BSN 346 Exam 1: Concepts of Nursing III,
V2 Updated and Verified Questions and
Answers
1. A nurse respects a patient’s decision to refuse a life-saving blood transfusion
due to religious beliefs. Which ethical principle is being demonstrated?
A. Beneficence
B. Justice
C. Autonomy
D. Non-maleficence
Answer: C
Explanation: Autonomy is the right of the patient to make their own decisions regarding
their medical care, even if the healthcare team disagrees.
2. Which component of a PICO question refers to the specific group or
demographic being studied?
A. I (Intervention)
B. P (Population)
C. C (Comparison)
D. O (Outcome)
Answer: B
Explanation: In the PICO format, P stands for Population or Patient, identifying the specific
group being addressed.
,3. A nurse is participating in a root cause analysis (RCA) after a medication error.
What is the primary goal of this process?
A. To punish the individual responsible for the error.
B. To satisfy legal requirements for hospital accreditation.
C. To identify system failures and prevent future occurrences.
D. To document the incident for the patient’s insurance provider.
Answer: C
Explanation: Root cause analysis is a retrospective process used to identify underlying
system issues that led to an error, aiming for quality improvement rather than blame.
4. Which level of evidence is considered the ‘gold standard’ in evidence-based
practice?
A. Systematic reviews and meta-analyses
B. Case-control studies
C. Expert opinion
D. Qualitative research
Answer: A
Explanation: Systematic reviews and meta-analyses of randomized controlled trials
provide the highest level of evidence in the hierarchy of evidence-based practice.
5. A patient with terminal cancer expresses a desire to focus on comfort and
quality of life rather than curative treatment. This approach is known as:
A. Palliative care
B. Acute care
C. Rehabilitative care
D. Primary care
Answer: A
Explanation: Palliative care focuses on symptom management and improving quality of
life for patients with serious illnesses, regardless of the prognosis.
, 6. The nurse is using the SBAR tool to communicate with a physician. Which
section involves describing the patient’s current physical findings and vital
signs?
A. Situation
B. Assessment
C. Background
D. Recommendation
Answer: B
Explanation: The Assessment portion of SBAR involves the nurse sharing their clinical
findings and what they believe the problem is based on data.
7. Which ethical principle involves the obligation to ‘do no harm’ to the patient?
A. Fidelity
B. Veracity
C. Justice
D. Non-maleficence
Answer: D
Explanation: Non-maleficence is the ethical duty to avoid causing harm, whether
intentional or unintentional.
8. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate to delegate?
A. Performing an initial skin assessment on a new admission.
B. Providing discharge instructions to a patient.
C. Adjusting the flow rate of an intravenous infusion.
D. Assisting a stable patient with ambulation to the bathroom.
Answer: D
Explanation: UAPs can perform routine tasks for stable patients, such as ambulation.
Assessment, teaching, and medication/IV management cannot be delegated.
V2 Updated and Verified Questions and
Answers
1. A nurse respects a patient’s decision to refuse a life-saving blood transfusion
due to religious beliefs. Which ethical principle is being demonstrated?
A. Beneficence
B. Justice
C. Autonomy
D. Non-maleficence
Answer: C
Explanation: Autonomy is the right of the patient to make their own decisions regarding
their medical care, even if the healthcare team disagrees.
2. Which component of a PICO question refers to the specific group or
demographic being studied?
A. I (Intervention)
B. P (Population)
C. C (Comparison)
D. O (Outcome)
Answer: B
Explanation: In the PICO format, P stands for Population or Patient, identifying the specific
group being addressed.
,3. A nurse is participating in a root cause analysis (RCA) after a medication error.
What is the primary goal of this process?
A. To punish the individual responsible for the error.
B. To satisfy legal requirements for hospital accreditation.
C. To identify system failures and prevent future occurrences.
D. To document the incident for the patient’s insurance provider.
Answer: C
Explanation: Root cause analysis is a retrospective process used to identify underlying
system issues that led to an error, aiming for quality improvement rather than blame.
4. Which level of evidence is considered the ‘gold standard’ in evidence-based
practice?
A. Systematic reviews and meta-analyses
B. Case-control studies
C. Expert opinion
D. Qualitative research
Answer: A
Explanation: Systematic reviews and meta-analyses of randomized controlled trials
provide the highest level of evidence in the hierarchy of evidence-based practice.
5. A patient with terminal cancer expresses a desire to focus on comfort and
quality of life rather than curative treatment. This approach is known as:
A. Palliative care
B. Acute care
C. Rehabilitative care
D. Primary care
Answer: A
Explanation: Palliative care focuses on symptom management and improving quality of
life for patients with serious illnesses, regardless of the prognosis.
, 6. The nurse is using the SBAR tool to communicate with a physician. Which
section involves describing the patient’s current physical findings and vital
signs?
A. Situation
B. Assessment
C. Background
D. Recommendation
Answer: B
Explanation: The Assessment portion of SBAR involves the nurse sharing their clinical
findings and what they believe the problem is based on data.
7. Which ethical principle involves the obligation to ‘do no harm’ to the patient?
A. Fidelity
B. Veracity
C. Justice
D. Non-maleficence
Answer: D
Explanation: Non-maleficence is the ethical duty to avoid causing harm, whether
intentional or unintentional.
8. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate to delegate?
A. Performing an initial skin assessment on a new admission.
B. Providing discharge instructions to a patient.
C. Adjusting the flow rate of an intravenous infusion.
D. Assisting a stable patient with ambulation to the bathroom.
Answer: D
Explanation: UAPs can perform routine tasks for stable patients, such as ambulation.
Assessment, teaching, and medication/IV management cannot be delegated.
