Nursing Practice Seminar MCQ

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502 Verified Questions
 Nursing Practice Seminar
MCQ PDF
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The Nursing Practice Seminar is designed to provide nursing students with an interactive

forum to integrate theoretical knowledge with clinical experiences. Through a

combination of case studies, group discussions, and reflective practices, students will

examine contemporary issues, ethical dilemmas, and evidence-based practices that

impact patient care. The seminar fosters critical thinking, professional development, and

collaborative problem-solving skills, empowering students to enhance their clinical

judgment and prepare for the transition into professional nursing roles.

Recommended Textbook
Nursing Delegation and Management of Patient Care 1st Edition by Kathleen Motacki RN MSN

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21 Chapters
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502 Flashcards
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Page 2
 Chapter 1: Patient Care Management
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Sample Questions
Q1) The novice nurse is speaking with the nurse manager about their roles within the
hierarchy of the institution.The nurse manager would most likely identify which role as
having the most internal conflict?
A)Coordinating institutional goals with the immediate demands of the clinical area
B)Determining which of the staff members should get better raises than other members
C)Deciding which employees should be recommended for promotion
D)Determining which staff members get Christmas day off
Answer: A

Q2) In a team nursing health care delivery model environment,the nurse would observe
for which action by the staff?
A)The UAPs response all call lights.
B)The charge nurse is notified when there are patient complaints about care.
C)The UAPs response their patients' call lights.
D)The RN is notified when there are patient care complaints.
Answer: D

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Page 3
 Chapter 2: Communication in the Work Environment
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Sample Questions
Q1) A UAP becomes sick at work and asks to leave.Which response by the charge nurse is
most appropriate?
A)"You can't leave until all the baths are completed."
B)"Write down what needs to be completed."
C)"Tell me what responsibilities still need to be completed."
D)"Be sure to call by 5 AM if you are still sick tomorrow."
Answer: C

Q2) A staff nurse complains to the nurse manager about an employee of another
department constantly asking her out on a date even though she has told him she is not
interested.Which action by the nurse manager is most appropriate?
A)Confront the employee and ask him to stay away from the staff nurse.
B)Observe future interaction to confirm the reported harassment.
C)Contact the supervisor to decide on the next step.
D)Review the personnel manual to decide on the next step.
Answer: D

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Page 4
 Chapter 3: Delegation of Nursing Tasks
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Sample Questions
Q1) The nurse is working on a medical unit with an LPN and UAP as the team
members.Which tasks should the RN delegate to the LPN?
A)Vital signs on a patient about to arrive from the cardiac catheterization lab
B)Regulation of a patient's heparin drip based on the heparin nomogram
C)Regulation of a patient's nitroglycerin drip based on the level of pain
D)Administration of all oral medications for the team
Answer: D

Q2) After receiving the shift report,which of the following requires a priority action by the
nurse?
A)Discontinue an IV line from an insertion site that appears red and at which the patient
complains of pain.
B)Make assignments for the team.
C)Talk to a patient who has changed his mind about having a procedure today.
D)Round on all the patients on their team.
Answer: A

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Page 5
 Chapter 4: Evidence-Based Practice
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Sample Questions
Q1) The nurse explains the PICO acronym to colleagues in which of the following ways?
A)PICO represents the questions to ask regarding application of the research to the
specific setting.
B)PICO represents the trigger for initiating the research.
C)PICO represents the benchmarking website used in research.
D)PICO represents the regulatory guidelines established for practitioners.

Q2) When providing care to patients,nurses use evidence-based practice to avoid

urinary tract infections whenever the insertion of a urinary catheter is performed by:
A)A UAP.
B)An RN.
C)An LPN.
D)A senior nursing student.

Q3) Which of the following would be considered a sentinel event?

A)Patient who has developed a fatal mediastinal infection 7 days after cardiac surgery
B)Patient who experiences a CVA during a cardiac catheterization
C)Patient who receives a double dose of a medication in error
D)Wrong patient scheduled for a chest radiograph

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Page 6
 Chapter 5: Management of Emergencies and Disasters
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Sample Questions
Q1) The hospital safety committee is responsible for reporting hazardous materials
events.For which of the following situations would the nurse expect a follow-up by this
safety committee?
A)A nurse complains of a noxious odor that is making patients lightheaded.
B)A nurse incorrectly disposes of a patient's surgical dressing.
C)A nurse contaminates an IV line during insertion.
D)A patient falls because the floor was wet from being cleaned.

Q2) Emergency preparedness drills are standard practice in health care facilities.The
purposes for these drills include (select all that apply):
A)Determining if changes need to be made to the plan.
B)Creating improvements to the plan.
C)Working closely with FEMA (Federal Emergency Management Agency).
D)Testing terrorism response exercise.

