Which action would help the graduate nurse when seeking out employment Select all that apply?

A graduate nurse has been hired as a nurse at a local hospital. The new nurse is in the honeymoon phase of role transition when making which of the following statements? a. "I am so nervous about being on my own."b. "This will be a great learning experience." c. "I can't wait to have a steady paycheck."

d. "This job is perfect. I can finally do things on my own."

Which of the following actions by the graduate nurse is an inappropriate methodology to recover from reality shock? a. networkingb. obtaining a mentorc. returning to school

d. joining a support group

A nurse is trying to avoid burnout. Which of the following actions is a valid way to achieve this? a. Refusing to constantly work extra shifts b. withdrawing from a peer support groupc. "Going native"

d. changing jobs every 6 to 12 months

a. refusing to constantly work extra shifts

Which of the following statements by the new graduate nurse shows an understanding of reality shock as it applies to nursing? a. "Reality shock is the period when a person moves from school into the workforce." b. "Reality shock is the realization that practice and education are not the same." c. "Reality shock is the period from graduation to becoming an experienced nurse."

d. "Reality shock is a transition phase that new grads go through before changing jobs."

a. "Reality shock is the period when a person moves from school into the workforce."

A student in the last semester of nursing school has established a goal of making a successful role transition to new grad nurse. Which statement by the nurse indicates his/her understanding of how to achieve this goal? a. "I should care for increased numbers of pts to enhance work organization skills." b. "I will observe staff nurses as they perform nursing procedures to refine technique." c. "I should seek increasingly close guidance from the nursing instructor to reduce errors."

d. "I will evaluate my progress every 7 weeks or more to allow time for growth"

a. "I should care for increased numbers of patients to enhance work organization skills."

A new grad of less than 1 year describes his/her perception of a staff nurse position, stating: "It feels great to be a nurse! In fact, it's a snap! I can hardly believe there's no instructor looking over my shoulder." What phase of reality shock is the graduate experiencing? a. Recoveryb. Shock and rejectionc. Honeymoon

d. Transition

A new grad has worked on a busy unit for 6 months since graduating from nursing school. The graduate tells a friend, "I've never been so upset in all my life! The care that some of the staff give our patients is outrageously bad. There's practically no attention to the principles of asepsis the way I learned them. The staff tell me that we have to cut corners if we're going to get all the work done. I can't stand it!" What phase of reality shock is this graduate experiencing? a. honeymoonb. shock and rejectionc. recovery

d. role transformation

A graduate nurse has been out of school or 3 months and working in a staff nurse position for the past 2 months. What type of transition is the nurse experiencing? a. a developmental transitionb. an organizational transitionc. a health-oriented transition

d. a situational transition

The graduate nurse understands that transitions occur throughout life. What major factor does the nurse identify as influential in a successful transition from school to practice? a. level of new knowledge and skills required in the new environment b. amount of classwork required to obtain a degree c. personal history of previous developmental transitions

d. influence of classmates and their transitional experience

a. level of new knowledge and skills required in the new environment

A nurse manager is giving a presentation at a local community college. The nurse manager understands the job expectations of a new graduate when making which of the following statements? a. "A new graduate nurse should be able to perform as independently as was demonstrated the last semester of nursing." b. "A graduate nurse should be able to function competently as a RN at the entry level." c. "A graduate nurse should be able to function in the role that was described in the curriculum for the school."

d. "A graduate nurse should be able to function independently with ability to make clinical nursing judgements."

b. : A graduate nurse should be able to function competently as a RN at the entry level."

Which action by the graduate nurse shows that a successful transition to nursing has been made? a. The nurse begins to work with the nursing team and functions as other expect. b. The nurse begins to objectively evaluate work experiences and enjoy the humor of clinical situations.c. The nurse believes everything is great, patients are wonderful, and the new unit is so nice.

d. The nurse meets regularly with other new graduates to compare and discuss problems.

b. The nurse beings to objectively evaluate work experiences and enjoy the humor of clinical situations

A student nurse is in the last semester of nursing school. Which action by the nursing student indicates appropriate preparation for the transition experience? a. The student requests additional experiences in performing skills and procedures b. The student maintains close contact with a nursing instructor to observe nursing procedures. c. The student practices nursing assessments and care on one or two patients to become more competent.

d. The student increases communication with a nursing instructor to maintain a resource person after graduation.

a. The student requests additional experiences in performing skills and procedures

A graduate nurse has been reviewing the NCSBN's Transition to Practice model. The graduate nurse understands the intention of the model when making which of the following statements? a. "The intention of the model is to mandate that all state boards of nursing provide a regulatory model for transition to practice." b. " The intention of the model is to provide educational modules so that the new grad does not need to work with a preceptor" c. "The intention of the model is to have the new grad take and pass the NCLEX, obtain employment, and then enter a transition program."

d. "The intention of the model is to complete a formalized transition program within 6 weeks."

c. "The intention of the model is to have the new grad take and pass the NCLEX, obtain employment, and then enter a transition program."

The nurse has an adequate understanding of transitions when making which statement about situational transitions? a. "This type of transition can occur with leadership change." b. "This type of transition occurs when one is dealing with a chronic illness." c. "This type of transition can occur when one has a career change"

d. "This type of transition occurs during a midlife crisis."

c. This type of transition can occur when one has a career change

A student in the last semester of nursing school wants to be sure of adequate preparation for the transition experience. Which patient should be added on to the clinical assignment to assist in this process? a. A 48-y/o man with heart failure who has oral and IV medications due and needs a new IV started. b. A 38 y/o woman who cares for herself independently and is going home later today.c. A 25 y/o man who is leaving the hospital against medical advice.

d. A 40 y/o man who needs education on diabetes management.

A A 48 y/o man with heart failure who has oral and IV medications due and needs a new IV started.

