Nurse's Touch: Becoming a Professional Nurse Practice Assessment

A nurse manager just hired several newly licensed nurses. When explaining to the unit staff what to expect from these nurses, he should state that newly licensed nurses

-provide efficient, organized care.

-grasp the clinical situation intuitively.

-apply general rules to all situations.

apply general rules to all situations.

A nurse manager is conducting a teaching session on professional behaviors in nursing. Which of the following is an example of assertive behavior?

-A nurse seeks opinions of her peers in the decision-making process.

-A nurse feels her assignment is unfair but continues to work without complaint.

-A nurse who experiences a conflict with a coworker expresses her concern with other nurses on the unit.

A nurse seeks opinions of her peers in the decision-making process.

A nurse manager is explaining the purpose of a mentoring system to unit nurses. Which of the following is a characteristic of the mentoring process?

-Is most effective when the mentor is the supervisor

-Promotes peer support

-Results in the mentor making decisions for the mentee

Promotes peer support

A newly licensed nurse asks his nurse mentor why he chose nursing as a career. The nurse mentor replies that he chose nursing because it is a profession, which is characterized by

-reasonable work and reasonable compensation.

-responsibility ending with the shift.

​-lifelong learning and autonomy.

lifelong learning and autonomy.

A charge nurse discovers a staff nurse is chemically dependent on opioid analgesics. Which of the following is the most serious outcome if the staff nurse continues to care for clients in a chemically dependent state?

-Compromised client trust

​-Omissions in client care

​-Loss of respect from peers

Omissions in client care

A nurse manager is discussing the nurse practice act with staff. Which of the following should the nurse manager identify as the most important function of this act?

-Defines the power of the state board of nursing

-Defines nursing practice to protect the public

-Defines the requirements for licensure

Defines nursing practice to protect the public

A newly licensed nurse has been practicing in acute care for six months. Which of the following is the most essential for the nurse to achieve prior to assuming key nursing roles?

-Becoming a change agent

-Recognizing professional identity

-Performing competent client care

Recognizing professional identity

A nurse is reviewing the nurse practice act in his state. Which of the following is a function of a nurse practice act?

​-Identifies the requirements for licensure

-Provides certification for specialty practice

-Regulates nursing student practice

Identifies the requirements for licensure

Following change of shift report, a nurse manager suspects that the oncoming nurse is under the influence of a chemical substance. Which of the following actions should the nurse manager take?

-Provide personal counseling to address the nurse's substance use.

-Arrange transportation for the staff nurse to go home.

-Schedule a meeting with the nurse within 72 hr.

Arrange transportation for the staff nurse to go home.

A newly licensed nurse is working on an acute care unit. Which of the following actions demonstrates the nurse's transition from novice to advanced beginner?

-Seeking assistance when performing a client procedure

​-Contacting the provider after noting a client's abnormal laboratory results

-Recommending a revision to the fall prevention policy

Contacting the provider after noting a client's abnormal laboratory results

After having worked on an inpatient hospital unit for a month, a newly licensed nurse tells the nurse manager that she is not sure she can do the job any more due to stress and a feeling of incompetence. Which of the following statements by the nurse manager is an appropriate response?

-"Feelings of incompetence can indicate that you were unprepared for the transition to the practice setting."

-"It sounds like you may be experiencing burnout. You may benefit by transferring to another unit."

-"You may be experiencing reality shock. We can discuss ways to reduce stress."

"You may be experiencing reality shock. We can discuss ways to reduce stress."

Nurses in a hospital unit are discussing the principles of quality improvement in client care. Which of the following statements by a nurse indicates a need for further teaching?

-"Risk managers are responsible for completing an incident report when a sentinel event occurs."

-"Nurse managers use incident reports to improve client care."

-"The nurse should complete an incident report for a near miss."

"Risk managers are responsible for completing an incident report when a sentinel event occurs."

A nurse is writing an article for his hospital's newspaper. Which of the following is an example of plagiarism?

