Specialty certification in medical-surgical nursing is a voluntary credential that a registered nurse can earn in addition to licensure.
Correct Answer
True
True. State licensure is required to practice as a registered nurse, while specialty certification is optional and recognizes expertise shown by meeting practice requirements and passing an exam. Professional organizations such as the Academy of Medical-Surgical Nurses support nurses who pursue it.
Category: Nursing Roles and Scope
Question 2
A nurse practice act is a federal law that sets one scope of practice for nurses in every state.
Correct Answer
False
False. A nurse practice act is a state law, so each state sets its own scope of practice, and the state board of nursing creates and enforces the rules that carry it out.
Category: Nursing Roles and Scope
Question 3
Medical-surgical nursing is one of the largest nursing specialties.
Correct Answer
True
True. Medical-surgical nursing developed into a distinct specialty over the twentieth century and is now one of the largest areas of nursing practice, caring for adults with a wide range of medical and surgical conditions.
Category: Nursing Roles and Scope
Question 4
In patient-centered care, the health-care team decides which people count as the patient's family.
Correct Answer
False
False. In patient-centered care, the patient defines who their family is, and those people are welcomed into care settings and decisions as essential members of the team.
Category: Nursing Roles and Scope
Question 5
Clinical nurse specialist and nurse midwife are both advanced practice registered nurse roles.
Correct Answer
True
True. Advanced practice registered nurses hold graduate-level preparation, and the roles include nurse practitioner, clinical nurse specialist, nurse midwife, and nurse anesthetist.
Category: Nursing Roles and Scope
Question 6
Correlational research tests an intervention by randomly assigning participants to groups.
Correct Answer
False
False. Correlational research is nonexperimental: it uses statistics to examine the relationship between variables without introducing an intervention. Random assignment to groups describes a true experiment.
Category: Evidence-Based Practice
Question 7
In a double-blind study, neither the participants nor the researchers know who received the intervention.
Correct Answer
True
True. Withholding group assignment from both participants and researchers prevents their expectations from biasing the results.
Category: Evidence-Based Practice
Question 8
Stroke rehabilitation is an example of primary prevention.
Correct Answer
False
False. Stroke rehabilitation is tertiary prevention, which reduces the impact of an illness that has already occurred. Primary prevention stops disease before it starts, as with immunization or healthy eating.
Category: Health-Care Delivery
Question 9
Institutional review boards oversee the protection of human participants in research.
Correct Answer
True
True. An institutional review board reviews study designs to make sure participants are protected from harm, give informed consent, and are treated fairly.
Category: Evidence-Based Practice
Question 10
Telehealth reduces access to care for people who lack transportation.
Correct Answer
False
False. Telehealth improves access for people with limited mobility or transportation by letting them reach providers through a computer, tablet, or smartphone.
Category: Health-Care Delivery
Question 11
A patient portal lets patients view their own health information, such as test results, online.
Correct Answer
True
True. A patient portal is a secure online site connected to the health record where patients can view results and other information, and some portals also let patients add their own data. Portals support patient engagement in care.
Category: Systems and Informatics
Question 12
Because nurses do not take part in shaping health policy, their role is limited to following the laws others write.
Correct Answer
False
False. Nurses see the effects of policy firsthand and provide expert input on care delivery and safety, and professional organizations such as the American Nurses Association help nurses make their voices heard where policy is made.
Category: Health Policy and Ethics
Question 13
Social determinants of health include conditions such as housing, education, and income that shape health outside the health-care system.
Correct Answer
True
True. Social determinants of health are the economic and social conditions where people are born, live, work, and age, and they strongly influence health outcomes and disparities.
Category: Health Policy and Ethics
Question 14
In ISBAR communication, the Background component is a brief statement of the current problem.
Correct Answer
False
False. The Situation component briefly states the current problem. Background gives a concise overview of the relevant history and context that helps the listener understand it.
Category: Team Communication
Question 15
Interdisciplinary rounds allow team members such as the pharmacist, dietitian, and physical therapist to plan a patient's care together.
Correct Answer
True
True. During interdisciplinary rounds, members from different disciplines share their perspectives, brainstorm solutions, and coordinate the plan, which supports holistic care.
Category: Team Communication
Question 16
Hospice care is intended for patients who are expected to recover fully with curative treatment.
Correct Answer
False
False. Hospice provides comfort-focused support for patients with a terminal prognosis who are no longer pursuing a cure.
Category: Health-Care Delivery
Question 17
The American Nurses Association works to advance and protect the nursing profession, including through lobbying.
Correct Answer
True
True. The American Nurses Association uses member support to fund lobbying, research, education, networking, and specialty certification for nurses.
Category: Nursing Roles and Scope
Question 18
Simulation debriefing takes place before the scenario so students know what will happen.
Correct Answer
False
False. Debriefing happens after a simulation, when students discuss what went well and what went wrong, which builds knowledge and critical thinking.
Category: Systems and Informatics
Question 19
Nurses are often the first members of the care team to recognize a change in a patient's condition.
Correct Answer
True
True. Because nurses assess and monitor patients continuously, they are usually the first to notice a problem and report it promptly to the provider.
Category: Nursing Roles and Scope
Question 20
Ambulatory care requires that the patient be admitted to the hospital.
Correct Answer
False
False. Ambulatory, or outpatient, care provides diagnosis, observation, treatment, and rehabilitation without hospital admission, as in clinics, imaging centers, and outpatient surgery centers.
Category: Health-Care Delivery