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Review Questions

1 .
Before providing the client with brochures on available community resources, the nurse identifies the client’s personal strengths in which stage of the nursing process?
  1. assessment
  2. analysis
  3. planning
  4. implementation
2 .
The nurse receives transfer of care report and recognizes the highest priority client need when learning what detail about the client?
  1. The client was silent during some of the admission interviews.
  2. There is medical history of preeclampsia with a pregnancy last year.
  3. The client’s family brought in some magazines and left them at the desk.
  4. The client states the partner will “be sorry” for their breakup.
3 .
Riley refuses to attend therapeutic groups while in the hospital. The nurse listens to Riley’s comments and plans to speak to the interdisciplinary team counselor about Riley’s concerns. What does this situation represent, relative to the nurse–client interaction?
  1. This is an example of the client’s inappropriate behavior.
  2. This is an example of secondary, objective data collection.
  3. This is an example of professional sharing in care planning.
  4. This is an example of evaluation in the nursing process.
4 .
What are the three components of evidence-based practice?
  1. research/client preference/nurse competency
  2. nurse experience/collaboration/teamwork
  3. research/client safety/client preference
  4. nurse experience/client teaching/delegation
5 .
When the nurse has developed a therapeutic relationship with the client, what is a true statement about nursing care?
  1. The nurse remains friends with the client after discharge from care.
  2. The nurse considers the client a partner in care planning.
  3. The nurse adheres to the plan of care without change.
  4. The nurse avoids a directive approach at all times.
6 .
Each American state and territory establishes legal nursing practice through what?
  1. research function
  2. Nurse Practice Act
  3. evidence-based practice guidelines
  4. building of a nursing database
7 .
What was the Clinical Judgment Measurement Model (CJMM) developed to be?
  1. a model to measure expert nursing knowledge
  2. a model to define scope of nursing practice
  3. a model to regulate nursing education
  4. a model to measure nursing judgment and knowledge of clinical skills
8 .
What environmental factor must the nurse must consider in decision-making if the client is due for a diagnostic test and the transport team is waiting?
  1. medical records
  2. resources
  3. task complexity
  4. time pressure
9 .
How does the nurse interpret assessment data in planning client care?
  1. generating solutions
  2. analyzing cues
  3. taking action
  4. evaluating outcomes
10 .
An adult client has described a personal loss. Before touching the client to offer comfort, what should the nurse consider?
  1. the client’s recent vital signs
  2. the client’s cultural background
  3. if the doctor should be notified
  4. if the client has been sad recently
11 .
The nurse manager conducts a hand hygiene surveillance project on the mental health unit. This activity demonstrates nursing competency in which two QSEN categories?
  1. safety and quality improvement
  2. teamwork and informatics
  3. safety and informatics
  4. evidence-based practice and person-centered care
12 .
How will the nurse evaluate if trust has been established with the client?
  1. The client states, “I wish my mom was here.”
  2. The client states, “You don’t even know me.”
  3. The client states, “I’ll tell you about my sister.”
  4. The client states, “I looked up that doctor online.”
13 .
What is a true statement about the nursing process?
  1. Cues are analyzed during assessment.
  2. Hypotheses are formed with evaluation.
  3. Nurses use only secondary data.
  4. Unmet goals are discontinued.
14 .
What is the value of nurses’ critical thinking?
  1. standardization of all nursing care
  2. elimination of future client needs
  3. memorization of nursing care plans
  4. interpretation of client care data
15 .
What is a true statement about NCLEX drag-and-drop test items?
  1. They cannot use every answer option.
  2. They cannot test prioritization.
  3. They show split computer screen.
  4. They make up 50 percent of test items.

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