A student nurse is interested in improving his/her nursing skills. What action would be the best for the student to take? a. Ask his/her instructor for extra skill practice during clinical hours b. Watch videos on how to perform the nursing skills c. Review his/her textbooks

d. Observe nurses perform skills in his/her clinical setting.

a. Ask his/her instructor for extra skills practice during clinical hours

A student is nearing the end of his/her clinical experience. The student would like to care for patients who are typically challenging for students in the first year of practice. Which patient would be the best choice for this student? a. A 62 y/o man with diabetes who need outpatient care set upb. A 30 y/o woman w/ a kidney stone requiring IV pain medications c. A 45 y/o man w/ chest tubes recovering from a car accident.

d. A 25 y/o woman who received blood yesterday.

c. A 45 y/o man w/ chest tubes recovering from a car accident

Which statement by the nursing student indicates an understanding of the importance of constructive feedback? a. "I will wait until my clinical evaluation and then make nay changes that are needed." b. "I will request routine feedback from my instructor so i can make any changes to improve my skills"c. "My instructor will let me know if I need to change anything"

d. "I will ask my colleagues if I need to make any changes"

b. "I will request routine feedback from my instructors so I can make any changes to improve my skills."

A graduate nurse has clocked in for his second shift on a busy orthopedic unit. After accepting the assignment, the nurse notices a fellow nurse complaining loudly at the nurses' station to other staff members. This fellow nurse is typically upset with floor assignments and thinks the "the new nurses get all the easy assignments". Which action would be best for the graduate nurse to take? a, Join the conversation and tell the fellow nurse that he/she does not care for the assignment either.b.Begin a conversation with another staff member about the fellow nurse who is complaining.c. Steer clear of the nurse who is complaining and try to focus on the positive.

d. Begin complaining about his/her own assignment.

c. Steer clear of the nurse who is complaining and try to focus on the positive.

A new nurse is caring for five patients on a busy surgical floor. While hanging blood for a patient, the nurse receives notice that another assigned patient is being taken for surgery. The nurse has not obtained informed consent from the patient. What action should the new nurse take?a.Immediately leave the room he/she is in and obtain informed consent from the patient.b. Allow the patient to go to surgery without obtaining informed consent.c. Delegate obtaining informed consent to another nurse while staying with the patient who is receiving blood.

d. Ask the transporter to obtain informed consent from the patient.

c. Delegate obtaining informed consent to another nurse while staying with the patient who is receiving blood.

The new graduate has an understanding of the nursing journey ahead when stating: a. "It is not acceptable for me to make an mistakes." b. "I am not worried about issues with transitions. I am tough. I will do just fine!" c. "I know that I will make some mistakes, but I will learn and grow from them."

d. "I am going to keep studying so that I am always right."

c. "I know that I will make some mistakes but I will learn and grow from them."

A nurse has worked the past 5 days in a row to make some extra money. Today is a scheduled day off. Which of the following actions would be the best for the nurse to take? a. Call the unit to see if they need the nurse to workb. Read nursing articles and take practice quizzes to stay up to date. c. Take his/her small children to the zoo

d. Wok on continuing education requirement.

c. take his/her small children to the zoo

A nurse manager is preparing a group of newly hired nurses to work on the unit. After educating them on reality shock, a student raises their hand and asks what physical and psychological symptoms the nurse may experience? The nurse manager replies: (Select all that apply.)a. “It is not possible to experience any physical or psychological symptoms from reality shock.”b. “You may experience headaches.”c. “It is possible that you will experience gastrointestinal upset.”d. “You could experience insomnia.”

e. “Women may experience menorrhagia.”

A new nurse wants to make personal lifestyle changes to become a healthier individual. Which actions would help with reaching this goal? (Select all that apply.)a. Begin an exercise routine.b. Eat snacks late at night.c. Incorporate relaxation into his/her schedule.

d. Begin eating nutritious meals and snacks.

Which action would greatly help the graduate nurse when seeking out employment? (Select all that apply.)a. Plan out interviews.b. Ask to speak to nurses who work on the unit.c. Wait until the interview to gather all of the information.d. Find out what type of nursing care is delivered.

e. Determine the length of orientation.

Which statement by the nursing student indicates an understanding of the purpose in setting a career goal?a. “To guarantee you will achieve your goal”b. “To keep you focused on your job search”c. “To help you define your professional identity”d. “To impress those part of the interview process”

c. “To help you define your professional identity”

A nursing professor correctly states the expectations of the job market for nursing asa. expected downsizing, decreased number of nursing positions.b. expected decrease in the number of unlicensed assistive personnel.c. expected increase in unlicensed assistive personnel: personnel.

d. expected increased hiring of new graduates.

Which action by the graduate nurses shows understanding of resume writing?a. Ensures that all of the dates for their employment history are specificb. Does not overstate skillsc. Includes a thorough discussion of experiences as a nursing student

d. Includes only last two positions

b. Does not overstate skills

The nursing professor is assisting a group of nursing students in creating resumes. The professor instructs them to include which of the following demographic data?a. Career goalb. Addressc. Experienced. education

Which statement by the graduate nurse indicates understanding of the importance of a cover letter?a. “It is optional.”b. “It is necessary only if your resume needs further explanation.”c. “It should recapitulate all of the important points of your resume.”

d. “It should introduce you to the reader.”

A graduate nurse has not heard from a prospective employer 3 days after submitting a resume. Which action should the graduate nurse take?a. Call.b. Write a letter.c. Do nothing.d. Contact another employment setting.

he nurse has an adequate understanding of employment benefits. Which of the following is not included in a benefits package?a. Health insuranceb. Car insurancec. Pensionsd. Disability coverage

What is the best short-term objective for the resume of a new nursing graduate seeking employment on a medical-surgical unit?a. Obtain a position that further develops interests and skills.b. Provide a basis for moving up the career ladder to a supervisory position within 5 years.c. Acquire a staff nurse position with options to use tuition benefits to obtain advanced degrees.d. Obtain an entry-level position as a staff nurse on a medical-surgical unit.

d. Obtain an entry-level position as a staff nurse on a medical-surgical unit.

