NUR 330 Exam 2 | Practice Q&A | 2026/2027 | Nursing | ASU | Graded
A+
1. A nursing student is studying the evolution of the nursing profession.
Which individual is credited with establishing the first nursing school based
on Nightingale's principles in the United States?
A) Clara Barton
B) Linda Richards
C) Dorothea Dix
D) Lillian Wald
Correct Answer: Linda Richards
Rationale: Linda Richards is known as America's first trained nurse and
established nursing schools based on Nightingale's model. Clara Barton
founded the American Red Cross, Dorothea Dix advocated for the mentally
ill, and Lillian Wald is known for public health nursing.
2. A nurse is reviewing the history of nursing and its influence on modern
practice. The American Nurses Association (ANA) was established primarily
to achieve which goal?
A) Establish the first nursing school in the U.S.
B) Develop a standardized nursing curriculum
C) Promote the professional status and welfare of nurses
D) Create the first licensure examination for nurses
Correct Answer: Promote the professional status and welfare of nurses
Rationale: The ANA was founded in 1896 to advance the nursing profession
by promoting high standards of nursing practice, promoting the rights of
,nurses in the workplace, and lobbying for healthcare issues. The other
options were accomplished by other entities or at different times.
3. A nurse is preparing a presentation on the history of nursing. Which
contribution is attributed to Florence Nightingale?
A) Establishing the Henry Street Settlement
B) Developing the first nursing theory
C) Emphasizing the importance of sanitation and a clean environment
D) Creating the first code of ethics for nurses
Correct Answer: Emphasizing the importance of sanitation and a clean
environment
Rationale: Florence Nightingale is known for her work during the Crimean
War, where she demonstrated that a clean environment and sanitation
dramatically reduced mortality rates. She did not establish the Henry Street
Settlement, create the first nursing theory, or author the ANA's Code of
Ethics.
4. A nurse is caring for a client who is refusing a blood transfusion due to
religious beliefs. The nurse supports the client's decision. This action best
demonstrates the ethical principle of:
A) Beneficence
B) Nonmaleficence
C) Autonomy
D) Justice
Correct Answer: Autonomy
,Rationale: Autonomy respects a client's right to make their own healthcare
decisions. By supporting the client's refusal, the nurse is upholding
autonomy. Beneficence is the duty to do good, nonmaleficence is the duty to
do no harm, and justice is fairness in the distribution of resources.
5. A nurse is faced with an ethical dilemma in which two ethical principles
conflict. After identifying the problem, what is the next step the nurse should
take in the ethical decision-making model?
A) Implement the chosen course of action
B) Evaluate the outcomes of the decision
C) Gather relevant information and identify stakeholders
D) Consult with the hospital ethics committee
Correct Answer: Gather relevant information and identify stakeholders
Rationale: The ethical decision-making model follows a systematic process:
identifying the problem, gathering information and identifying stakeholders,
exploring alternatives, choosing a course of action, implementing it, and
evaluating outcomes. Consulting the ethics committee is an action, not the
immediate next step.
6. A nurse discovers that a colleague is impaired and unable to safely
perform their duties. Which action is most appropriate according to the
professional code of ethics?
A) Ignore the situation to avoid conflict
B) Confront the colleague privately and threaten to report them
C) Report the concern to the nurse manager or supervisor
D) Offer to cover the colleague's assignments without reporting
Correct Answer: Report the concern to the nurse manager or supervisor
, Rationale: The nurse has a professional and ethical duty to protect patients
and report concerns about an impaired colleague. Reporting to management
is the appropriate action. Ignoring, threatening, or covering for the colleague
compromises patient safety.
7. A nurse is delegating tasks to an unlicensed assistive personnel (UAP).
According to the Five Rights of Delegation, which task is most appropriate to
delegate?
A) Administering a prescribed oral medication
B) Performing a sterile wound irrigation
C) Assisting a client with bathing and feeding
D) Assessing a client's post-operative pain level
Correct Answer: Assisting a client with bathing and feeding
Rationale: The Five Rights of Delegation include right task, right
circumstance, right person, right direction/communication, and right
supervision/evaluation. Routine activities of daily living, such as bathing and
feeding, are appropriate to delegate to a UAP. Medication administration,
sterile procedures, and assessments require a licensed nurse.
8. A nurse is preparing to administer a medication and notices the
prescription is for a dose that is ten times the standard maximum dose. What
is the nurse's best action?
