NUFT 202 CORE EXAM TEST 2026 QUESTIONS AND
SOLUTIONS RATED A+
✔✔Mental Health Parity Act as Enacted Under PPACA - ✔✔Strengthens mental health
services:
- Insurers may not discriminate or deny coverage to patients with mental illness
because of preexisting conditions.
- Patients may remain on their parent's health insurance until they are 26 years old.
- Currently, admission of a patient to a mental health unit can occur involuntarily or on a
voluntary basis.
- If the patient's history and medical records indicate suicidal tendencies, the patient
must be kept under supervision.
✔✔Advance directives - ✔✔Living wills, Health care proxies or durable power of
attorney for health care
✔✔The Patient Self-Determination Act (PSDA) - ✔✔enacted in 1991 requires health
care institutions to provide written information to patients concerning their rights under
state law to make decisions, including the right to refuse treatment and formulate
advance directives.
✔✔For living wills or durable powers of attorney for health care to be enforced: - ✔✔the
patient must be declared legally incompetent or lack the capacity to make decisions
regarding his or her own health care treatment.
✔✔Living wills - ✔✔represent written documents that direct treatment in accordance
with a patient's wishes in the event of a terminal illness or condition.
✔✔health care proxy or durable power of attorney for health care (DPAHC) - ✔✔a legal
document that designates a person or people of one's choosing to make health care
decisions when the patient is no longer able to make decisions on his or her own behalf.
This agent makes health care treatment decisions on the basis of the patient's wishes.
In addition to federal statutes, the ethical doctrine of autonomy ensures the patient the
right to refuse medical treatment.
✔✔DNR or no code - ✔✔In addition to patient refusals of treatment, the nurse
frequently encounters a "do not resuscitate" (DNR) or "no code" DNR order.
Documentation that the health care provider has consulted with the patient and/or family
is required before attaching a DNR order to the patient's medical record.
,✔✔Cardiopulmonary resuscitation (CPR) - ✔✔is an emergency treatment provided
without patient consent. Health care providers perform CPR on an appropriate patient
unless there is a DNR order in the patient's chart.
✔✔Uniform Anatomical Gift Act - ✔✔- An individual who is at least 18 years of age has
the right to make an organ donation. Donors need to make the gift in writing with their
signature. In many states, adults sign the back of their driver's license, indicating
consent to organ donation.
- In most states there is a law requiring that at the time of death a qualified health care
provider ask a patient's family members to consider organ or tissue donation.
Individuals are approached in the following order: (1) spouse, (2) adult son or daughter,
(3) parent, (4) adult brother or sister, (5) grandparent, and (6) guardian.
- The National Organ Transplant Act (1984) prohibits the purchase or sale of organs,
provides civil and criminal immunity to the hospital and health care provider who
perform in accordance with the act, and protects the donor's estate from liability.
✔✔HIPAA - ✔✔- This law provides rights to patients and protects employees. It protects
individual employees from losing their health insurance when changing jobs by
providing portability.
- It also creates patient right to consent to the use and disclosure of their protected
health information, to inspect and copy one's medical record, and to amend mistaken or
incomplete information.
- It limits who is able to access a patient's record.
- Provides confidentiality of a patient's medical information.
✔✔Health Information Technology Act (HITECH) - ✔✔- HITECH expands the principles
extended under the HIPAA, especially when a security breach of personal health
information (PHI) occurs.
- Under the HITECH Act nurses must ensure that patient PHI is not inadvertently
conveyed on social media and in particular that protected data are not disclosed other
than as permitted by the patient.
✔✔Restraints - ✔✔- The Centers for Medicare and Medicaid Services (CMS), American
Nurses Association (ANA), and The Joint Commission (TJC) have set standards for
reducing the use of all types of restraints in health care settings.
- Restraints can be used (1) only to ensure the physical safety of the patient or other
patients, (2) when less restrictive interventions are not successful, and (3) only on the
written order of a health care provider. The regulations also describe documentation of
restraint use and follow-up assessments.
✔✔State Statutory Issues in Nursing Practice - ✔✔Licensure,
Good Samaritan Laws, Public Health Laws,
The Uniform Determination of Death Act,
Autopsy,
Death with Dignity or Physician-Assisted Suicide
, ✔✔State Board of Nursing - ✔✔licenses all registered nurses in the state where they
practice. The requirements for licensure vary among states, but most states have
minimum educational requirements. You will be preparing to take the NCLEX-RN®. The
State Board of Nursing suspends or revokes a license if a nurse's conduct violates
provisions in the licensing statute on the basis of administrative law rules that implement
and enforce the statute.
