NUR 101 final exam UPDATED Exam
Questions and CORRECT Answers
After a car/pedestrian accident, the pedestrian is brought to the ER. The client is alert & oriented
but complains of dyspnea. O2 sat levels vary from 88-90%. O2 is applied at 2 L per nc with no
improvement in SpO2. Radiograph films reveal no obvious injury or fractures. Suddenly the pt
loses consciousness has a respiratory arrest & subsequently dies. During the respiratory arrest
resuscitation it is determined that a nurse failed to open the valve to the O2 tank & the client had
not been receiving O2. What is the key ethical principal involved in this situation?
1. Nonmaleficence
2. Fidelity
3. Beneficence
4. Justice - CORRECT ANSWER - Correct answer # 1 - nonmaleficenceis the requirement
that health care providers do no harm to their clients either intentionally or unintentionally.
Think of remember nonmaleficenceis not harm
2 - incorrect - fidelity is the obligation of an individual to be faithful
3 - incorrect - beneficence is doing food for the clients
4 - incorrect - justice is the obligation to be fair to all people.
Which factor is unique to malpractice when comparing negligence and malpractice?
1. The action did not meet standards of care.
2. The inappropriate care is an act of commission.
3. There is harm to the patient as a result of the care
4. There is a contractual relationship between the nurse and patient. - CORRECT
ANSWER - Correct answer - 4 - only malpractice is misconduct performed in professional
practice, where there is a contractual relationship between the patient and nurse, which results in
harm to the patient.
1 - incorrect - there is a violation of standards of care with both negligence and malpractice
2 - incorrect - negligence and malpractice both involve acts of either commission (did do
something) or omission (did not do something).
,3 - incorrect - the patient must have sustained injury, damage, or harm with both negligence and
malpractice.
An anxious patient repeatedly uses the call bell to get the nurse to come to the room. Finally the
nurse says to the patient, "If you keep ringing, there will come a time I won't answer your
bell."this is an example of:
1. Slander
2. Assault
3. Battery
4. Libel - CORRECT ANSWER - Correct answer 2 - this is an example of assault. Assault
is a verbal attack or unlawful threat causing a fear of harm. No actual contact is necessary for a
threat to be an assault.
1 - incorrect - slander is a false spoken statement resulting in damage to a person's character or
reputation.
3 - incorrect - battery is the unlawful touching of a person's body without consent.
4 - incorrect - libel is a false printed statement resulting in damage to a person's character or
reputation.
A patient asks the nurse, "what is a Living Will?"the nurse should respond that it is a document
that:
1. Instructs a physician to withhold/withdraw life sustaining procedures if death is near.
2. Enables a person to request medication to end life in a humane and dignified manner.
3. Gives consent to perform life sustaining medical interventions during an emergency
4. Wills ones organs to help others who needs a transplant to sustain life. - CORRECT
ANSWER - Correct answer - 1 - a living will provides specific instructions about the care
the person does or does not want to receive, including withholding or withdrawing life sustaining
procedures.
2 - incorrect - euthanasia is the act of painlessly putting to death a person who is suffering and is
against the law in most states.
3 - incorrect - when an individual can not provide written or oral consent (express consent)
during an emergency, care is provided under the concept of implied consent.
,4 - incorrect - under the Uniform Anatomical Gift Act and the National Organ Transplant Act in
the US, individuals 18 years or odlermay donate all or part of their bodies for education,
research, advancement of science, therapy, or transplantation. Consent for organ donation
usually is made via a signed organ donation card.
A patient falls while getting out of bed unassisted. When completing an Incident Report, the
nurse understands that its main purpose is to:
1. Ensure that all parties have an opportunity to document what happened.
2. Help establish who is responsible for the incident
3. Make data available for quality control analysis
4. Document the incident on the patient's chart - CORRECT ANSWER - Corrrectanswer -
3 - incident reports help identify patterns of risk so that corrective action plans can take place.
1 - incorrect - the nurse who identifies or creates the potential or actual harm completes the
Incident Report. The report identifies the people involved in the incident, describes the incident,
and records the date, time, location, actions taken, and other relevant information.
2 - incorrect - documentation should be as factual as possible and avoid accusations. Questions
of liability are the responsibility of the courts.
