Core Nursing Competencies Exam 1 Practice

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• In the clinical judgment process, which of the following reflects the role of intellectual standards?
• When caring for a patient with multiple health problems, nurses can best perform diagnoses and interventions by developing a:
• Which practice best aligns with culturally competent hygiene care for non-English-speaking patients?
• Which scenario best demonstrates respect for patient autonomy in decision making about life-sustaining treatment?
• Which option is NOT typically considered an independent nursing intervention?
• The nurse is functioning according to which concept?
• A primary health care strategy for addressing rising obesity is to
• Nursing diagnoses focus on which aspect of patient care?
• Which cranial nerve is primarily responsible for sensation in the face?
• A nurse is collecting data to evaluate middle adulthood psychosocial development. Which tasks should the nurse expect?
• Which phase of the nursing process emphasizes planning and selecting interventions?
• Which concept is described as the nurse being present with a patient during care?
• Nursing is defined as a profession because nurses:
• The criteria used to determine the effectiveness of a nursing action are based on the
• Providing pain medication to a client prior to ambulation demonstrates which ethical principle?
• For a patient who is scheduled for surgery, which of the following is an important expected outcome?
• Which of the following is a correctly stated nursing diagnosis?
• What is the primary purpose of a durable power of attorney in healthcare?
• When discussing hydration with an aging population, which fact is accurate according to the material?
• In bomb-threat assessment, which action best helps authorities determine the location of the call?
• Isolation precautions as a treatment intervention are an example of which type of care?
• What is the proper position for an unresponsive patient during oral care to prevent aspiration?
• For diabetic foot care, which practice is essential to prevent infection?
• During dressing changes, using infection control measures falls under what type of nursing care?
• In revising the plan of care for Ms. Trembly, which step is performed first?
• For a patient with shortness of breath, which is a correctly stated, measurable goal?
• The second part of the nursing diagnosis statement is connected to the first using which phrase?
• Which of the following interventions is written correctly to add to the care plan?
• A nurse has established a nursing diagnosis based on a patient’s current problem. This is an example of which type of nursing diagnosis?
• When reviewing car seat safety for a 1-month-old infant, which instruction should the nurse include?
• Which statement reflects a nutrition consideration for older adults as described in the material?
• What is a key approach to toddler discipline that promotes safety and development?
• To arrange interpreter services by phone, what is the first step in the consultation process?
• When writing an outcome statement for a care plan, which element makes it most effective?
• Which professional is most appropriate to discuss community resources for older adults with a patient?
• Which professional is most likely to perform swallowing therapy for a patient with dysphagia after a stroke?
• Which statement best describes the role of a Clinical Nurse Specialist (CNS)?
• For a young girl with tangled hair, what is the most appropriate action?
• A nurse is providing preoperative education for a client who will undergo a mastectomy the next day. Which statement indicates that the client is ready to learn?
• Evaluation is described as which of the following?
• An employee who was exposed to an unknown dry chemical has a chemical burn. Which intervention should be included in the plan of care?
• A well-developed care plan should include which type of approach to organize knowledge about patient problems?
• When delegating hygiene care for a male patient, the assistant should use an electric razor for patients with which diagnosis?
• In clinical practice, a protocol is used to guide care by providing standardized steps for which of the following?
• Which setting is typically considered tertiary care?
• Which statement about back-channeling techniques during a patient interview is true?
• Which activity is explicitly listed as a CNA task on a medical-surgical unit?
• The implementation phase of the nursing process involves which activity?
• Which age-related sensory change is commonly observed in older adults?
• When evaluating nursing interventions, you should examine which aspect?
• Standing orders are defined as what in nursing practice?
• A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy and unable to focus on the issue at hand. Today, the nurse was found asleep in a chair in the break room not during a break time. Which action should the nurse take?
• A nurse who plans to administer a PRN sedative to a competent adult who is leaving the hospital, without request, is facing which type of tort?
• Which statement best describes a nursing diagnosis?
• A student reviews a procedure manual before performing a Foley catheter insertion. This demonstrates which level of critical thinking?
• The nursing process organizes your approach to delivering nursing care. To provide care to your patients, you will need to incorporate the nursing process and what?
• Which assessment finding would best support forming a data cluster indicating respiratory compromise?
