SITUATIONAL QUESTIONS (FOR MIDTERMS) Flashcards
(167 cards)
1
Q
- A patient undergoing chemotherapy expresses fear and emotional distress. The nurse, recognizing the importance of presence, remains by the patient’s side, offering silent reassurance. What component of caring is demonstrated?
A
Providing Presence
2
Q
- A hospital implements annual cholesterol screening for adults over 40 years old to detect early signs of cardiovascular disease. What level of prevention is this?
A
Secondary Prevention
3
Q
- A patient who recently suffered a stroke is enrolled in a rehabilitation program to regain mobility and prevent further deterioration. What level of prevention is this?
A
Tertiary Prevention
4
Q
- A nurse conducts a seminar for adolescents on the dangers of smoking and substance abuse to prevent future health issues. What level of prevention is being applied?
A
Primary Prevention
5
Q
- A nurse educator requires students to analyze real-life patient scenarios and propose evidence-based interventions. What learning theory is being applied?
A
Constructivism
6
Q
- A mother brings her child to the health center for routine immunization against communicable diseases. What level of prevention is this?
A
Primary Prevention
7
Q
- A patient with hypertension is educated about the importance of daily blood pressure monitoring and lifestyle changes. What level of prevention is this?
A
Secondary Prevention
8
Q
- A hospital nurse ensures that a patient’s unique beliefs, values, and cultural background are respected in the care plan. What caring model is applied?
A
Madeleine Leininger’s Transcultural Caring Theory
9
Q
- A nurse encourages a post-surgical patient to participate in a prescribed physical therapy regimen to promote functional recovery. What level of prevention is this?
A
Tertiary Prevention
10
Q
- A new nurse is struggling to adapt to the responsibilities of hospital duty. The nurse manager assigns a mentor to guide and support them. What aspect of professional development is demonstrated?
A
Commitment to Professional Growth
11
Q
- A patient in an ICU setting is placed on strict isolation precautions due to a highly contagious illness. What is the main purpose of this intervention?
A
Infection Control
12
Q
- A community health nurse organizes a breastfeeding awareness campaign to promote infant health and nutrition. What level of prevention is this?
A
Primary Prevention
13
Q
- A student nurse, assigned to observe a senior nurse, is asked to demonstrate a wound dressing change under supervision. What teaching strategy is used?
A
Demonstration and Return Demonstration
14
Q
- A patient newly diagnosed with diabetes mellitus is provided with a structured education program to enhance self-care and prevent complications. What level of prevention is being applied?
A
Tertiary Prevention
15
Q
- A hospital administrator mandates participation in research projects as part of nurses’ professional responsibilities. What criterion of a profession is being upheld?
A
Ongoing Research
16
Q
- A community health program offers free cervical cancer screening to women in high-risk populations. What level of prevention is this?
A
Secondary Prevention
17
Q
- A patient undergoing palliative care is provided with spiritual counseling to address their existential concerns. What component of caring is demonstrated?
A
Spiritual Caring
18
Q
- A hospital requires all newly hired nurses to join the Philippine Nurses Association (PNA). What criterion of a profession does this fulfill?
A
Professional Organization
19
Q
- A nurse in a high-stress emergency department experiences burnout and is advised to take personal time off for mental well-being. What aspect of nurse self-care is this?
A
Psychological Self-Care
20
Q
- A nursing student questions the ethical implications of withholding a terminal diagnosis from a patient. What principle of bioethics is being considered?
A
Veracity
21
Q
- A nurse assigned to a critical care unit is required to participate in ongoing advanced cardiac life support (ACLS) training. What criterion of a profession is upheld?
A
Ongoing Education
22
Q
- A patient diagnosed with tuberculosis is prescribed a six-month medication regimen. What is the primary reason for strict adherence to this treatment plan?
A
Prevention of Drug Resistance
23
Q
- A nurse in a neonatal intensive care unit (NICU) spends additional time soothing an irritable premature infant. What component of caring in nursing practice is applied?
A
Touch or Comforting
24
Q
- A hospital develops policies to protect nurses from workplace violence and improve overall working conditions. What professional nursing aspect is promoted?
A
Commitment to the Nursing Profession
25
25. A school nurse conducts routine hearing and vision tests to identify sensory impairments early. What level of prevention is this?
Secondary Prevention
26
26. A patient recovering from a spinal cord injury is referred to an occupational therapy program to enhance daily living skills. What level of prevention is this?
Tertiary Prevention
27
27. A nurse working in an industrial setting designs an ergonomic training program to prevent workplace injuries. What specialized field of nursing is this?
Occupational/Industrial Nursing
28
28. A nurse assists a patient in understanding how their personal values influence health-related decisions. What caring model does this represent?
Jean Watson’s Theory of Human Caring
29
29. A community health nurse organizes a campaign to educate the elderly on fall prevention strategies. What level of prevention is this?
Primary Prevention
30
30. A hospital mandates an infection control training program for all healthcare staff to enhance patient safety. What criterion of a profession is demonstrated?
Ongoing Research and Professional Growth
31
31. A nurse in a home healthcare setting educates family members on assisting with the mobility of a bed-bound patient. What component of caring in nursing practice is demonstrated?
Family Care
32
32. A nurse working in a primary healthcare clinic assesses an elderly patient’s vaccination records and administers the annual influenza vaccine. What level of prevention is being applied?
Primary Prevention
33
33. A hospital develops a standardized protocol for fall risk assessment in geriatric patients to prevent injuries. What level of prevention is this?
Primary Prevention
34
34. A nurse working in the emergency department applies the triage system to ensure that critical patients receive immediate care. What ethical principle is being applied?
Justice
35
35. A hospital administrator requires nurses to engage in continuing professional development to maintain competency in clinical practice. What criterion of a profession does this represent?
Ongoing Research and Professional Growth
36
36. A community health nurse conducts an awareness campaign on proper hand hygiene and sanitation to reduce infectious disease transmission. What level of prevention is this?
Primary Prevention
37
37. A nurse in an oncology unit ensures that a terminally ill patient receives pain management, emotional support, and dignity in care. What type of nursing care is provided?
Palliative Care
38
38. A hospital requires nurses to complete annual competency evaluations to maintain high-quality nursing care. What aspect of professionalism is being upheld?