-Applying quotation marks when using an author's statement word for word

-Referencing an author whose work he is paraphrasing

-Reusing content from an article he previously wrote

Reusing content from an article he previously wrote

A nurse is caring for a client who is postoperative. Which of the following actions by the nurse demonstrates the professional characteristic of autonomy?

-Making a decision about when to administer PRN pain medication

-Reviewing the client's laboratory data prior to contacting the provider

-Verifying the completion of delegated vital signs

Making a decision about when to administer PRN pain medication

A nurse is caring for a client who is from a culture different from her own. When listening to the client reminisce, the nurse is promoting which of the following?

-Accountability

-Stewardship

-Dignity

Dignity

A staff nurse suggests that her mentee practice asking self-reflecting questions. Which of the following questions by the mentee to herself indicates a need for further teaching?

-"How do my values about life affect my care of others?"

-"How do I feel about caring for a client of a different culture?"

-"How do I discuss end-of-life care with a client's family?"

"How do I discuss end-of-life care with a client's family?"

A nurse manager observes a staff nurse removing a used narcotic syringe from the sharps disposal container. Which of the following actions should the nurse manager take first?

-Create a disciplinary contract with the staff nurse.

-Confront the staff nurse.

-Collect information about the staff nurse's performance.

Collect information about the staff nurse's performance.

A staff nurse is compiling evidence on ventilator-associated pneumonia, which will be used to revise the hospital's policy and procedure for care of clients on ventilators. The nurse is acting in which of the following roles?

-Researcher

-Provider of care

-Client advocate

Researcher

A nurse is planning care for a client who is newly diagnosed with multiple sclerosis. Which of the following actions by the nurse demonstrates the value of caring?

-Building trust with the client and her family

-Demonstrating sympathy while providing client care

-Encouraging the client to develop dependent relationships

Building trust with the client and her family

A nurse working in an acute care facility is aware of the scope of practice and rules of her professional boundaries. Which of the following is an appropriate action for the nurse to take?

-Accepting a $50 gift certificate to a local restaurant from a client's family

-Obtaining assistance with financial planning from a client

-Receiving a basket of fruit sent for the unit staff from a client who has been discharged

Receiving a basket of fruit sent for the unit staff from a client who has been discharged

A nurse is working with an intradisciplinary team to change departmental policy. Which of the following roles is the nurse demonstrating?

-Collaborator

-Provider of care

-Educator

Collaborator

A nurse manager is meeting with staff nurses to discuss evidence-based practice. The nurse manager should inform the staff nurses that evidence-based practice

-serves as a catalyst to improve the quality of care.

-is less reliable than intuition as a tool for dertermining quality care.

-allows for a universal approach to quality care.

serves as a catalyst to improve the quality of care.

A nurse is delegating client care to an assistive personnel (AP) and instructs the AP to provide morning care to a client who has left-sided weakness. Which of the following rights should the AP clarify with the nurse?

-The right person

-The right direction

-The right task

The right direction

A nurse is facing charges of professional negligence. Which of the following professional nursing organizations provides resources to demonstrate whether she met the standard of practice?

-National League for Nursing (NLN)

-American Nurses Association (ANA)

-American Nurses Foundation (ANF)

American Nurses Association (ANA)

A nurse manager is discussing integrity with the nurses on the unit. Which of the following promotes professional integrity?

-Monthly staff social gatherings

-Rotating unit assignments

-Streamlined error-reporting system

Streamlined error-reporting system

A home health nurse is invited to dinner by a client's family on his day off. Which of the following actions by the nurse indicates understanding of his professional role?

-The nurse accepts the invitation but avoids future social interactions with the client.

-The nurse declines the invitation but explains that he will accept closer to discharge from home health.

-The nurse declines the invitation for dinner but offers to extend the length of each home visit.

The nurse declines the invitation for dinner but offers to extend the length of each home visit.

A nurse is assigned to care for a client who is receiving a continuous IV infusion of insulin. The nurse does not possess the skills to care for the client and requests that the charge nurse change her assignment. Which of the following statements by the nurse demonstrates assertiveness?

-"I don't feel confident managing this client on my own."

-"You need to assign clients to me according to my skill level."

