Wilkes University NSG 240 Exam 1 (pdf) | 2026/2027 | NSG 240 Exam
1 Q&A | Nursing
1. Which ethical principle is demonstrated when a nurse respects a patient's
decision to refuse a recommended treatment?
A) Beneficence
B) Non-maleficence
C) Autonomy
D) Justice
Correct Answer: Autonomy
Rationale: Autonomy refers to the right of individuals to make their own
decisions. Respecting a patient's refusal of treatment honors their autonomy.
Beneficence is the duty to do good, non-maleficence is the duty to do no
harm, and justice refers to fairness.
2. A nurse is using the teach-back method to educate a patient. What is the
primary purpose of this technique?
A) To assess the patient's reading level
B) To evaluate the patient's understanding of the information provided
C) To document the patient's vital signs
D) To obtain informed consent for a procedure
Correct Answer: To evaluate the patient's understanding of the information
provided
Rationale: The teach-back method involves asking the patient to repeat the
information in their own words to confirm comprehension. It is a key strategy
for patient education and is more effective than simply asking "Do you
understand?"
,3. A nurse is preparing to administer a medication. Which of the following is
the most important action to ensure patient safety?
A) Checking the patient's room number
B) Asking the patient their name and date of birth
C) Reviewing the patient's diagnosis
D) Ensuring the medication is given with food
Correct Answer: Asking the patient their name and date of birth
Rationale: Verifying the patient's identity using two identifiers, such as name
and date of birth, is the most critical safety step in medication
administration. This ensures the right patient receives the medication,
preventing potentially fatal errors.
4. A nurse is teaching fire safety to a group of staff. Which component of the
RACE acronym is the priority action during a fire?
A) Rescue anyone in immediate danger
B) Alert the fire department
C) Contain the fire by closing doors
D) Extinguish the fire if possible
Correct Answer: Rescue anyone in immediate danger
Rationale: The RACE acronym stands for Rescue, Alarm, Contain, and
Extinguish. The priority is always to rescue anyone in immediate danger from
the fire.
,5. A patient is newly diagnosed with COPD. Which of the following is the most
appropriate action for the nurse to take to assess the patient's health
literacy?
A) Ask the patient if they have a support system
B) Assess the patient's cognitive level and willingness to learn
C) Provide the patient with a detailed medical textbook
D) Assume the patient understands the information because they are
educated
Correct Answer: Assess the patient's cognitive level and willingness to learn
Rationale: Health literacy assessment involves evaluating the patient's
cognitive level, motivation to learn, knowledge of the disease, support
system, and personal health values. This ensures teaching is tailored to the
patient's needs.
6. Which of the following is an example of primary prevention?
A) A mammogram to detect breast cancer
B) A blood pressure screening at a health fair
C) An influenza vaccination for an older adult
D) Physical therapy after a stroke
Correct Answer: An influenza vaccination for an older adult
Rationale: Primary prevention involves intervening before health effects
occur, through measures such as vaccinations and regular exercise.
Mammograms and blood pressure screenings are secondary prevention, and
physical therapy is tertiary prevention.
, 7. A nurse is reviewing a patient's chart. Which of the following is an example
of objective data?
A) "I have a sharp pain in my chest."
B) "My head is pounding."
C) The patient's blood pressure is 150/90 mmHg.
D) "I feel nauseous."
Correct Answer: The patient's blood pressure is 150/90 mmHg.
Rationale: Objective data are measurable and observable. Blood pressure is
a measurable vital sign. The other options are subjective statements from
the patient about their symptoms.
8. A nurse is caring for a patient who is at risk for falls. Which factor is a
nonmodifiable risk factor for falls?
A) Medication regimen
B) Age
C) Smoking
D) Obesity
Correct Answer: Age
Rationale: Nonmodifiable factors are those that cannot be changed, such as
age, gender, race, and family history. Medication regimen, smoking, and
obesity are modifiable risk factors.
9. Which of the following is a key element of the Health Insurance Portability
and Accountability Act (HIPAA) for nurses?