Commitment to Professional Growth
39
39. A patient with a family history of diabetes undergoes routine blood glucose testing to monitor for early signs of the disease. What level of prevention is this?
Secondary Prevention
40
40. A nurse recognizes that a patient’s stress is affecting their recovery and provides interventions to promote emotional well-being. What dimension of man is being considered?
Emotional Dimension
41
41. A nursing student is asked to discuss how different cultures perceive health and illness in relation to nursing care. What concept of man is being addressed?
Man as a Holistic Being
42
42. A newly hired nurse is mentored by a senior nurse in proper documentation and legal responsibilities in patient care. What characteristic of a profession is demonstrated?
Professional Accountability
43
43. A nurse provides religious and spiritual support to a patient facing a terminal illness. What component of caring in nursing practice is demonstrated?
Spiritual Caring
44
44. A nurse teaches a patient diagnosed with hypertension about the importance of reducing sodium intake to control blood pressure. What level of prevention is being applied?
Secondary Prevention
45
45. A community health nurse assists families affected by a natural disaster in accessing medical care and psychological support. What role of the nurse is demonstrated?
Advocate
46
46. A nurse educates a group of adolescents on responsible sexual behavior and STI prevention. What level of prevention is this?
Primary Prevention
47
47. A nursing student is asked to apply theoretical knowledge to a simulated clinical case. What teaching method is being used?
Problem-Based Learning
48
48. A hospital implements a staff wellness program that includes stress management workshops and healthy lifestyle promotions. What aspect of nurse self-care is being addressed?
Emotional and Physical Self-Care
49
49. A patient recovering from a heart attack is encouraged to participate in a cardiac rehabilitation program. What level of prevention is this?
Tertiary Prevention
50
50. A nurse leader establishes a mentorship program to support newly hired nurses and improve retention. What professional value is being upheld?
Commitment to the Nursing Profession
51
51. A patient who experienced a traumatic accident is referred to psychological counseling to cope with emotional distress. What level of prevention is this?
Tertiary Prevention
52
52. A hospital implements a policy that all surgical patients must be assessed using a preoperative checklist to reduce errors. What characteristic of a profession is demonstrated?
Evidence-Based Practice
53
53. A school nurse organizes a daily handwashing campaign among students to reduce absenteeism from infections. What level of prevention is this?
Primary Prevention
54
54. A patient undergoing rehabilitation for a spinal cord injury is provided with assistive devices to improve independence. What level of prevention is being applied?
Tertiary Prevention
55
55. A nurse participates in research to evaluate the effectiveness of a new wound care protocol. What criterion of a profession is demonstrated?
Ongoing Research
56
56. A patient who suffered a stroke is provided with speech therapy to improve communication skills. What level of prevention is this?
Tertiary Prevention
57
57. A nurse in an emergency department prioritizes care for critically ill patients before those with minor injuries. What ethical principle is applied?
Justice
58
58. A nurse in a community clinic administers prenatal vitamins to pregnant women to prevent birth defects. What level of prevention is this?
Primary Prevention
59
59. A hospital implements a “Zero Tolerance for Workplace Harassment” policy to maintain a professional work environment. What aspect of professionalism is being upheld?
Ethical Conduct
60
60. A student nurse is struggling to understand patient-centered care. The instructor assigns role-playing exercises to help them apply the concept. What learning strategy is used?
Experiential Learning
61
A nurse remains at the bedside of a terminally ill patient, offering silent support and reassurance. What component of caring is demonstrated?
a) Spiritual Caring
b) Providing Presence
c) Knowing the Client
d) Emotional Support
b) Providing Presence
62
A patient is admitted to the hospital after a car accident and expresses deep frustration about their inability to walk. What impact of illness is being observed?
a) Impact on Self-Concept
b) Impact on Body Image
c) Impact on Family Roles
d) Impact on Emotional Stability
a) Impact on Self-Concept
63
A nurse educator requires students to apply theoretical concepts by using simulated patient scenarios. What learning theory is being applied?
a) Behaviorism
b) Constructivism
c) Humanism
d) Cognitivism
b) Constructivism
64
A patient recovering from a stroke expresses concerns about returning to work and providing for their family. What impact of illness is being addressed?
a) Impact on Family Roles
b) Impact on Body Image
c) Impact on Self-Concept
d) Impact on Social Relationships
a) Impact on Family Roles
65
A hospital administrator mandates all nursing staff to participate in continuous professional education programs. What criterion of a profession does this fulfill?
a) Ongoing Research
b) Professional Growth
c) Leadership Development
d) Commitment to Ethical Practice
b) Professional Growth
66
A nurse working in a corporate setting provides first aid training for employees to prepare them for workplace emergencies. What specialized field of nursing is this?
a) Occupational/Industrial Nursing
b) Community Health Nursing
c) Hospital-Based Nursing
d) School Nursing
a) Occupational/Industrial Nursing
67
A patient with a newly diagnosed chronic illness becomes withdrawn and refuses visitors. What impact of illness is being demonstrated?
a) Impact on Social Relationships
b) Impact on Self-Concept
c) Impact on Family Roles
d) Impact on Emotional Well-being
a) Impact on Social Relationships
68
A nurse in a neonatal intensive care unit (NICU) spends extra time soothing a premature infant who is crying excessively. What component of caring in nursing practice is demonstrated?
a) Emotional Support
b) Touch or Comforting
c) Knowing the Client
d) Family Care
b) Touch or Comforting
69
A community health nurse assesses a family’s housing conditions to determine factors affecting their health. What concept of man is being considered?
a) Man as a Biological Being
b) Man as a Holistic Being
c) Man as a Partner in Healthcare
d) Man as an Individual
b) Man as a Holistic Being
70
A hospital requires all nurses to be active members of the Philippine Nurses Association (PNA). What criterion of a profession does this represent?
a) Public Service
b) Professional Organization
c) Ethical Conduct
d) Ongoing Education
b) Professional Organization
71
A nurse notices a colleague failing to follow hand hygiene protocols before administering medication. What ethical principle should guide the nurse’s response?
