Intro to Nursing
Which action best demonstrates patient advocacy?
A. Encouraging the patient to follow all medical advice
B. Reporting concerns about unsafe patient care
C. Limiting patient involvement in decisions
D. Completing documentation quickly
B. Reporting concerns about unsafe patient care
A nurse keeps a promise to return with pain medication at a specific time. This demonstrates:
A. Veracity
B. Justice
C. Fidelity
D. Beneficence
C. Fidelity
Which action is within the nurse’s legal role regarding informed consent?
A. Obtaining the patient’s consent
B. Explaining risks and benefits
C. Witnessing the patient’s signature
D. Determining the patient’s capacity
C. Witnessing the patient’s signature
A nurse revises a patient’s care plan after a goal was not met. Which step of the nursing process is being used?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
D. Evaluation
Applying restraints without a provider order may be considered:
A. Negligence
B. Assault
C. False imprisonment
D. Malpractice
C. False imprisonment
Which action best reflects nursing as both an art and a science?
A. Following physician orders exactly
B. Using evidence-based practice with compassionate care
C. Documenting patient data
D. Delegating tasks efficiently
B. Using evidence-based practice with compassionate care
A nurse feels distress after repeatedly carrying out treatments that prolong suffering in a terminally ill patient. This is best described as:
A. Burnout
B. Compassion fatigue
C. Moral distress
D. Ethical dilemma
C. Moral distress
A patient is scheduled for surgery but states, “I don’t really understand what they’re going to do.” What is the nurse’s priority action?
A. Explain the procedure
B. Cancel the surgery
C. Notify the healthcare provider
D. Have the patient sign the consent form
C. Notify the healthcare provider
Which intervention is an example of primary prevention?
A. Colonoscopy screening
B. Smoking cessation teaching
C. Physical therapy after stroke
D. Blood glucose monitoring
B. Smoking cessation teaching
Which finding is subjective data?
A. Blood pressure 130/80
B. Temperature 101°F
C. Patient states, “I have chest pain”
D. Oxygen saturation 96%
C. Patient states, “I have chest pain”
Which action violates HIPAA?
A. Discussing patient care with the healthcare team
B. Accessing patient records for assigned care
C. Sharing patient information in an elevator
D. Documenting patient care accurately
C. Sharing patient information in an elevator
During a disaster with limited ventilators, which ethical principle guides fair distribution of resources?
A. Autonomy
B. Justice
C. Fidelity
D. Nonmaleficence
B. Justice
Threatening a patient with an injection if they do not comply is considered:
A. Battery
B. Negligence
C. Assault
D. Malpractice
C. Assault
Teaching a patient with heart failure how to reduce fluid retention is an example of:
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Health promotion
C. Tertiary prevention
Which task is appropriate for the nurse to delegate to UAP?
A. Patient education
B. Initial assessment
C. Evaluating patient outcomes
D. Measuring vital signs
D. Measuring vital signs
Which statement best describes the purpose of a Nurse Practice Act?
A. Defines hospital policies and procedures
B. Determines nurse salaries and benefits
C. Regulates nursing practice and protects the public
D. Establishes federal nursing laws
C. Regulates nursing practice and protects the public
Which situations represent ethical breaches of confidentiality?
A. Discussing patient information in an elevator
B. Sharing information with the healthcare team
C. Accessing records without a care-related reason
D. Posting patient stories on social media, without names
E. Giving report at change of shift
A, C, D
A nurse forgets to raise the side rails on a confused patient despite knowing the patient is a fall risk. The patient falls and is injured. This situation is best described as:
A. Assault
B. Malpractice
C. Negligence
D. False imprisonment
C. Negligence
Which nursing diagnosis is written correctly?
A. Risk for infection related to surgery
B. Pain related to appendectomy
C. Acute pain related to surgical incision as evidenced by guarding
D. Infection related to bacteria
C. Acute pain related to surgical incision as evidenced by guarding
A patient falls while ambulating. What should the nurse do FIRST?
A. Complete incident report immediately
B. Assess patient for injury
C. Notify risk management
D. Call family
B. Assess patient for injury
Which statements about incident reports are correct?
Select all that apply.
A. Incident reports are part of the patient’s medical record
B. Incident reports are used for quality improvement
C. Incident reports document events that caused or had the potential to cause harm
D. Incident reports should be completed as soon as possible after the event
E. Incident reports are shared with the patient and family
F. Incident reports are used to identify patterns and improve patient safety
B,C,D,F
A nurse is caring for a competent adult patient who refuses a life-saving blood transfusion due to personal beliefs. Which nursing actions are ethically appropriate?
A. Respect the patient’s decision
B. Notify the healthcare provider of the refusal
C. Ensure the patient understands the consequences
D. Attempt to persuade the patient to change beliefs
E. Administer the transfusion in an emergency
F. Document the refusal thoroughly
A,B,C,F
A nurse delegates a task to UAP. The nurse may be held legally responsible if:
A. The task is outside the UAP’s scope
B. The nurse fails to provide adequate supervision
C. The nurse delegates appropriately
D. The UAP performs the task incorrectly despite proper delegation
E. The nurse fails to evaluate the outcome
A, B, E,
Which are characteristics of a well-written patient outcome?
Select all that apply.
A. Specific
B. Measurable
C. Time-limited
D. Nurse-centered
E. Vague
A,B,C
Which nursing diagnoses are written correctly?
Select all that apply.
A. Impaired skin integrity related to immobility
B. Pneumonia related to infection
C. Risk for falls related to impaired mobility
D. Pain related to surgery
E. Acute pain related to tissue injury as evidenced by guarding
A,C,E