet information must go through careful screening before it can be posted." B. "Credibility, accuracy, and reasonableness of the information should be considered." C. "It is important to have the hospital librarian verify the authenticity of the website." D. "Most Internet information can be downloaded or beamed to a smartphone or handheld device (personal digital assistant [PDA])."
B
A nurse wants to avoid malpractice claims. What action can be taken to greatly reduce the risk of a lawsuit? A. Reduce work status to part time. B. Implement fall precautions on an older adult patient. C. Leave clutter on the floor in patient rooms. D. Leave the patient's bed in the highest position.
B
Assuming all of the following statements are true, which should be included in a resume to highlight information that would be valuable to an employer? A. Desires annual salary of $30,000 to $32,000 B. Is fluent in American sign language C. Is president of state downhill ski club D. Plans to move out of state after 1 year of employment
B
At the time of admission, a patient gave a history of allergy to penicillin that was duly noted in all critical areas of the patient's record. While giving medications, a nurse accidentally administered penicillin to this patient. The patient had a severe reaction but recovered. What is the implication of the nurse's action? A. The nurse cannot be sued for malpractice because the patient did not directly the nurse of the allergy. B. The nurse failed to act in a reasonable and prudent fashion and thus is liable for malpractice. \ C. The nurse who gave the medication can bring a countersuit against the nurse who took the history. D. There is no cause for concern because the action did not result in the patient's death.
B
During a job interview, the interviewee is asked, "What do you believe your weaknesses to be?" What is the best reply? A. "I've never thought about having any weaknesses." B. "I'm looking forward to strengthening my ability to plan care for a group of patients." C. "My instructors told me I was disorganized." D. "My biggest problem is in planning and implementing discharge teaching."
B
The graduate nurse is preparing to take the NCLEX-RN® Exam. Which blueprint category is interpreted as having the highest percentage of test items? A. Safe, effective care environment B. Physiological integrity C. Psychosocial integrity D. Health promotion and maintenance
B
The graduate nurse understands the purpose of the NCLEX-RN® exam when stating which of the following? A. "The exam provides feedback to the candidate regarding areas of weakness in nursing practice." B. "The exam determines the candidate's ability or inability to meet minimum standards for safe practice." C. "The exam gives employers an opportunity to hire graduates who have scored highest among first-time licensure candidates." D. "The exam prepares new graduates as efficient, effective staff nurses."
B
The interviewer says, "We are looking for a bright, interested, empathetic, hard-working person for this position in oncology nursing. Do you fit this bill?" The new graduate nurse is interested, carried a straight C average, and has worked full time while going to school. Assuming the following statements are true, what would be the best answer? A. "I'm definitely interested in oncology, and I think I'm a hard worker. My instructor said I was developing empathy. My grade point average of C doesn't reflect my real ability." B. "My previous employer rated my work as excellent. It was there that I became interested in helping support oncology patients as they cope with their illness. I chose to do independent study on emotional reactions to the diagnosis of cancer and received an A." C. "I worked full time while going to school, so my grades suffered. I've had my share of life's disappointments, so I can sympathize with cancer patients. I will work hard, but I have to make time for my family, too." D. "I'm interested. My parents always told me I was bright. I work as hard as the next person. I've learned not to get too involved with patients."
B
The nurse has an adequate understanding of employment benefits. Which of the following is not included in a benefits package? A. Health insurance B. Car insurance C. Pensions D. Disability coverage
B
The nurse is applying for a job and is determining whether or not to submit a resume or a curriculum vitae. What is the difference between a resume and a curriculum vitae? A. A resume more accurately represents a nurse's job and professional history. B. A curriculum vitae will get longer as the nurse becomes more professionally experienced. C. A resume will contain the nurse's continuing education activities. D. The two are very similar and can be used interchangeably.
B
The nurse understands "scope of nursing practice" when making which of the following statements? A. "The scope of nursing practice includes acts that permit some overlap between nursing and medicine." B. "The scope of nursing practice includes activities that are legally permissible for a nurse to perform in a particular state." C. "The scope of nursing practice are the specific duties the nurse owes to a patient." D. "The scope of nursing practice involves hose activities for which a nurse can be held liable for malpractice."
B
The nurse understands the benefits of Computerized Provider Order Entry (CPOE) when stating: A. "CPOE does not change the process of patient care." B. "CPOE averts problems with hand-written orders." C. "CPOE benefits only the nurses in the health care system." D. "CPOE benefits only the pharmacists in the health care system."
