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Worksheets110 Final Exam Review
Total questions: 51
Worksheet time: 41mins
Preventing disease before it occurs is called (a)
Which of the following are responsibilities of the State Board of Nursing? Select all that apply
Administering NCLEX directly to candidates
Regulating nursing education programs
Developing national nursing licensure exams
Investigating complaints and taking disciplinary action
Determining scope of practice for nursing roles within their state
Match the nursing role to its key function
Educator
Teaches clients and supports new nurses
Case Manager
Coordinates transitions and discharge
Researcher
Conducts studies to improve nursing care
Manager
Oversees staff scheduling and budgeting
Change Agent
Leads improvement initiatives
A client is recovering from a stroke and receiving physical therapy in a skilled nursing facility. This is an example of which type of care?
Long-term care
Which of the following is an example of quaternary prevention?
Which techniques demonstrate therapeutic communication? Select All That Apply
Reflective listening
Giving recognition
Using silence
Avoiding eye contact
Asking "Why did you do that?"
The ANA’s Standards of Practice primarily define:
Legal policies and facility regulations
The clinical actions nurses take in care delivery
The process for disciplining license violations
Nurse behavior and professionalism
Which are considered social determinants of health (SDOH) that contribute to health disparities? Select All That Apply
Access to transportation
Employment and income
Cultural competence of the nurse
Genetic predisposition
Housing and neighborhood safety
Which level of care provides highly specialized and advanced interventions, such as open-heart surgery or neurosurgery?
Continuing care
Secondary care
Tertiary care
Primary care
Which regulatory agency accredits healthcare facilities and ensures compliance with quality and safety standards?
American Nurses Association (ANA)
National Council of State Boards of Nursing (NCSBN)
Centers for Medicare & Medicaid Services (CMS)
The Joint Commission (TJC)
Which of the following are components of the nursing process? Select All That Apply
Assessment
Supervision
Delegation
Evaluation
Implementation
Reorder the following examples in order of priority according to Maslow's Hierarchy of Needs.
A nurse provides a client with a warm blanket and food after surgery
A newly diagnosed diabetic expresses fear about managing injections at home
A client reports feeling isolated after moving to a new city
A client joins a support group and begins to feel confident in sobriety
A client starts a health podcast to inspire others to live well
Which of the following best describes clinical judgment?
The nurse’s interpretation and response to client needs and changes
A collaborative plan created by the entire care team
The ability to follow physician orders accurately
The use of evidence-based guidelines to form care plans
Which actions demonstrate use of the ABCDE prioritization framework? Select all that apply
Encouraging ambulation for a post-op patient
Monitoring urine output for a client with hypotension
Suctioning an airway for a client with stridor
Administering IV antibiotics for sepsis
Placing an oxygen mask on a client with low SpO₂
Which nursing action align with the implementation phase of the nursing process?
Administering medications
What is the purpose of using priority-setting frameworks such as Maslow’s or ABCDE in nursing practice?
To ensure documentation is accurate
To decide which tasks to assign to UAPs
To evaluate nursing performance
To help nurses determine which client issues require attention first
The Clinical Judgment Measurement Model (CJMM) guides nurses in understanding how to delegate tasks to UAPs.
True
False
According to the nursing process, which action should a nurse take immediately after identifying a client diagnosis?
Reassess the client
Develop a care plan
Evaluate the outcome of care
Document the assessment
Match each ethical principle to its correct example
Autonomy
Respecting a patient’s right to refuse
Nonmaleficence
Avoiding harm to patients
Veracity
Providing truthful information
Beneficence
Acting in the best interest of the patient
Justice
Ensuring fair treatment for all patients
The Good Samaritan Law protects healthcare professionals who provide (a) care in emergency situations from legal liability, as long as gross negligence is not involved.
A nurse notices a coworker frequently volunteering to administer narcotics and acting oddly. What is the most appropriate initial action?
Ignore the situation
Confront the coworker privately
Call the police immediately
Report suspicions to the nurse manager
Categorize which situations require an incident report.
A medication is given 30 minutes late
A near-miss with a mislabeled lab specimen
A nursing student performs a dressing change under supervision
A patient punches a wall and yells at staff
A staff member fails to wear PPE in an isolation room
A ventilator malfunctions during a routine patient assessment
A patient falls while attempting to get to the bathroom unassisted
Which scenario best demonstrates the nurse’s role in ethical decision-making?
Following physician orders without question
Avoiding involvement in family conflicts
Telling the patient there are no other options
Consulting the charge nurse about a patient’s pain
Match each nurse action to whether it is a HIPAA violation or not
Discussing patient information in a crowded elevator
Discussing a case in a medical conference with anonymized data
Sharing a patient's success story with their consent
Using patient data for research with proper de-identification
Talking about a patient's treatment plan with their family present
Which communication style involves confidently expressing one's needs while respecting others?
Assertive
Aggressive
Passive-aggressive
Passive
The therapeutic communication technique described as reassuring a patient without acknowledging their concerns is called (a)
Which therapeutic communication technique involves restating the patient’s message in the nurse’s own words to ensure understanding?
