NUR 2811 MIDTERM EXAM ICHS NURSING
CAPSTONE EXAM | QUESTIONS AND 100% CORRECT
ANSWERS WITH RATIONALES | LATEST UPDATE
GRADED A+
Q1. A client with leukemia is being considered for a bone marrow transplant. The healthcare
team is discussing the risks and benefits of this treatment with the goal of inflicting the least
possible harm on the client. Which principle of healthcare ethics is the team practicing?
A) Justice
B) Fidelity
C) Autonomy
D) Nonmaleficence
Correct Answer: D) Nonmaleficence
Rationale: Nonmaleficence is the avoidance of hurt or harm. Healthcare professionals try to
balance the risks and benefits of a plan of care while striving to do the least possible harm.
Justice refers to fairness and equity. Fidelity is the keeping of promises. Autonomy respects a
person's right to determine their own course of action.
Q2. Which action by the nurse represents the ethical principle of beneficence?
A) The nurse upholds a client's decision to refuse chemotherapy for lung cancer.
B) The nurse follows a plan of care designed to relieve pain in a client with cancer.
C) The nurse administers an immunization to a child even though it may cause discomfort.
D) The nurse provides equal amounts of care to all assigned clients on the basis of illness acuity.
Correct Answer: C) The nurse administers an immunization to a child even though it may
cause discomfort
Rationale: Beneficence is taking action to help others. Although administration of a child's
immunization might cause discomfort, the benefits of protection from disease outweigh the
temporary discomfort. This represents actively doing good for the patient. Option A represents
autonomy, B is nonmaleficence, and D is justice.
,Q3. Which situation reflects a violation of the client's right against false imprisonment?
A) Performing a procedure without consent
B) Telling the client that he or she may not leave the hospital
C) Threatening to give a client a medication against his or her will
D) Observing the provision of care to the client without the client's permission
Correct Answer: B) Telling the client that he or she may not leave the hospital
Rationale: Telling a client that he or she may not leave the hospital constitutes false
imprisonment. Performing a procedure without consent is battery. Threatening to give a client a
medication against his or her will is assault. Observing the provision of care to a client without
permission is invasion of privacy.
Q4. The nursing instructor asks a student to name an example of assault. Which situation
reflects this violation?
A) Performing a procedure without consent
B) Telling the client that he or she may not leave the hospital
C) Threatening to give a client a medication against his or her will
D) Observing the provision of care to the client without the client's permission
Correct Answer: C) Threatening to give a client a medication against his or her will
Rationale: Assault is the threat of harmful or offensive contact. Threatening to give a client
medication against their will constitutes assault. Battery is the actual harmful or offensive
touching (A). False imprisonment is unlawful restraint (B). Invasion of privacy is unreasonable
intrusion (D).
Q5. Which event would require a nurse to complete and file an incident report?
A) When a visitor suddenly becomes weak and dizzy, the nurse checks the visitor's blood
pressure and takes the visitor to the emergency department for treatment.
B) A client has a seizure but sustains no injury.
,C) A nurse notes that the battery of an intravenous infusion pump is not working.
D) A client who is at risk for falling uses a walker to ambulate.
Correct Answer: A) When a visitor suddenly becomes weak and dizzy, the nurse checks the
visitor's blood pressure and takes the visitor to the emergency department for treatment.
Rationale: An incident is any event that is not consistent with the routine operation of a
healthcare unit or routine care of a client. Examples of incidents include client falls, needlestick
injuries, a visitor having signs/symptoms of illness, medication administration errors, accidental
omission of prescribed therapies, and circumstances leading to injury or a risk for injury.
Q6. A nurse administers an immunization to a child even though it may cause discomfort. This
action is based on which ethical principle?
A) Autonomy
B) Beneficence
C) Nonmaleficence
D) Justice
Correct Answer: B) Beneficence
Rationale: Beneficence is the ethical principle of actively doing good for others. The
immunization benefits the child by protecting against disease. Autonomy respects decision-
making, nonmaleficence avoids harm, and justice ensures fairness.