Q3) The nurse smells smoke down a hallway and finds a small fire in the trash basket in
a patient's bathroom.The first best action by the nurse is to:
A)Remove the patient from the room.
B)Attempt to extinguish the fire.
C)Close all doors and windows.
D)Close the door to the hallway.

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Page 7
 Chapter 6: Health Care
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Sample Questions
Q1) The impact of spiraling health care costs on the nursing profession is demonstrated
by the fact that:
A)RN salaries are stagnant.
B)Nurse practitioners are used as primary caregivers for patients with routine health
problems.
C)Hospitals are hiring fewer UAPs and more RNs.
D)Nursing schools have had to close due to low enrollment.

Q2) Which of the following is the best example of the nurse's fiscal responsibility to the
patient?
A)To provide health care based on the ability of the patient to pay
B)To provide health care that the insurance company will allow
C)To use cost-efficient resources
D)To use new-age practices for providing care

Q3) The nurse understands that the patient who would most likely not qualify for
admission to the hospital in today's health care climate is the patient with a(n):
A)Wrist fracture.
B)DKA.
C)Dehydration.
D)Acute myocardial infarction.

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Page 8
 Chapter 7: Healthcare Regulatory and Certifying Agencies
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Sample Questions
Q1) The most common impact on the nurse of The Joint Commission standards is
through the management of the pain standard.Which action is necessary to comply
with the standard?
A)Documentation of the relief of pain
B)Providing for alternative pain medications
C)Prescribing the correct dosage of pain medication
D)Documentation of the frequency of medication administration

Q2) The state regulatory agency may impose a fine on a hospital for which patient
safety infraction?
A)A UAP ambulating a patient
B)A UAP checking a blood glucose level
C)Allowing only RN staff in the medication room
D)Leaving the medication room unlocked

Q3) The Joint Commission ( TJC )measures the management of infections within the
institution.By which method will TJC be able to measure the performance of the
institution to manage infections?
A)Employment of an infection control nurse
B)Interviews with patients and families
C)Staff follow-up for prevention
D)Documentation of a patient's infection

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Page 9
 Chapter 8: Ethical Issues in Patient Care
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Sample Questions
Q1) A nurse observes unsafe practice by a physician and reports it to the risk
management department of the hospital.Which ethical principle does this represent?
A)Autonomy
B)Beneficence
C)Justice
D)Veracity

Q2) A nurse is caring for a patient who has developed MODS (multiorgan dysfunction
syndrome)resulting from septic shock.The patient is ventilator dependent and on
vasopressors to maintain a Doppler-measured blood pressure of 80 mm Hg.The family
is resistant to permit terminal weaning.The best action by the nurse is to:
A)Insist that the family disconnect the patient from the ventilator.
B)Ask the family to meet with the hospital's ethics committee.
C)Seek a family member who does agree and have them sign the consent form.
D)Arrange for the vasopressors to be turned off when the family is not present.

Q3) Which measure can be used to avoid ethical dilemmas in the health care setting?
A)Advance directive or living will
B)Religious beliefs of the nurse
C)Designation of a durable power of attorney
D)Values of the caregivers

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Page 10
 Chapter 9: Developing Management Skills
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Sample Questions
Q1) A patient admitted with an elevated ST-segment myocardial infarction on oxygen
per nasal cannula for his diagnosed influenza is complaining of shortness of breath with
an oxygen saturation of 88%.The albuterol treatment provides no relief.What is the next
best action by the RN?
A)Increase the oxygen concentration and recheck the saturation after 10 minutes.
B)Obtain a 12-lead ECG.
C)Notify the health care provider.
D)Call the patient's wife to have her sit with him to calm him.

Q2) The management process consists of six functions:

planning,staffing,organizing,directing,controlling,and decision making.What might be
seen in the planning step of the process?
A)Identifying the problem of the lack of ICU beds
B)Organizing a meeting to address the problem
C)Establishing an alternate site within the hospital for these patients
D)Assigning experienced staff to implement care of these patients

Q3) Which activity should be considered the highest priority by the RN?
A)Assessment of a stable patient ready for discharge
B)Administration of daily medications
C)Administration of STAT medications
D)Discharge teaching for a patient with heart failure

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Page 11
 Chapter 10: Improving Organizational Performance
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Sample Questions
Q1) When using the DMAIC acronym of the Six Sigma quality process improvement
model,the nurse understands that the I (improve)refers to:
A)Identification of the start and stop dates.
B)Comparison of data to customer surveys.
C)Use of technology to design improvements.
D)Staff training.

