Rasmussen University NUR 2349 Exam 2 (pdf) | 2026/2027 |
Professional Nursing I Q&A | Nursing
**1. A nurse is caring for a client who is scheduled for surgery. The client
asks the nurse to explain the surgical procedure and its risks. The nurse
provides a basic overview but is careful not to give a detailed explanation
that would be outside the nurse's scope of practice. Which ethical principle is
the nurse demonstrating?**
A) Beneficence
B) Nonmaleficence
C) Autonomy
D) Fidelity
**Correct Answer:** B) Nonmaleficence
**Rationale:** Nonmaleficence is the ethical principle of "doing no harm." By
not providing a detailed explanation of the surgical procedure and its risks,
which is the responsibility of the surgeon obtaining informed consent, the
nurse is staying within their scope of practice and avoiding the potential
harm of providing inaccurate or incomplete information. The nurse ensures
the client receives proper information from the appropriate provider.
**2. A nurse is caring for a postoperative client who is refusing to take their
prescribed pain medication because they are afraid of becoming addicted.
The nurse respects the client's decision and documents the refusal. Which
ethical principle is the nurse upholding?**
A) Beneficence
B) Autonomy
C) Justice
D) Nonmaleficence
**Correct Answer:** B) Autonomy
,**Rationale:** Autonomy is the ethical principle that respects the client's
right to make their own decisions regarding their healthcare, even if those
decisions are not in their best interest in the nurse's opinion. By respecting
the client's refusal, the nurse is upholding the client's autonomy.
**3. A nurse is caring for a client who has been diagnosed with a terminal
illness. The client's family asks the nurse not to tell the client the diagnosis,
as they fear it will cause the client to lose hope. The nurse explains to the
family that they are obligated to tell the client the truth. Which ethical
principle is the nurse upholding?**
A) Fidelity
B) Veracity
C) Justice
D) Autonomy
**Correct Answer:** B) Veracity
**Rationale:** Veracity is the ethical principle of truthfulness. The nurse is
obligated to be truthful with the client. Withholding the diagnosis would
violate the principle of veracity and the client's right to know their health
status. While the family may have good intentions, the nurse must act in the
best interest of the client.
**4. A nurse has promised a client that they will return to reposition them in
30 minutes. The nurse returns to the client's room as promised. Which
ethical principle is the nurse demonstrating?**
A) Veracity
B) Autonomy
C) Fidelity
D) Beneficence
,**Correct Answer:** C) Fidelity
**Rationale:** Fidelity is the ethical principle of keeping promises and being
faithful to one's commitments. By returning to the client's room as promised,
the nurse is demonstrating fidelity and building trust with the client.
**5. Which of the following is a key component of the Health Insurance
Portability and Accountability Act (HIPAA)?**
A) Ensuring all patients have health insurance
B) Protecting the privacy and security of patients' protected health
information (PHI)
C) Mandating that all healthcare providers must accept Medicare
D) Requiring hospitals to provide free care to uninsured patients
**Correct Answer:** B) Protecting the privacy and security of patients'
protected health information (PHI)
**Rationale:** HIPAA is a federal law that establishes national standards to
protect patients' medical records and other personal health information. It
gives patients rights over their health information and sets rules about who
can look at and receive that information.
**6. A nurse is posting on social media about a challenging shift. The nurse
describes a patient's condition in a way that could be identifiable to others,
but does not use the patient's name. Which of the following is true?**
A) The nurse is not in violation of HIPAA because the patient's name was not
used.
B) The nurse is in violation of HIPAA because the information could
potentially identify the patient.
, C) The nurse is in violation of HIPAA only if the patient's family member sees
the post.
D) The nurse is in violation of HIPAA only if the patient gives permission.
**Correct Answer:** B) The nurse is in violation of HIPAA because the
information could potentially identify the patient.
**Rationale:** HIPAA protects any information that could reasonably be used
to identify a patient, even if their name is not used. Sharing details about a
patient's condition, diagnosis, or other health information on social media,
even without using their name, is a violation of HIPAA because it could still
be identifiable to others.
**7. A nurse is admitting a client to the hospital. The client asks the nurse
what an "advance directive" is. The nurse's best response is:**
A) "It is a legal document that allows you to appoint someone to make
healthcare decisions for you if you become unable to make them yourself."
B) "It is a form that allows you to refuse all medical treatment."
C) "It is a document that only goes into effect when you are 65 years old."
D) "It is a legal document that names the person who will inherit your
property."
**Correct Answer:** A) "It is a legal document that allows you to appoint
someone to make healthcare decisions for you if you become unable to make
them yourself."
**Rationale:** An advance directive is a legal document that allows a person
to specify their wishes for healthcare treatment in the event they become
unable to make decisions. This includes a living will, which outlines specific
treatments, and a durable power of attorney for healthcare (DPAHC), which
appoints a proxy decision-maker.