A) Administer the medication as prescribed
B) Administer the medication and document the order
C) Contact the prescribing provider to clarify the order
D) Ask a colleague what they would do in this situation
A+
1. A nursing student is studying the evolution of the nursing profession.
Which individual is credited with establishing the first nursing school based
on Nightingale's principles in the United States?
A) Clara Barton
B) Linda Richards
C) Dorothea Dix
D) Lillian Wald
Correct Answer: Linda Richards
Rationale: Linda Richards is known as America's first trained nurse and
established nursing schools based on Nightingale's model. Clara Barton
founded the American Red Cross, Dorothea Dix advocated for the mentally
ill, and Lillian Wald is known for public health nursing.
2. A nurse is reviewing the history of nursing and its influence on modern
practice. The American Nurses Association (ANA) was established primarily
to achieve which goal?
A) Establish the first nursing school in the U.S.
B) Develop a standardized nursing curriculum
C) Promote the professional status and welfare of nurses
D) Create the first licensure examination for nurses
Correct Answer: Promote the professional status and welfare of nurses
Rationale: The ANA was founded in 1896 to advance the nursing profession
by promoting high standards of nursing practice, promoting the rights of
,nurses in the workplace, and lobbying for healthcare issues. The other
options were accomplished by other entities or at different times.
3. A nurse is preparing a presentation on the history of nursing. Which
contribution is attributed to Florence Nightingale?
A) Establishing the Henry Street Settlement
B) Developing the first nursing theory
C) Emphasizing the importance of sanitation and a clean environment
D) Creating the first code of ethics for nurses
Correct Answer: Emphasizing the importance of sanitation and a clean
environment
Rationale: Florence Nightingale is known for her work during the Crimean
War, where she demonstrated that a clean environment and sanitation
dramatically reduced mortality rates. She did not establish the Henry Street
Settlement, create the first nursing theory, or author the ANA's Code of
Ethics.
4. A nurse is caring for a client who is refusing a blood transfusion due to
religious beliefs. The nurse supports the client's decision. This action best
demonstrates the ethical principle of:
A) Beneficence
B) Nonmaleficence
C) Autonomy
D) Justice
Correct Answer: Autonomy
,Rationale: Autonomy respects a client's right to make their own healthcare
decisions. By supporting the client's refusal, the nurse is upholding
autonomy. Beneficence is the duty to do good, nonmaleficence is the duty to
do no harm, and justice is fairness in the distribution of resources.
5. A nurse is faced with an ethical dilemma in which two ethical principles
conflict. After identifying the problem, what is the next step the nurse should
take in the ethical decision-making model?
A) Implement the chosen course of action
B) Evaluate the outcomes of the decision
C) Gather relevant information and identify stakeholders
D) Consult with the hospital ethics committee
Correct Answer: Gather relevant information and identify stakeholders
Rationale: The ethical decision-making model follows a systematic process:
identifying the problem, gathering information and identifying stakeholders,
exploring alternatives, choosing a course of action, implementing it, and
evaluating outcomes. Consulting the ethics committee is an action, not the
immediate next step.
6. A nurse discovers that a colleague is impaired and unable to safely
perform their duties. Which action is most appropriate according to the
professional code of ethics?
A) Ignore the situation to avoid conflict
B) Confront the colleague privately and threaten to report them
C) Report the concern to the nurse manager or supervisor
D) Offer to cover the colleague's assignments without reporting
Correct Answer: Report the concern to the nurse manager or supervisor
, Rationale: The nurse has a professional and ethical duty to protect patients
and report concerns about an impaired colleague. Reporting to management
is the appropriate action. Ignoring, threatening, or covering for the colleague
compromises patient safety.
7. A nurse is delegating tasks to an unlicensed assistive personnel (UAP).
According to the Five Rights of Delegation, which task is most appropriate to
delegate?
A) Administering a prescribed oral medication
B) Performing a sterile wound irrigation
C) Assisting a client with bathing and feeding
D) Assessing a client's post-operative pain level
Correct Answer: Assisting a client with bathing and feeding
Rationale: The Five Rights of Delegation include right task, right
circumstance, right person, right direction/communication, and right
supervision/evaluation. Routine activities of daily living, such as bathing and
feeding, are appropriate to delegate to a UAP. Medication administration,
sterile procedures, and assessments require a licensed nurse.
8. A nurse is preparing to administer a medication and notices the
prescription is for a dose that is ten times the standard maximum dose. What
is the nurse's best action?
A) Administer the medication as prescribed
B) Administer the medication and document the order
C) Contact the prescribing provider to clarify the order
D) Ask a colleague what they would do in this situation
