1|Page
NP1 EXAM 1 REVIEW 2025 | QUESTIONS WITH
100% VERIFIED SOLUTIONS
What are the correct steps to resolve an ethical dilemma on a clinical unit? Place
the steps in correct order.
a. clarify values
b. ask the question, is this an ethical dilemma
c. verbalize the problem
d. gather information
e. identify course of action
f. evaluate the plan
g. negotiate a plan - correct-answer-B, D, A, C, E, G, F
Resolution of an ethical dilemma involves discussion with the patient, the
patient's family, and participants from all health care disciplines. Which of the
following describes the role of the nurse in the resolution of ethical dilemmas?
A. To articulate his or her unique point of view, including knowledge based on
clinical and psychosocial observations
B. To await new clinical orders from the physician
C. To limit discussions about ethical principals
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D. To allow the patient and the physician to resolve the dilemma without regard to
personally held values or opinions regarding the ethical issues - correct-answer-A
It can be difficult to agree on a common definition of the word quality when it
comes to quality of life. Why? (Select all that apply)
a. average income varies in different regions of the country
b. community values influence definitions of quality, and they are subject to
change over time
c. individual experiences influence perceptions of quality in different ways, making
consensus difficult
d. the value of elements such as cognitive skills, ability to perform meaningful
work, and relationship to family is difficult to quantify using objective measures
e. statistical analysis is difficult to apply when the outcome cannot be quantified
f. whether or not a person has a job is an objective measure, but it does not play a
tole in understanding quality of life - correct-answer-B, C, D, E
Which of the following properly applies an ethical principle to justify access to
health care? (Select all that apply)
a. access to health care reflects the commitment of society to principles of
beneficence and justice
b. if low income compromises access to care, respect for autonomy is
compromised
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c. access to health care is a privilege in the US, not a right
d. poor access to affordable health care causes harm that is ethically troubling
because nonmaleficence is a basic principle of health care ethics
e. providers are exempt from fidelity to people with drug addiction because
addiction reflects a lack of personal accountability
f. if a new drug is discovered that cures a disease but a great cost per patient, the
principle of justice suggests that the drug should be made available to those who
can afford it - correct-answer-A, B, D
Match the examples with the professional nursing code of ethics:
1. You see an open medical record on the computer and close it so no one else can
read the record without proper access.
2.You administer a once a day cardiac medication at the wrong time, but nobody
sees it. However, you contact the primary care provider and your head nurse and
follow agency procedure.
3. A patient at the end of life wants to go home to die, but the family wants every
care possible. The nurse contacts the primary care provider about the patients
request.
4.You tell your patient that you will return in 30 minutes to give him his next pain
medication.
a. advocacy
b. responsibility
c. accountability
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d. confidentiality - correct-answer-1D, 2C, 3A, 4B
A nurse is caring for a patient who recently had coronary bypass surgery and now
is on the postoperative unit. Which are legal sources of standards of care that the
nurse uses to deliver safe health care? (Select all that apply)
a. information provided by the head nurse
b. policies and procedures of the employing hospital
c. state nurse practice act
d. regulations identified in The Joint Commission manual
e. The Amerian Nurses Association standards of nursing practice - correct-answer-
B, C, D, E
A nurse is sued for negligence due to failure to monitor a patient appropriately
after a procedure. Which of the following statements are correct about this
lawsuit? (Select all that apply)
a. the nurse does not need any representation
b. the patient must prove injury, damage, or loss occurred
c. the person filing the lawsuit has to show a compensable damage, such as lost
wages, occurred
d. the patient must prove that a breach in the prevailing standard of care caused
an injury
NP1 EXAM 1 REVIEW 2025 | QUESTIONS WITH
100% VERIFIED SOLUTIONS
What are the correct steps to resolve an ethical dilemma on a clinical unit? Place
the steps in correct order.
a. clarify values
b. ask the question, is this an ethical dilemma
c. verbalize the problem
d. gather information
e. identify course of action
f. evaluate the plan
g. negotiate a plan - correct-answer-B, D, A, C, E, G, F
Resolution of an ethical dilemma involves discussion with the patient, the
patient's family, and participants from all health care disciplines. Which of the
following describes the role of the nurse in the resolution of ethical dilemmas?
A. To articulate his or her unique point of view, including knowledge based on
clinical and psychosocial observations
B. To await new clinical orders from the physician
C. To limit discussions about ethical principals
,2|Page
D. To allow the patient and the physician to resolve the dilemma without regard to
personally held values or opinions regarding the ethical issues - correct-answer-A
It can be difficult to agree on a common definition of the word quality when it
comes to quality of life. Why? (Select all that apply)
a. average income varies in different regions of the country
b. community values influence definitions of quality, and they are subject to
change over time
c. individual experiences influence perceptions of quality in different ways, making
consensus difficult
d. the value of elements such as cognitive skills, ability to perform meaningful
work, and relationship to family is difficult to quantify using objective measures
e. statistical analysis is difficult to apply when the outcome cannot be quantified
f. whether or not a person has a job is an objective measure, but it does not play a
tole in understanding quality of life - correct-answer-B, C, D, E
Which of the following properly applies an ethical principle to justify access to
health care? (Select all that apply)
a. access to health care reflects the commitment of society to principles of
beneficence and justice
b. if low income compromises access to care, respect for autonomy is
compromised
,3|Page
c. access to health care is a privilege in the US, not a right
d. poor access to affordable health care causes harm that is ethically troubling
because nonmaleficence is a basic principle of health care ethics
e. providers are exempt from fidelity to people with drug addiction because
addiction reflects a lack of personal accountability
f. if a new drug is discovered that cures a disease but a great cost per patient, the
principle of justice suggests that the drug should be made available to those who
can afford it - correct-answer-A, B, D
Match the examples with the professional nursing code of ethics:
1. You see an open medical record on the computer and close it so no one else can
read the record without proper access.
2.You administer a once a day cardiac medication at the wrong time, but nobody
sees it. However, you contact the primary care provider and your head nurse and
follow agency procedure.
3. A patient at the end of life wants to go home to die, but the family wants every
care possible. The nurse contacts the primary care provider about the patients
request.
4.You tell your patient that you will return in 30 minutes to give him his next pain
medication.
a. advocacy
b. responsibility
c. accountability
, 4|Page
d. confidentiality - correct-answer-1D, 2C, 3A, 4B
A nurse is caring for a patient who recently had coronary bypass surgery and now
is on the postoperative unit. Which are legal sources of standards of care that the
nurse uses to deliver safe health care? (Select all that apply)
a. information provided by the head nurse
b. policies and procedures of the employing hospital
c. state nurse practice act
d. regulations identified in The Joint Commission manual
e. The Amerian Nurses Association standards of nursing practice - correct-answer-
B, C, D, E
A nurse is sued for negligence due to failure to monitor a patient appropriately
after a procedure. Which of the following statements are correct about this
lawsuit? (Select all that apply)
a. the nurse does not need any representation
b. the patient must prove injury, damage, or loss occurred
c. the person filing the lawsuit has to show a compensable damage, such as lost
wages, occurred
d. the patient must prove that a breach in the prevailing standard of care caused
an injury