Open-ended question
Clarification
Reflection
Paraphrasing
Which factors can influence nurse-patient communication? Select All That Apply
Room paint color
Patient's medical history
Noise and lighting
Emotional state
Cultural background
A nurse documents the following: “Client fell out of bed because the CNA didn’t answer the call light.” What is the problem with this documentation?
It blames another staff member
It lacks detail about the fall
It should be written in all capital letters
It includes objective information
A nurse is giving discharge instructions to a patient newly diagnosed with heart failure. The room is noisy, the patient appears overwhelmed, and English is not their first language. Which action best demonstrates the nurse’s use of therapeutic and effective communication?
Provide a written pamphlet and ask the patient to read it at home
Rush through the instructions due to time constraints and promise to follow up later
Ask the family to translate the information
Slowly repeat instructions using simple language and confirm understanding with teach-back
A nurse is documenting a patient’s change in condition. Which entries would be appropriate to include in the charting? Select All That Apply
“Respiratory rate increased from 18 to 26 over 1 hour.”
“Patient stated, ‘I feel like I can’t catch my breath.’”
“Patient acted weird and seemed mad.”
“Probably just anxious because their family wasn’t visiting.”
“Crackles auscultated in bilateral lower lobes.”
During interdisciplinary rounds, a nurse uses the I-SBAR-R framework to update the provider about a patient who had a sudden drop in oxygen saturation and reports shortness of breath. Which statement best reflects the “Assessment” component?
“This is Anna, the RN on the surgical unit, calling about Mr. Perez.”
“I recommend switching him to a non-rebreather and ordering a chest x-ray.”
“He is a 78-year-old male who had a hip replacement yesterday.”
“His O₂ sat is 88% on 4L, respiratory rate is 30, and lungs have crackles.”
According to Erikson’s stages, a toddler who is encouraged to feed themselves is developing which key psychosocial task?
Industry
Trust
Autonomy
Initiative
Which of the following behaviors reflects rationalization as a coping mechanism?
A client suddenly begins behaving like a child.
A nurse avoids feeling sadness while on shift.
A patient denies the seriousness of their illness.
A student blames the teacher for a failed exam.
A 35-year-old client is struggling with intimacy. According to Erikson, which failure of psychosocial development is likely occurring?
Inferiority
Stagnation
Isolation
Despair
A client says, “I know my father is dying, but I keep hoping for a miracle.” Which stage of grief does this illustrate?
Denial
Bargaining
Depression
Acceptance
Which of the following are common physiological responses to stress? (Select all that apply.)
Fatigue
Muscle tension
Increased heart rate
Decreased blood glucose
Improved concentration
Which statements made by a nurse support a patient experiencing grief?
“Your feelings are valid, and I’m here to listen.”
“At least they’re in a better place now.”
“Would you like me to call a chaplain for support?”
“You should focus on the good memories instead.”
“Tell me more about what you’re feeling.”
Which behavior demonstrates that a child has entered the concrete operational stage of Piaget’s cognitive development theory?
Pretending a banana is a telephone during play
Believing the moon follows them wherever they go
Understanding that pouring water into a taller glass doesn't change its volume
Solving algebraic equations using abstract reasoning
A nurse educates a patient about creating a daily walking routine to manage diabetes. This is an example of (a) prevention?
The teach-back method helps verify understanding by having the client (a) the information in their own words.
Which domain of learning is addressed when a patient demonstrates drawing up insulin?
Psychomotor
Cognitive
Affective
A nurse asks, “What do you know about managing your blood pressure?” Which step of the teaching process is this?
Planning
Implementation
Evaluation
Assessment
Match each learning domain to the appropriate patient learning outcome
Cognitive
Patient lists the s/s of dehydration
Cognitive
Patient demonstrates understanding of medication side effects
Affective
Patient expresses feelings about their diagnosis
Psychomotor
Patient performs a blood pressure measurement
Affective
Patient discusses the importance of lifestyle changes
A nurse provides stroke rehab education to a patient and their family. Which level of prevention is this?
Secondary
Primary
Quaternary
Tertiary
Which are components of a culture of safety in healthcare? Select that all apply
Blame-focused incident reviews
Transparent communication
Reporting near misses
Punishment for all errors
Encouraging teamwork
Which statement best describes cultural competence in nursing care?
Integrating cultural knowledge into individualized care
Avoiding conversations about culture unless asked
Treating all patients the same to ensure fairness
Knowing every belief of every cultural group
A patient expresses fear that their pain will not be taken seriously due to their ethnicity. Which nurse response reflects cultural competence?
“I’m sure that’s not true here.”
“Our hospital treats everyone the same.”
“Let’s focus on the medical plan first.”
“Can you describe what makes you feel that way?”
Which of the following are signs of horizontal violence or incivility among nurses?
Select all that apply
Eye-rolling or sarcastic comments
Collaboration during shift report
Undermining a colleague’s credibility
Open discussion of patient care concerns
Persistent hostility between team members
A nurse ensures a patient’s chosen name and pronouns are used in all documentation. This demonstrates:
Cultural humility
Cultural blindness
Health equality
Health literacy
A patient delays cancer screenings due to lack of insurance and transportation. What social determinant of health is most likely influencing this?
Genetic predisposition
Access to healthcare
Cultural preference
Health behavior