B
The nursing professor is assisting a group of nursing students in creating resumes. The professor instructs them to include which of the following demographic data? A. Career goal B. Address C. Experience D. Education
B
What action might be taken on a nurse who commits an infraction of the Nurse Practice Act? A. The nurse is subject to discipline by a court of law. B. The nurse is subject to discipline by the state board of nursing. C. The nurse is subject to discipline by the local chapter of the state nurses association. D. The nurse is subject to discipline by the National League for Nursing.
B
What are helpful strategies for dealing with test anxiety? A. Put as much time as possible into studying. B. Practice relaxation techniques and positive thinking. C. Use review books and tapes. D. Focus on test-taking skills and emphasize facts less.
B
Which action by the graduate nurses shows understanding of resume writing? A. Ensures that all of the dates for their employment history are specific B. Does not overstate skills C. Includes a thorough discussion of experiences as a nursing student D. Includes only last two positions
B
Which action can the nurse take to evaluate an internet resource? A. Assume that the resource is credible if it is on an internet page. B. Determine if the resource provides evidence for claims made. C. Assess the popularity of the resource. D. Determine the date the resource was published; older material is more reliable.
B
Which error in judgment would be the most serious for the nurse defendant in a legal case? A. Discussing the case with the plaintiff B. Tampering with the chart C. Hiding information from the plaintiff's attorney D. Being discourteous on the witness stand
B
Which statement by the nurse indicates an understanding of the definition of nursing informatics? A. "Nursing informatics is a specialty area of hospital nursing in which management of patient care is done via computers." B. "Nursing informatics is the specialty practice of nursing integrating nursing science with computer science and information science." C. "Nursing informatics includes the input and retrieval of a patient's complete medical history via electronic data." D. "Nursing informatics is an area of computer system design and analysis to provide and retrieve patient health data during the period of hospitalization."
B
Which statement by the nurse indicates understanding of the nurse practice act? A. "The nurse practice act defends any action the nurse may take." B. "The nurse practice act defines the scope of practice for each level of licensure." C. "The nurse practice act details pay raises for each year of service to an organization." D. "The nurse practice act has language that grants nurses vacation time."
B
Which statement made by the graduate nurse indicates understanding of the NCLEX-RN® exam passing score? A. "Candidates seeking licensure in California and New York must score higher." B. "The passing score is the same for licensure in all states." C. "Candidates from BSN programs must score one standard deviation higher than the ADN graduates." D. "ADN graduates must answer 80% of the 265 questions correctly to pass."
B
Which of the following actions should the graduate nurse take to ensure a great first impression? (Select all that apply.) A. Arrive at the interview right on time. B. Establish eye contact during the interview. C. Minimize distracting nervous mannerisms. D. Show enthusiasm and body language. E. Smile when introduced.
B, C, D, E
A nurse manager is educating a group of staff nurse on violation of HIPPA standards. The manager judges the teaching to be effective when one of the staff nurses states: (Select all that apply.) A. "Violations of HIPPA standards no longer occur because the consequences are so severe." B. "Violations of HIPPA standards can result in termination of employment." C. "Violations of HIPPA standards can result in an indictment." D. "Violations of HIPPA standards are waived if it is your first offense." E. "Violations of HIPPA standards can result in prison time."
B, C, E
A graduate nurse has not heard from a prospective employer 3 days after submitting a resume. Which action should the graduate nurse take? A. Call. B. Write a letter. C. Do nothing. D. Contact another employment setting.
C
A graduate nurse is in the process of applying for a first time nursing job. What should the graduate nurse keep in mind when using social media networks? A. There is no risk of potential employers searching for the nurse on social media websites. B. Employers cannot use material found on social media websites to eliminate candidates. C. A small percentage of recruiters have eliminated candidates based on material found on social media websites. D. As long as no identifying patient information is provided on the social media website, recruiters can overlook any videos posted about the patients the nurse has cared for.
C
A graduate nurse is planning to travel to a testing site and will need to have overnight accommodations. Which of the following is the best action for this graduate nurse to take to make the stay a success? A. Share a room with the 4 other graduate nurses planning to test at the same testing center. B. Stay up late studying. C. Room alone or with someone who is supportive of a positive environment. D. Room with another graduate nurse who frequently complains.
C
A nurse is providing care to a 6-year-old child with a broken arm. The nurse notices multiple bruises. The child says, "my father got mad because I was bad, and he hit and broke my arm so that I would remember to be good." What is the best nursing action? A. Chart that the child is a victim of abuse. B. Do nothing because the nurse cannot prove the child was abused. C. Report the situation to the appropriate authorities. D. Ignore what the child said because little children often lie.
