NUR 330 Exam 1 | Practice Q&A | 2026/2027 | Nursing | ASU | Graded
A+
1. A nursing student is learning about the historical foundations of
professional nursing. Which contribution is attributed to Florence
Nightingale?
A) Establishing the first nursing school in the United States
B) Developing the first code of ethics for nurses
C) Emphasizing the importance of sanitation and environmental hygiene
D) Creating the first nursing licensure examination
Correct Answer: Emphasizing the importance of sanitation and environmental
hygiene
Rationale: Florence Nightingale is known for her work in sanitation and
environmental hygiene during the Crimean War, which significantly reduced
mortality rates. The first nursing school was established by others, and the
code of ethics and licensure exams came later.
2. The American Nurses Association (ANA) defines nursing as the protection,
promotion, and optimization of health and abilities. Which activity best
exemplifies this definition?
A) Administering prescribed medications to a hospitalized client
B) Teaching a client about healthy lifestyle choices to prevent disease
C) Documenting client care in the electronic health record
D) Assisting a client with activities of daily living
Correct Answer: Teaching a client about healthy lifestyle choices to prevent
disease
,Rationale: The ANA definition emphasizes health promotion and optimization.
Teaching about healthy lifestyle choices directly promotes health and
prevents disease, aligning with this definition. The other options are
important nursing activities but are more focused on treatment or
maintenance.
3. A nurse is caring for a client who refuses a prescribed medication. The
nurse respects the client's decision after explaining the risks and benefits.
This action best demonstrates which professional nursing value?
A) Altruism
B) Autonomy
C) Human dignity
D) Social justice
Correct Answer: Autonomy
Rationale: Autonomy refers to respecting the client's right to make their own
decisions. By respecting the client's refusal after providing information, the
nurse upholds autonomy. Altruism is selflessness, human dignity is
respecting inherent worth, and social justice is fairness in healthcare.
4. A client tells the nurse, "I don't want to be a burden to my family." Which
response by the nurse demonstrates the ethical principle of beneficence?
A) "You should not worry about being a burden; your family loves you."
B) "I understand your concern. Let's talk about what support is available to
you."
C) "Your family is here to take care of you, so you don't need to worry."
D) "You are not a burden; you are a patient who needs care."
Correct Answer: "I understand your concern. Let's talk about what support is
available to you."
,Rationale: Beneficence is the duty to do good and promote the well-being of
others. By acknowledging the client's concern and exploring available
support, the nurse actively promotes the client's well-being. The other
options dismiss the client's feelings without addressing the underlying issue.
5. A nurse is faced with an ethical dilemma involving a client's end-of-life
care. Which step should the nurse take first when resolving this dilemma?
A) Implement the chosen course of action
B) Identify the ethical issues involved
C) Consult with the hospital ethics committee
D) Evaluate the outcomes of the decision
Correct Answer: Identify the ethical issues involved
Rationale: The first step in ethical decision-making is to identify the ethical
issues and the conflicting values or principles involved. This provides the
foundation for subsequent steps, including gathering information, exploring
alternatives, and making a decision.
6. A nurse is providing care to a client from a culture different from their own.
Which action best demonstrates cultural competence?
A) Asking the client to explain their cultural practices
B) Assuming the client's beliefs are similar to the nurse's own
C) Avoiding discussion of cultural differences to prevent offense
D) Using a standardized approach to care for all clients
Correct Answer: Asking the client to explain their cultural practices
, Rationale: Cultural competence involves recognizing and respecting cultural
differences. Asking the client to explain their practices demonstrates respect
and a willingness to understand. Assuming similarity, avoiding discussion, or
using a standardized approach disregards individual cultural needs.
7. A nurse is preparing to delegate a task to a licensed practical nurse (LPN).
According to the Five Rights of Delegation, which factor is most important for
the nurse to consider?
A) The LPN's years of experience
B) The LPN's personal relationship with the client
C) The LPN's scope of practice and competency
D) The LPN's preference for the task
Correct Answer: The LPN's scope of practice and competency
Rationale: The Five Rights of Delegation include right task, right
circumstance, right person, right direction/communication, and right
supervision/evaluation. Ensuring the delegatee has the appropriate scope of
practice and competency is essential for safe delegation.
8. A nursing student is learning about the Nurse Practice Act. Which
statement accurately describes the purpose of this act?
A) To establish the curriculum for nursing education programs
B) To define the legal scope of nursing practice and protect the public
C) To set standards for hospital accreditation
D) To regulate the pharmaceutical industry
Correct Answer: To define the legal scope of nursing practice and protect the
public
A+
1. A nursing student is learning about the historical foundations of
professional nursing. Which contribution is attributed to Florence
Nightingale?
