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NURS 1190 Exam Prep

Total questions: 40

Worksheet time: 30mins

Name
Class
Date
1.

A patient had hip surgery 24 hours ago. The nurse refers to the written plan of care, noting that the patient has a device collecting wound drainage. The physician is to be notified when the accumulation in the device exceeds 100 mL for the day. When the nurse enters the room, the nurse looks at the device and carefully notes the amount of drainage currently in the device. This is an example of

a)

Planning

b)

Assessment

c)

Intervention

d)

Nursing Diagnosis

2.

In observing a new mother breastfeeding her baby, the public health nurse observes that the baby is fussy and is not sucking effectively. The nurse reviews the baby's record and finds that he has lost a considerable amount of weight since birth. The nurse conducts an assessment and notes that the baby has poor skin turgor. The mother reports that he urinates infrequently and sleeps only for very short periods of time between feedings. The nurse concludes that the baby is dehydrated and is at risk of becoming malnourished. This is an example of

a)

Inference

b)

Problem Solving

c)

Diagnostic Reasoning

d)

Applying Nursing practice Standards

3.

The nurse sits down to talk with her patient, whose sister died 2 weeks ago. The patient reports that she is unable to sleep, feels very fatigued during the day, and is having trouble at work. The nurse asks her to clarify the type of trouble, and the patient explains that she cannot concentrate or even solve simple problems. The nurse records the results of her assessment, describing the patient's problem as ineffective coping. This conclusion reflects the nurse's use of

a)

Inference

b)

Nursing Process

c)

Evaluation Critera

d)

General Critical Thinking competencies

4.

Inference presents as which Critical Thinking Behaviour?

a)

Observe patterns and formulate conclusions

b)

Ask how you can improve your clinical performance

c)

Consider opposing points of view

d)

Defend your conclusions

5.

A nurse is asked to participate in a procedure that conflicts with her personal values. Which resource should she consult to guide her actions in this situation?

a)

Best Practice Guidelines (RNAO)

b)

Standards of Nursing Practice (CNO)

c)

Union regulations

d)

Code of Ethics

6.

Paul participates in a standardized patient simulation exercise designed to enhance therapeutic communication skills when working with clients experiencing mental health challenges. Later he asks, “What did I learn about myself that could hinder my therapeutic engagement with mental health clients? And, how can I rephrase my responses so that they do not have an unintended, detrimental effect on my nurse–patient relationships?” This is an example of

a)

Knowing the Patient

b)
unconscious bias and judgmental attitudes
c)

Reflection

d)
self-criticism and avoidance
7.

What Question would you ask when in the Assessment phase of the nursing process?

a)

What actions will help the patient achieve his or her desired outcomes?

b)

How can I help the patient achieve his or her desired outcomes?

c)

What is the patient's health-related concern?

d)

What are the patient's desired health outcomes?

8.

What Question would you ask when in the Nursing Diagnosis Phase of the Nursing process?

a)

How can I help the patient achieve his or her desired outcomes?

b)

What is the patient's health-related concern?

c)

How will I know if the patient has achieved his or her desired outcomes?

d)

What actions will help the patient achieve his or her desired outcomes?

9.

What is the most influential health determinant?

a)

Personal health practices

b)

Health care services

c)

Income and social status

d)

Physical environment

10.

At what are health promotion activities aimed?

a)

Providing protection against disease

b)

Increasing the level of well-being

c)

Avoiding injury or illness

d)

Teaching clients to learn to live with their limitations

11.

The belief that health is primarily an individual responsibility is most congruent with which approach to health?

a)

Medical

b)

Behavioural

c)

Socioenvironmental

d)

Structural

12.

Which statement does not accurately characterize health promotion?

a)

Health promotion addresses health issues within the context of the social, economic, and political environment.

b)

Health promotion emphasizes empowerment.

c)

Health promotion strategies focus primarily on helping people develop healthy behaviours.

d)

Health promotion is political.

13.

Providing immunizations against measles is an example of what?

a)

Health promotion

b)

Primary prevention

c)

Secondary prevention

d)

Tertiary prevention

14.

Which of the following is an example of primary prevention?

a)

Educating children about handwashing to prevent illness

b)

Screening for hypertension

c)

Treating a patient with pneumonia

d)

Providing rehabilitation after a stroke

15.

Consider the acronym “SMART” used for writing learning objectives. What does the "A" stand for?

a)

Assessment

b)

Agreeable

c)

Accessible

d)

Achievable

16.

Vision, Hearing, taste, touch, and smell are all examples of which Functional Health Pattern

a)

Health Perception

b)

Cognitive-perceptual

c)

Self-Perception

d)

Coping/Stress tolerance

17.

Including patients in decision making regarding their care and respecting their choices of treatment demonstrate the principle of

a)

Beneficence

b)

Autonomy

c)

Justice

d)

Veracity

18.

If a nurse assesses a patient for pain and then offers a plan to manage the pain, the principle that encourages the nurse to monitor the patient's response to the plan is

a)

Beneficence

b)

Justice

c)

Nonmaleficence

d)

Respect for autonomy

19.

A patient tells the nurse, “I have stomach cramps and feel nauseated.” Which type of data is this?

a)

Objective

b)

Hsitorical

c)

Subjective

d)

Assessment

20.