C
A nurse understands informed consent when making which of the following statements? A. "Informed consent is a binding agreement." B. "Informed consent involves filling out an incident report." C. "Informed consent occurs when the patient receives information about a procedure before giving consent." D. "Informed consent is a name for a written legal policy."
C
As the interview is drawing to a close, the interviewer asks the applicant, "What questions could I answer for you?" Which of the following questions would it be most advisable to ask to create a favorable impression? A. "What will happen if I am unable to meet the outcomes for the competency-based orientation?" B. "Do you still have tuition reimbursement for courses to obtain my next degree?" C. "How soon will I be responsible for supervision of other staff?" D. "After completing orientation, when will the first pay raise be given?"
C
During a life-threatening emergency, a nurse hurriedly gives the patient a medication by IV push. There is extravasation of medication. Later, necrosis and tissue sloughing take place. The nurse's behavior may be the basis for what action? A. Felony charge B. Misdemeanor charge C. Tort suit D. Defamation suit
C
Employment for new graduate nurses is scarce in your locale. What action might help the new graduate find out about job openings before others know about them? A. Attend job fairs. B. Read the newspaper employment section. C. Read bulletin boards in health care agency personnel offices. D. Send resumes and cover letters to all health care agencies within the region.
C
How can the nurse expect to be impacted by nursing informatics? A. The nurse would not be directly impacted unless he or she worked in nursing informatics. B. Nurses at the bedside are minimally impacted. C. Nurses are impacted by the use of barcode medication administration. D. Nurse managers are the only hospital staff who are impacted.
C
In a legal suit, what element is necessary to prove a tort has been committed? A. Intent B. Assault C. Injury D. Malpractice
C
In transcribing orders for a patient, the nurse finds a new order for aspirin, 500 mg, QID. The patient has a long history of gastrointestinal bleeding. What is the best nursing action? A. Give the medication. B. Withhold the medication and chart why it was not given. C. Call the physician and question the order in light of the patient's history. D. Ask if the patient is allergic to aspirin.
C
In trends class, a student tells the instructor, "I don't think I can possibly pass the NCLEX-RN®. I hated psych nursing, but now I've heard that a huge amount of the NCLEX® is psych related." What is the best response from the instructor? A. "Perhaps you should consider retaking the psychiatric nursing course." B. "There are equal numbers of questions related to each aspect of client needs." C. "Psychosocial integrity is the basis for 6% to 12% of the examination." D. "You will need to take a review course in which they teach psychiatric nursing principles."
C
The nurse has an adequate understanding of nurse practice acts when stating which of the following? A. "Nurse practice acts do not help guide nurses." B. "Nurse practice acts describe how to prepare for the NCLEX exam." C. "Nurse practice acts describe how and when to renew a nursing license." D. "Nurse practice acts provide a list of job openings."
C
What action must occur to prove a breach of duty? A. Liability testimony of physician B. Testimony from state board of nurses C. Expert testimony D. Testimony of coworkers
C
What would happen if the graduate nurse failed the NCLEX-RN on the first testing attempt? A. The graduate nurse would be required to take an additional nursing course before retesting. B. The graduate nurse would be required to wait 9 months to retest. C. The graduate nurse would be required to wait 45 to 90 days before retesting. D. The graduate nurse would not be allowed to test again.
C
Which of the following actions would not help the graduate nurse prepare for an interview? A. Practice verbal responses to sample questions in front of a mirror. B. Ask a family member to play the role of the interviewer. C. Begin preparing for the interview the day before. D. Ask for constructive feedback regarding answers to sample questions.
C
Which of the following assignments should the new nurse question before accepting? A. A 38-year-old man with cellulitis of the right arm B. A 25-year-old woman with a left femur fracture C. A charge nurse over the unit for the day D. A 50-year-old man with right hip replacement
C
Which of the following statements indicates the nurses understanding of the difference between the electronic health record (EHR) and electronic medical record (EMR) is: A. "EHR provides nursing with a standardized nomenclature of taxonomy to record nursing care." B. "EMR is the inclusion of only data collected by the patient (personal health record (PHR)." C. "EHR is a longitudinal record of the patient's health information." D. "EMR allows nurses to document nursing care in a system that is intuitive to their level of computer literacy."
C
Which statement by the nursing professor is accurate about the NCLEX-RN® exam? The purpose of the NCLEX-RN® test plan is to ensure that all A. "test takers answer items of comparable difficulty." B. "test takers answer approximately the same number of items." C. "test items are job related." D. "clinical specialties will be equally represented."