Q2) A sentinel event is usually one that results in an unexpected outcome for the patient
and "signals" the need for investigation and response.Which of the following would be
considered a sentinel event?
A)A patient who requires a left leg amputation after developing an arterial occlusion at
the access site
B)An elderly patient who falls after trying to get up by herself
C)A patient who receives two doses of amiodarone because the nurse did not chart the
first one
D)A patient whose peripheral pulses have not been checked for 2 hours after he returns
from a cardiac catheterization

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Page 12
 Chapter 11: Hospital Information Systems
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Sample Questions
Q1) What is the greatest benefit to the nurse of technology in the health care setting?
A)Patient acuity is reduced.
B)Determination of the time of discharge of patient is aided.
C)There is easy,quick access to relevant data.
D)Data may be more difficult to interpret.

Q2) Which observation requires an intervention with a new graduate nurse by his
preceptor? Select all that apply.
A)Data entry on the wrong patient
B)Entry of I&O values at end of shift
C)Incomplete pain assessment
D)Notifying pharmacy of unavailability of a medication
E)Failing to complete an admission profile

Q3) The nurse informatics (NI)specialist incorporates nursing science,computer

science,and information science to support nursing in utilization of the data
collection.Priorities for an NI specialist include:
A)Developing computer information systems for the hospital.
B)Incorporating common nursing nomenclature into the system.
C)Researching evidence-based practice.
D)Developing restrictions of certain patient information to insurance companies.

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Page 13
 Chapter 12: Monitoring Outcomes and Use of Data for

Improvement
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Sample Questions
Q1) What information obtained from hospital data collection can be used for staffing
purposes?
A)Patient satisfaction
B)Staff competency
C)Best practice
D)Use of agency nurses

Q2) Nurses recognize that the use of beta-blockers within 24 hours of emergency
department arrival for a patient with acute myocardial infarction is a standard of care
established by health care regulating agencies based on which known action of this
medication?
A)Beta-blockers are antihypertensives.
B)Beta-blockers reduce the workload of the heart.
C)Beta-blockers reduce the heart rate.
D)Beta-blockers reduce the patient's chest pain.

Q3) Which of The Joint Commission ( TJC )core measures would the nurse expect to see
used on a postoperative surgical area?
A)Standards for dressing changes
B)Standards for deep venous thrombosis prophylaxis
C)Standards for patient-controlled analgesia
D)Standards for atelectasis prevention Page 14

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 Chapter 13: Strategic Management and Planning
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Sample Questions
Q1) When identifying the objectives in an organization's action plan,what would be an
essential tool to use to improve performance?
A)Benchmarking to "best in class performers"
B)Patient satisfaction survey results
C)Employee satisfaction survey results
D)Patient population

Q2) When interviewing for a position at a new facility,the nurse managers ask to review
the mission,vision,and values statements because they understand that these
statements provide information about the organization's:
A)Fiscal responsibility.
B)Direction and purpose.
C)Concern for uninsured.
D)Specific actions to be taken.

Q3) Strategic goals are developed as a result of which information source?

A)Environmental scan
B)Electronic medical record
C)Changes in nursing practice
D)Changes in staff ratios

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Page 15
 Chapter 14: Financial Management
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Sample Questions
Q1) When planning the purchase of new equipment,the nurse manager should include
these items into which type of budget?
A)Capital budget
B)Personnel budget
C)Cash budget
D)Operating budget

Q2) Indirect costs in a nurse manager's budget would include:

A)Benefits.
B)Expected raises.
C)Shift differential.
D)Travel.

Q3) A nurse consistently remains past her shift for report or charting.The amount of
overtime accumulated is equivalent to a full-time nurse's salary for 1 month.The nurse
manager counsels the nurse and emphasizes that one of the responsibilities to the
institution is:
A)Quality patient care.
B)Fiscal accountability.
C)Accurate documentation.
D)Accurate medication administration.

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Page 16
 Chapter 15: Management of Human Resources
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Sample Questions
Q1) During an interview,the nurse may feel they have interviewed well and would be a
perfect fit.Which action by the nurse is best?
A)Ask the nurse manager if she can make a decision today.
B)Ask the nurse manager if she can notify you ASAP.
C)Assume you have gotten the job.
D)Wait for Human Resources to make you an offer.

Q2) What preparations should the nurse manager take when interviewing an applicant?
A)Call references.
B)Develop a strategy.
C)Allow several applicants to arrive at the same time.
D)Attend a meeting to end exactly when the interview is scheduled to start.

Q3) There are federal and state laws protecting employees to ensure equal employment
opportunities.These are enforced by the Equal Employment Opportunity Commission (
EEOC ).The EEOC protects against (select all that apply):
A)Union organizing.
B)Hiring based on age.
C)Hiring based on gender.
D)Disability discrimination.
E)Medical leaves.

