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TI RN Fundamentals Practice Test 2025 – Core Skills,
A
Legal Guidelines & Infection Control Questions &
Answers with Rationales | 100% Verified | Graded A+
tudent Name: ______________________
S
Date:_______________
Time Limit:90 minutes
Total Questions:70
HIPAA, Informed Consent (15 Questions)
Question 1 (MCQ)
nurse overhears a colleague discussing a client’s diagnosis in the cafeteria. What should the nurse do?
A
a. Join the conversation
b.Address the colleague privately
c. Ignore the conversation
d. Report to the client
Rationale:Discussing client information in public violates HIPAA; addressing the colleague privately
corrects the breach ethically.
Question 2 (SATA)
hich actions ensure compliance with HIPAA? (Select all that apply)
W
a.Use secure electronic records
b. Discuss client cases in public areas
c.Obtain client consent for disclosures
d.Shred confidential documents
e. Leave charts open in shared spaces
Rationale:Secure records, consent for disclosures,and shredding documents protect client privacy.
Public discussions and open charts violate HIPAA.
,Question 3 (NGN Case Study)
ase Study: Informed Consent
C
A 45-year-old client is scheduled for a cholecystectomy. The client appears confused about the
procedure’s risks. Vital signs are stable.
Question 3.1 (MCQ): What is the priority nursing action?
a. Proceed with the procedure
b.Verify the client’s understanding
c. Ignore the confusion
d. Administer preoperative medication
Rationale:Verifying understanding ensures informedconsent, a legal and ethical requirement before
surgery.
Question 3.2 (SATA): Which actions ensure proper informedconsent? (Select all that apply)
a.Explain risks and benefits
b. Coerce the client to sign
c.Document the consent process
d.Allow time for questions
e. Proceed without discussion
Rationale:Explaining risks/benefits, documenting,and allowing questions ensure informed consent.
Coercion and proceeding without discussion violate ethical standards.
Question 4 (MCQ)
client requests their medical records. What should the nurse do?
A
a. Deny the request
b.Follow facility policy for release
c. Share records without verification
d. Ignore the request
Rationale:Following facility policy ensures legal and ethical release of records, respecting client rights
under HIPAA.
Question 5 (MCQ)
nurse needs to discuss a client’s care with a consulting physician. What is required?
A
a. Discuss openly in the hallway
b.Obtain client consent or verify necessity
c. Share without client knowledge
d. Avoid consultation
Rationale:Client consent or verified necessity forcare ensures HIPAA compliance during consultations.
Question 6 (SATA)
hich actions violate HIPAA? (Select all that apply)
W
a.Posting client photos on social media
, .Leaving client charts open
b
c. Using encrypted email for records
d.Discussing clients in public
e. Shredding old records
Rationale:Posting photos, leaving charts open, andpublic discussions violate HIPAA. Encrypted email
and shredding are compliant practices.
Question 7 (MCQ)
client refuses a procedure after signing the consent form. What should the nurse do?
A
a. Proceed with the procedure
b.Respect the refusal and notify the provider
c. Force the client to comply
d. Ignore the refusal
Rationale:Respecting the client’s right to refuseand notifying the provider upholds autonomy and ethical
standards.
Question 8 (MCQ)
nurse shares a client’s diagnosis with a family member without consent. What is the consequence?
A
a. No action needed
b.HIPAA violation
c. Improved family communication
d. Ethical compliance
Rationale:Sharing information without consent violates HIPAA, risking legal and professional
consequences.
Question 9 (SATA)
hich elements are required for informed consent? (Select all that apply)
W
a.Explanation of procedure risks
b.Client’s voluntary agreement
c. Coercion to sign
d.Opportunity to ask questions
e. Performing the procedure without consent
Rationale:Informed consent requires explaining risks,voluntary agreement, and question opportunities.
Coercion and proceeding without consent are unethical.
Question 10 (MCQ)
client with dementia cannot consent to treatment. What should the nurse do?