✔✔Good Samaritans - ✔✔when providing care at the scene of an accident. All states
have Good Samaritan Acts. Provisions may vary among states; however, these laws
limit liability and offer legal immunity for nurses who help at the scene of an accident. At
least two states, Minnesota and Vermont, require nurses to stop and help in an
emergency. If you perform a procedure exceeding your scope of practice and for which
you have no training, you are liable for injury that may result from that act. If you leave
the patient without properly transferring or handing him or her off to a capable person,
you may be liable for patient abandonment and responsible for any injury suffered after
you leave him or her.
✔✔Public Health Laws - ✔✔Under the health code, state legislatures enact statutes that
describe the reporting laws for communicable diseases, specify necessary school
immunizations, and mandate other measures that promote health and reduce health
risks in communities. The Centers for Disease Control and Prevention (CDC) and the
Occupational Safety Health Administration (OSHA) provide guidelines on a national
level for safe and healthy communities and work environments.
Public health laws protect populations, advocate for the rights of people, regulate health
care and health care financing, and ensure professional accountability for care
provided.
Any health care professional who does not report suspected child abuse or neglect may
be liable for civil or criminal legal action.
✔✔Uniform Determination of Death Act of 1980 - ✔✔states that health care providers
can use the cardiopulmonary definition or the whole brain definition to determine death.
The cardiopulmonary standard requires irreversible cessation of circulatory and
respiratory functions. The whole-brain standard requires irreversible cessation of all
function of the entire brain, including the brainstem. These two definitions facilitate the
recovery of organs for transplantation.
✔✔Autopsy - ✔✔postmortem examination may be requested by the patient or patient's
family. When the patient's death is not subject to a medical examiner review, consent
must be obtained. The priority for giving consent is (1) the patient, in writing before
death; (2) durable power of attorney; (3) surviving spouse; and (4) surviving child,
parent, or sibling in the order named.
✔✔Oregon Death With Dignity Act (1994) - ✔✔was the first statute that permitted
physician-assisted suicide. The statute stipulates that competent-yet-terminal patients
could make an oral or written request for medication to end their life in a human and
dignified manner. Terminal disease is defined as an incurable and irreversible disease
SOLUTIONS RATED A+
✔✔Mental Health Parity Act as Enacted Under PPACA - ✔✔Strengthens mental health
services:
- Insurers may not discriminate or deny coverage to patients with mental illness
because of preexisting conditions.
- Patients may remain on their parent's health insurance until they are 26 years old.
- Currently, admission of a patient to a mental health unit can occur involuntarily or on a
voluntary basis.
- If the patient's history and medical records indicate suicidal tendencies, the patient
must be kept under supervision.
✔✔Advance directives - ✔✔Living wills, Health care proxies or durable power of
attorney for health care
✔✔The Patient Self-Determination Act (PSDA) - ✔✔enacted in 1991 requires health
care institutions to provide written information to patients concerning their rights under
state law to make decisions, including the right to refuse treatment and formulate
advance directives.
✔✔For living wills or durable powers of attorney for health care to be enforced: - ✔✔the
patient must be declared legally incompetent or lack the capacity to make decisions
regarding his or her own health care treatment.
✔✔Living wills - ✔✔represent written documents that direct treatment in accordance
with a patient's wishes in the event of a terminal illness or condition.
✔✔health care proxy or durable power of attorney for health care (DPAHC) - ✔✔a legal
document that designates a person or people of one's choosing to make health care
decisions when the patient is no longer able to make decisions on his or her own behalf.
This agent makes health care treatment decisions on the basis of the patient's wishes.
In addition to federal statutes, the ethical doctrine of autonomy ensures the patient the
right to refuse medical treatment.
✔✔DNR or no code - ✔✔In addition to patient refusals of treatment, the nurse
frequently encounters a "do not resuscitate" (DNR) or "no code" DNR order.
Documentation that the health care provider has consulted with the patient and/or family
is required before attaching a DNR order to the patient's medical record.
,✔✔Cardiopulmonary resuscitation (CPR) - ✔✔is an emergency treatment provided
without patient consent. Health care providers perform CPR on an appropriate patient
unless there is a DNR order in the patient's chart.
✔✔Uniform Anatomical Gift Act - ✔✔- An individual who is at least 18 years of age has
the right to make an organ donation. Donors need to make the gift in writing with their
signature. In many states, adults sign the back of their driver's license, indicating
consent to organ donation.