• During evaluation of the nursing process, re-evaluating outcomes and deciding whether to continue or modify care occurs in which phase?
• A nurse in a health clinic is caring for a 21-year-old whose last physical exam was in high school. Which health screening should the nurse expect the provider to perform?
• A nurse in a provider’s office is collecting data from the caregiver of a 12-month-old infant who asks if the child is old enough for toilet training. After an educational session, the caregiver agrees to postpone toilet training until the child is older. Learning has occurred in which domain?
• The use of long, firm strokes distal to proximal while bathing a patient’s legs primarily serves to promote what?
• In the nursing guidance for senior nutrition, which statement is listed as true?
• A nurse at a health department is planning strategies related to heart disease. Which activity should be included as part of primary prevention?
• Which action should be included in the tornado protocol?
• What does data clustering refer to in nursing assessment?
• In cardiovascular health promotion planning, which action most directly supports patient motivation to change?
• During an age-related head and neck examination, which finding is associated with aging?
• Which statement indicates understanding of safety for an 8-month-old infant regarding crib toys?
• A nurse is reviewing nutritional guidelines with the parents of a 2-year-old. Which statement indicates understanding?
• Which health care financing program is federally funded and provides coverage for older adults and certain disabled individuals?
• Which of the following best describes the responsibility of state licensing boards?
• Which practice is appropriate for monitoring a healthy 2-week-old’s sleep and activity?
• A charge nurse is explaining the developmental task for middle adulthood. Which example should be included?
• A client on a low-residue diet would likely have which of the following foods on the meal tray?
• To evaluate interventions, which aspect should you examine?
• When a patient-centered goal has not been met in the projected time frame, what is the most appropriate action by the nurse?
• From the nutrition guidance for older adults, which statement is highlighted as accurate?
• Interventions that require an order from a physician or other health care professionals are called what?
• A nurse planning health promotion for a client with multiple cardiovascular risk factors should include which intervention as a priority?
• Jennifer is a nursing student who is assigned the following three patients. Which patient would be your first priority?
• Which statement about infant safety seating is correct for a newborn?
• When writing goals and expected outcomes for the plan of care for DJ, which characteristic should be included?
• Which nursing diagnosis best reflects an assessment of a patient who is vomiting and has a decreased ability to ingest food?
• A nursing diagnosis is:
• Regarding micronutrient needs in older adults, which claim is aligned with the counseling content?
• A mother reports that her 2-year-old toddler throws temper tantrums and says 'no' when dressing. This behavior most clearly represents which developmental task?
• Clinical decision making requires the nurse to:
• In counseling older adults about nutrition, which statement is correct?
• Which of the following is NOT a typical function of a Clinical Nurse Specialist CNS?
• Which physiologic function is NOT typically described as decreasing with middle age according to the material?
• Which of the following is an example of a problem-focused nursing diagnosis?
• When meeting with a client about stress incontinence, what action should the nurse take first?
• During a mass casualty event, which patient should be discharged first to free beds for injured victims?
• When caring for a non-English-speaking male patient, which approach should guide personal hygiene?
• Which critical thinking attitude involves recognizing and acknowledging the limits of one's knowledge?
• For preschoolers on an inpatient unit, which activity would you plan to include to support diversion and play?
• Which condition increases the risk for skin problems requiring thorough bathing and skin care?
• An elderly patient receives a prescription that seems too extreme in light of their advanced age and unstable status. This action illustrates which ethical principle?
• During a thyroid examination as part of a comprehensive physical, which finding should the nurse expect?
• Which statement best reflects a safe approach to using a crib gym with an infant?
• What is the purpose of evaluating goal achievement in the nursing process?
• Which of the following statements represents an actual nursing diagnosis?
• Which action revises the interventions that correspond to new nursing diagnoses and goals?
• Which of the following is a recommended approach when planning to administer medications to a preschooler?
• A nurse is preparing a health promotion course for middle-aged adults. Which strategy should the nurse recommend as a routine preventive measure?
• When teaching insulin administration, which outcome most clearly demonstrates proper learning in an adult client?
• Which statement correctly describes the RN's responsibility when delegating to a CNA?
• Which type of nursing diagnosis focuses on readiness to improve health and promote wellness?
• To avoid a data collection error, the student should:
• Discharge planning should begin during admission.