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Page 17
 Chapter 16: Providing Competent Staff
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Sample Questions
Q1) The nurse's progression from novice to expert is usually encouraged by the
organizations for which they work.Which of the following is an example of a method used
to encourage nurses to progress in their level of experience?
A)Rotating nurses to all shifts
B)Rotating nurses into the ICU
C)Quarterly Nursing Excellence awards
D)Tuition reimbursement for advanced degrees

Q2) Clinical ladders for nurses are best used in what circumstance?
A)Horizontal advancement for clinicians who wish to stay at the bedside
B)Vertical advancement for management responsibilities
C)Horizontal ladder for nurses with more than 10 years of employment
D)Vertical ladder for nurses with more than 10 years of employment

Q3) Accrediting agencies require that staff demonstrate competency in their

jobs.Annual competency of mandatory skills is evaluated.Which of the following skills
should be demonstrated annually in the health care field as required by accrediting
agencies?
A)Management of violent patients
B)Fire safety
C)Transport of patients
D)Transcription of orders

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Page 18
 Chapter 17: Personal and Workplace Safety
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Sample Questions
Q1) A male nurse is working with female nurses on a unit.One of the female nurses is
overheard talking about how cute the male nurse is.The nurse overhearing this comment
should be expected to do which of the following?
A)Notify the nurse manager.
B)Tell the male nurse that the female nurse was making inappropriate comments.
C)Nothing,this is not harassment.
D)Warn the nurse that the conversation was overheard.

Q2) The AACN has addressed the issue of horizontal violence in the workplace and made
recommendations for actions by the nurse manager.Which of the following are
recommendations for action by the AACN against workplace horizontal violence?
A)Develop a culture that does not tolerate violence.
B)Report all incidences to upper management.
C)Separate the two people by not assigning them to work on the same shifts.
D)Ask the two people to sit down and work it out.

Q3) What methods can administration use for the prevention of workplace violence?
A)Separate staff entrance
B)Staff ID badges
C)Separate parking for staff
D)Visual presence of security at all times

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Page 19
 Chapter 18: Legal Issues in Healthcare
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Sample Questions
Q1) HIPAA was passed in 1996 to protect a patient's right to privacy.Nurses must obtain
permission from the patient to release information,even to family members.What should
the nurse say to a person on the telephone who is claiming to be a relative of the patient
and is inquiring about his condition?
A)Provide only minimal information.
B)Explain to the person that you cannot give information over the telephone.
C)Refer them to the physician.
D)Refer them to the family.

Q2) A new nurse is hired to work in an acute care hospital.He was advised by Human
Resources that liability insurance is not necessary because the institution has coverage
for all employees.Which of the following responses by the nurse is best?
A)"Great,that is one less expense."
B)"I want my own personal insurance to protect my interests in case of a suit."
C)"I don't intend to do anything wrong."
D)"I want to have insurance to supplement yours."

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Page 20
 Chapter 19: Staffing and Scheduling
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Sample Questions
Q1) When calculating for staffing needs,what should be considered?
A)Weekend option
B)Hourly salary of employee
C)Productive versus nonproductive hours of an employee
D)Vacation time accrued

Q2) What is the disadvantage to the institution in using external agency nurses?
A)Cost
B)Competency
C)Availability
D)Staff relationships

Q3) Travel nurses have become very popular,especially among single,unattached

nurses.Which of the following is an advantage of contracting with a travel nurse to the
agency?
A)Cost
B)Availability
C)Competency
D)Contractual agreement

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Page 21
Chapter 20: Supervising and Evaluating the Work of Others
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Sample Questions
Q1) When a nurse manager leads a group meeting,which of the following guidelines
should be practiced?
A)Allow group to set agenda.
B)Separate the group according to interests.
C)Facilitate problem-solving.
D)Coerce all members to interact.

Q2) When a nurse manager leads a group meeting,which of the following guidelines
should be practiced?
A)Strictly adhere to agenda
B)Establish goals and objectives.
C)Make the meeting seem friendly.
D)Provide snacks.

Q3) Which of the following should be used to evaluate the staff's performance when
deciding high,middle,or low? Select all that apply.
A)Never late
B)Teamwork
C)Communication
D)Knowledge and competence
E)Responsive to constructive criticism.

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Page 22
 Chapter 21: New Graduates: the Immediate Future
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Sample Questions
Q1) When studying for the NCLEX-RN exam,the new graduate should be able to
determine which tasks to delegate to which employee.Which tasks are appropriately
delegated to the LPN?
A)Dressing change on a wound requiring packing
B)Vital signs on a new admission
C)Post cardiac catheterization vital signs
D)IVP medications

Q2) When caring for a patient who requires comfort and attention,the student nurse
understands that in the "NCLEX hospital," the nurse must do which of the following?
A)Stay with the patient and allow him to express his feelings.
B)Stay with the patient but be sure to multitask with the charge nurse to control the care
of the other patients.
C)Explain to the patient that you have other patients to care for.
D)Assign a UAP to sit with the patient.

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Page 23