The nurse can list when of the following as information that is not routinely included in a resume?a. Ageb. Educationc. Professional membershipsd. Occupational experience

The nurse is applying for a job and is determining whether or not to submit a resume or a curriculum vitae. What is the difference between a resume and a curriculum vitae?a. A resume more accurately represents a nurse’s job and professional history.b. A curriculum vitae will get longer as the nurse becomes more professionally experienced.c. A resume will contain the nurse’s continuing education activities.d. The two are very similar and can be used interchangeably.

b. A curriculum vitae will get longer as the nurse becomes more professionally experienced.

Assuming all of the following statements are true, which should be included in a resume to highlight information that would be valuable to an employer?a. Desires annual salary of $30,000 to $32,000b. Is fluent in American sign languagec. Is president of state downhill ski clubd. Plans to move out of state after 1 year of employment

b. Is fluent in American sign language

The knowledgeable nurse can list which strategy as one that will foster a successful interview for the interviewee?a. Demonstrate interest in what the interviewer has to say.b. Exercise the option to disagree with the interviewer.c. Check off on a list when each item is covered by the interviewer.d. Answer questions with as much detail as possible.

a. Demonstrate interest in what the interviewer has to say.

During a job interview, the interviewee is asked, “What do you believe your weaknesses to be?” What is the best reply?a. “I’ve never thought about having any weaknesses.”b. “I’m looking forward to strengthening my ability to plan care for a group of patients.”c. “My instructors told me I was disorganized.”d. “My biggest problem is in planning and implementing discharge teaching.”

b. “I’m looking forward to strengthening my ability to plan care for a group of patients.”

Employment for new graduate nurses is scarce in your locale. What action might help the new graduate find out about job openings before others know about them?a. Attend job fairs.b. Read the newspaper employment section.c. Read bulletin boards in health care agency personnel offices.d. Send resumes and cover letters to all health care agencies within the region.

c. Read bulletin boards in health care agency personnel offices.

The graduate nurse interprets the phrase “dress for success” to mean which of the following?a. Wear a casual hairstyle and clothing that reflects your off-duty personality or hobbies.b. Buy new, very conservative dark clothing to wear.c. Select clothing that could be worn at a cocktail party.d. Wear a neat hairstyle and well-fitting, tailored, business-like clothes from your existing wardrobe.

d. Wear a neat hairstyle and well-fitting, tailored, business-like clothes from your existing wardrobe.

The interviewer says, “We are looking for a bright, interested, empathetic, hard-working person for this position in oncology nursing. Do you fit this bill?” The new graduate nurse is interested, carried a straight C average, and has worked full time while going to school. Assuming the following statements are true, what would be the best answer?a. “I’m definitely interested in oncology, and I think I’m a hard worker. My instructor said I was developing empathy. My grade point average of C doesn’t reflect my real ability.”b. “My previous employer rated my work as excellent. It was there that I became interested in helping support oncology patients as they cope with their illness. I chose to do independent study on emotional reactions to the diagnosis of cancer and received an A.”c. “I worked full time while going to school, so my grades suffered. I’ve had my share of life’s disappointments, so I can sympathize with cancer patients. I will work hard, but I have to make time for my family, too.”d. “I’m interested. My parents always told me I was bright. I work as hard as the next person. I’ve learned not to get too involved with patients.”

b. “My previous employer rated my work as excellent. It was there that I became interested in helping support oncology patients as they cope with their illness. I chose to do independent study on emotional reactions to the diagnosis of cancer and received an A.”

As the interview is drawing to a close, the interviewer asks the applicant, “What questions could I answer for you?” Which of the following questions would it be most advisable to ask to create a favorable impression?a. “What will happen if I am unable to meet the outcomes for the competency-based orientation?”b. “Do you still have tuition reimbursement for courses to obtain my next degree?”c. “How soon will I be responsible for supervision of other staff?”d. “After completing orientation, when will the first pay raise be given?”

c. “How soon will I be responsible for supervision of other staff?”

A new graduate uses social networking (i.e., Facebook) as a means of communicating with family and friends. What is important for the new graduate to consider when posting information on Facebook in terms of seeking employment?a. Use a professional photo, perhaps just a headshot.b. Set the Facebook site to public so recruiters can search and find.c. Provide pictures of family and friends and remove any inappropriate information.d. Avoid using social networking sites, such as Facebook and LinkedIn, because employers do not like them.

a. Use a professional photo, perhaps just a headshot.

Which of the following assignments should the new nurse question before accepting?a. A 38-year-old man with cellulitis of the right armb. A 25-year-old woman with a left femur fracturec. A charge nurse over the unit for the day

d.A 50-year-old man with right hip replacement

c. A charge nurse over the unit for the day

A graduate nurse is in the process of applying for a first time nursing job. What should the graduate nurse keep in mind when using social media networks?a. There is no risk of potential employers searching for the nurse on social media websites.b. Employers cannot use material found on social media websites to eliminate candidates.c. A small percentage of recruiters have eliminated candidates based on material found on social media websites.d. As long as no identifying patient information is provided on the social media website, recruiters can overlook any videos posted about the patients the nurse has cared for.

c. A small percentage of recruiters have eliminated candidates based on material found on social media websites.

Which of the following actions by the graduate nurse would not be advised during an interview campaign?a. Plan 3 interviews in a day,b. Identify a date to begin employment.c. Ask questions about the interview process.

d. Research the prospective employer.

a. Plan 3 interviews in a day

Which of the following actions would not help the graduate nurse prepare for an interview?a. Practice verbal responses to sample questions in front of a mirror.b. Ask a family member to play the role of the interviewer.c. Begin preparing for the interview the day before.

d. Ask for constructive feedback regarding answers to sample questions.

c. Begin preparing for the interview the day before.

What actions should the graduate nurse take to assess an organization? (Select all that apply.)a. Talk to those who work in the organization of interest.b. Read the organization’s mission statement.c. Evaluate the reputation of the leadership.d. Listen to rumors about the organization.

e. Read and analyze the recruitment materials.

