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NUR 2811 MIDTERM EXAM 2026/2027 |
NURSING CAPSTONE | 75 VERIFIED Q&A |
DETAILED RATIONALES | NGN-ALIGNED |
PASS GUARANTEED – A+ GRADED
SECTION 1: ETHICAL & LEGAL PRINCIPLES – Questions 1-15
Q1: Nonmaleficence Principle
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
Rationale: Nonmaleficence is the ethical principle of avoiding harm. The team is balancing risks and
benefits to ensure the least possible harm to the patient.
Q2: Beneficence Action
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
Rationale: Beneficence is actively doing good for others. Although the immunization causes
temporary discomfort, the benefit of disease protection outweighs the harm.
Q3: False Imprisonment
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
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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
Rationale: Telling a client they may not leave the hospital constitutes false imprisonment.
Threatening to give medication is assault, and performing a procedure without consent is battery.
Q4: Assault Definition
The nursing instructor asks a student to name an example of assault. Which situation reflects this
violation?
A. Unlawfully restraining a client
B. Threatening to give a client medication against their will
C. Observing provision of care without permission
D. Performing a procedure without consent
Correct Answer: B
Rationale: Assault is the threat of harmful or offensive contact, such as threatening to medicate a
patient against their will.
Q5: Incident Report Requirement
Which event would require a nurse to complete and file an incident report?
A. A visitor suddenly becomes weak and dizzy; the nurse checks vital signs and takes the visitor to
the emergency department
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
Rationale: An incident report is required for any event not consistent with routine care, including a
visitor showing signs of illness.
Q6: Case Manager Responsibilities
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
Correct Answer: A, C, D, E
, 3
Rationale: Case managers coordinate care, assess needs, and facilitate discharge. Prescribing
treatments is outside the RN scope.
Q7: Nosocomial Infection Risk
A nurse is caring for multiple clients on a medical-surgical unit. Which client is at the highest risk for
developing a nosocomial infection?
A. Client with alcohol use disorder admitted for detoxification
B. Client with Type 1 diabetes mellitus and peripheral neuropathy
C. Client recovering from a laparoscopic cholecystectomy
D. Client with full-thickness burns, NG tube, and Foley catheter
Correct Answer: D
Rationale: Extensive burns compromise the skin barrier, and invasive devices provide entry points
for microorganisms, significantly increasing infection risk.
Q8: Wound Dehiscence Action
A client who has undergone abdominal surgery reports feeling "something give way" in the incision.
The nurse notes wound dehiscence. What is the immediate nursing action?
A. Place the client in a supine position with legs flat
B. Cover the abdominal wound with a sterile dressing moistened with sterile saline
C. Contact the primary health care provider immediately
D. Document the findings and reassess in 15 minutes
Correct Answer: B
Rationale: When dehiscence occurs, the nurse immediately covers the wound with a sterile saline
dressing to protect the exposed tissue before notifying the provider.
Q9: Post-Tonsillectomy Hemorrhage
A client returning from the recovery room after a tonsillectomy begins to vomit a copious amount of
bright-red blood. What is the priority nursing action?
A. Continue the assessment
B. Obtain a flashlight, gauze, and a curved hemostat
C. Notify the surgeon immediately
D. Check the client's blood pressure
Correct Answer: C
Rationale: Bright-red blood indicates active hemorrhage, a potential complication after
tonsillectomy. The surgeon must be notified immediately.
Q10: Enalapril Priority Assessment
NUR 2811 MIDTERM EXAM 2026/2027 |
NURSING CAPSTONE | 75 VERIFIED Q&A |
DETAILED RATIONALES | NGN-ALIGNED |
PASS GUARANTEED – A+ GRADED
SECTION 1: ETHICAL & LEGAL PRINCIPLES – Questions 1-15
Q1: Nonmaleficence Principle
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
Rationale: Nonmaleficence is the ethical principle of avoiding harm. The team is balancing risks and
benefits to ensure the least possible harm to the patient.
Q2: Beneficence Action
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
Rationale: Beneficence is actively doing good for others. Although the immunization causes
temporary discomfort, the benefit of disease protection outweighs the harm.
Q3: False Imprisonment
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
,2
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
Rationale: Telling a client they may not leave the hospital constitutes false imprisonment.
Threatening to give medication is assault, and performing a procedure without consent is battery.
Q4: Assault Definition
The nursing instructor asks a student to name an example of assault. Which situation reflects this
violation?
A. Unlawfully restraining a client
B. Threatening to give a client medication against their will
C. Observing provision of care without permission
D. Performing a procedure without consent
Correct Answer: B
Rationale: Assault is the threat of harmful or offensive contact, such as threatening to medicate a
patient against their will.
Q5: Incident Report Requirement
Which event would require a nurse to complete and file an incident report?
A. A visitor suddenly becomes weak and dizzy; the nurse checks vital signs and takes the visitor to
the emergency department
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
Rationale: An incident report is required for any event not consistent with routine care, including a
visitor showing signs of illness.
Q6: Case Manager Responsibilities
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
Correct Answer: A, C, D, E
, 3
Rationale: Case managers coordinate care, assess needs, and facilitate discharge. Prescribing
treatments is outside the RN scope.
Q7: Nosocomial Infection Risk
A nurse is caring for multiple clients on a medical-surgical unit. Which client is at the highest risk for
developing a nosocomial infection?
A. Client with alcohol use disorder admitted for detoxification
B. Client with Type 1 diabetes mellitus and peripheral neuropathy
C. Client recovering from a laparoscopic cholecystectomy
D. Client with full-thickness burns, NG tube, and Foley catheter
Correct Answer: D
Rationale: Extensive burns compromise the skin barrier, and invasive devices provide entry points
for microorganisms, significantly increasing infection risk.
Q8: Wound Dehiscence Action
A client who has undergone abdominal surgery reports feeling "something give way" in the incision.
The nurse notes wound dehiscence. What is the immediate nursing action?
A. Place the client in a supine position with legs flat
B. Cover the abdominal wound with a sterile dressing moistened with sterile saline
C. Contact the primary health care provider immediately
D. Document the findings and reassess in 15 minutes
Correct Answer: B
Rationale: When dehiscence occurs, the nurse immediately covers the wound with a sterile saline
dressing to protect the exposed tissue before notifying the provider.
Q9: Post-Tonsillectomy Hemorrhage
A client returning from the recovery room after a tonsillectomy begins to vomit a copious amount of
bright-red blood. What is the priority nursing action?
A. Continue the assessment
B. Obtain a flashlight, gauze, and a curved hemostat
C. Notify the surgeon immediately
D. Check the client's blood pressure
Correct Answer: C
Rationale: Bright-red blood indicates active hemorrhage, a potential complication after
tonsillectomy. The surgeon must be notified immediately.
Q10: Enalapril Priority Assessment