a) Confidentiality
b) Accountability
c) Beneficence
d) Justice
b) Accountability
72
A nurse ensures that a patient undergoing chemotherapy receives proper emotional and psychological support. What component of caring is demonstrated?
a) Providing Presence
b) Emotional Support
c) Knowing the Client
d) Family Care
b) Emotional Support
73
A hospital implements a standardized protocol for medication administration to minimize errors. What characteristic of a profession is demonstrated?
a) Ethical Conduct
b) Leadership
c) Commitment to Quality Improvement
d) Professional Growth
c) Commitment to Quality Improvement
74
A nurse teaches a group of first-time mothers about proper newborn care and breastfeeding techniques. What role of the nurse is demonstrated?
a) Nurse as a Caregiver
b) Nurse as an Educator
c) Nurse as a Researcher
d) Nurse as an Advocate
b) Nurse as an Educator
75
A hospital requires all newly hired nurses to undergo ethical decision-making workshops. What aspect of professional nursing is being upheld?
a) Commitment to Ethical Conduct
b) Commitment to Patient Safety
c) Commitment to Leadership
d) Commitment to Research
a) Commitment to Ethical Conduct
76
A patient recovering from surgery is provided with post-operative pain management, wound care, and mobility assistance. What component of caring in nursing practice is demonstrated?
a) Knowing the Client
b) Touch or Comforting
c) Family Care
d) Emotional Support
a) Knowing the Client
77
A community health nurse educates the elderly on fall prevention strategies. What level of prevention is being applied?
a) Primary
b) Secondary
c) Tertiary
d) Rehabilitation
a) Primary
78
A nursing student is asked to apply knowledge from class lectures to real patient care scenarios. What teaching method is being used?
a) Problem-Based Learning
b) Lecture-Based Learning
c) Role-Playing
d) Constructivist Learning
a) Problem-Based Learning
79
A patient recovering from a traumatic injury is enrolled in a rehabilitation program to regain mobility. What level of prevention is being applied?
a) Primary
b) Secondary
c) Tertiary
d) Preventive
c) Tertiary
80
A nurse ensures that a patient’s religious and cultural beliefs are respected in the care plan. What caring model is being used?
a) Jean Watson’s Theory of Human Caring
b) Swanson’s Theory of Caring
c) Leininger’s Transcultural Caring Theory
d) Henderson’s Nursing Model
c) Leininger’s Transcultural Caring Theory
81
A hospital requires all newly hired nurses to undergo mentorship programs with senior staff to support their transition into professional practice. What aspect of professional nursing is being upheld?
a) Leadership Development
b) Commitment to Professional Growth
c) Commitment to Ethical Conduct
d) Autonomy in Practice
b) Commitment to Professional Growth
82
A nurse leader implements a system where nurses are required to undergo regular competency evaluations. What criterion of a profession does this fulfill?
a) Ethical Conduct
b) Commitment to Quality Improvement
c) Ongoing Research
d) Leadership in Nursing
b) Commitment to Quality Improvement
83
A community health nurse conducts an educational program on hypertension management for individuals diagnosed with high blood pressure. What level of prevention is being applied?
a) Primary
b) Secondary
c) Tertiary
d) Rehabilitative
b) Secondary
84
A nurse notices that a colleague administers medication without checking the patient’s identification. What is the best ethical action for the nurse to take?
a) Ignore the situation, assuming no harm was done.
b) Report the incident to the supervisor.
c) Remind the colleague about patient safety protocols.
d) Confront the colleague publicly about the mistake.
b) Report the incident to the supervisor.
85
A hospital develops a policy that ensures all patients receive equal access to healthcare services, regardless of economic status. What ethical principle is demonstrated?
a) Beneficence
b) Justice
c) Autonomy
d) Nonmaleficence
b) Justice
86
A nursing instructor uses case-based learning to help students understand real-world patient care scenarios. What teaching method is being used?
a) Problem-Based Learning
b) Demonstration and Return Demonstration
c) Role-Playing
d) Lecture-Based Learning
a) Problem-Based Learning
87
A nurse participates in research to assess the effectiveness of a new wound care protocol. What criterion of a profession is being demonstrated?
a) Leadership in Practice
b) Ethical Decision-Making
c) Ongoing Research
d) Public Service
c) Ongoing Research
88
A nurse ensures that all patient documentation is accurate and complete. What professional responsibility is being upheld?
a) Accountability
b) Advocacy
c) Autonomy
d) Justice
a) Accountability
89
A community health nurse provides counseling and psychological support to individuals experiencing post-disaster trauma. What component of caring in nursing practice is demonstrated?
a) Providing Presence
b) Emotional Support
c) Family Care
d) Spiritual Caring
b) Emotional Support
90
A hospital adopts an electronic health record system to improve efficiency and reduce documentation errors. What professional nursing value is demonstrated?
a) Innovation in Nursing
b) Commitment to Quality Improvement
c) Ethical Conduct
d) Professional Growth
b) Commitment to Quality Improvement
91
A nurse caring for a terminally ill patient advocates for their right to refuse aggressive treatment in favor of palliative care. What ethical principle is upheld?
a) Nonmaleficence
b) Autonomy
c) Justice
d) Beneficence
b) Autonomy
92
A hospital requires all nurses to complete annual training on infection control. What criterion of a profession is being demonstrated?
a) Ongoing Research
b) Leadership in Practice
c) Commitment to Patient Safety
d) Professional Development
c) Commitment to Patient Safety
93
A nurse provides culturally competent care by addressing a patient's dietary restrictions based on religious beliefs. What caring model is applied?
a) Jean Watson’s Theory of Human Caring
b) Swanson’s Theory of Caring
c) Leininger’s Transcultural Caring Theory
d) Henderson’s Nursing Model
c) Leininger’s Transcultural Caring Theory
94
A patient recovering from spinal cord injury is referred to a rehabilitation center for long-term therapy. What level of prevention is this?
a) Primary
b) Secondary
c) Tertiary
d) Preventive
c) Tertiary
95
A nurse in an emergency department prioritizes care for critically ill patients over those with minor injuries. What ethical principle is being demonstrated?
a) Justice
b) Autonomy
c) Beneficence
d) Nonmaleficence
a) Justice
96
A nurse leader implements a peer-review system where nurses evaluate each other’s performance to ensure high standards of care. What aspect of professional nursing is being promoted?