• When a patient has two nursing diagnoses, which is the priority?
• Which action best embodies beneficence in nursing care?
• The adult Middle Eastern patient bathing with only left hand: this behavior most likely relates to?
• A client says they plan to prepare advance directives before coming to the hospital. Which statement indicates understanding of advance directives?
• Which nursing ethics principle is concerned with fairness in distributing resources and opportunities?
• In advising older adults about energy intake, which statement is reflected in the material?
• A nurse is counseling a middle-aged client who describes having difficulty dealing with several issues. Which statement should the nurse identify as the priority to assess further?
• Concept mapping is one way to:
• A client with terminal cancer requests hospice care at home. Which professional should initiate a referral?
• A nurse observes an assistive personnel reprimanding a client for not using the urinal properly. The AP tells the client that diapers will be used next time the urinal is used improperly. Which tort is the AP committing?
• Which of the following is an example of restorative health care?
• Which term describes unequal burdens of disease experienced by racial and ethnic groups?
• The information obtained in a review of systems is:
• A nurse is collecting history from a middle-aged patient. The nurse should expect decreases in which physiologic function?
• Measuring the patient's response to nursing interventions occurs during which phase of the nursing process?
• A patient who had a cerebrovascular accident continues to have dysphagia. To which interprofessional team member should the nurse refer for evaluation and therapy?
• Bettina's experience as a nursing student is a valid data source for understanding Mr. Chang's illness.
• Which item would a nurse include when discussing nutrition with seniors?
• A nurse plans health promotion for a client with several cardiovascular risk factors. Which activity best supports adherence?
• Which approach supports ongoing development of clinical judgment and critical thinking in nursing?
• When a patient has met the goals for ambulatory status, the appropriate action is to
• Which end result translates into observable patient behaviors that are measurable and desirable?
• All clients waiting for a kidney transplant must meet the same qualifications. This is an example of which ethical principle?
• A nurse is planning diversionary activities for preschoolers on an inpatient pediatric unit. Which option is NOT appropriate?
• What is a practical step when a parent reports fussiness after starting new foods for a 7-month-old?
• Which outcome statement is written correctly?
• Which statement best describes the relationship between hygiene care and patient individuality?
• Which statement about nursing diagnoses is false?
• A family member caring for a diabetic relative’s feet should know which safety precaution is important to prevent infection?
• Regarding informed consent, which action is the nursing role regarding informed consent?
• Which of the following is a recommended mental health screening practice for middle-aged adults?
• When a nurse greets a patient before starting care, which aspect of care should be prioritized to address emotional needs?
• Distributing organ transplants to patients who meet the same qualifications reflects which ethical principle?
• A nurse at a college health clinic is caring for a young adult. Which action should the nurse take first?
• When educating older adults about diet, which claim is part of the recommended information?
• Which critical thinking attitude is demonstrated when a nursing student asks the nurse to assess an unfamiliar rash?
• A client at high risk for aspiration should have which action implemented?
• Which element is NOT typically part of a nursing care plan?
• A group that lobbies for advancements of nurses' roles and health care at state and federal levels is:
• A nurse who is an expert in a specialized area of nursing is typically described as which type of nurse?
• The acronym PES stands for what in nursing diagnoses?
• A nurse is talking with the guardian of a 4-year-old who reports the child wakes up at night with nightmares. Which intervention should the nurse suggest?
• Who is ultimately accountable for patient outcomes when a nurse delegates tasks to others?
• To evaluate learning after a heart-healthy diet instruction, which action should the nurse take?
• Revising the assessment data reflects updating which of the following?
• Mr. Davis reports more frequent indigestion; the nurse asks about relation to meals or position and relief; this is an example of which interview technique?
• Not true of standing orders?
• During a breast biopsy, the nurse demonstrates which caring attribute?
• Which activity is an example of indirect patient care?
• A newly graduated nurse is assigned to care for a team consisting of herself and a certified nursing assistant. When delegating skills, she needs to:
• A nurse at a provider’s office is talking about routine screenings with a 45-year-old female client who has no specific family history of cancer or diabetes. Which statement indicates understanding how to proceed?
• During mass casualty triage, which patient is the best candidate for discharge to free beds for more critically injured individuals?
• Which Snellen result indicates decreased visual acuity compared with normal?