A
a. Proceed without consent
b.Consult the legal guardian
c. Ask a family member to decide
TI RN Fundamentals Practice Test 2025 – Core Skills,
A
Legal Guidelines & Infection Control Questions &
Answers with Rationales | 100% Verified | Graded A+
tudent Name: ______________________
S
Date:_______________
Time Limit:90 minutes
Total Questions:70
HIPAA, Informed Consent (15 Questions)
Question 1 (MCQ)
nurse overhears a colleague discussing a client’s diagnosis in the cafeteria. What should the nurse do?
A
a. Join the conversation
b.Address the colleague privately
c. Ignore the conversation
d. Report to the client
Rationale:Discussing client information in public violates HIPAA; addressing the colleague privately
corrects the breach ethically.
Question 2 (SATA)
hich actions ensure compliance with HIPAA? (Select all that apply)
W
a.Use secure electronic records
b. Discuss client cases in public areas
c.Obtain client consent for disclosures
d.Shred confidential documents
e. Leave charts open in shared spaces
Rationale:Secure records, consent for disclosures,and shredding documents protect client privacy.
Public discussions and open charts violate HIPAA.
,Question 3 (NGN Case Study)
ase Study: Informed Consent
C
A 45-year-old client is scheduled for a cholecystectomy. The client appears confused about the
procedure’s risks. Vital signs are stable.
Question 3.1 (MCQ): What is the priority nursing action?
a. Proceed with the procedure
b.Verify the client’s understanding
c. Ignore the confusion
d. Administer preoperative medication
Rationale:Verifying understanding ensures informedconsent, a legal and ethical requirement before
surgery.
Question 3.2 (SATA): Which actions ensure proper informedconsent? (Select all that apply)
a.Explain risks and benefits
b. Coerce the client to sign
c.Document the consent process
d.Allow time for questions
e. Proceed without discussion
Rationale:Explaining risks/benefits, documenting,and allowing questions ensure informed consent.
Coercion and proceeding without discussion violate ethical standards.
Question 4 (MCQ)
client requests their medical records. What should the nurse do?
A
a. Deny the request
b.Follow facility policy for release
c. Share records without verification
d. Ignore the request
Rationale:Following facility policy ensures legal and ethical release of records, respecting client rights
under HIPAA.
Question 5 (MCQ)
nurse needs to discuss a client’s care with a consulting physician. What is required?
A
a. Discuss openly in the hallway
b.Obtain client consent or verify necessity
c. Share without client knowledge
d. Avoid consultation
Rationale:Client consent or verified necessity forcare ensures HIPAA compliance during consultations.
Question 6 (SATA)
hich actions violate HIPAA? (Select all that apply)
W
a.Posting client photos on social media
, .Leaving client charts open
b
c. Using encrypted email for records
d.Discussing clients in public
e. Shredding old records
Rationale:Posting photos, leaving charts open, andpublic discussions violate HIPAA. Encrypted email
and shredding are compliant practices.
Question 7 (MCQ)
client refuses a procedure after signing the consent form. What should the nurse do?
A
a. Proceed with the procedure
b.Respect the refusal and notify the provider
c. Force the client to comply
d. Ignore the refusal
Rationale:Respecting the client’s right to refuseand notifying the provider upholds autonomy and ethical
standards.
Question 8 (MCQ)
nurse shares a client’s diagnosis with a family member without consent. What is the consequence?
A
a. No action needed
b.HIPAA violation
c. Improved family communication
d. Ethical compliance
Rationale:Sharing information without consent violates HIPAA, risking legal and professional
consequences.
Question 9 (SATA)
hich elements are required for informed consent? (Select all that apply)
W
a.Explanation of procedure risks
b.Client’s voluntary agreement
c. Coercion to sign
d.Opportunity to ask questions
e. Performing the procedure without consent
Rationale:Informed consent requires explaining risks,voluntary agreement, and question opportunities.
Coercion and proceeding without consent are unethical.
Question 10 (MCQ)
client with dementia cannot consent to treatment. What should the nurse do?
A
a. Proceed without consent
b.Consult the legal guardian
c. Ask a family member to decide