SECTION 2: LEADERSHIP & MANAGEMENT (Questions 7–20)
Q7. The registered nurse has accepted a new position as case manager in a hospital. Which
responsibilities are part of the nurse's new role? (Select all that apply)
A) Evaluating and updating the plan of care as needed
B) Prescribing treatments specific to the client's needs
C) Assessing the client's needs for home supplies and equipment
D) Coordinating consultations and referrals to facilitate discharge
E) Establishing a safe and cost-effective plan of care with the client
, Correct Answers: A, C, D, E
Rationale: A case manager coordinates client care from admission through discharge.
Responsibilities include establishing a safe and cost-effective plan of care, coordinating
consultations and referrals, assessing needs for equipment and supplies, and evaluating the
plan of care. The nurse does NOT prescribe treatments; prescribing is outside the nursing scope
of practice.
Q8. A nurse manager is calculating full-time equivalents (FTEs) for a unit that requires 120
nursing hours per day. Each nurse works 12-hour shifts, 3 shifts per week. How many FTEs are
needed? (Assume 1 FTE = 40 hours/week)
A) 10 FTEs
B) 14 FTEs
C) 20 FTEs
D) 28 FTEs
Correct Answer: B) 14 FTEs
Rationale: Daily need 120 hours → weekly need 840 hours. Each nurse works 36 hours/week
(12×3). 840/36 = 23.33 nurses needed. Based on 40 hours per FTE: 840/40 = 21 FTEs. However,
each nurse works 36 hours, so 23.33 nurses × 36/40 = 21 FTEs is the correct calculation.
Q9. A nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which task is
appropriate for the UAP to perform?
A) Assess a patient's lung sounds
B) Measure intake and output for a stable patient
C) Teach a patient how to use an incentive spirometer
D) Administer a tube feeding via gastrostomy tube
Correct Answer: B) Measure intake and output for a stable patient
CAPSTONE EXAM | QUESTIONS AND 100% CORRECT
ANSWERS WITH RATIONALES | LATEST UPDATE
GRADED A+
Q1. A client with leukemia is being considered for a bone marrow transplant. The healthcare
team is discussing the risks and benefits of this treatment with the goal of inflicting the least
possible harm on the client. Which principle of healthcare ethics is the team practicing?
A) Justice
B) Fidelity
C) Autonomy
D) Nonmaleficence
Correct Answer: D) Nonmaleficence
Rationale: Nonmaleficence is the avoidance of hurt or harm. Healthcare professionals try to
balance the risks and benefits of a plan of care while striving to do the least possible harm.
Justice refers to fairness and equity. Fidelity is the keeping of promises. Autonomy respects a
person's right to determine their own course of action.
Q2. Which action by the nurse represents the ethical principle of beneficence?
A) The nurse upholds a client's decision to refuse chemotherapy for lung cancer.
B) The nurse follows a plan of care designed to relieve pain in a client with cancer.
C) The nurse administers an immunization to a child even though it may cause discomfort.
D) The nurse provides equal amounts of care to all assigned clients on the basis of illness acuity.
Correct Answer: C) The nurse administers an immunization to a child even though it may
cause discomfort
Rationale: Beneficence is taking action to help others. Although administration of a child's
immunization might cause discomfort, the benefits of protection from disease outweigh the
temporary discomfort. This represents actively doing good for the patient. Option A represents
autonomy, B is nonmaleficence, and D is justice.
,Q3. Which situation reflects a violation of the client's right against false imprisonment?
A) Performing a procedure without consent
B) Telling the client that he or she may not leave the hospital
C) Threatening to give a client a medication against his or her will
D) Observing the provision of care to the client without the client's permission
Correct Answer: B) Telling the client that he or she may not leave the hospital
Rationale: Telling a client that he or she may not leave the hospital constitutes false
imprisonment. Performing a procedure without consent is battery. Threatening to give a client a
medication against his or her will is assault. Observing the provision of care to a client without
permission is invasion of privacy.