a) Leadership in Practice
b) Professional Accountability
c) Advocacy
d) Commitment to Ethical Conduct
b) Professional Accountability
97
A nurse educator encourages students to engage in hands-on learning activities to strengthen their critical thinking skills. What learning theory is applied?
a) Cognitivism
b) Humanism
c) Constructivism
d) Behaviorism
c) Constructivism
98
A hospital adopts a standardized pain assessment tool to ensure consistency in pain management interventions. What nursing responsibility is demonstrated?
a) Commitment to Evidence-Based Practice
b) Ethical Decision-Making
c) Commitment to Patient Safety
d) Professional Development
a) Commitment to Evidence-Based Practice
99
A nurse documents an error in medication administration and reports it to the supervisor immediately. What ethical principle is demonstrated?
a) Accountability
b) Confidentiality
c) Autonomy
d) Justice
a) Accountability
100
A community health nurse develops a disaster preparedness plan for a high-risk area. What level of prevention is this?
a) Primary
b) Secondary
c) Tertiary
d) Rehabilitative
a) Primary
101
A nurse administers a medication but realizes afterward that the dosage was higher than prescribed. The nurse immediately informs the physician and fills out an incident report. What ethical principle is demonstrated?
a) A nurse notices that a colleague made a similar medication error but does not report it, believing it was an accident.
b) A nurse explains to the patient that an error was made and apologizes, but does not report it to the physician to avoid consequences.
c) A nurse takes full responsibility for the medication error, informs the physician, and completes proper documentation.
d) A nurse asks another colleague to report the error instead, as they are afraid of disciplinary action.
d) Accountability
102
A nurse is caring for a patient who underwent abdominal surgery and encourages the patient to start walking within 12 hours post-operation to prevent complications. What level of prevention is this?
a) A nurse educates a group of high school students about proper nutrition to prevent obesity-related diseases.
b) A nurse advises a patient with high cholesterol to undergo regular screenings for early detection of heart disease.
c) A nurse helps a stroke patient regain mobility through physical therapy sessions.
d) A nurse encourages a post-surgical patient to ambulate early to prevent complications.
d) A nurse encourages a post-surgical patient to ambulate early to prevent complications.
103
A hospital mandates annual infection control training for all staff to minimize the spread of healthcare-associated infections. What criterion of a profession is demonstrated?
a) A nurse independently decides how to implement care without following standardized guidelines.
b) A nurse actively engages in lifelong learning and adheres to policies designed to improve patient outcomes.
c) A nurse refuses to participate in mandatory infection control training, believing their experience is sufficient.
d) A nurse ignores infection control protocols but continues providing care based on their personal judgment.
b) A nurse actively engages in lifelong learning and adheres to policies designed to improve patient outcomes.
104
A nurse is assigned to a terminally ill patient who decides to stop all life-prolonging treatments and requests only comfort care. What ethical principle is upheld?
a) A nurse administers a high-dose pain medication without consulting the physician because they believe it will help the patient.
b) A nurse ensures that the patient’s decision to refuse aggressive treatment is respected and provides palliative care.
c) A nurse encourages the family to pressure the patient into continuing treatment, believing it is the best choice.
d) A nurse refuses to care for the patient because they disagree with their decision to stop treatment.
b) A nurse ensures that the patient’s decision to refuse aggressive treatment is respected and provides palliative care.
105
A hospital enforces a strict patient identification policy to prevent medication errors. What nursing responsibility is demonstrated?
a) A nurse administers medication without verifying the patient’s identity, assuming they recognize the patient from previous shifts.
b) A nurse follows a strict protocol of double-checking patient identity before every medication administration.
c) A nurse asks a colleague to administer medication on their behalf without verifying the patient’s identification.
d) A nurse trusts the patient to confirm their name but does not cross-check with the medical record.
b) A nurse follows a strict protocol of double-checking patient identity before every medication administration.
106
A hospital requires nurses to complete an evidence-based research course to ensure continuous learning and improvement in patient care. What criterion of a profession does this represent?
a) A nurse conducts independent research but does not apply findings to practice.
b) A nurse regularly participates in training programs and applies evidence-based findings to enhance patient care.
c) A nurse refuses to engage in research-based education, believing that experience is more important than new studies.
d) A nurse relies solely on traditional nursing methods without incorporating new research findings.
b) A nurse regularly participates in training programs and applies evidence-based findings to enhance patient care.
107
A nursing student is required to analyze a patient’s condition and make clinical decisions based on the case study provided. What learning theory is being applied?
a) A student memorizes textbook definitions without applying them to patient cases.
b) A student observes senior nurses but does not engage in hands-on learning experiences.
c) A student actively participates in simulated clinical cases and applies problem-solving skills.
d) A student reads about a procedure but does not perform it during clinical rotations.
c) A student actively participates in simulated clinical cases and applies problem-solving skills.
108
A nurse working in an emergency department triages patients based on severity and ensures that those in critical condition receive immediate care. What ethical principle is being applied?
a) A nurse treats all patients equally, regardless of the urgency of their conditions.
b) A nurse prioritizes critical patients while ensuring that stable patients receive care as resources allow.
c) A nurse attends to the first patient who arrives, regardless of the severity of their condition.
d) A nurse provides care only to patients with insurance coverage before treating others.
b) A nurse prioritizes critical patients while ensuring that stable patients receive care as resources allow.
109
A community health nurse organizes a disaster preparedness seminar for local residents to help them respond effectively to emergencies. What level of prevention is being applied?
a) A nurse treats patients with severe injuries after a disaster has occurred.
b) A nurse educates the public on how to prepare for potential disasters to minimize injuries and loss of life.
c) A nurse provides physical therapy to a patient recovering from injuries sustained in a disaster.
d) A nurse screens individuals for post-traumatic stress disorder following a disaster.
b) A nurse educates the public on how to prepare for potential disasters to minimize injuries and loss of life.
