PN 4006 Midterm Exam – Questions with In-Depth and Verified
Solutions (A+ Graded)
PN 4006 Midterm Exam – 100 Questions with In-Depth and Verified
Solutions (A+ Graded)
Chapter 1: Nursing Foundations & The Nursing Process
1. What is the primary purpose of the nursing process?
a) To delegate tasks to nursing assistants.
b) To provide a systematic framework for patient-centered care.
c) To replace the physician's medical diagnosis.
d) To document care for legal purposes only.
Explanation: The nursing process (ADPIE - Assessment, Diagnosis, Planning,
Implementation, Evaluation) is a critical-thinking model that ensures organized,
individualized, and goal-oriented patient care.
2. During the assessment phase, a nurse collects both subjective and objective
data. Which of the following is subjective data?
a) Blood pressure reading of 120/80 mmHg.
b) A patient's report of feeling nauseous.
c) A wound with redness and swelling.
d) A heart rate of 72 bpm.
Explanation: Subjective data is what the patient says or feels, and cannot be
measured by the nurse. Objective data is what the nurse can observe, measure,
and see.
3. A nursing diagnosis is best described as:
a) A medical disease determined by a physician.
b) A clinical judgment about a patient's response to an actual or potential health
problem.
c) A list of the patient's symptoms.
d) A plan for medication administration.
,Explanation: Unlike a medical diagnosis (e.g., Pneumonia), a nursing diagnosis
focuses on the human response to that illness (e.g., Impaired Gas Exchange).
4. The "P" in the ADPIE acronym stands for:
a) Palpation
b) Prescription
c) Planning
d) Performance
Explanation: ADPIE stands for Assessment, Diagnosis, Planning, Implementation,
Evaluation.
5. When evaluating a patient's care plan, the nurse determines that the patient
has successfully met their goal of ambulating 50 feet. The next appropriate
action is to:
a) Discontinue the care plan entirely.
b) Modify the care plan or set a new goal.
c) Repeat the assessment phase.
d) Report the finding only to the physician.
Explanation: Evaluation determines if goals were met. If met, the nurse
discontinues that specific intervention or establishes new goals to continue
progress.
Chapter 2: Legal & Ethical Considerations
6. The legal document that allows a patient to specify their healthcare wishes in
advance is a(n):
a) Informed Consent
b) Advance Directive
c) Power of Attorney
d) Living Will (Note: A living will is a type of advance directive)
Explanation: An advance directive is the umbrella term for legal documents
outlining a person's healthcare wishes, which includes living wills and durable
power of attorney for healthcare.
, 7. A nurse witnesses a car accident and stops to help. This is protected under
which law?
a) The Patient's Bill of Rights
b) The Good Samaritan Law
c) The Health Insurance Portability and Accountability Act (HIPAA)
d) Scope of Practice
Explanation: Good Samaritan Laws offer legal protection to individuals who
voluntarily provide reasonable assistance to those who are injured or ill.
8. A patient tells the nurse, "I don't want that chemotherapy treatment
anymore." The nurse's best ethical action is to uphold which principle?
a) Justice
b) Fidelity
c) Autonomy
d) Beneficence
Explanation: Autonomy is the right of a patient to make their own decisions about
their care, even if the nurse disagrees.
9. Releasing a patient's medical information to their employer without consent
is a violation of:
a) The Patient Self-Determination Act
b) HIPAA
c) The Nursing Code of Ethics
d) Mandatory Reporting
Explanation: HIPAA protects the privacy and security of a patient's protected
health information (PHI).
10. When a nurse is asked to perform a task outside their scope of practice, the
correct action is to:
a) Perform the task if a physician is present.
b) Refuse to perform the task and notify the supervisor.
c) Delegate the task to a nursing assistant.
d) Perform the task to avoid conflict.
Solutions (A+ Graded)
PN 4006 Midterm Exam – 100 Questions with In-Depth and Verified
Solutions (A+ Graded)
Chapter 1: Nursing Foundations & The Nursing Process
1. What is the primary purpose of the nursing process?
a) To delegate tasks to nursing assistants.
b) To provide a systematic framework for patient-centered care.
c) To replace the physician's medical diagnosis.
d) To document care for legal purposes only.
Explanation: The nursing process (ADPIE - Assessment, Diagnosis, Planning,
Implementation, Evaluation) is a critical-thinking model that ensures organized,
individualized, and goal-oriented patient care.
2. During the assessment phase, a nurse collects both subjective and objective
data. Which of the following is subjective data?
a) Blood pressure reading of 120/80 mmHg.
b) A patient's report of feeling nauseous.
c) A wound with redness and swelling.
d) A heart rate of 72 bpm.
Explanation: Subjective data is what the patient says or feels, and cannot be
measured by the nurse. Objective data is what the nurse can observe, measure,
and see.
3. A nursing diagnosis is best described as:
a) A medical disease determined by a physician.
b) A clinical judgment about a patient's response to an actual or potential health
problem.
c) A list of the patient's symptoms.
d) A plan for medication administration.
,Explanation: Unlike a medical diagnosis (e.g., Pneumonia), a nursing diagnosis
focuses on the human response to that illness (e.g., Impaired Gas Exchange).
4. The "P" in the ADPIE acronym stands for:
a) Palpation
b) Prescription
c) Planning
d) Performance
Explanation: ADPIE stands for Assessment, Diagnosis, Planning, Implementation,
Evaluation.
5. When evaluating a patient's care plan, the nurse determines that the patient
has successfully met their goal of ambulating 50 feet. The next appropriate
action is to:
a) Discontinue the care plan entirely.
b) Modify the care plan or set a new goal.
c) Repeat the assessment phase.
d) Report the finding only to the physician.
Explanation: Evaluation determines if goals were met. If met, the nurse
discontinues that specific intervention or establishes new goals to continue
progress.
Chapter 2: Legal & Ethical Considerations
6. The legal document that allows a patient to specify their healthcare wishes in
advance is a(n):
a) Informed Consent
b) Advance Directive
c) Power of Attorney
d) Living Will (Note: A living will is a type of advance directive)
Explanation: An advance directive is the umbrella term for legal documents
outlining a person's healthcare wishes, which includes living wills and durable
power of attorney for healthcare.
, 7. A nurse witnesses a car accident and stops to help. This is protected under
which law?
a) The Patient's Bill of Rights
b) The Good Samaritan Law
c) The Health Insurance Portability and Accountability Act (HIPAA)
d) Scope of Practice
Explanation: Good Samaritan Laws offer legal protection to individuals who
voluntarily provide reasonable assistance to those who are injured or ill.
8. A patient tells the nurse, "I don't want that chemotherapy treatment
anymore." The nurse's best ethical action is to uphold which principle?
a) Justice
b) Fidelity
c) Autonomy
d) Beneficence
Explanation: Autonomy is the right of a patient to make their own decisions about
their care, even if the nurse disagrees.
9. Releasing a patient's medical information to their employer without consent
is a violation of:
a) The Patient Self-Determination Act
b) HIPAA
c) The Nursing Code of Ethics
d) Mandatory Reporting
Explanation: HIPAA protects the privacy and security of a patient's protected
health information (PHI).
10. When a nurse is asked to perform a task outside their scope of practice, the
correct action is to:
a) Perform the task if a physician is present.
b) Refuse to perform the task and notify the supervisor.
c) Delegate the task to a nursing assistant.
d) Perform the task to avoid conflict.
