Online Practice Test 1

Your Results for: "NCLEX® Review"

Print this page

Site Title: Kozier & Erb's Fundamentals of Nursing Book Title: Kozier & Erb's Fundamentals of Nursing Location on Site: Chapter 1 > NCLEX® Review Date/Time Submitted: July 4, 2012 at 1:59 AM (UTC/GMT)

Summary of Results 60% Correct of 10 Scored items: 6 Correct:  60% 4 Incorrect:  40% More information about scoring

1.		Which factor had the greatest influence on the expansion of the practice of nursing? Your Answer: Nursing leadership's skills at influencing others
		Nursing leaders understood the value of nursing in health care and society and were able to articulate the importance of the profession. Objective: Discuss historical and contemporary factors influencing the development of nursing. Rationale: Visionary nursing leadership was instrumental in expanding the practice of nursing. Although females were traditionally seen in a nurturing role, society viewed them in a subservient and dependent role, which caused them to be called upon to care for the ill of the community. The commitment to religious values often resulted in exploitation, with few monetary rewards. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Recall historical impact on contemporary nursing practice
2.		What is the primary attribute Florence Nightingale used to raise the status of nursing? Your Answer: Her contribution to nursing education
		Nightingale was instrumental in promoting the value of nursing education. Objective: Discuss historical and contemporary factors influencing the development of nursing. Rationale: Each attribute had a positive influence on the status of nursing, but it was thought that her greatest achievement was her contribution to nursing education. Nursing Process: Assessment Client Need: Safe, Effective Care Environment Cognitive Level: Application Strategy: Recall historical impact on contemporary nursing practice
3.		Which of the following economic demographic changes has affected the demand for nursing care? Your Answer: Families are relying on primary health providers for health care. Correct Answer: Clients in hospitals are more acutely ill.
		Families and individuals have used emergency rooms as primary health providers as insurance rates increase. Objective: Discuss historical and contemporary factors influencing the development of nursing. Rationale: Public and private health insurance programs are requiring larger contributions. The impact has been for the public to pay higher insurance premiums. The result is an increased reliance on health services. Nursing Process: Assessment Client Need: Safe, Effective Care Environment Cognitive Level: Analysis Strategy: Recall historical impact on contemporary nursing practice
4.		Which field of nursing specialty usually collaborates with a multidisciplinary health care team to monitor the outcomes of individual clients? Your Answer: Case manager
		The case manager works in an interdisciplinary setting to coordinate client care. Objective: Describe the expanded career roles and their functions. Rationale: The case manager often works with a health care team to oversee the care of a specific caseload of clients. The people filling the other roles often have a specific goal, without regard for the individual client. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Understand aspects of contemporary nursing practice
5.		Which area of nursing practice would involve administration of medications, taking vital signs, consultation with others about client problems, and teaching exercises to a client? Your Answer: Promotion of wellness Correct Answer: Restoration of health
		Promotion of wellness is considered health promotion. Objective: Describe the roles of nurses Rationale: This focuses on the ill client and extends from early detection through recovery. The examples cover these areas. Preventing illness would include immunizations, prenatal care, and STD prevention. Promotion of wellness would include smoking cessation classes and improving nutrition. Care of the dying involves comfort and caring. Nursing Process: Evaluation Client Need: Physiological Integrity Cognitive Level: Analysis Strategy: Understand contemporary nursing practice
6.		Which characteristic is thought to generally distinguish a profession from other kinds of occupations? Your Answer: Ongoing research
		A profession is characterized by ongoing research that promotes evidenced-based practice. Objective: Discuss the criteria of a profession and the professionalization of nursing. Rationale: Ongoing research is necessary to increase and expand knowledge and abilities. Training is usually prolonged. Autonomy is present, but there is an association to a community or professional organization. There is a specialized body of knowledge specific to the role performed. Nursing Process: Assessment Client Need: Safe, Effective Care Environment Cognitive Level: Application Strategy: Understand contemporary nursing practice
7.		What is the best action that would assist nurses in governing their practice? Your Answer: Establishing a conceptual framework Correct Answer: Working within their professional organizations
		Establishing a conceptual framework can lead to a more organized, professional practice. Objective: Explain the functions of national and international nurses' associations. Rationale: Governance establishes and maintains social, political, and economic arrangements, and is best done through the work of the professional organization. Authority does not assist with governance of the practice. It serves a specific purpose within an organization. Monitoring others does not assist with governing a profession. A code of ethics is established through the governance of a profession, and assists in monitoring behavior. There are many conceptual frameworks that only assist in direction of an organization, not the governance of it. Nursing Process: Assessment Client Need: Safe, Effective Care Environment Cognitive Level: Application Strategy: Understand contemporary nursing practice
8.		What might be an expected result in nursing with the changing emphasis in the health care industry from inpatient to outpatient care? Your Answer: An increased need for community-based nurses
		Community-based nurses are educated in the role to provide care to individuals, families, and communities. Objective: Discuss historical and contemporary factors influencing the development of nursing. Rationale: Outpatient care is given in community-based settings, and this shift will increase the need for community-based nurses. Consumer education is always important, but is no different with a shift to outpatient care. Health care costs continue to rise. There may be an increased need for higher education for nurses because of the autonomy that often results with community-based nursing. Nursing Process: Evaluation Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Understand contemporary nursing practice
9.		What intervention may assist with a primary factor that is contributing to the nursing shortage? Your Answer: Reduction of hospital stays to reduce the need for nurses Correct Answer: Active recruitment of younger people into nursing
		There is a need for nurses in all specialty areas. Objective: Discuss historical and contemporary factors influencing the development of nursing. Rationale: The aging workforce and reduction of younger people in nursing are two of the primary factors contributing to the nursing shortage. Shorter hospital stays result in an increased need for community nurses. This will only be achieved through additional nurses in the workforce. This will serve no purpose if the quality of students is reduced. A higher failure rate will not increase the number of graduates. Nursing Process: Planning Client Need: Safe, Effective Care Environment Cognitive Level: Analysis Strategy: Understand contemporary nursing practice
10.		Benner's five levels of proficiency focus on what aspect of nursing professional expertise? Your Answer: Experience
		With increased experience, based on liberal arts, sciences, and theories, the nurse advances through the stages of expertise. Objective: Discuss Benner's levels of nursing proficiency. Rationale: Benner's model of nursing expertise focuses on skills acquisition. This can be accomplished with education and experience. Nursing Process: Assessment Client Need: Safe, Effective Care Environment Cognitive Level: Analysis Strategy: Understand contemporary nursing practice