Complete Package Bundle | Updated 2026/2027
Exam 1: Professional Nursing, Ethics, & Health Care Delivery
1. A nurse is caring for a client who refuses a prescribed blood
transfusion due to religious beliefs. Which of the following
actions by the nurse demonstrates ethical practice?
A) Administer the transfusion anyway to save the client's life.
B) Notify the provider and document the client's refusal.
C) Ask the family to override the client's decision.
D) Administer half the transfusion without the client knowing.
Answer: B
Rationale: The principle of autonomy dictates that a competent
client has the right to refuse treatment. The nurse must respect
this right, notify the provider, and document the refusal and
education provided.
2. Which of the following components is part of the "SBAR"
communication technique?
A) Situation
B) Subjective
C) Synthesis
,D) Standard
Answer: A
Rationale: SBAR stands for Situation, Background, Assessment,
and Recommendation. It is a standardized communication tool
used to convey critical information clearly and concisely.
3. A registered nurse (RN) is delegating tasks to a licensed
practical nurse (LPN) and an unlicensed assistive personnel
(UAP). Which of the following tasks is appropriate for the RN to
delegate to the UAP?
A) Administering oral medications
B) Evaluating a client's wound healing
C) Ambulating a stable client post-surgery
D) Teaching a client about a new diabetic diet
Answer: C
Rationale: UAPs can perform basic, routine care such as
ambulation, hygiene, and feeding. Medication administration,
evaluation, and teaching are outside the UAP scope of practice
and must be done by licensed nurses.
, 4. The nurse is applying the ethical principle of beneficence
when:
A) Allowing the client to make their own decisions regarding
care.
B) Acting in the client's best interest to promote good and
prevent harm.
C) Telling the truth to the client about their diagnosis.
D) Allocating healthcare resources fairly among clients.
Answer: B
Rationale: Beneficence means "doing good." It involves actively
promoting the client's welfare and taking positive actions to
help others. Autonomy relates to A, veracity to C, and justice to
D.
5. A nurse is preparing to discharge a client. Which of the
following actions is the priority to ensure continuity of care?
A) Providing the client with a list of their medications.
B) Notifying the home health agency of the discharge and client
needs.
C) Documenting the discharge in the medical record.