The graduate nurse understands information that is necessary for a resume when making which of the following statements? (Select all that apply.)a. “I need to include my name, address, and phone number.”b. “I should include the name of the position that I am applying for.”c. “I need to include where I received my educational training.”d. “I need to list my previous employer(s).”e.“I should include avoid putting references on my resume.”f.“I should list my age and marital status.”

Which of the following actions should the graduate nurse take to ensure a great first impression? (Select all that apply.)a. Arrive at the interview right on time.b. Establish eye contact during the interview.c. Minimize distracting nervous mannerisms.d. Show enthusiasm and body language.

e. Smile when introduced.

The graduate nurse understands the purpose of the NCLEX-RN® exam when stating which of the following?a. “The exam provides feedback to the candidate regarding areas of weakness in nursing practice.”b. “The exam determines the candidate’s ability or inability to meet minimum standards for safe practice.”c. “The exam gives employers an opportunity to hire graduates who have scored highest among first-time licensure candidates.”

d. “The exam prepares new graduates as efficient, effective staff nurses.”

b. “The exam determines the candidate’s ability or inability to meet minimum standards for safe practice.”

Which statement by the nursing professor is accurate about the NCLEX-RN® exam? The purpose of the NCLEX-RN® test plan is to ensure that alla. “test takers answer items of comparable difficulty.”b. “test takers answer approximately the same number of items.”c. “test items are job related.”

d. “clinical specialties will be equally represented.”

c. “test items are job related.”

In trends class, a student tells the instructor, “I don’t think I can possibly pass the NCLEX-RN®. I hated psych nursing, but now I’ve heard that a huge amount of the NCLEX® is psych related.” What is the best response from the instructor?a. “Perhaps you should consider retaking the psychiatric nursing course.”b. “There are equal numbers of questions related to each aspect of client needs.”c. “Psychosocial integrity is the basis for 6% to 12% of the examination.”

d. “You will need to take a review course in which they teach psychiatric nursing principles.”

c. “Psychosocial integrity is the basis for 6% to 12% of the examination.”

Which statement indicates the graduate nurses understanding of the process at the NCLEX® testing site?a. “I will be thumbprinted and photographed.”b. “I will be placed in a locked testing cubicle.”c. “I will answer 300 test questions.”

d. “I will be given some questions as a paper-and-pencil test.”

a. “I will be thumbprinted and photographed.”

Which statement made by the graduate nurse indicates understanding of the NCLEX-RN® exam passing score?a. “Candidates seeking licensure in California and New York must score higher.”b. “The passing score is the same for licensure in all states.”c. “Candidates from BSN programs must score one standard deviation higher than the ADN graduates.”

d. “ADN graduates must answer 80% of the 265 questions correctly to pass.”

b. “The passing score is the same for licensure in all states.”

What type of nursing position would most likely provide experience in the type of nursing situations upon which the NCLEX® Exam questions are based?a. Home care nurseb. Psychiatric staff nursec. Staff nurse in an ambulatory pediatric clinic

d. Staff nurse in a medical-surgical inpatient unit

What is the best review strategy to use to prepare for the NCLEX-RN® Exam?a. Spend about 8 hours a day on your days off until you take the examination.b. Study for 4 hours a night while taking a 2-week review course.c. Review basic nursing content 2 to 3 hours a day 3 days a week for 5 to 6 weeks.

d. Study 10 hours on the day and evening before the examination.

c. Review basic nursing content 2 to 3 hours a day 3 days a week for 5 to 6 weeks.

What are helpful strategies for dealing with test anxiety?a. Put as much time as possible into studying.b. Practice relaxation techniques and positive thinking.c. Use review books and tapes.

d. Focus on test-taking skills and emphasize facts less.

b. Practice relaxation techniques and positive thinking.

Which of the following statements indicate the nurses understanding of the content of the NCLEX® Exam?a. “The exam is based on a practice analysis conducted by the National Council of State Boards of Nursing.”b. “The exam is a survey of nursing faculty regarding areas of importance for testing.”c. “The exam includes questions based on the National League of Nursing survey reports.”

d. “The exam includes contributions from all of the member boards of the National Council.”

a. “The exam is based on a practice analysis conducted by the National Council of State Boards of Nursing.”

The graduate nurse is preparing to take the NCLEX-RN® Exam. Which blueprint category is interpreted as having the highest percentage of test items?a. Safe, effective care environmentb. Physiological integrityc. Psychosocial integrity

d. Health promotion and maintenance

b. Physiological integrity

The nurse interprets “computer adaptive testing (CAT)” to meana. questions are selected, and the exam is adapted to the candidate’s previous responses.b. the test has been “adapted” to be administered via the computer.c. the test is adapted to decrease the total number of questions.d. questions are adapted to meet the practice analysis survey of the graduates.

a. questions are selected, and the exam is adapted to the candidate’s previous responses.

The graduate nurse has an adequate understanding of the Authorization to Test when stating:a. “The Authorization to Test arrives at the beginning of the last semester of nursing school.”b. “The Authorization to Test arrives when the last day of clinical experience is complete.”c. “The Authorization to Test arrives upon completion of all of the state and national applications.”

d. “The Authorization to Test arrives when all course work and applications have been completed and approved.”

The nurse interprets the Nurse Licensure Compact asa. an agreement between all states to recognize the license of all graduate nurses.b. an intrastate agreement for the nurse to practice in any area within the state.c. an agreement between the state boards of nursing and the National Council regarding foreign nurses.

d. an agreement between compact states to recognize licensure from member states.

