College of the Mainland NURSING RNSG 1205 Exam 1 Foundations QUESTIONS AND ANSWERS ALL EXPLAINED
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Course
NURSING RNSG 1205 (NURSINGRNSG1205)
Institution
College Of The Mainland
College of the Mainland NURSING RNSG 1205 Exam 1 Foundations QUESTIONS AND ANSWERS ALL EXPLAINED 01: Nursing Today MULTIPLE CHOICE 1. Which nurse most likely kept records on sanitation techniques and the effects on health? 1. Florence Nightingale 2. Mary Nutting 3. Clara Barton 4. Lillian Wald ANS:...
college of the mainland nursing rnsg 1205 exam 1 foundations questions and answers all explained
nursing rnsg 1205 exam 1 foundations questio
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01: Nursing Today
MULTIPLE CHOICE
1. Which nurse most likely kept records on sanitation techniques
and the effects on health?
1. Florence Nightingale
2. Mary Nutting
3. Clara Barton
4. Lillian Wald
ANS: A
Nightingale was the first practicing nurse epidemiologist. Her statistical
analyses connected poor sanitation with cholera and dysentery. Mary
Nutting, Clara Barton, and Lillian Wald came after Nightingale, each
contributing to the nursing profession in her own way. Mary Nutting was
instrumental in moving nursing education into universities. Clara Barton
founded the American Red Cross. Lillian Wald helped open the Henry Street
Settlement.
2. The nurse prescribes strategies and alternatives to attain
expected outcome. Which standard of nursing practice is the nurse
following?
In planning, the registered nurse develops a plan that prescribes strategies
and alternatives to attain expected outcomes. During assessment, the
registered nurse collects comprehensive data pertinent to the patient’s
health and/or the situation. In diagnosis, the registered nurse analyzes the
assessment data to determine the diagnoses or issues. During
implementation, the registered nurse implements (carries out) the identified
plan.
3. An experienced medical-surgical nurse chooses to work in
obstetrics. Which level of proficiency is the nurse upon initial
transition to the obstetrical floor?
A beginning nursing student or any nurse entering a situation in which there
is no previous level of experience (e.g., an experienced operating room nurse
chooses to now practice in home health) is an example of a novice nurse. A
proficient nurse perceives a patient’s clinical situation as a whole, is able to
assess an entire situation, and can readily transfer knowledge gained from
multiple previous experiences to a situation. A competent nurse understands
the organization and specific care required by the type of patients (e.g.,
surgical, oncology, or orthopedic patients). This nurse is a competent
practitioner who is able to anticipate nursing care and establish long-range
goals. A nurse who has had some level of experience with the situation is an
advanced beginner. This experience may only be observational in nature, but
the nurse is able to identify meaningful aspects or principles of nursing care.
4. A nurse assesses a patient’s fluid status and decides that the
patient needs to drink more fluids. The nurse then encourages the
patient to drink more fluids. Which concept is the nurse
demonstrating?
Autonomy is an essential element of professional nursing that involves the
initiation of independent nursing interventions without medical orders. To
obtain licensure in the United States, the RN candidate must pass the NCLEX-
RN®. Beyond the NCLEX-RN®, the nurse may choose to work toward
certification in a specific area of nursing practice. Accountability means that
you are responsible, professionally and legally, for the type and quality of
nursing care provided.
5. A nurse prepares the budget and policies for an intensive care
unit. Which role is the nurse implementing?
1. Educator
2. Manager
3. Advocate
, 4. Caregiver
ANS: B
A manager coordinates the activities of members of the nursing staff in
delivering nursing care and has personnel, policy, and budgetary
responsibility for a specific nursing unit or facility. As an educator, you
explain concepts and facts about health, describe the reason for routine care
activities, demonstrate procedures such as self-care activities, reinforce
learning or patient behavior, and evaluate the patient’s progress in learning.
As a patient advocate, you protect your patient’s human and legal rights and
provide assistance in asserting these rights if the need arises.
6. The nurse has been working in the clinical setting for several
years as an advanced practice nurse. However, the nurse has a
strong desire to pursue research and theory development. To fulfill
this desire, which program should the nurse attend?
1. Doctor of Nursing Science degree (DNSc)
2. Doctor of Philosophy degree (PhD)
3. Doctor of Nursing Practice degree (DNP)
4. Doctor in the Science of Nursing degree (DSN)
ANS: B
Some doctoral programs prepare nurses for more rigorous research and
theory development and award the research-oriented Doctor of Philosophy
(PhD) in nursing. Professional doctoral programs in nursing (DSN or DNSc)
prepare graduates to apply research findings to clinical nursing.
7. A nurse attends a workshop on current nursing issues provided
by the American Nurses Association. Which type of education did
the nurse receive?
Continuing education involves formal, organized educational programs
offered by universities, hospitals, state nurses associations, professional
nursing organizations, and educational and health care institutions. After
obtaining a baccalaureate degree in nursing, you can pursue graduate
education leading to a master’s or doctoral degree in any number of
, graduate fields, including nursing. Inservice education programs are
instruction or training provided by a health care facility or institution.
8. A nurse identifies gaps between local and best practices. Which
Quality and Safety Education for Nurses (QSEN) competency is the
nurse demonstrating?
a. Safety
b. Patient-centered care
c. Quality improvement
d. Teamwork and collaboration
ANS: C
Quality improvement identifies gaps between local and best practices. Safety
minimizes risk of harm to patients and providers through both system
effectiveness and individual performance. Patient- centered care recognizes
the patient or designee as the source of control and full partner in providing
compassionate and coordinated care based on respect for patient’s
preferences, values, and needs. Teamwork and collaboration allows effective
functioning within nursing and interprofessional teams, fostering open
communication, mutual respect, and shared decision making.
9. A nurse has compassion fatigue. What is the nurse experiencing?
1. Lateral violence and intrapersonal conflict
2. Burnout and secondary traumatic stress
3. Short-term grief and single stressor
4. Physical and mental exhaustion
ANS: B
Compassion fatigue is a term used to describe a state of burnout and
secondary traumatic stress. Compassion fatigue may contribute to what is
described as lateral violence (nurse-nurse interactions, not intrapersonal).
Frequent, intense, or prolonged exposure to grief and loss places nurses at
risk for developing compassion fatigue. Stressors, not a single stressor,
contribute to compassion fatigue. Physical and mental exhaustion describes
burnout only.
10. A patient is scheduled for surgery. When getting ready to obtain
the informed consent, the patient tells the nurse, “I have no idea
what is going to happen. I couldn’t ask any questions.” The nurse
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