110
A hospital adopts an electronic health record system to ensure secure and efficient documentation. What professional nursing value is demonstrated?
a) A nurse documents patient care manually and refuses to transition to electronic records.
b) A nurse actively learns to use the new electronic health record system to improve efficiency and accuracy.
c) A nurse shares login credentials with colleagues to speed up documentation.
d) A nurse avoids using the electronic health record, believing that handwritten notes are more reliable.
b) A nurse actively learns to use the new electronic health record system to improve efficiency and accuracy.
111
A nurse is assigned to care for a patient with a different cultural background and wants to ensure culturally competent care. What should the nurse do first?
a) Assume that all patients have the same healthcare beliefs and proceed with care as usual.
b) Research the patient's cultural background but avoid asking personal questions to prevent discomfort.
c) Assess the patient’s cultural preferences, beliefs, and values before developing a care plan.
d) Inform the patient that hospital policies take precedence over cultural beliefs.
c) Assess the patient’s cultural preferences, beliefs, and values before developing a care plan.
112
A patient with a terminal illness expresses concern about how their condition will affect their family. How should the nurse respond?
a) Reassure the patient by stating that their family will be fine and should not worry.
b) Acknowledge the patient’s concerns and offer support by discussing coping strategies.
c) Avoid discussing the topic, as it may worsen the patient’s emotional distress.
d) Suggest that the patient should focus on their treatment rather than their family.
b) Acknowledge the patient’s concerns and offer support by discussing coping strategies.
113
A hospital implements a policy requiring all nurses to engage in research-based practice. What professional nursing value is demonstrated?
a) A nurse refuses to participate in research activities, believing that experience is more valuable than studies.
b) A nurse applies the latest research findings to improve patient care and nursing practice.
c) A nurse relies only on traditional methods of care without considering new research.
d) A nurse avoids research-based practice because it requires extra time and effort.
b) A nurse applies the latest research findings to improve patient care and nursing practice.
114
A nurse notices a colleague not washing their hands before patient care but is hesitant to speak up. What is the best action?
a) Ignore the situation, as the nurse may have already sanitized their hands.
b) Immediately report the incident to hospital management.
c) Politely remind the colleague about hand hygiene protocols.
d) Wait to see if another staff member intervenes.
c) Politely remind the colleague about hand hygiene protocols.
115
A patient newly diagnosed with diabetes expresses frustration and difficulty adjusting to lifestyle changes. What is the most appropriate nursing response?
a) "Managing diabetes is simple if you just follow the diet plan strictly."
b) "I understand that this is overwhelming. Let’s take it step by step and find a way that works for you."
c) "You need to focus on your treatment rather than feeling frustrated."
d) "Diabetes is common, and many people manage it successfully, so don’t worry too much."
b) "I understand that this is overwhelming. Let’s take it step by step and find a way that works for you."
116
A community health nurse develops a vaccination program for school children to prevent the spread of infectious diseases. What level of prevention is being applied?
a) A nurse treats a child who has already contracted measles.
b) A nurse administers vaccines to school children to protect them from future infections.
c) A nurse screens children for early symptoms of infectious diseases.
d) A nurse provides antibiotics to children diagnosed with bacterial infections.
b) A nurse administers vaccines to school children to protect them from future infections.
117
A hospital requires all nurses to complete ethics training to ensure proper decision-making in patient care. What aspect of professional nursing is being promoted?
a) A nurse ignores ethical dilemmas, believing they are the responsibility of physicians.
b) A nurse ensures that all actions taken align with ethical and legal standards in nursing.
c) A nurse follows only personal values rather than professional ethical guidelines.
d) A nurse avoids making difficult ethical decisions by deferring to hospital administrators.
b) A nurse ensures that all actions taken align with ethical and legal standards in nursing.
118
A nurse providing care for a Muslim patient ensures that their dietary restrictions are respected. What caring model is being demonstrated?
a) A nurse assumes that all patients have the same dietary needs and provides a standard meal.
b) A nurse ensures the patient’s religious dietary restrictions are accommodated while maintaining proper nutrition.
c) A nurse advises the patient to eat whatever is served since hospital meals are nutritionally balanced.
d) A nurse avoids asking about the patient’s dietary restrictions to prevent discomfort.
b) A nurse ensures the patient’s religious dietary restrictions are accommodated while maintaining proper nutrition.
119
A hospital introduces a standardized checklist for safe surgery procedures to minimize errors. What nursing responsibility is demonstrated?
a) A nurse follows the checklist to ensure that all safety protocols are met before surgery.
b) A nurse skips the checklist, believing that personal experience is sufficient to ensure safety.
c) A nurse asks a colleague to complete the checklist instead.
d) A nurse fills out the checklist without verifying the steps to save time.
a) A nurse follows the checklist to ensure that all safety protocols are met before surgery.
120
A nurse is caring for a patient with severe burns and ensures pain management is a priority. What ethical principle is being upheld?
a) A nurse decides to limit pain medication, believing the patient should tolerate some discomfort.
b) A nurse ensures the patient receives appropriate pain relief while considering potential side effects.
c) A nurse delays administering pain relief, thinking that treating the burns is the main priority.
d) A nurse assumes the patient is exaggerating pain and does not administer medication.
b) A nurse ensures the patient receives appropriate pain relief while considering potential side effects.
121
A nurse is assigned to a patient with a chronic illness who refuses treatment, stating that they believe in natural healing. What is the most appropriate action?
a) Respect the patient’s wishes and provide education about alternative healing methods without intervention.
b) Inform the patient that without medical treatment, their condition will deteriorate and insist they follow hospital protocols.
c) Assess the patient’s beliefs, provide unbiased information about treatment options, and involve them in shared decision-making.
d) Consult the hospital ethics board to determine whether the patient’s refusal should be overridden.
b) A nurse educates elderly individuals about how to prevent falls before they happen.
122
A nurse is assigned to a patient with a chronic illness who refuses treatment, stating that they believe in natural healing. What is the most appropriate action?
a) Respect the patient’s wishes and provide education about alternative healing methods without intervention.
b) Inform the patient that without medical treatment, their condition will deteriorate and insist they follow hospital protocols.
c) Assess the patient’s beliefs, provide unbiased information about treatment options, and involve them in shared decision-making.
d) Consult the hospital ethics board to determine whether the patient’s refusal should be overridden.
c) Assess the patient’s beliefs, provide unbiased information about treatment options, and involve them in shared decision-making.