C
Which statement by the nursing student indicates an understanding of the purpose in setting a career goal? A. "To guarantee you will achieve your goal" B. "To keep you focused on your job search" C. "To help you define your professional identity" D. "To impress those part of the interview process"
C
A nursing student is interested in the field of nursing informatics. What should the student do to prepare for a career in this specialty as a nurse leader? A. Obtain a baccalaureate degree in nursing, B. Complete 5 years on a medical-surgical unit, C. Obtain critical care experience, D. Obtain a graduate degree,
D
The graduate nurse has an adequate understanding of the Authorization to Test when stating: A. "The Authorization to Test arrives at the beginning of the last semester of nursing school." B. "The Authorization to Test arrives when the last day of clinical experience is complete." C. "The Authorization to Test arrives upon completion of all of the state and national applications." D. "The Authorization to Test arrives when all course work and applications have been completed and approved."
D
The graduate nurse interprets the phrase "dress for success" to mean which of the following? A. Wear a casual hairstyle and clothing that reflects your off-duty personality or hobbies. B. Buy new, very conservative dark clothing to wear. C. Select clothing that could be worn at a cocktail party. D. Wear a neat hairstyle and well-fitting, tailored, business-like clothes from your existing wardrobe.
D
The nurse has an adequate understanding of the informatics nurse (IN) and informatics nurse specialist (INS) when making which of the following statements? A. "The IN/INS does not require any computer or network knowledge on entry into the profession." B. "The IN/INS does not interact directly with clinical staff." C. "The IN/INS does not need prior knowledge of software or hardware implementation." D. "The IN/INS should be prepared to help with system implementation."
D
The nurse interprets the Nurse Licensure Compact as A. an agreement between all states to recognize the license of all graduate nurses. B. an intrastate agreement for the nurse to practice in any area within the state. C. an agreement between the state boards of nursing and the National Council regarding foreign nurses. D. an agreement between compact states to recognize licensure from member states.
D
The nurse is educating a nursing student on the difference between the informatics nurse and the informatics nurse specialist. The teaching has been effective when the nursing student states: A. "The informatics nurse has a graduate degree." B. "The informatics nurse specialist has experience in informatics but no advanced degree." C. "The informatics nurse supports consumers." D. "The informatics nurse specialist has an advanced degree."
D
What is a correct statement regarding a nurse who acts beyond the scope of practice? A. Demonstrates what a good nurse he or she can be B. Provides enriched services to patients who would not otherwise receive them C. May make other nurses angry because of the increased expectations created D. May be disciplined by the board of nursing
D
What is the best short-term objective for the resume of a new nursing graduate seeking employment on a medical-surgical unit? A. Obtain a position that further develops interests and skills. B. Provide a basis for moving up the career ladder to a supervisory position within 5 years. C. Acquire a staff nurse position with options to use tuition benefits to obtain advanced degrees. D. Obtain an entry-level position as a staff nurse on a medical-surgical unit.
D
What is the importance of using classification systems for nursing nomenclature to describe nursing practice? A. To provide a system to develop and use a patient care management system B. To allow nursing administration to project, define, and implement nursing care policies and guidelines C. To assist the quality control team to survey and gather data that will reflect the acuity classification of patients D. To facilitate collection of consistent data that can be accurately manipulated in an electronic medical record
D
What type of nursing position would most likely provide experience in the type of nursing situations upon which the NCLEX® Exam questions are based? A. Home care nurse B. Psychiatric staff nurse C. Staff nurse in an ambulatory pediatric clinic D. Staff nurse in a medical-surgical inpatient unit
D
What would be the most effective way for a nurse to validate "informed consent?" A. Check the chart for a completed and signed consent form. B. Determine from the physician what was discussed with the patient. C. Ask the family whether the patient understands the procedure. D. Ask the patient what he or she understand regarding the procedure.
D
Which definition, given by the nurse indicates understanding of malpractice? A. "Malpractice is a criminal act committed against society." B. "Malpractice means doing something a reasonable person or nurse would not do." C. "Malpractice is an intentional professional act of negligence." D. "Malpractice is a professional act or failure to act that leads to injury of a patient."
D
Which statement by the graduate nurse indicates understanding of the importance of a cover letter? A. "It is optional." B. "It is necessary only if your resume needs further explanation." C. "It should recapitulate all of the important points of your resume." D. "It should introduce you to the reader."
D
Which statement by the nurse indicates understanding of the General Systems Theory? A. "It is a 5-step process of an individual's decision to adopt an innovation." B. "It is known as a change theory." C. "It includes knowledge, persuasion, decision, implementation, and confirmation." D. "It organizes interdependent parts working together to produce a product that none used alone could produce."
D