-"I'll still care for this client if you think I should."

"I don't feel confident managing this client on my own."

A nurse is working in an intensive care unit. In which of the following examples is the nurse acting as a change agent?

-Suggesting ways to improve the visitor check-in policy

-Providing advice to a client who is newly diagnosed with lung cancer

-Precepting a newly licensed nurse about medication administration

Suggesting ways to improve the visitor check-in policy

A nurse is advocating implementation of a healthy school lunch program at the local middle school. Which of the following actions should the nurse take first to influence health policy development at the local level?

-Promote dietary change for students at the parent teacher association meetings.

-Campaign for a school board candidate who supports healthy school lunches.

-Conduct height and weight screenings of the students.

-Conduct height and weight screenings of the students.

A nurse orienting a newly licensed nurse is discussing integrity and morals. Which of the following statements by the newly licensed nurse indicates a need for further teaching?

-"I should provide fair and equal treatment to my clients."

-"I should consider an individual client's rights and beliefs."

-"I should withhold health information that will cause my clients stress."

"I should withhold health information that will cause my clients stress."

A newly licensed nurse confides in her mentor that she is feeling overwhelmed and is glad responsibility for her actions extends only to herself and her clients. Which of the following statements by the mentor is the most accurate response?

​-"As a nurse, responsibility for your actions also extends to your peers and society."

​-"I felt the same way as a new nurse. It's good we have a code of ethics to guide our practice."

​-"It is your responsibility to follow our professional guidelines to protect yourself and your clients."

"As a nurse, responsibility for your actions also extends to your peers and society."

A newly licensed nurse is being bullied by an experienced nurse. Which of the following actions should the newly licensed nurse take?

-Discuss the situation with the nurse manager.

-Identify whether other nurses have experienced similar behaviors.

-Request to speak to the experienced nurse in private.

Discuss the situation with the nurse manager.

A nurse on a medical-surgical unit is caring for a group of clients. The nurse demonstrates respect when he makes which of the following statements?

-"I will tell the provider to speak with your husband about your condition."

-"I hear people of your culture prefer kosher food."

-"Do you want your family to be present during your session with the speech therapist?"

"Do you want your family to be present during your session with the speech therapist?"

A group of nurse managers is developing a hospitalwide plan for orienting newly licensed nurses to the facility. Which of the following statements by a new member of the management team indicates a need for further education regarding orientation?

-"I should provide a brief orientation to allow for independent work right away."

-"I will offer a residency program to ease transition to practice."

-"I should assign a mentor to the newly licensed nurse."

"I should provide a brief orientation to allow for independent work right away."

A nurse is pursuing chemotherapy certification. Which of the following is an advantage of receiving certification?

-Providing formal instruction to peers about chemotherapy administration

-Maintaining knowledge of current practice in chemotherapy administration

-Gaining self-satisfaction in learning about chemotherapy administration

Maintaining knowledge of current practice in chemotherapy administration

A nurse manager is discussing the concept of dishonesty with nurses on the unit. Which of the following statements by a nurse indicates a need for further teaching?

-"Dishonesty is administering a medication at 1100, but charting that it was administered at 1000."

-"Dishonesty is giving preferential treatment to one client over another."

-"Dishonesty is withholding a diagnosis from a client at the family's request."

"Dishonesty is giving preferential treatment to one client over another.

A charge nurse is assisting a staff nurse to perform a new procedure. When the staff nurse is attempting the new procedure, he becomes frustrated and raises his voice at the charge nurse in front of the client. Which of the following actions by the staff nurse is appropriate?

-Completing the task and leaving the room

-Apologizing to the charge nurse and the client

-Noting the incident in the client's medical record

Apologizing to the charge nurse and the client

A nurse is talking to a client who expresses frustration regarding her scheduled care. Which of the following actions by the nurse promotes client autonomy?

-Telling the client to rest before performing morning care

-Asking the client to choose the order of care activities

-Setting up the client's bath supplies for later use

Asking the client to choose the order of care activities

A nurse manager is discussing a need for change in the plan of care for clients with a staff nurse. Which of the following statements identifies the staff nurse as a change agent?