A) Establishing the first nursing school in the United States
B) Developing the first code of ethics for nurses
C) Emphasizing the importance of sanitation and environmental hygiene
D) Creating the first nursing licensure examination
Correct Answer: Emphasizing the importance of sanitation and environmental
hygiene
Rationale: Florence Nightingale is known for her work in sanitation and
environmental hygiene during the Crimean War, which significantly reduced
mortality rates. The first nursing school was established by others, and the
code of ethics and licensure exams came later.
2. The American Nurses Association (ANA) defines nursing as the protection,
promotion, and optimization of health and abilities. Which activity best
exemplifies this definition?
A) Administering prescribed medications to a hospitalized client
B) Teaching a client about healthy lifestyle choices to prevent disease
C) Documenting client care in the electronic health record
D) Assisting a client with activities of daily living
Correct Answer: Teaching a client about healthy lifestyle choices to prevent
disease
,Rationale: The ANA definition emphasizes health promotion and optimization.
Teaching about healthy lifestyle choices directly promotes health and
prevents disease, aligning with this definition. The other options are
important nursing activities but are more focused on treatment or
maintenance.
3. A nurse is caring for a client who refuses a prescribed medication. The
nurse respects the client's decision after explaining the risks and benefits.
This action best demonstrates which professional nursing value?
A) Altruism
B) Autonomy
C) Human dignity
D) Social justice
Correct Answer: Autonomy
Rationale: Autonomy refers to respecting the client's right to make their own
decisions. By respecting the client's refusal after providing information, the
nurse upholds autonomy. Altruism is selflessness, human dignity is
respecting inherent worth, and social justice is fairness in healthcare.
4. A client tells the nurse, "I don't want to be a burden to my family." Which
response by the nurse demonstrates the ethical principle of beneficence?
A) "You should not worry about being a burden; your family loves you."
B) "I understand your concern. Let's talk about what support is available to
you."
C) "Your family is here to take care of you, so you don't need to worry."
D) "You are not a burden; you are a patient who needs care."
Correct Answer: "I understand your concern. Let's talk about what support is
available to you."
,Rationale: Beneficence is the duty to do good and promote the well-being of
others. By acknowledging the client's concern and exploring available
support, the nurse actively promotes the client's well-being. The other
options dismiss the client's feelings without addressing the underlying issue.
5. A nurse is faced with an ethical dilemma involving a client's end-of-life
care. Which step should the nurse take first when resolving this dilemma?
A) Implement the chosen course of action
B) Identify the ethical issues involved
C) Consult with the hospital ethics committee
D) Evaluate the outcomes of the decision
Correct Answer: Identify the ethical issues involved
Rationale: The first step in ethical decision-making is to identify the ethical
issues and the conflicting values or principles involved. This provides the
foundation for subsequent steps, including gathering information, exploring
alternatives, and making a decision.
6. A nurse is providing care to a client from a culture different from their own.
Which action best demonstrates cultural competence?
A) Asking the client to explain their cultural practices
B) Assuming the client's beliefs are similar to the nurse's own
C) Avoiding discussion of cultural differences to prevent offense
D) Using a standardized approach to care for all clients
Correct Answer: Asking the client to explain their cultural practices
, Rationale: Cultural competence involves recognizing and respecting cultural
differences. Asking the client to explain their practices demonstrates respect
and a willingness to understand. Assuming similarity, avoiding discussion, or
using a standardized approach disregards individual cultural needs.
7. A nurse is preparing to delegate a task to a licensed practical nurse (LPN).
According to the Five Rights of Delegation, which factor is most important for
the nurse to consider?
A) The LPN's years of experience
B) The LPN's personal relationship with the client
C) The LPN's scope of practice and competency
D) The LPN's preference for the task
Correct Answer: The LPN's scope of practice and competency
Rationale: The Five Rights of Delegation include right task, right
circumstance, right person, right direction/communication, and right
supervision/evaluation. Ensuring the delegatee has the appropriate scope of
practice and competency is essential for safe delegation.
8. A nursing student is learning about the Nurse Practice Act. Which
statement accurately describes the purpose of this act?
A) To establish the curriculum for nursing education programs
B) To define the legal scope of nursing practice and protect the public
C) To set standards for hospital accreditation
D) To regulate the pharmaceutical industry
Correct Answer: To define the legal scope of nursing practice and protect the
public