123
A patient diagnosed with cancer expresses fear about dying and worries about their family’s future. What is the nurse’s best response?
a) "You should focus on staying strong; worrying won’t help."
b) "Your family will adjust, and the doctors are doing their best."
c) "I understand your concerns. Would you like to talk about ways we can support you and your family?"
d) "It’s important to stay positive. Negative thoughts will only make things worse."
c) "I understand your concerns. Would you like to talk about ways we can support you and your family?"
124
A nurse is caring for a patient who is hesitant about taking their prescribed medication due to religious beliefs. What is the most appropriate action?
a) Ask the patient’s family to convince them to take the medication.
b) Explain that hospital policy requires all patients to follow prescribed treatments.
c) Discuss the patient’s concerns, provide alternatives if available, and collaborate on a care plan.
d) Document the refusal and continue with care without addressing the concern further.
c) Discuss the patient’s concerns, provide alternatives if available, and collaborate on a care plan.
125
A hospital develops a protocol to prevent errors in medication administration. What professional nursing value is being demonstrated?
a) Ensuring that all medications are prescribed by physicians only.
b) Holding individual nurses accountable for all medication-related errors.
c) Implementing system-wide strategies to enhance patient safety.
d) Encouraging nurses to use personal judgment in adjusting medication dosages.
c) Implementing system-wide strategies to enhance patient safety.
126
A nurse is educating a newly diagnosed diabetic patient who appears distracted and uninterested in the information. What is the most appropriate action?
a) Continue providing the information, as the patient will absorb the knowledge over time.
b) Pause and assess the patient’s emotional state before proceeding with education.
c) Give the patient printed materials and ask them to read at their convenience.
d) Report the patient’s non-compliance to the physician.
b) Pause and assess the patient’s emotional state before proceeding with education.
127
A nurse notices a colleague skipping infection control measures due to time constraints. What is the best response?
a) Confront the colleague immediately and demand they follow the protocol.
b) Report the incident anonymously to hospital administration.
c) Gently remind the colleague about infection control protocols and offer support in following them.
d) Ignore the behavior since no harm has been observed in patients yet.
c) Gently remind the colleague about infection control protocols and offer support in following them.
128
A hospital requires nurses to undergo continuous education in evidence-based practice. What criterion of a profession is being demonstrated?
a) Research and innovation to advance nursing knowledge.
b) Ethical conduct to ensure fairness in nursing interventions.
c) Professional autonomy in making clinical decisions without consulting research.
d) Public service by following traditional nursing practices.
a) Research and innovation to advance nursing knowledge.
129
A nurse caring for a patient with advanced Alzheimer’s disease notices that the patient has become increasingly agitated and combative. What is the best initial nursing intervention?
a) Restrain the patient to prevent injury to themselves or others.
b) Assess the patient’s environment for possible triggers and attempt to calm them.
c) Increase sedation dosage to minimize aggression.
d) Limit the patient’s interaction with caregivers to reduce stimuli.
b) Assess the patient’s environment for possible triggers and attempt to calm them.
130
A community health nurse organizes a seminar on the importance of early breast cancer screening. What level of prevention is being applied?
a) A nurse educates women about risk factors and screening methods to detect cancer early.
b) A nurse provides chemotherapy to a patient diagnosed with breast cancer.
c) A nurse assists a breast cancer survivor in adapting to life after mastectomy.
d) A nurse provides pain management for a terminal breast cancer patient.
a) A nurse educates women about risk factors and screening methods to detect cancer early.
131
A nurse notices that a patient’s prescribed medication dosage is significantly higher than usual. What is the best action?
a) Administer the medication as prescribed but monitor the patient closely.
b) Confirm with the prescribing physician before administering the medication.
c) Reduce the dosage to what the nurse believes is appropriate.
d) Ask another nurse if they have seen similar dosages before proceeding.
b) Confirm with the prescribing physician before administering the medication.
132
A nurse is assigned to care for a patient who refuses a life-saving surgery due to personal beliefs. What is the most appropriate action?
a) Inform the patient that refusing surgery goes against medical advice and proceed with scheduling it.
b) Consult the hospital ethics board to determine if the patient’s decision should be overridden.
c) Explore the patient’s reasoning, provide all necessary information, and respect their final decision.
d) Ask the patient’s family to convince them to reconsider their decision.
c) Explore the patient’s reasoning, provide all necessary information, and respect their final decision.
133
A patient with terminal cancer is in extreme pain but refuses pain medication due to personal beliefs. How should the nurse respond?
a) Respect the patient's decision while offering alternative comfort measures.
b) Administer a lower dose of pain medication without informing the patient to prevent suffering.
c) Encourage the patient’s family to persuade them to accept medication.
d) Inform the physician and have pain relief provided against the patient’s will.
a) Respect the patient's decision while offering alternative comfort measures.
134
A nurse notices that a patient has developed a pressure ulcer under hospital care. What is the best immediate action?
a) Document the finding and continue with routine care.
b) Notify the physician and implement immediate pressure relief measures.
c) Reposition the patient but avoid alarming the physician unless it worsens.
d) Inform the family and encourage them to monitor the patient’s position.
b) Notify the physician and implement immediate pressure relief measures.
135
A patient refuses to take medication, stating they believe they are being poisoned. What is the most appropriate nursing response?
a) Force the patient to take the medication for their own good.
b) Respect the patient’s right to refuse and document it.
c) Assess the patient’s mental state and explore their concerns.
d) Ask another nurse to try persuading the patient.
c) Assess the patient’s mental state and explore their concerns.
136
A nurse suspects that a colleague is under the influence of alcohol while on duty. What is the best course of action?
a) Ignore the behavior unless it directly affects patient care.
b) Confront the colleague and ask if they need assistance.
c) Immediately report the suspicion to the nurse supervisor.
d) Observe the colleague for the rest of the shift before taking any action.
c) Immediately report the suspicion to the nurse supervisor.
137
A nurse is caring for a patient who is scheduled for surgery but suddenly expresses doubt and anxiety. What is the most appropriate response?
a) Reassure the patient that the surgery is necessary and proceed with preoperative preparations.
b) Ask the physician to speak with the patient and reinforce the need for surgery.
c) Encourage the patient to verbalize their concerns and clarify misconceptions.
d) Tell the patient that it is normal to feel anxious before surgery and avoid further discussion.
c) Encourage the patient to verbalize their concerns and clarify misconceptions.