Q4. The nursing instructor asks a student to name an example of assault. Which situation
reflects this violation?
A) Performing a procedure without consent
B) Telling the client that he or she may not leave the hospital
C) Threatening to give a client a medication against his or her will
D) Observing the provision of care to the client without the client's permission
Correct Answer: C) Threatening to give a client a medication against his or her will
Rationale: Assault is the threat of harmful or offensive contact. Threatening to give a client
medication against their will constitutes assault. Battery is the actual harmful or offensive
touching (A). False imprisonment is unlawful restraint (B). Invasion of privacy is unreasonable
intrusion (D).
Q5. Which event would require a nurse to complete and file an incident report?
A) When a visitor suddenly becomes weak and dizzy, the nurse checks the visitor's blood
pressure and takes the visitor to the emergency department for treatment.
B) A client has a seizure but sustains no injury.
,C) A nurse notes that the battery of an intravenous infusion pump is not working.
D) A client who is at risk for falling uses a walker to ambulate.
Correct Answer: A) When a visitor suddenly becomes weak and dizzy, the nurse checks the
visitor's blood pressure and takes the visitor to the emergency department for treatment.
Rationale: An incident is any event that is not consistent with the routine operation of a
healthcare unit or routine care of a client. Examples of incidents include client falls, needlestick
injuries, a visitor having signs/symptoms of illness, medication administration errors, accidental
omission of prescribed therapies, and circumstances leading to injury or a risk for injury.
Q6. A nurse administers an immunization to a child even though it may cause discomfort. This
action is based on which ethical principle?
A) Autonomy
B) Beneficence
C) Nonmaleficence
D) Justice
Correct Answer: B) Beneficence
Rationale: Beneficence is the ethical principle of actively doing good for others. The
immunization benefits the child by protecting against disease. Autonomy respects decision-
making, nonmaleficence avoids harm, and justice ensures fairness.
SECTION 2: LEADERSHIP & MANAGEMENT (Questions 7–20)
Q7. The registered nurse has accepted a new position as case manager in a hospital. Which
responsibilities are part of the nurse's new role? (Select all that apply)
A) Evaluating and updating the plan of care as needed
B) Prescribing treatments specific to the client's needs
C) Assessing the client's needs for home supplies and equipment
D) Coordinating consultations and referrals to facilitate discharge
E) Establishing a safe and cost-effective plan of care with the client
, Correct Answers: A, C, D, E
Rationale: A case manager coordinates client care from admission through discharge.
Responsibilities include establishing a safe and cost-effective plan of care, coordinating
consultations and referrals, assessing needs for equipment and supplies, and evaluating the
plan of care. The nurse does NOT prescribe treatments; prescribing is outside the nursing scope
of practice.
Q8. A nurse manager is calculating full-time equivalents (FTEs) for a unit that requires 120
nursing hours per day. Each nurse works 12-hour shifts, 3 shifts per week. How many FTEs are
needed? (Assume 1 FTE = 40 hours/week)
A) 10 FTEs
B) 14 FTEs
C) 20 FTEs
D) 28 FTEs
Correct Answer: B) 14 FTEs
Rationale: Daily need 120 hours → weekly need 840 hours. Each nurse works 36 hours/week
(12×3). 840/36 = 23.33 nurses needed. Based on 40 hours per FTE: 840/40 = 21 FTEs. However,
each nurse works 36 hours, so 23.33 nurses × 36/40 = 21 FTEs is the correct calculation.
Q9. A nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which task is
appropriate for the UAP to perform?
A) Assess a patient's lung sounds
B) Measure intake and output for a stable patient
C) Teach a patient how to use an incentive spirometer
D) Administer a tube feeding via gastrostomy tube
Correct Answer: B) Measure intake and output for a stable patient
