UPDaTE ComPlETE QUEsTioNs aND VERifiED aNsWERs
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DEsCRiPTioN: This NUR 254 Exam 1 (2025) CoNTaiNs
fUlly VERifiED QUEsTioNs aND aNsWERs fRom GalEN
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Exam 1 aDUlT hEalTh PhaRmaColoGy NURsiNG
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Section 1: Patient Safety, Legal/Ethical Issues, and Nursing Process
1. A nurse is preparing to administer a scheduled medication to a patient. The patient
questions the nurse, asking, "What is that pill for? I've never seen it before." What is the
nurse's best initial action?
A. Administer the medication as it is scheduled to avoid delay.
B. Explain the medication's name, purpose, and desired effect.
C. Tell the patient the doctor ordered it, so it must be important.
D. Withhold the medication and document the patient's refusal.
Answer: B. Explain the medication's name, purpose, and desired effect.
Rationale: This action respects the patient's right to informed consent and promotes patient
, education and safety. The nurse has a responsibility to ensure the patient understands their
treatment before administering it.
2. The "R" in the nursing process acronym "ADPIE" stands for:
A. Review
B. Referral
C. Response
D. Diagnosis
Answer: C. Response
Rationale: ADPIE stands for Assessment, Diagnosis, Planning, Implementation, and Evaluation.
In some contexts, "Response" is used for Evaluation to assess the patient's response to
interventions.
3. A patient with a history of falls is identified as a high risk. Which nursing intervention is
most appropriate for this patient?
A. Place the patient in restraints at night.
B. Keep the bed in the lowest position with wheels locked.
C. Administer a sedative to ensure the patient remains in bed.
D. Ask the family to stay 24 hours a day to monitor the patient.
Answer: B. Keep the bed in the lowest position with wheels locked.
Rationale: This is a standard, least-restrictive safety measure to prevent injury from falls.
Restraints and sedatives are last resorts due to the risks they pose.
4. A nurse discovers a medication error after administering the wrong dose of a drug. What is
the nurse's legal and ethical priority?
A. Immediately notify the charge nurse and the prescribing provider.
B. Document the error in the patient's chart after the shift is over to avoid confrontation.
C. Monitor the patient closely but say nothing unless symptoms appear.
D. Inform the patient's family but not the patient to avoid causing anxiety.
Answer: A. Immediately notify the charge nurse and the prescribing provider.
Rationale: The priority is the patient's safety. Immediate reporting allows for prompt
assessment and intervention to mitigate any harm from the error.
5. The principle of beneficence in nursing ethics is best described as:
A. Respecting the patient's right to make their own decisions.
B. Being fair and equitable in the distribution of resources.
C. Doing good and acting in the best interest of the patient.
D. Avoiding harm or hurt to the patient.
Answer: C. Doing good and acting in the best interest of the patient.