-"We will not need ongoing evaluation of the plan if we use evidence-based practice."

-"We can spend less time planning if we use evidence-based practice."

-"We will use evidence-based practice to create a new plan of care that is effective."

"We will use evidence-based practice to create a new plan of care that is effective."

A nurse manager is reading a newly licensed nurse's self-evaluation after completing a three-month orientation period. Which of the following indicates self-reflection?

-Completed three sessions on ECG monitoring.

​-Requested more practice inserting intravenous catheters.

-Assisted in implementing a new electronic health record system.

Requested more practice inserting intravenous catheters.

A nurse manager hires a nurse whose personal reference reports that the nurse plagiarized during nursing school. Based on the information from the reference, which of the following actions should the nurse manager take?

-Caution other staff nurses about the potential for the nurse's misconduct.

-Inform the risk manager of the situation.

-Monitor the nurse's documentation during times of high client acuity.

Monitor the nurse's documentation during times of high client acuity.

A staff nurse volunteers to be a preceptor for nursing students during their clinical rotation. Which of the following professional values is the staff nurse demonstrating?

-Integrity

-Altruism

-Social justice

Altruism

A nurse manager is discussing the role of the state nurse practice act with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching?

-"Our state's nurse practice act identifies the topics covered on the NCLEX examination."

-"Our state's nurse practice act identifes our profession's scope of practice."

-"Our state's nurse practice act identifies actions that result in disciplinary action."

"Our state's nurse practice act identifies the topics covered on the NCLEX examination."

A newly licensed nurse is experiencing reality shock. Which of the following statements indicates the nurse is in the recovery phase?

-"I now have the time management skills I need to care for all of my clients."

​-"I am happy with my decision to choose nursing as a profession."

-"I am less nervous than before in my ability to administer medications."

"I am less nervous than before in my ability to administer medications."

A nurse on a medical-surgical unit is caring for a group of clients. The nurse demonstrates autonomy when he performs which of the following actions?

-Obtains a client's signature for informed consent

-Measures the calf circumference of a client who reports unrelieved leg pain

-Administers a scheduled PO dose of levothyroxine (Synthroid) before breakfast

Measures the calf circumference of a client who reports unrelieved leg pain

A newly licensed nurse confides in his preceptor that nursing is more stressful than he expected and that he is feeling anxious about providing safe care. Which of the following statements by the preceptor is an appropriate response?

-"Use your breaks as an opportunity to read over safety policies."

​-"It is important for you to feel comfortable to ask questions when you need to."

-"Make the most time-consuming care your priority."

"It is important for you to feel comfortable to ask questions when you need to."

A nurse working on a medical-surgical unit is discussing the roles of the interprofessional team with the charge nurse. Which of the following observations by the nurse indicates the essential skills of the interprofessional team?

-"I can see that various health care professionals are able to share their thoughts regarding planning client care."

-"I can see that various health care professionals are working independently when planning care for clients."

-"I can see that various health care professionals are using personal experience to plan client care."

"I can see that various health care professionals are able to share their thoughts regarding planning client care."

A nurse manager is reviewing the codes of ethics for nurses. Which of the following professional organizations provides specific guidance to licensed practical nurses?

-NAPNES

-AWHONN

-AACN

NAPNES

A nurse is caring for a client recently diagnosed with cancer. The client expresses fears about her future. Which of the following actions by the nurse demonstrates compassion?

-The nurse advises the client to tell her family about the diagnosis.

-The nurse reassures the client that treatment options will lead to a positive outcome.

-The nurse encourages the client to talk about her concerns.

The nurse encourages the client to talk about her concerns.

A nurse is responsible for mentoring a newly licensed nurse. Which of the following actions by the nurse would be considered part of the role of mentor?

-Assigning the mentee multiple client care tasks to complete on his own

-Accompanying the mentee to a professional nursing organization meeting

-Independently performing a procedure that is unfamiliar to the mentee

Accompanying the mentee to a professional nursing organization meeting