The nurse interprets the role of the individual state boards of nursing in the NCLEX® Exam as which of the following?a. To coordinate with the National Council State Boards of Nursing in administering the examination and licensing candidates to practice in respective statesb. To prepare a licensure examination that is reflective of entry-level practice in their respective statesc. To grade the examination, advise students of the results, and transmit all results to the National Council State Boards of Nursing for their files

d. To supervise and administer the examination to the candidates within their state jurisdictions

a. To coordinate with the National Council State Boards of Nursing in administering the examination and licensing candidates to practice in respective states

The graduate nurse understands the process of NCLEX-RN® Exam scoring and reporting when stating:a. “The NCLEX-RN® Exam is scored on a pass/fail basis and is reported directly to the candidate.”b. “The candidate must score 80% or higher to be considered competent; scores are reported to the school.”c. “If the candidate must answer more than 365 questions, he or she will not pass the examination; scores are reported to the board of nursing.”

d. “Scoring is based on the level of difficulty of the questions presented to the candidate; scores are reported to the candidate.”

a. “The NCLEX-RN® Exam is scored on a pass/fail basis and is reported directly to the candidate.”

A candidate has scheduled to take the NCLEX® Exam and has a family emergency before the scheduled date. What is the best action for the candidate to take?a. Call the respective state board of nursing and request a change in the testing date.b. Call the Candidate Services office at least 24 hours or 1 business day before the scheduled testing day.c. Call the school and request that someone notify the board of nursing regarding your change in schedule.d. It is not necessary to notify anyone regarding rescheduling the testing date; it will be rescheduled automatically.

b. Call the Candidate Services office at least 24 hours or 1 business day before the scheduled testing day.

A graduate nurse has arrived at the testing center when realizing that the required ATT form is missing. Explain what events would happen next.a. The testing center staff would not be able to look up his ATT online.b. The testing center staff would not allow him to test without his ATT.c. The graduate nurse could be admitted to the testing center with a photo ID.d. The testing center staff would call the NCSBN for verbal approval to let the graduate nurse test.

b. The testing center staff would not allow him to test without his ATT.

What would happen if the graduate nurse failed the NCLEX-RN on the first testing attempt?a. The graduate nurse would be required to take an additional nursing course before retesting.b. The graduate nurse would be required to wait 9 months to retest.c. The graduate nurse would be required to wait 45 to 90 days before retesting.

d.The graduate nurse would not be allowed to test again.

c. The graduate nurse would be required to wait 45 to 90 days before retesting.

A graduate nurse is planning to travel to a testing site and will need to have overnight accommodations. Which of the following is the best action for this graduate nurse to take to make the stay a success?a. Share a room with the 4 other graduate nurses planning to test at the same testing center.b. Stay up late studying.c. Room alone or with someone who is supportive of a positive environment.

d. Room with another graduate nurse who frequently complains.

c. Room alone or with someone who is supportive of a positive environment.

To adequately prepare for the NCLEX-RN® examination, which action by the graduate nurse is advised?a. Begin planning early at least 6 months ahead.b. Begin planning no more than 3 months ahead.c. Wait for the state board of nursing to contact the applicant about filing deadlines.d. Call the state board of nursing every week to set up a testing time.

a. Begin planning early at least 6 months ahead.

A nursing professor is preparing students for the NCLEX-RN® Exam. Which of the following items should the professor inform the students to expect on the exam? (Select all that apply.)a. Multiple choice questions with one correct answerb. Drag and drop questions into an ordered responsec. True/false questionsd. Graphic questions with a hot spot to identify an areae. Questions with an audio component where you need to wear a headset to listen

f. Questions where you select the correct answer from the graphics presented at the end of the question

Which actions by the graduate nurse can help reduce anxiety on testing day? (Select all that apply.)a. Drive to the testing site the day before.b. Evaluate traffic.c. Wait until testing day to drive to the testing site.d. Drive to the hotel the day before.

e. Locate the parking area at the testing site.

What actions will help prepare the graduate nurse for testing success? (Select all that apply.)a. Dress comfortably.b. Stay up late for last-minute studying.c. Eat a balanced breakfast.d. Have identification needed for entrance into the exam.

e. Celebrate your success with friends the night before.

What questions should the graduate nurse ask themself when determining which NCLEX-RN® examination review course is right for the graduate? (Select all that apply.)a. What review courses are easily accessible?b. What review courses will teach me what I need to know?c. How well do I study at the computer?d. Can I plan a study review schedule and stick to it?

e. Can I plan study time?

What actions by the graduate nurse will assist with finding the best NCLEX-RN® review book for personal study needs? (Select all that apply.)a. Check the number of pages in various subjects in the material.b. Look up several common topics in the index.c. Look for a book with information that has come out in the past month.d. Look for a book that focuses on nursing concepts.

e. Look for a book that focuses on the delivery of safe patient care.

What are acceptable forms of identification at the testing center? (Select all that apply.)a. U.S. driver's licenseb. U.S. state-issued identificationc. Credit or debit card with photo identification.d. Passporte. U.S. military identification

f. School or university picture identification

Which statement by the nurse indicates an understanding of the definition of nursing informatics?a. “Nursing informatics is a specialty area of hospital nursing in which management of patient care is done via computers.”b. “Nursing informatics is the specialty practice of nursing integrating nursing science with computer science and information science.”c. “Nursing informatics includes the input and retrieval of a patient’s complete medical history via electronic data.”

d. “Nursing informatics is an area of computer system design and analysis to provide and retrieve patient health data during the period of hospitalization.”

b. “Nursing informatics is the specialty practice of nursing integrating nursing science with computer science and information science.”

What are examples of regulatory agencies that will affect health care policy with regard to informatics?a. Health Insurance Portability and Accountability Act (HIPAA)b. American Nursing Credentialing Center (ANCC)c. American Nurses Association (ANA)

d. Medicare/Medicaid authorization

a. Health Insurance Portability and Accountability Act (HIPAA)

What is the importance of using classification systems for nursing nomenclature to describe nursing practice?a. To provide a system to develop and use a patient care management systemb. To allow nursing administration to project, define, and implement nursing care policies and guidelinesc. To assist the quality control team to survey and gather data that will reflect the acuity classification of patientsd. To facilitate collection of consistent data that can be accurately manipulated in an electronic medical record

d. To facilitate collection of consistent data that can be accurately manipulated in an electronic medical record

Which statement by the nurse indicates understanding of general systems theory in regards to nursing informatics?a. “General systems theory organizes interdependent parts that, when working together, can produce a product that none used alone could produce.”b. “General systems theory provides theory support for a system that maintains confidentiality when handling patient data and information.”c. “General systems theory incorporates external databases from state agencies to allow for performance comparison within a specific institution.”d. “General systems theory is a nursing theory regarding the use of nurse informatics to integrate the systems within health care for support of nursing education and practice.”

a. “General systems theory organizes interdependent parts that, when working together, can produce a product that none used alone could produce.”