A fellow nursing student is a patient in the hospital where a student nurse has a clinical placement. What should the student nurse do when he sees his ill classmate during a patient transfer to that unit?

a)

Keep the information private.

b)

Advise a few of the ill student's friends so that they can visit.

c)

Visit the ill student during lunch break.

d)

Access the ill student's EHR to see if the student is well enough for a visit.

21.

Kinesthetic learners learn best when

a)
they prefer to read textbooks and take notes.
b)
they excel in visual learning with diagrams and charts.
c)
they engage in hands-on activities and physical movement.
d)
they learn best through listening to lectures.
22.

While administering medications, the nurse realizes she has given the wrong dose of medication to a patient. The nurse acts by completing an incident report and notifying the patient's physician. The nurse is exercising

a)

Authority

b)

Responsibility

c)

Accountability

d)

Decision making

23.

Objective Data is

a)
theoretical assumptions without evidence
b)
unverifiable personal opinions
c)
subjective interpretations of feelings
d)
measurable and observable information based on facts
24.

Procedures for obtaining informed consent do not include:

a)

Describing the purpose of the study

b)

Describing the role of the subjects

c)

Giving the names of other participants in the study

d)

Describing the risks that the subject may incur

25.

Evidence-informed decision making

a)

Enables the transfer of clinical practice techniques into policy

b)

Requires that evidence be always research based

c)

Is synonymous with research-based practice

d)

Entails the use of knowledge based on research studies and takes into account a nurse's clinical experience and patient preferences

26.

An individual committed to change and motivated to change is an example of which stage of change?

a)

Pre-Contemplation

b)

Contemplation

c)

Preparation

d)

Action

27.

When beginning the assessment process, which action should the nurse take first to gather information about the client's health status?

a)

Observe the client

b)

Interview the client

c)

Check with family members

d)

Review diagnostic test results

28.

The nursing diagnosis hypothermia is an example of:

a)

A risk nursing diagnosis

b)

An actual nursing diagnosis

c)

A potential nursing diagnosis

d)

A wellness nursing diagnosis

29.

A Nursing Diagnosis is

a)

The diagnosis and treatment of human responses to health and illness

b)

The advancement of the development, testing, and refinement of a common nursing language

c)

A clinical judgement about individual, family, or community responses to actual and potential health problems or life processes

d)

The identification of a disease condition on the basis of a specific evaluation of physical signs, symptoms, the client's medical history, and the results of diagnostic tests

30.

Which of the following best describes spiritual assessment?

a)

It is structured and follows a specific process.

b)

It can only be done by a spiritual care provider.

c)

It should be flexible, and the depth of the assessment is dependent on the circumstances.

d)

It is the first component of the nursing assessment.

31.

The nurse observes that the client is shivering and notes a temperature of 39.0°C. The client's heart rate is 92 bpm and respiratory rate is 20 breaths per minute. Which of the following is considered subjective data?

a)

Temperature of 39.0°C.

b)

Client states he feels cold

c)

Respiratory rate of 20 breaths per minute

d)

Heart Rate of 92 bpm

32.

What is the purpose of the Nursing Code of Ethics?

a)
To provide ethical guidance for nursing practice.
b)
To define the roles of healthcare administrators.
c)
To outline the history of nursing practices.
d)
To establish a standard for nursing uniforms.
33.

Which of the following best describes the purpose of the assessment phase in the nursing process?

a)

To identify potential health problems

b)

To implement nursing interventions

c)

To collect and analyze patient data

d)

To evaluate patient outcomes

34.

Which action demonstrates the nurse's commitment to patient confidentiality?

a)

Discussing patient information only with authorized healthcare team members

b)

Allowing visitors to read the patient's chart

c)

Sharing patient updates with family without consent

d)

Posting about patient care on social media

35.

What is an example of secondary prevention in nursing practice?

a)

Administering vaccines to children

b)

Providing physical therapy after a stroke

c)

Conducting blood pressure screenings in the community

d)

Teaching stress management techniques

36.

What is the responsibility of the College of Nurses of Ontario?

a)
To manage hospital staffing and administration.
b)
To conduct research on nursing education methods.
c)
To provide financial support to nursing students.
d)
To regulate nursing practice and ensure public safety.
37.

An example of when a nurse would access the Nursing Code of Ethics

a)
When preparing a patient's discharge plan.
b)
When faced with a conflict of interest.
c)
When conducting a routine health assessment.
d)
When deciding on a patient's medication dosage.
38.

Which of the following is true regarding the Cognitive domain of learning? 

a)
The cognitive domain emphasizes emotional intelligence.
b)
The cognitive domain is solely about physical skills.
c)
The cognitive domain focuses on mental skills and knowledge acquisition.
d)
The cognitive domain is unrelated to knowledge and understanding.
39.

Which of the following statements most accurately describes the role of critical thinking in nursing practice?

a)

Accepting traditional methods without considering alternatives.

b)

Applying logical reasoning and evidence-based judgment to clinical situations.

c)

Making decisions based solely on personal beliefs.

d)

Ignoring patient preferences when planning care.

40.

A nurse following the Standards of professional practice would best be defined as

a)
a nurse who ignores established protocols in practice.
b)
a nurse who only follows personal beliefs in care.
c)
a nurse who operates independently without guidelines.
d)
a professional who adheres to established guidelines and protocols in nursing practice.