A) Sharing patient information with family members without consent
1 Q&A | Nursing
1. Which ethical principle is demonstrated when a nurse respects a patient's
decision to refuse a recommended treatment?
A) Beneficence
B) Non-maleficence
C) Autonomy
D) Justice
Correct Answer: Autonomy
Rationale: Autonomy refers to the right of individuals to make their own
decisions. Respecting a patient's refusal of treatment honors their autonomy.
Beneficence is the duty to do good, non-maleficence is the duty to do no
harm, and justice refers to fairness.
2. A nurse is using the teach-back method to educate a patient. What is the
primary purpose of this technique?
A) To assess the patient's reading level
B) To evaluate the patient's understanding of the information provided
C) To document the patient's vital signs
D) To obtain informed consent for a procedure
Correct Answer: To evaluate the patient's understanding of the information
provided
Rationale: The teach-back method involves asking the patient to repeat the
information in their own words to confirm comprehension. It is a key strategy
for patient education and is more effective than simply asking "Do you
understand?"
,3. A nurse is preparing to administer a medication. Which of the following is
the most important action to ensure patient safety?
A) Checking the patient's room number
B) Asking the patient their name and date of birth
C) Reviewing the patient's diagnosis
D) Ensuring the medication is given with food
Correct Answer: Asking the patient their name and date of birth
Rationale: Verifying the patient's identity using two identifiers, such as name
and date of birth, is the most critical safety step in medication
administration. This ensures the right patient receives the medication,
preventing potentially fatal errors.
4. A nurse is teaching fire safety to a group of staff. Which component of the
RACE acronym is the priority action during a fire?
A) Rescue anyone in immediate danger
B) Alert the fire department
C) Contain the fire by closing doors
D) Extinguish the fire if possible
Correct Answer: Rescue anyone in immediate danger
Rationale: The RACE acronym stands for Rescue, Alarm, Contain, and
Extinguish. The priority is always to rescue anyone in immediate danger from
the fire.
,5. A patient is newly diagnosed with COPD. Which of the following is the most
appropriate action for the nurse to take to assess the patient's health
literacy?
A) Ask the patient if they have a support system
B) Assess the patient's cognitive level and willingness to learn
C) Provide the patient with a detailed medical textbook
D) Assume the patient understands the information because they are
educated
Correct Answer: Assess the patient's cognitive level and willingness to learn
Rationale: Health literacy assessment involves evaluating the patient's
cognitive level, motivation to learn, knowledge of the disease, support
system, and personal health values. This ensures teaching is tailored to the
patient's needs.
6. Which of the following is an example of primary prevention?
A) A mammogram to detect breast cancer
B) A blood pressure screening at a health fair
C) An influenza vaccination for an older adult
D) Physical therapy after a stroke
Correct Answer: An influenza vaccination for an older adult
Rationale: Primary prevention involves intervening before health effects
occur, through measures such as vaccinations and regular exercise.
Mammograms and blood pressure screenings are secondary prevention, and
physical therapy is tertiary prevention.
, 7. A nurse is reviewing a patient's chart. Which of the following is an example
of objective data?
A) "I have a sharp pain in my chest."
B) "My head is pounding."
C) The patient's blood pressure is 150/90 mmHg.
D) "I feel nauseous."
Correct Answer: The patient's blood pressure is 150/90 mmHg.
Rationale: Objective data are measurable and observable. Blood pressure is
a measurable vital sign. The other options are subjective statements from
the patient about their symptoms.
8. A nurse is caring for a patient who is at risk for falls. Which factor is a
nonmodifiable risk factor for falls?
A) Medication regimen
B) Age
C) Smoking
D) Obesity
Correct Answer: Age
Rationale: Nonmodifiable factors are those that cannot be changed, such as
age, gender, race, and family history. Medication regimen, smoking, and
obesity are modifiable risk factors.
9. Which of the following is a key element of the Health Insurance Portability
and Accountability Act (HIPAA) for nurses?
A) Sharing patient information with family members without consent