Which of the following statements indicates the nurses understanding of the difference between the electronic health record (EHR) and electronic medical record (EMR) is:a. “EHR provides nursing with a standardized nomenclature of taxonomy to record nursing care.”b. “EMR is the inclusion of only data collected by the patient (personal health record (PHR).”c. “EHR is a longitudinal record of the patient’s health information.”d. “EMR allows nurses to document nursing care in a system that is intuitive to their level of computer literacy.”

c. “EHR is a longitudinal record of the patient’s health information.”

The nurse manager is teaching a new nurse about computer monitoring on a telemetry unit. The nurse manager judges the teaching to be effective when the new nurse states:a. “Computer monitoring provides continuous streaming of data that allows nurses to respond to patient changes quickly.”b. “Computer monitoring provides for continuous around-the-clock direct observation of patients.”c. “Computer monitoring improves documentation of patient care.”

d. “Computer monitoring reduces the need for additional nurses to provide patient care.”

a. “Computer monitoring provides continuous streaming of data that allows nurses to respond to patient changes quickly.”

A nurse is educating students on how to evaluate a website. The nurse judges the teaching to be effective when the students can state:a. “Internet information must go through careful screening before it can be posted.”b. “Credibility, accuracy, and reasonableness of the information should be considered.”c. “It is important to have the hospital librarian verify the authenticity of the website.”

d. “Most Internet information can be downloaded or beamed to a smartphone or handheld device (personal digital assistant [PDA]).”

b. “Credibility, accuracy, and reasonableness of the information should be considered.”

The nurse is educating a nursing student on the difference between the informatics nurse and the informatics nurse specialist. The teaching has been effective when the nursing student states:a. “The informatics nurse has a graduate degree.”b. “The informatics nurse specialist has experience in informatics but no advanced degree.”c. “The informatics nurse supports consumers.”

d. “The informatics nurse specialist has an advanced degree.”

A nursing student is interested in the field of nursing informatics. What should the student do to prepare for a career in this specialty as a nurse leader?a. Obtain a baccalaureate degree in nursing,b. Complete 5 years on a medical-surgical unit,c. Obtain critical care experience,

d. Obtain a graduate degree

The nurse has an adequate understanding of the informatics nurse (IN) and informatics nurse specialist (INS) when making which of the following statements?a. “The IN/INS does not require any computer or network knowledge on entry into the profession.”b. “The IN/INS does not interact directly with clinical staff.”c. ”The IN/INS does not need prior knowledge of software or hardware implementation.”

d. “The IN/INS should be prepared to help with system implementation.”

A nurse is self-educating on the role of the informatics nurse/informatics nurse specialist. The nurse has an adequate understanding when listing which as a primary success indicator?a. “Making sure that information technology did no harm to the patient.”b. “There were no primary success indicators listed for the IN/INS.”c. “There are not enough data on primary success indicators for the IN/INS role.”

d. “Primary success indicators include excellence in bedside patient care.”

a. “Making sure that information technology did no harm to the patient.”

Which statement by the nurse is true regarding the focus of nursing informatics? The focus of nursing informaticsa. “is to improve patient care with health care technology.”b. “is to improve patient care by increasing health care expertise.”c. “is to improve patient care by improving nursing performance.”

d. “is to improve patient care by allowing the patient access to medical records.”

a. “is to improve patient care with health care technology.”

Which statement by the nurse indicates understanding of the General Systems Theory?a. “It is a 5-step process of an individual’s decision to adopt an innovation.”b. “It is known as a change theory.”c. “It includes knowledge, persuasion, decision, implementation, and confirmation.”

d. “It organizes interdependent parts working together to produce a product that none used alone could produce.”

How can the nurse expect to be impacted by nursing informatics?a. The nurse would not be directly impacted unless he or she worked in nursing informatics.b. Nurses at the bedside are minimally impacted.c. Nurses are impacted by the use of barcode medication administration.

d. Nurse managers are the only hospital staff who are impacted.

c. Nurses are impacted by the use of barcode medication administration.

Which action can the nurse take to evaluate an internet resource?a. Assume that the resource is credible if it is on an internet page.b. Determine if the resource provides evidence for claims made.c. Assess the popularity of the resource.

d. Determine the date the resource was published; older material is more reliable.

b. Determine if the resource provides evidence for claims made.

The nurse understands the benefits of Computerized Provider Order Entry (CPOE) when stating:a. “CPOE does not change the process of patient care.”b. “CPOE averts problems with hand-written orders.”c. “CPOE benefits only the nurses in the health care system.”

d. “CPOE benefits only the pharmacists in the health care system.”

b. “CPOE averts problems with hand-written orders.”

A nurse is preparing to graduate with a degree in nursing informatics. The nurse is explaining career options to friends. The nurse understands the options when stating:(Select all that apply.)a. “I can work alongside engineers as they create new products.”b. “I can work for a consulting firm and specialize in workflow improvement.”c. “I cannot work for third-party payers.”d. “I do not have the option of working for the government.”

e. “I am excited to work for an educational institution.”

How does the IN/INS use HIPPA regulations and TJC requirements in daily practice? (Select all that apply.)a. Investigation of violationsb. Writing of policiesc. Involvement in the discipline processd. Writing of procedures

e. Managing the nursing unit

The nurse has adequate understanding of HIPAA when stating that the major impact from this privacy regulation is in (Select all that apply.)a. “health information privacy law.”b. “bedside nursing care.”c. “nursing report communication.”d. “data security standards.”

e. “electronic transaction standards.”