- In most states there is a law requiring that at the time of death a qualified health care
provider ask a patient's family members to consider organ or tissue donation.
Individuals are approached in the following order: (1) spouse, (2) adult son or daughter,
(3) parent, (4) adult brother or sister, (5) grandparent, and (6) guardian.
- The National Organ Transplant Act (1984) prohibits the purchase or sale of organs,
provides civil and criminal immunity to the hospital and health care provider who
perform in accordance with the act, and protects the donor's estate from liability.
✔✔HIPAA - ✔✔- This law provides rights to patients and protects employees. It protects
individual employees from losing their health insurance when changing jobs by
providing portability.
- It also creates patient right to consent to the use and disclosure of their protected
health information, to inspect and copy one's medical record, and to amend mistaken or
incomplete information.
- It limits who is able to access a patient's record.
- Provides confidentiality of a patient's medical information.
✔✔Health Information Technology Act (HITECH) - ✔✔- HITECH expands the principles
extended under the HIPAA, especially when a security breach of personal health
information (PHI) occurs.
- Under the HITECH Act nurses must ensure that patient PHI is not inadvertently
conveyed on social media and in particular that protected data are not disclosed other
than as permitted by the patient.
✔✔Restraints - ✔✔- The Centers for Medicare and Medicaid Services (CMS), American
Nurses Association (ANA), and The Joint Commission (TJC) have set standards for
reducing the use of all types of restraints in health care settings.
- Restraints can be used (1) only to ensure the physical safety of the patient or other
patients, (2) when less restrictive interventions are not successful, and (3) only on the
written order of a health care provider. The regulations also describe documentation of
restraint use and follow-up assessments.
✔✔State Statutory Issues in Nursing Practice - ✔✔Licensure,
Good Samaritan Laws, Public Health Laws,
The Uniform Determination of Death Act,
Autopsy,
Death with Dignity or Physician-Assisted Suicide
, ✔✔State Board of Nursing - ✔✔licenses all registered nurses in the state where they
practice. The requirements for licensure vary among states, but most states have
minimum educational requirements. You will be preparing to take the NCLEX-RN®. The
State Board of Nursing suspends or revokes a license if a nurse's conduct violates
provisions in the licensing statute on the basis of administrative law rules that implement
and enforce the statute.
✔✔Good Samaritans - ✔✔when providing care at the scene of an accident. All states
have Good Samaritan Acts. Provisions may vary among states; however, these laws
limit liability and offer legal immunity for nurses who help at the scene of an accident. At
least two states, Minnesota and Vermont, require nurses to stop and help in an
emergency. If you perform a procedure exceeding your scope of practice and for which
you have no training, you are liable for injury that may result from that act. If you leave
the patient without properly transferring or handing him or her off to a capable person,
you may be liable for patient abandonment and responsible for any injury suffered after
you leave him or her.
✔✔Public Health Laws - ✔✔Under the health code, state legislatures enact statutes that
describe the reporting laws for communicable diseases, specify necessary school
immunizations, and mandate other measures that promote health and reduce health
risks in communities. The Centers for Disease Control and Prevention (CDC) and the
Occupational Safety Health Administration (OSHA) provide guidelines on a national
level for safe and healthy communities and work environments.
Public health laws protect populations, advocate for the rights of people, regulate health
care and health care financing, and ensure professional accountability for care
provided.
Any health care professional who does not report suspected child abuse or neglect may
be liable for civil or criminal legal action.
✔✔Uniform Determination of Death Act of 1980 - ✔✔states that health care providers
can use the cardiopulmonary definition or the whole brain definition to determine death.
The cardiopulmonary standard requires irreversible cessation of circulatory and
respiratory functions. The whole-brain standard requires irreversible cessation of all
function of the entire brain, including the brainstem. These two definitions facilitate the
recovery of organs for transplantation.
✔✔Autopsy - ✔✔postmortem examination may be requested by the patient or patient's
family. When the patient's death is not subject to a medical examiner review, consent
must be obtained. The priority for giving consent is (1) the patient, in writing before
death; (2) durable power of attorney; (3) surviving spouse; and (4) surviving child,
parent, or sibling in the order named.
✔✔Oregon Death With Dignity Act (1994) - ✔✔was the first statute that permitted
physician-assisted suicide. The statute stipulates that competent-yet-terminal patients
could make an oral or written request for medication to end their life in a human and
dignified manner. Terminal disease is defined as an incurable and irreversible disease