4 - incorrect - the report is not part of the patient's medical record, and reference to the report
should not be made in the patient's medical record.
The physician asks the nurse to witness an informed consent. The nurse understands that a
patient who is unable to give informed consent for surgery is a:
1. 16 y.oboy who is married
2. 35 y.owoman who is depressed
3. 50 y.owoman who does not speak english
4. 65 y.oman who has received a narcotic for pain. - CORRECT ANSWER - Correct
answer - 4 - narcotics depress the central nervous system including decision making abilities.
This person is considered functionally incompetent.
1 - incorrect - legally individuals younger than 18 y.ocan provide informed consent if they are
married, pregnant, parents, members of the military or emancipated.
, 2 - incorrect - a depressed person is capable of making health care decisions until proven to be
mentally incompetent
3 - incorrect - this person can provide informed consent after interventions ensure that the person
understands the facts and risks concerning the treatment.
Licensure of Registered Professional Nurses is required primarily to protect:
1. Nurses
2. Patients
3. Common law
4. Healthcare agencies - CORRECT ANSWER - Correct answer is # 2 - licensure
indicates that a person has met minimal standards of competency, thus protecting the public's
safety.
1 - incorrect - licensure does not protect the nurse. Licensure grants an individual the legal rights
to practice as a RN.
3 - incorrect - licensure does not protect common law. Common law comprises standards and
rules based on the principles established in prior judicial decisions
4 - incorrect - it is the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
that determines if agencies meet minimal standards of healthcare delivery, thus protecting the
public.
A nurse is assigned to 6 clients along with an LPN and unlicensed assistive personnel (UAP)
One client is scheduled for surgery in 15 min, another is having pain, one is complaining of a
sudden onset of itching after receiving a new medication & another has a family who wants to
talk to the physician immediately. Which action should the nurse take to best manage & delegate
client care?
1. Ask the LPN to give the client in pain an analgesic & the UAP to get the client ready for
surgery
2. Assess the client with itching & ask the UAP to get a cart for the client needing to go to
surgery
3. Ask the LPN to talk to the family & the UAP to notify the client with pan that an analgesic
will be given soon
Questions and CORRECT Answers
After a car/pedestrian accident, the pedestrian is brought to the ER. The client is alert & oriented
but complains of dyspnea. O2 sat levels vary from 88-90%. O2 is applied at 2 L per nc with no
improvement in SpO2. Radiograph films reveal no obvious injury or fractures. Suddenly the pt
loses consciousness has a respiratory arrest & subsequently dies. During the respiratory arrest
resuscitation it is determined that a nurse failed to open the valve to the O2 tank & the client had
not been receiving O2. What is the key ethical principal involved in this situation?
1. Nonmaleficence
2. Fidelity
3. Beneficence
4. Justice - CORRECT ANSWER - Correct answer # 1 - nonmaleficenceis the requirement
that health care providers do no harm to their clients either intentionally or unintentionally.
Think of remember nonmaleficenceis not harm
2 - incorrect - fidelity is the obligation of an individual to be faithful
3 - incorrect - beneficence is doing food for the clients
4 - incorrect - justice is the obligation to be fair to all people.
Which factor is unique to malpractice when comparing negligence and malpractice?
1. The action did not meet standards of care.
2. The inappropriate care is an act of commission.
3. There is harm to the patient as a result of the care
4. There is a contractual relationship between the nurse and patient. - CORRECT
ANSWER - Correct answer - 4 - only malpractice is misconduct performed in professional
practice, where there is a contractual relationship between the patient and nurse, which results in
harm to the patient.
1 - incorrect - there is a violation of standards of care with both negligence and malpractice
2 - incorrect - negligence and malpractice both involve acts of either commission (did do
something) or omission (did not do something).
,3 - incorrect - the patient must have sustained injury, damage, or harm with both negligence and
malpractice.
An anxious patient repeatedly uses the call bell to get the nurse to come to the room. Finally the
nurse says to the patient, "If you keep ringing, there will come a time I won't answer your
bell."this is an example of:
1. Slander
2. Assault
3. Battery
4. Libel - CORRECT ANSWER - Correct answer 2 - this is an example of assault. Assault
is a verbal attack or unlawful threat causing a fear of harm. No actual contact is necessary for a
threat to be an assault.