Professional Nursing I Q&A | Nursing
**1. A nurse is caring for a client who is scheduled for surgery. The client
asks the nurse to explain the surgical procedure and its risks. The nurse
provides a basic overview but is careful not to give a detailed explanation
that would be outside the nurse's scope of practice. Which ethical principle is
the nurse demonstrating?**
A) Beneficence
B) Nonmaleficence
C) Autonomy
D) Fidelity
**Correct Answer:** B) Nonmaleficence
**Rationale:** Nonmaleficence is the ethical principle of "doing no harm." By
not providing a detailed explanation of the surgical procedure and its risks,
which is the responsibility of the surgeon obtaining informed consent, the
nurse is staying within their scope of practice and avoiding the potential
harm of providing inaccurate or incomplete information. The nurse ensures
the client receives proper information from the appropriate provider.
**2. A nurse is caring for a postoperative client who is refusing to take their
prescribed pain medication because they are afraid of becoming addicted.
The nurse respects the client's decision and documents the refusal. Which
ethical principle is the nurse upholding?**
A) Beneficence
B) Autonomy
C) Justice
D) Nonmaleficence
**Correct Answer:** B) Autonomy
,**Rationale:** Autonomy is the ethical principle that respects the client's
right to make their own decisions regarding their healthcare, even if those
decisions are not in their best interest in the nurse's opinion. By respecting
the client's refusal, the nurse is upholding the client's autonomy.
**3. A nurse is caring for a client who has been diagnosed with a terminal
illness. The client's family asks the nurse not to tell the client the diagnosis,
as they fear it will cause the client to lose hope. The nurse explains to the
family that they are obligated to tell the client the truth. Which ethical
principle is the nurse upholding?**
A) Fidelity
B) Veracity
C) Justice
D) Autonomy
**Correct Answer:** B) Veracity
**Rationale:** Veracity is the ethical principle of truthfulness. The nurse is
obligated to be truthful with the client. Withholding the diagnosis would
violate the principle of veracity and the client's right to know their health
status. While the family may have good intentions, the nurse must act in the
best interest of the client.
**4. A nurse has promised a client that they will return to reposition them in
30 minutes. The nurse returns to the client's room as promised. Which
ethical principle is the nurse demonstrating?**
A) Veracity
B) Autonomy
C) Fidelity
D) Beneficence
,**Correct Answer:** C) Fidelity
**Rationale:** Fidelity is the ethical principle of keeping promises and being
faithful to one's commitments. By returning to the client's room as promised,
the nurse is demonstrating fidelity and building trust with the client.
**5. Which of the following is a key component of the Health Insurance
Portability and Accountability Act (HIPAA)?**
A) Ensuring all patients have health insurance
B) Protecting the privacy and security of patients' protected health
information (PHI)
C) Mandating that all healthcare providers must accept Medicare
D) Requiring hospitals to provide free care to uninsured patients
**Correct Answer:** B) Protecting the privacy and security of patients'
protected health information (PHI)
**Rationale:** HIPAA is a federal law that establishes national standards to
protect patients' medical records and other personal health information. It
gives patients rights over their health information and sets rules about who
can look at and receive that information.
**6. A nurse is posting on social media about a challenging shift. The nurse
describes a patient's condition in a way that could be identifiable to others,
but does not use the patient's name. Which of the following is true?**
A) The nurse is not in violation of HIPAA because the patient's name was not
used.
B) The nurse is in violation of HIPAA because the information could
potentially identify the patient.
, C) The nurse is in violation of HIPAA only if the patient's family member sees
the post.
D) The nurse is in violation of HIPAA only if the patient gives permission.
**Correct Answer:** B) The nurse is in violation of HIPAA because the
information could potentially identify the patient.
**Rationale:** HIPAA protects any information that could reasonably be used
to identify a patient, even if their name is not used. Sharing details about a
patient's condition, diagnosis, or other health information on social media,
even without using their name, is a violation of HIPAA because it could still
be identifiable to others.
**7. A nurse is admitting a client to the hospital. The client asks the nurse
what an "advance directive" is. The nurse's best response is:**
A) "It is a legal document that allows you to appoint someone to make
healthcare decisions for you if you become unable to make them yourself."
B) "It is a form that allows you to refuse all medical treatment."
C) "It is a document that only goes into effect when you are 65 years old."
D) "It is a legal document that names the person who will inherit your
property."
**Correct Answer:** A) "It is a legal document that allows you to appoint
someone to make healthcare decisions for you if you become unable to make
them yourself."
**Rationale:** An advance directive is a legal document that allows a person
to specify their wishes for healthcare treatment in the event they become
unable to make decisions. This includes a living will, which outlines specific
treatments, and a durable power of attorney for healthcare (DPAHC), which
appoints a proxy decision-maker.