138
A nurse is assigned to a post-operative patient whose pain is not relieved by prescribed medications. What is the best nursing intervention?
a) Contact the physician to reassess the pain management plan.
b) Encourage the patient to tolerate the pain, as it is expected after surgery.
c) Wait for the next scheduled pain medication dose before taking action.
d) Administer additional pain medication without a physician’s order to provide relief.
a) Contact the physician to reassess the pain management plan.
139
A patient recovering from a severe stroke refuses physical therapy, stating that it is useless. How should the nurse respond?
a) Explain the long-term benefits of therapy and provide motivation.
b) Allow the patient to refuse, as it is their personal decision.
c) Notify the physician to discuss alternative rehabilitation options.
d) Ask the patient’s family to persuade them to participate.
a) Explain the long-term benefits of therapy and provide motivation.
140
A hospital requires all nurses to complete training on cultural competency. What professional nursing value is being upheld?
a) Leadership in patient care
b) Ongoing education and professional growth
c) Ethical decision-making
d) Autonomy in clinical practice
b) Ongoing education and professional growth.
141
A nurse is assigned to care for a patient who follows a strict religious diet. What is the most appropriate action?
a) Ensure that hospital meals meet the patient’s religious requirements.
b) Advise the patient to temporarily adjust their diet while hospitalized.
c) Inform the patient that the hospital cannot accommodate specific dietary needs.
d) Encourage the patient to try available meal options, even if they don’t align with their beliefs.
a) Ensure that hospital meals meet the patient’s religious requirements.
142
A nurse receives a prescription for a medication that the patient is allergic to. What is the best nursing intervention?
a) Administer the medication but monitor closely for reactions.
b) Confirm the allergy, hold the medication, and notify the physician.
c) Ask another nurse if they have seen similar prescriptions before taking action.
d) Reduce the dosage and administer it cautiously.
b) Confirm the allergy, hold the medication, and notify the physician.
143
A patient who has just received a terminal diagnosis asks the nurse, "Am I going to die soon?" What is the most appropriate response?
a) "I don’t know, but let’s focus on making you as comfortable as possible."
b) "The doctors are doing everything they can, so don’t think about that right now."
c) "You should stay positive and focus on fighting the illness."
d) "Why are you asking? Are you feeling more unwell today?"
a) "I don’t know, but let’s focus on making you as comfortable as possible."
144
A nurse is caring for a confused elderly patient who tries to leave the hospital. What is the most appropriate action?
a) Physically restrain the patient to prevent harm.
b) Engage the patient in conversation and try to determine the reason for their behavior.
c) Contact security immediately to prevent elopement.
d) Sedate the patient to keep them from leaving.
b) Engage the patient in conversation and try to determine the reason for their behavior.
145
A hospital mandates strict adherence to patient confidentiality policies. What ethical principle is being upheld?
a) Autonomy
b) Veracity
c) Justice
d) Confidentiality
d) Confidentiality.
146
A nurse is caring for a patient with chronic pain who insists that their medication is not working, despite receiving the prescribed dose. What is the best nursing intervention?
a) Reassure the patient that the prescribed dosage is effective and suggest relaxation techniques.
b) Contact the physician to reassess the pain management plan.
c) Encourage the patient to tolerate the discomfort, as increasing the dosage may lead to dependency.
d) Document the complaint but continue with the current prescription.
b) Contact the physician to reassess the pain management plan.
147
A nurse notices a fellow nurse falsifying documentation to show that a dressing change was completed when it was not. What is the most appropriate response?
a) Confront the colleague privately and tell them to correct the documentation.
b) Report the incident to the nurse manager while ensuring patient safety is not compromised.
c) Ignore the situation, as it is not the reporting nurse’s responsibility.
d) Remind the colleague that skipping care may have consequences but do nothing further.
b) Report the incident to the nurse manager while ensuring patient safety is not compromised.
148
A post-surgical patient reports sudden difficulty breathing and chest pain. What is the nurse’s immediate action?
a) Instruct the patient to take deep breaths and monitor their condition.
b) Check vital signs and then notify the physician.
c) Position the patient upright and administer oxygen while calling for emergency assistance.
d) Offer reassurance, as anxiety may be contributing to the symptoms.
c) Position the patient upright and administer oxygen while calling for emergency assistance.
149
A nurse is preparing a medication when they realize that they accidentally drew up a dose that is higher than prescribed. What is the correct action?
a) Administer the medication carefully, monitoring for adverse effects.
b) Dispose of the incorrect dose properly and prepare the correct amount.
c) Give half of the drawn dose to approximate the prescription.
d) Ask another nurse if they would administer the higher dose instead.
b) Dispose of the incorrect dose properly and prepare the correct amount.
150
A nurse is providing discharge instructions to a patient who has low health literacy. What is the most effective teaching strategy?
a) Give the patient a detailed handout with written instructions.
b) Use simple language, demonstrate key actions, and ask the patient to repeat the information.
c) Provide verbal instructions quickly so the patient does not feel overwhelmed.
d) Instruct a family member to explain the instructions later.
b) Use simple language, demonstrate key actions, and ask the patient to repeat the information.
151
A nurse is caring for a patient with dementia who becomes agitated and attempts to leave the hospital. What is the best immediate intervention?
a) Physically restrain the patient to prevent injury.
b) Redirect the patient with a calm voice and engage them in a familiar activity.
c) Call security to block the exit and prevent the patient from leaving.
d) Administer a sedative as ordered to calm the patient down.
b) Redirect the patient with a calm voice and engage them in a familiar activity.
152
A patient on a ventilator suddenly becomes restless and agitated. What is the nurse’s priority action?
a) Reassure the patient that they are safe and adjust their positioning.
b) Assess the patient’s oxygen saturation and check for signs of hypoxia.
c) Increase the ventilator rate to provide more oxygen.
d) Notify respiratory therapy to evaluate the settings.
b) Assess the patient’s oxygen saturation and check for signs of hypoxia.
