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nclex practice
practice questions intro to nursing
| Question | Answer |
|---|---|
| Which of the following best describes Florence Nightingale’s contribution to the development of modern nursing during the Crimean War? | y laying the foundation for cleanliness protocols and formal nurse education. |
| During a lecture on nursing history, the instructor asks students to describe the role of Clara Barton in shaping emergency care. What was her primary contribution? | the founding of the American Red Cross in 1881 |
| A nurse is caring for a patient who has been diagnosed with a chronic illness. The nurse focuses on building a trusting relationship and addresses the patient's emotional and psychological needs. Which nursing theory is being applied in this scenario? | Jean Watson's Theory of Human Caring. |
| While developing a care plan, a nurse assesses a patient's ability to perform daily activities independently and identifies where support is needed. Which nursing theory guides this approach? | Orem’s Self-Care Deficit Nursing Theory |
| A nurse is caring for a patient who insists on leaving the hospital against advice. The nurse explains the potential risks involved but supports the patient's right to make their own decision. Which ethical principle best explains the nurse’s actions? | Autonomy |
| While preparing to administer medications, a nurse double-checks each label to avoid giving an incorrect dose. This action reflects which ethical principle, and why? | Nonmaleficence – to prevent potential harm |
| As a nurse, you are caring for Mr. Thompson, who is anxious about his upcoming surgery. Using Watson’s Theory of Human Caring, what action should you take to address his anxiety? | encourage Mr. Thompson to express his fears and listen empathetically. |
| Mr. Thompson refuses to take his prescribed medication. How should you apply the ethical principle of autonomy in this situation? | Respect his decision and document the refusal. |
| A professor asks students to summarize the impact of nursing's historical evolution on the profession's reputation today. Which statement best describes this impact? | It has reinforced the profession's reputation for compassion and professionalism. |
| A nursing instructor asks students to explain how the evolution of nursing organizations has impacted modern nursing practice. Which development is crucial in this context? | he establishment of the American Nurses Association to uphold standards. |
| In a staff meeting, a nurse discusses how ethical principles and nursing theories guide clinical decision-making. Which statement best explains the purpose of using theories in nursing practice? | Theories act as a GPS to guide clinical decisions. |
| A patient is struggling to adapt to a new diagnosis and related lifestyle changes. The nurse helps the patient develop coping mechanisms. Which nursing model is being utilized? | Roy’s Adaptation Model- focuses on how patients adapt to changes in their health and environment. |
| A nurse provides clear and honest information to a patient regarding the risks and benefits of a treatment. Which ethical principle is this an example of? | Veracity- telling the truth |
| A nurse is caring for a patient who refuses a recommended treatment. The nurse respects the patient's choice despite disagreeing with it. Which foundational ethical principle is the nurse demonstrating? | Autonomy- respecting a patient’s right to make their own decisions about their care—even if the healthcare provider disagrees. |
| Mr. Thompson’s family is concerned about his care plan. Using ethical principles, how should you address their concerns? | Involve Mr. Thompson in discussions and provide information with his consent. |
| You notice Mr. Thompson has difficulty performing self-care after surgery. How would you apply Orem’s Theory in this situation? | Assess his self-care deficits and provide support as needed. |
| Orem’s Self-Care Deficit Nursing Theory | what the patient can and cannot do independently Providing only the level of assistance needed Promoting independence whenever possible think of it like a dimmer switch, not an on/off light—you adjust the support based on the patient’s ability |
| A nursing student is studying the historical evolution of nursing. How did early nursing practices in religious communities influence the core values of modern nursing? | By emphasizing compassion and care for the sick |
| A nurse educator is explaining the difference between nursing theories and conceptual models to a group of students. Which statement accurately describes this difference? | Nursing theories are more specific and guide practice, while conceptual models are broader frameworks that organize ideas about nursing. |
| Justice | reating all patients fairly and equally (no favoritism, equal access to care) |
| Fidelity | Keeping promises and being loyal to patients (following through, maintaining trust) |
| Beneficence | Doing good and acting in the patient’s best interest |
| Peplau’s Interpersonal Relations Theory | Focuses on the nurse–patient relationship as the foundation of care Building rapport Communicating therapeutically Helping patients express feelings |
| Watson’s Theory of Human Caring | caring, empathy, and emotional connection. Showing empathy Being emotionally present Supporting patients through fear, pain, or stress |
| Orem’s Self-Care Deficit Nursing Theory | Focuses on a patient’s ability to care for themselves. Assess what the patient can vs. cannot do Help with bathing, feeding, meds, etc. Encourage independence |
| Maslow’s Hierarchy of Needs | A pyramid that prioritizes human needs from basic to advanced. Physiological (food, oxygen, sleep) Safety Love/belonging Esteem Self-actualization |
| Peplau | Relationship & communication |
| Watson | Caring & empathy |
| Orem | Self-care & independence |
| Maslow | Priority of needs (what comes first) |
| What does the abbreviation “QID” indicate in a medication order? | four times a day |
| What is the correct term for confirming all patient medications to avoid errors? | Medication reconciliation |