1 - incorrect - slander is a false spoken statement resulting in damage to a person's character or
reputation.
3 - incorrect - battery is the unlawful touching of a person's body without consent.
4 - incorrect - libel is a false printed statement resulting in damage to a person's character or
reputation.
A patient asks the nurse, "what is a Living Will?"the nurse should respond that it is a document
that:
1. Instructs a physician to withhold/withdraw life sustaining procedures if death is near.
2. Enables a person to request medication to end life in a humane and dignified manner.
3. Gives consent to perform life sustaining medical interventions during an emergency
4. Wills ones organs to help others who needs a transplant to sustain life. - CORRECT
ANSWER - Correct answer - 1 - a living will provides specific instructions about the care
the person does or does not want to receive, including withholding or withdrawing life sustaining
procedures.
2 - incorrect - euthanasia is the act of painlessly putting to death a person who is suffering and is
against the law in most states.
3 - incorrect - when an individual can not provide written or oral consent (express consent)
during an emergency, care is provided under the concept of implied consent.
,4 - incorrect - under the Uniform Anatomical Gift Act and the National Organ Transplant Act in
the US, individuals 18 years or odlermay donate all or part of their bodies for education,
research, advancement of science, therapy, or transplantation. Consent for organ donation
usually is made via a signed organ donation card.
A patient falls while getting out of bed unassisted. When completing an Incident Report, the
nurse understands that its main purpose is to:
1. Ensure that all parties have an opportunity to document what happened.
2. Help establish who is responsible for the incident
3. Make data available for quality control analysis
4. Document the incident on the patient's chart - CORRECT ANSWER - Corrrectanswer -
3 - incident reports help identify patterns of risk so that corrective action plans can take place.
1 - incorrect - the nurse who identifies or creates the potential or actual harm completes the
Incident Report. The report identifies the people involved in the incident, describes the incident,
and records the date, time, location, actions taken, and other relevant information.
2 - incorrect - documentation should be as factual as possible and avoid accusations. Questions
of liability are the responsibility of the courts.
4 - incorrect - the report is not part of the patient's medical record, and reference to the report
should not be made in the patient's medical record.
The physician asks the nurse to witness an informed consent. The nurse understands that a
patient who is unable to give informed consent for surgery is a:
1. 16 y.oboy who is married
2. 35 y.owoman who is depressed
3. 50 y.owoman who does not speak english
4. 65 y.oman who has received a narcotic for pain. - CORRECT ANSWER - Correct
answer - 4 - narcotics depress the central nervous system including decision making abilities.
This person is considered functionally incompetent.
1 - incorrect - legally individuals younger than 18 y.ocan provide informed consent if they are
married, pregnant, parents, members of the military or emancipated.
, 2 - incorrect - a depressed person is capable of making health care decisions until proven to be
mentally incompetent
3 - incorrect - this person can provide informed consent after interventions ensure that the person
understands the facts and risks concerning the treatment.
Licensure of Registered Professional Nurses is required primarily to protect:
1. Nurses
2. Patients
3. Common law
4. Healthcare agencies - CORRECT ANSWER - Correct answer is # 2 - licensure
indicates that a person has met minimal standards of competency, thus protecting the public's
safety.
1 - incorrect - licensure does not protect the nurse. Licensure grants an individual the legal rights
to practice as a RN.
3 - incorrect - licensure does not protect common law. Common law comprises standards and
rules based on the principles established in prior judicial decisions
4 - incorrect - it is the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
that determines if agencies meet minimal standards of healthcare delivery, thus protecting the
public.
A nurse is assigned to 6 clients along with an LPN and unlicensed assistive personnel (UAP)
One client is scheduled for surgery in 15 min, another is having pain, one is complaining of a
sudden onset of itching after receiving a new medication & another has a family who wants to
talk to the physician immediately. Which action should the nurse take to best manage & delegate
client care?
1. Ask the LPN to give the client in pain an analgesic & the UAP to get the client ready for
surgery
2. Assess the client with itching & ask the UAP to get a cart for the client needing to go to
surgery
3. Ask the LPN to talk to the family & the UAP to notify the client with pan that an analgesic
will be given soon