A nurse manager is educating a group of staff nurse on violation of HIPPA standards. The manager judges the teaching to be effective when one of the staff nurses states: (Select all that apply.)a. “Violations of HIPPA standards no longer occur because the consequences are so severe.”b. “Violations of HIPPA standards can result in termination of employment.”c. “Violations of HIPPA standards can result in an indictment.”d. “Violations of HIPPA standards are waived if it is your first offense.”

e. “Violations of HIPPA standards can result in prison time.”

Which action by the nurse incorporates standard practice for protecting patient privacy on mobile devices? (Select all that apply.)a. Keep careful physical control of the device at all times.b. Avoid use of mobile devices.c. Use a password and a time-out to authenticate the re-activation.d. Enable encryption.

e. Keep security software up to date.

A nurse manager is lecturing staff nurses on the barriers to the full integration health information technology. The nurse manager judges the teaching to be effective when a staff nurse states: (Select all that apply.)a. “Barriers include lack of standardization across care areas.”b. “A barrier to the full integration is funding.”c. “Currently there are no barriers.”d. “A current barrier is privacy laws.”

e. “Barriers to full integration are not likely to be overcome.”

A nurse is giving a presentation on malpractice. Which statement indicates the nurse understands malpractice?a. “The elements of duty, breach of duty, and patient injury must be present for a malpractice claim.”b. “Negligent nursing care and failure to follow standards must be present for a malpractice claim.”c. “Failure to report, defamation, and discrimination must be present for a malpractice claim.”

d. “Error in judgment and invasion of privacy must be present for a malpractice claim.”

a. “The elements of duty, breach of duty, and patient injury must be present for a malpractice claim.”

In transcribing orders for a patient, the nurse finds a new order for aspirin, 500 mg, QID. The patient has a long history of gastrointestinal bleeding. What is the best nursing action?a. Give the medication.b. Withhold the medication and chart why it was not given.c. Call the physician and question the order in light of the patient’s history.

d. Ask if the patient is allergic to aspirin.

c. Call the physician and question the order in light of the patient’s history.

The nurse enters a patient’s room to complete the discharge paperwork and finds the patient in tears. The patient reports that someone from the business office stated they could not leave the hospital until the bill was paid. What is the best nursing action?a. Comfort the patient and continue the preparations for discharge.b. Call the social worker for a financial evaluation.c. Call the family to arrange for the payment.

d. Cancel the discharge plans and notify the physician of the situation.

a. Comfort the patient and continue the preparations for discharge.

What is a correct statement regarding a nurse who acts beyond the scope of practice?a. Demonstrates what a good nurse he or she can beb. Provides enriched services to patients who would not otherwise receive themc. May make other nurses angry because of the increased expectations created

d. May be disciplined by the board of nursing

Which error in judgment would be the most serious for the nurse defendant in a legal case?a. Discussing the case with the plaintiffb. Tampering with the chartc. Hiding information from the plaintiff’s attorney

d. Being discourteous on the witness stand

b. Tampering with the chart

A graduate nurse is preparing to start a first nursing job. What action would be the best legal safeguard for the graduate nurse to take?a. Competent practiceb. A legal contractc. A valid license

d. Following management policies

A nurse is providing care to a 6-year-old child with a broken arm. The nurse notices multiple bruises. The child says, “my father got mad because I was bad, and he hit and broke my arm so that I would remember to be good.” What is the best nursing action?a. Chart that the child is a victim of abuse.b. Do nothing because the nurse cannot prove the child was abused.c. Report the situation to the appropriate authorities.d. Ignore what the child said because little children often lie.

c. Report the situation to the appropriate authorities.

What would be the most effective way for a nurse to validate “informed consent?”a. Check the chart for a completed and signed consent form.b. Determine from the physician what was discussed with the patient.c. Ask the family whether the patient understands the procedure.

d. Ask the patient what he or she understand regarding the procedure.

What action might be taken on a nurse who commits an infraction of the Nurse Practice Act?a. The nurse is subject to discipline by a court of law.b. The nurse is subject to discipline by the state board of nursing.c. The nurse is subject to discipline by the local chapter of the state nurses association.

d. The nurse is subject to discipline by the National League for Nursing.

b. The nurse is subject to discipline by the state board of nursing.

The nurse understands “scope of nursing practice” when making which of the following statements?a. “The scope of nursing practice includes acts that permit some overlap between nursing and medicine.”b. “The scope of nursing practice includes activities that are legally permissible for a nurse to perform in a particular state.”c. “The scope of nursing practice are the specific duties the nurse owes to a patient.”

d. “The scope of nursing practice involves hose activities for which a nurse can be held liable for malpractice

b. “The scope of nursing practice includes activities that are legally permissible for a nurse to perform in a particular state.”

A student nurse is studying assault and battery. The student interprets assault and battery to includea. the nurse, without consent, touched the patient in an offensive, insulting, or injurious way.b. the nurse threatened to put the patient in restraints if they did not stay in bed.c. the nurse said the bill has to be paid before the patient can leave.

d. the nurse failed to perform an act expected of a reasonable nurse.

a. the nurse, without consent, touched the patient in an offensive, insulting, or injurious way.

A nurse understands informed consent when making which of the following statements?a. “Informed consent is a binding agreement.”b. “Informed consent involves filling out an incident report.”c. “Informed consent occurs when the patient receives information about a procedure before giving consent.”

d. “Informed consent is a name for a written legal policy.”

c. “Informed consent occurs when the patient receives information about a procedure before giving consent.”

Which definition, given by the nurse indicates understanding of malpractice?a. “Malpractice is a criminal act committed against society.”b. “Malpractice means doing something a reasonable person or nurse would not do.”c. “Malpractice is an intentional professional act of negligence.”d. “Malpractice is a professional act or failure to act that leads to injury of a patient.”

d. “Malpractice is a professional act or failure to act that leads to injury of a patient.”