153
A nurse is floating to a unit they are unfamiliar with and is assigned to a patient with a condition they have no experience managing. What is the best response?
a) Inform the charge nurse and request an assignment that matches their skill level.
b) Accept the assignment and try to manage with guidance from colleagues.
c) Research the condition during breaks to become more familiar with it.
d) Proceed with care as instructed and learn on the job.
a) Inform the charge nurse and request an assignment that matches their skill level.
154
A nurse is caring for a terminally ill patient who asks, "How much time do I have left?" What is the most therapeutic response?
a) "It’s hard to predict, but let’s focus on keeping you comfortable."
b) "Only your doctor can answer that, so it’s best not to think about it."
c) "You should stay positive and not dwell on such thoughts."
d) "Why do you ask? Are you feeling different today?"
a) "It’s hard to predict, but let’s focus on keeping you comfortable."
155
A nurse is caring for a patient with suspected sepsis who has a fever, tachycardia, and low blood pressure. What is the nurse’s first action?
a) Administer a broad-spectrum antibiotic as prescribed.
b) Increase IV fluid administration to stabilize blood pressure.
c) Apply a cooling blanket to manage the fever.
d) Call for a rapid response team to assess the patient.
d) Call for a rapid response team to assess the patient.
156
A nurse is caring for a patient with pneumonia who refuses antibiotics, stating they "want their body to heal naturally." What is the most appropriate response?
a) Respect the patient’s wishes and provide supportive care only.
b) Inform the patient that without antibiotics, their condition will likely worsen and insist they take them.
c) Explore the patient’s beliefs, provide education on the importance of antibiotics, and respect their decision.
d) Notify the physician and ask for a court order to override the patient’s refusal.
c) Explore the patient’s beliefs, provide education on the importance of antibiotics, and respect their decision.
157
A postoperative patient who had abdominal surgery complains of sudden severe pain and an inability to move their legs. What is the nurse’s priority action?
a) Assess the patient’s surgical site for signs of infection.
b) Administer the prescribed pain medication and monitor the response.
c) Perform a neurovascular assessment and notify the physician immediately.
d) Reposition the patient to relieve pressure and reassess in 30 minutes.
c) Perform a neurovascular assessment and notify the physician immediately.
158
A nurse enters a patient’s room and finds them unresponsive with a weak pulse and shallow breathing. What is the nurse’s first action?
a) Call for a rapid response team and begin CPR.
b) Check for a DNR (Do Not Resuscitate) order before initiating interventions.
c) Start oxygen therapy and assess for possible causes of respiratory distress.
d) Notify the attending physician and wait for further instructions.
a) Call for a rapid response team and begin CPR.
159
A patient receiving chemotherapy reports sudden swelling, redness, and pain at the IV site. What is the nurse’s first intervention?
a) Stop the IV infusion immediately and assess the site.
b) Apply a warm compress and elevate the extremity.
c) Continue the infusion at a slower rate and monitor the site.
d) Notify the physician and wait for further instructions.
a) Stop the IV infusion immediately and assess the site.
160
A nurse is preparing to administer a high-alert medication when they notice the dose prescribed is significantly higher than usual. What is the best nursing action?
a) Administer the medication as prescribed but monitor for side effects.
b) Verify the order with the physician before administration.
c) Hold the medication and report the error to the nursing supervisor.
d) Ask another nurse if they have seen this dosage given before.
b) Verify the order with the physician before administration.
161
A nurse witnesses a colleague taking a controlled substance from the medication cart and placing it in their pocket. What is the most appropriate action?
a) Confront the colleague privately and ask for an explanation.
b) Immediately report the incident to the nurse manager or supervisor.
c) Monitor the colleague closely for further signs of drug diversion.
d) Ignore the situation unless it directly affects patient care.
b) Immediately report the incident to the nurse manager or supervisor.
162
A patient with schizophrenia tells the nurse that they hear voices instructing them to harm themselves. What is the nurse’s immediate action?
a) Reassure the patient that the voices are not real and encourage them to ignore them.
b) Ask the patient if they have a specific plan to act on these thoughts.
c) Distract the patient by engaging them in conversation about a neutral topic.
d) Administer a sedative and monitor for changes in behavior.
b) Ask the patient if they have a specific plan to act on these thoughts.
163
A nurse is assigned to a patient with a severe nut allergy who is mistakenly served food containing nuts. What is the first action?
a) Remove the food tray and inform the dietary department.
b) Assess the patient for signs of an allergic reaction and prepare for emergency intervention.
c) Notify the physician and request an order for antihistamines.
d) Document the incident and discuss it with the patient.
b) Assess the patient for signs of an allergic reaction and prepare for emergency intervention.
164
A nurse is caring for a patient with a head injury who suddenly becomes confused and restless. What is the priority intervention?
a) Reorient the patient and provide reassurance.
b) Perform a neurological assessment and notify the physician immediately.
c) Apply physical restraints to prevent injury.
d) Administer a sedative to calm the patient.
b) Perform a neurological assessment and notify the physician immediately.
165
A pregnant woman arrives at the emergency department complaining of severe abdominal pain and vaginal bleeding. What is the nurse’s immediate priority?
a) Obtain a detailed obstetric history and assess for preterm labor.
b) Check fetal heart tones and assess maternal vital signs.
c) Notify the obstetrician while preparing the patient for an emergency ultrasound.
d) Reassure the patient that spotting is common in pregnancy.
b) Check fetal heart tones and assess maternal vital signs.
166
A nurse caring for a patient with a chest tube notices continuous bubbling in the water-seal chamber. What is the nurse’s first action?
a) Clamp the chest tube immediately to stop the air leak.
b) Check for loose connections and assess the patient’s respiratory status.
c) Increase the suction to resolve the bubbling.
d) Notify the physician and request an X-ray.
b) Check for loose connections and assess the patient’s respiratory status.
167
A nurse finds a confused elderly patient wandering the hospital hallway at night. What is the best intervention?
a) Restrain the patient to prevent them from falling.
b) Guide the patient back to their room and offer reassurance.
c) Call security to assist in returning the patient to bed.
d) Sedate the patient to prevent further wandering.
b) Guide the patient back to their room and offer reassurance.