• Among the listed patients, who is most at risk for developing skin problems requiring thorough bathing and skin care?
• Which of the following is NOT typically considered tertiary care?
• Which is an example of a key quality-of-care performance indicator?
• The step used to determine if outcomes have been achieved is:
• Which finding is expected for a healthy 2-week-old newborn?
• The planning set of nursing is which activity?
• A travel nurse has taken an assignment at a healthcare facility where nurses assume responsibility for a caseload of patients over a period of time. This type of nursing exemplifies:
• Which statement best describes why hygiene care is not routine?
• During a mass casualty event, which client is the nurse's priority?
• Guardians who are concerned about several issues with their preschooler: which issue should the nurse identify as the priority?
• Which nutrient provides the body with the most energy for active athletes?
• A patient is admitted with shortness of breath. As the nurse assesses this patient, the nurse is using the process of:
• The mother of a 7-month-old reports fussy with loose stools since starting fruits and vegetables. Which response should the nurse make to address potential food intolerance?
• Which statement best describes false imprisonment in a clinical setting?
• Which care model assigns a single nurse to total care for a patient during a shift?
• A nurse in a provider's office is preparing to test a client's cranial nerve function. Which direction should the nurse include when testing cranial nerve V (trigeminal) to assess motor function?
• Which nutrition point is included for older adults in the guidance provided?
• Which of the following is an independent nursing intervention that the nurse can implement with DJ?
• A client has a Snellen eye test result of 20/30. Which statement correctly describes this finding?
• In a bomb-threat by telephone involving a group of nurses, which action indicates understanding of how to respond?
• Which vaccine is specifically associated with preventing varicella in preschool-aged children?
• A client chooses not to have surgery despite significant coronary artery blockages. This decision demonstrates which ethical principle?
• Which situation should the newly licensed nurses identify as an ethical dilemma?
• Which statement best defines direct patient care?
• During a check with the parents of a 1-month-old, which car seat instruction should the nurse include?
• A safety discussion with the parents of an 8-month-old infant reveals understanding when the parent says which statement?
• What is the first step in research?
• The nursing process/clinical judgment model organizes your approach. To provide the best professional care, nurses need to use the clinical judgment model and:
• The factor that best advances 21st-century nursing practice is:
• Which standard of care is demonstrated when nursing staff administer medications, change dressings, and assist patients with bathing?
• Which statement best reflects a central developmental task of middle adulthood?
• In nutritional counseling for the elderly, which assertion is presented as part of the guidance?
• The use of clinical judgement involves a rigorous approach and shows that critical thinking cannot be done:
• A nursing student who was responsible for an IV infiltration last week is now better prepared to observe for IV problems due to which factor?
• A client with rheumatoid arthritis has difficulty self-feeding; to which interprofessional team member should the nurse refer to obtain adaptive devices?
• In the revised plan of care, which step involves choosing how to evaluate outcomes?
• Which of the following is consistent with the nutrition counseling content for older adults?
• A nurse is observing a client drawing up and mixing insulin. Which finding indicates that psychomotor learning has taken place?
• Consultation is most often conducted during which phase of the nursing process?
• Preprinted orders used for routine dressing changes are an example of which type of standard nursing intervention?
• Which gross motor milestone is expected for a 6-month-old infant in the next 3 months?
• Professional nursing specialty organizations seek to:
• Which statement accurately reflects ethical practice in nursing?
• Gathering, verifying, and communicating data about the patient to establish a database is an example of which nursing process component?
• What are the two parts that make up a nursing diagnosis?
• When does discharge planning begin?
• To ensure goals are testable within a defined period, which characteristic should be included?
• Nurse-initiated interventions are:
• A preschooler medications: Which strategy should increase the child's cooperation in taking medications?
• Which nutrition statement should be included in guidance for older adults about vitamins and minerals?
• Which statement would be included when advising older adults about fluids and hydration?
• A nurse is teaching parents of a toddler about discipline. Which action should the nurse suggest?
• Which ethical principle is described as a commitment to keep promises and be faithful to patients?
• A nurse is reviewing the CDC immunization recommendations with the guardians of preschoolers. Which vaccine should be included in this discussion?
• Which assertion is included in counseling older adults about nutrition and hydration?
• When assessing an adult's internal ear canal with an otoscope, which action is appropriate?