A nurse tells a patient, “If you don’t stop getting out of that chair, I’m going to put some restraints on you.” What may this nurse be accused of?a. False imprisonmentb. Defamationc. Invasion of privacyd. Malpractice

During a malpractice suit, how can the standard of “what the wise and prudent nurse would do” best be established?a. From the testimony of an expert nurseb. By consulting with nursing faculty regarding standards of carec. Conferring with a lawyer regarding malpractice parameters

d. By consulting the standards of The Joint Commissions

a. From the testimony of an expert nurse

During a life-threatening emergency, a nurse hurriedly gives the patient a medication by IV push. There is extravasation of medication. Later, necrosis and tissue sloughing take place. The nurse’s behavior may be the basis for what action?a. Felony chargeb. Misdemeanor chargec. Tort suit

d. Defamation suit

At the time of admission, a patient gave a history of allergy to penicillin that was duly noted in all critical areas of the patient’s record. While giving medications, a nurse accidentally administered penicillin to this patient. The patient had a severe reaction but recovered. What is the implication of the nurse’s action?a. The nurse cannot be sued for malpractice because the patient did not directly the nurse of the allergy.b. The nurse failed to act in a reasonable and prudent fashion and thus is liable for malpractice.c. The nurse who gave the medication can bring a countersuit against the nurse who took the history.

d. There is no cause for concern because the action did not result in the patient’s death.

b. The nurse failed to act in a reasonable and prudent fashion and thus is liable for malpractice.

In a legal suit, what element is necessary to prove a tort has been committed? a. Intentb. Assaultc. Injury

d. Malpractice

What action must occur to prove a breach of duty? a. Liability testimony of physicianb. Testimony from state board of nursesc. Expert testimony

d. Testimony of coworkers

What is a significant action a nurse can take to prevent being named in malpractice suits?a. Refuse to care for suit-prone patients.b. Carry professional liability insurance.c. Maintain updated professional knowledge and skills.

d. Check with a nursing supervisor before undertaking care.

c. Maintain updated professional knowledge and skills.

A nurse places a heating pad on the lower leg of a patient with peripheral vascular disease. When the heating pad is removed, it is apparent that the patient has sustained partial-thickness burns to the area covered by the pad, and the nurse is sued for malpractice. Which statement is true?a. All elements are present to find the nurse liable for damages.b. Proximate cause cannot be established, so the nurse will not be found liable.c. The standard of care in such a situation cannot be established, so the nurse will not be found liable.

d. No duty to the patient exists, so the nurse will not be held liable.

a. All elements are present to find the nurse liable for damages.

A nurse has relocated to another state and wants to find a full-time nursing job. What action should be taken first in order to provide care as a nurse?a. Begin applying for jobs at the local hospital.b. Contact the board of nursing in the nurse’s new state to obtain licensure to practice.c. Begin practicing immediately, as the nurse is still licensed in the formerly lived in state.

d. Begin practice on a part-time basis so that a new license is not needed.

b. Contact the board of nursing in the nurse’s new state to obtain licensure to practice.

The nurse has an adequate understanding of nurse practice acts when stating which of the following?a. “Nurse practice acts do not help guide nurses.”b. “Nurse practice acts describe how to prepare for the NCLEX exam.”c. “Nurse practice acts describe how and when to renew a nursing license.”

d. “Nurse practice acts provide a list of job openings.”

c. “Nurse practice acts describe how and when to renew a nursing license.”

A nurse wants to avoid malpractice claims. What action can be taken to greatly reduce the risk of a lawsuit?a. Reduce work status to part time.b. Implement fall precautions on an older adult patient.c. Leave clutter on the floor in patient rooms.

d. Leave the patient’s bed in the highest position.

b. Implement fall precautions on an older adult patient.

A nurse has just administered a medication when suddenly realizing that more medication was given than was ordered. Which action should the nurse take?a. Call the patient’s physician and report the error.b. Say nothing about the medication error and continue to monitor the patient.c. Document the dose that was supposed to be given in the medical record.

d. Document the amount given in the medical record but keep the error quiet.

a. Call the patient’s physician and report the error.

Which of the following would be considered a criminal action?a. A nurse who steals narcotics from the hospitalb. A nurse who gets into a verbal disagreement with a visitorc. A nurse who restrains a patient who is considered a threat to himself

d. A nurse who refuses to allow a visitor onto the unit who appears intoxicated

a. A nurse who steals narcotics from the hospital

Which of the following can result in a civil action against the nurse?a. Failure to monitorb. Enforcing strict compliance with contact precautions against the family’s wishesc. Refusing to discuss the patient’s medical history with the family per patient request

d. Assisting the physician in a bedside procedure after obtaining informed consent

Which of the following statements by the nurse indicates understanding of legal actions?a. “A misdemeanor is a less serious crime resulting in a fine.”b. “A felony is a less serious crime that can result in a fine.”c. “Civil actions are serious and often result in prison time.”

d. “The defendant is the victim.”

a. “A misdemeanor is a less serious crime resulting in a fine.”

Which statement by the nurse indicates understanding of the nurse practice act?a. “The nurse practice act defends any action the nurse may take.”b. “The nurse practice act defines the scope of practice for each level of licensure.”c. “The nurse practice act details pay raises for each year of service to an organization.”

d. “The nurse practice act has language that grants nurses vacation time.”

b. “The nurse practice act defines the scope of practice for each level of licensure.”

Which actions take place in organizations to monitor quality improvement? (Select all that apply.)a. Evaluation of what nurses are doing for patientsb. Development of policies and proceduresc. Employee evaluationsd. Intermittent monitoring

e. Continuing education

A nurse is completing an incident report. The nurse demonstrates an adequate understanding of the report when refraining from putting which of the following on the form (Select all that apply.)a. Conclusions about the incidentb. The name of the patientc. Blame of othersd. Judgment

e. The nurse’s opinion about what happened

The nurse has an adequate understanding of risk management when stating which of the following? (Select all that apply.)a. “Risk management becomes involved when incidents occur.”b. “Risk management becomes involved when untoward events occur.”c. “Risk management becomes involved to discipline the nurse.”d. “Risk managers gather evidence surrounding the event.”

e. “Risk managers will interview those involved in an event.”