Professional Nursing Practice Flashcards, test questions and answers

Question 1

The nurse is discussing entry level for professional nursing practices. Which is the most accurate statement by the nurse?

Answer

“BSN is the recommended entry level by national nursing organization.”
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Question 2

Essentials of Baccalaureate Education for Professional Nursing Practice

Answer

Was first endorsed and published by AACN in 1998.
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Question 3

When nurses disagree about the effectiveness of a commonly used nursing intervention, the best evidence for solving the question related to an intervention is A. a systematic review of randomized controlled trials. B. a qualitative research study with a large sample size. C. a methodological Internet search using key medical terms. D. anecdotal evidence retrieved from two or more case studies. (Chapter 1: Professional nursing practice – Evolve PRE-TEST questions)

Answer

A. a systematic review of randomized controlled trials. Rationale: Systematic reviews of randomized controlled trials (RCTs) are considered the strongest level of evidence to answer questions about interventions (i.e., cause and effect).
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Question 4

The nurse is caring for a diabetic patient in the ambulatory surgical unit who has just undergone debridement of an infected toe. Which task is most appropriate for the nurse to delegate to unlicensed assistive personnel (UAP)? A. Check patient’s vital signs. B. Evaluate the patient’s awareness. C. Monitor the site of the patient’s IV catheter. D. Evaluate the patient’s tibial and pedal pulses. (Chapter 1:Professional nursing practice – Bridge to NCLEX exam chapter questions pp 16-17)

Answer

A. Check patient’s vital signs. Rationale: Specific activities that may be delegated to unlicensed assistive personnel (UAP) include routine measurement of vital signs on stable patients, feeding or assisting patients at mealtime, helping stable patients ambulate, and helping patients with bathing and hygiene. Nursing interventions that require independent nursing knowledge, skill, or judgment, such as assessment and evaluation of care, cannot be delegated.
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Question 5

A nurse is monitoring all of the patients in an outpatient procedure area for complications of IV fluid administration. What type of function is the nurse demonstrating? A. Dependent nursing function B. Independent nursing function C. Autonomous nursing function D. Collaborative nursing function (Chapter 1: Professional nursing practice – Evolve PRE-TEST questions)

Answer

D. Collaborative nursing function Rationale: A collaborative nursing function is demonstrated when the nurse monitors patients for complications of acute illness, administers IV fluids and medications per physician or nurse practitioner orders, and implements nursing interventions such as providing emotional support or teaching about specific procedures. Nursing functions may be dependent, collaborative, or independent. The nurse functions dependently when carrying out medical orders. Physician-initiated nursing functions may include administering medications, performing or assisting with certain medical treatments, and assisting with diagnostic tests and procedures. Independent nursing functions include interventions such as promotion and optimization of health, prevention of illness, and patient advocacy.
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Question 6

A 40-year-old female patient is being prepared for discharge home after a laparoscopic cholecystectomy. Which team member can be assigned to complete a discharge assessment and provide patient teaching for post-discharge care? A. Registered nurse (RN) B. Nursing technician (NT) C. Unlicensed assistive personnel (UAP) D. Licensed practical/vocational nurse (LPN/LVN) (Chapter 1: Professional nursing practice – Evolve PRE-TEST questions)

Answer

A. Registered Nurse (RN) Rationale: Nursing interventions that require independent nursing knowledge, skill, or judgment such as assessment, patient teaching, and evaluation of care cannot be delegated. These interventions are the responsibility of the RN. The scope of practice for LPN/LVNs is determined by each state board of nursing. The RN must know the legal scope of practical/vocational nursing practice and delegates and assigns nursing functions appropriately. In most states LPN/LVNs may administer medications, perform sterile procedures, and provide a wide variety of interventions planned by the RN. UAP are unlicensed individuals who serve in an assistive role to the RN and may include nursing assistants or technicians. The RN may delegate specific activities such as obtaining routine vital signs on stable patients, feeding/assisting patients at mealtimes, ambulating stable patients, and helping patients with bathing and hygiene.
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Question 7

civil war helped ________ professional nursing practice

Answer

advance
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Question 8

When using evidenced-based practice, the nurse: A. Must use clinical practice guidelines developed by national health agencies. B. Should use findings from randomized controlled trials to plan care for all patient problems. C. Uses clinical decision making and judgement to determine what evidence is appropriate for a specific clinical situation. D. Statistically analyze the relationship of nursing interventions to patient outcomes to establish evidence for the most appropriate patient interventions. (Chapter 1:Professional nursing practice – Bridge to NCLEX exam chapter questions pp 16-17)

Answer

C. Uses clinical decision making and judgement to determine what evidence is appropriate for a specific clinical situation. Rationale: Evidence-based practice is the consistent use of the best evidence in combination with clinicians’ expertise and patients’ preferences and values to support clinical decision making.
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Question 9

A nurse working on the medical-surgical unit at an urban hospital would like to become certified in a medical-surgical specialty. The nurse knows that this process would most likely require: A. A bachelor’s degree in nursing. B. Formal education in advanced nursing practice. C. Experience for a specific period in medical-surgical nursing. D. Membership in a medical-surgical nursing specialty organization. (Chapter 1:Professional nursing practice – Bridge to NCLEX exam chapter questions pp 16-17)

Answer

C. Experience for a specific period in medical-surgical nursing. Rationale: Certification in nursing specialties usually requires a certain amount of clinical experience.
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Question 10

The linkages among NANDA-1 nursing diagnosis, NOC patient outcomes, and NIC nursing interventions can be used to: A. Evaluate patient outcomes. B. Provide guides for planning care. C. Predict the results of nursing care. D. Shorten written care plans for individual patients. (Chapter 1:Professional nursing practice – Bridge to NCLEX exam chapter questions pp 16-17)

Answer

B. Provide guides for planning care. Rationale: Standardized care plans offered by the North American Nursing Diagnosis Association (NANDA), Nursing Outcomes Classification (NOC), and Nursing Interventions Classification (NIC) groups may be used as guides for routine nursing care.
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