NUR 355 - Practice Exam Study
Guide – Practice Questions
with Answers. GRADED A+.
Latest 2026/2027 Update.
A client with decision-making capacity refuses a blood transfusion despite
severe anemia. Which principle guides the nurse's response?
A. Beneficence
B. Autonomy
C. Nonmaleficence
D. Justice
B. Autonomy
Which situation best reflects nonmaleficence?
A. Administering an opioid for severe pain
B. Withholding a medication that caused anaphylaxis previously
C. Prioritizing care for the most critically ill
D. Telling the truth about a medication's risks
B. Withholding a medication that caused anaphylaxis previously
A nurse promises to call a client's daughter with updates and follows through.
This demonstrates:
A. Justice
,B. Veracity
C. Fidelity
D. Autonomy
C. Fidelity
Which actions by the nurse reflect veracity? Select all that apply.
A. Explaining a new medication's common side effects honestly
B. Telling a client a placebo is an analgesic to calm anxiety
C. Clarifying that a test result is still pending
D. Advising a client to sign a consent without reading it to save time
E. Correcting a misunderstanding about a procedure
A. Explaining a new medication's common side effects honestly
C. Clarifying that a test result is still pending
E. Correcting a misunderstanding about a procedure
3 multiple choice options
Four clients call for help. Which should the nurse see first from an ethical duty
of nonmaleficence?
A. Client with mild anxiety requesting a blanket
B. Client with dizziness after the first dose of a beta-blocker
C. Client needing discharge teaching
D. Client asking for a snack
B. Client with dizziness after the first dose of a beta-blocker
Which action best promotes culturally competent care during the admission
interview?
A. Using family members as interpreters to speed communication
B. Asking open-ended questions about health beliefs and practices
C. Avoiding discussion of folk remedies
D. Assuming the client's values based on ethnicity
B. Asking open-ended questions about health beliefs and practices
,Which task is appropriate to delegate to a trained medical interpreter?
A. Obtain informed consent
B. Assess pain level
C. Translate the nurse's explanations verbatim
D. Teach insulin administration
C. Translate the nurse's explanations verbatim
When planning care, which factors related to social determinants of health
(SDOH) should the nurse assess? Select all that apply.
A. Transportation access
B. Health literacy
C. Neighborhood safety
D. Astrological sign
E. Employment and income stability
A. Transportation access
B. Health literacy
C. Neighborhood safety
E. Employment and income stability
3 multiple choice options
A client cannot afford glaucoma medications. What is the priority action?
A. Provide a printed list of community resources without discussion
B. Ask the provider to switch to a less costly effective alternative and involve a
social worker
C. Tell the client to take the drops every other day
D. Instruct the client to apply warm compresses instead
B. Ask the provider to switch to a less costly effective alternative and involve a
social worker
Which example best demonstrates effective interprofessional collaboration?
A. The nurse independently changes the plan of care
, B. The team rounds together and jointly sets daily goals with the client
C. The pharmacist changes the provider's order without discussion
D. Each discipline documents separately without communication
B. The team rounds together and jointly sets daily goals with the client
Which age-related change increases risk for medication toxicity in older adults?
A. Increased hepatic blood flow
B. Decreased renal clearance
C. Increased total body water
D. Increased serum albumin
B. Decreased renal clearance
Which strategies reduce fall risk in older adults with vertigo? Select all that
apply.
A. Teach slow position changes
B. Keep lights off at night to avoid glare
C. Use assistive devices as needed
D. Remove home tripping hazards
E. Encourage sudden head turns to habituate
A. Teach slow position changes
C. Use assistive devices as needed
D. Remove home tripping hazards
3 multiple choice options
Which task can be safely delegated to an experienced UAP for an older adult at
risk for skin breakdown?
A. Assess blanching over the sacrum
B. Teach the client about repositioning
C. Turn and reposition every 2 hours per plan
D. Stage a pressure injury
C. Turn and reposition every 2 hours per plan
Guide – Practice Questions
with Answers. GRADED A+.
Latest 2026/2027 Update.
A client with decision-making capacity refuses a blood transfusion despite
severe anemia. Which principle guides the nurse's response?
A. Beneficence
B. Autonomy
C. Nonmaleficence
D. Justice
B. Autonomy
Which situation best reflects nonmaleficence?
A. Administering an opioid for severe pain
B. Withholding a medication that caused anaphylaxis previously
C. Prioritizing care for the most critically ill
D. Telling the truth about a medication's risks
B. Withholding a medication that caused anaphylaxis previously
A nurse promises to call a client's daughter with updates and follows through.
This demonstrates:
A. Justice
,B. Veracity
C. Fidelity
D. Autonomy
C. Fidelity
Which actions by the nurse reflect veracity? Select all that apply.
A. Explaining a new medication's common side effects honestly
B. Telling a client a placebo is an analgesic to calm anxiety
C. Clarifying that a test result is still pending
D. Advising a client to sign a consent without reading it to save time
E. Correcting a misunderstanding about a procedure
A. Explaining a new medication's common side effects honestly
C. Clarifying that a test result is still pending
E. Correcting a misunderstanding about a procedure
3 multiple choice options
Four clients call for help. Which should the nurse see first from an ethical duty
of nonmaleficence?
A. Client with mild anxiety requesting a blanket
B. Client with dizziness after the first dose of a beta-blocker
C. Client needing discharge teaching
D. Client asking for a snack
B. Client with dizziness after the first dose of a beta-blocker
Which action best promotes culturally competent care during the admission
interview?
A. Using family members as interpreters to speed communication
B. Asking open-ended questions about health beliefs and practices
C. Avoiding discussion of folk remedies
D. Assuming the client's values based on ethnicity
B. Asking open-ended questions about health beliefs and practices
,Which task is appropriate to delegate to a trained medical interpreter?
A. Obtain informed consent
B. Assess pain level
C. Translate the nurse's explanations verbatim
D. Teach insulin administration
C. Translate the nurse's explanations verbatim
When planning care, which factors related to social determinants of health
(SDOH) should the nurse assess? Select all that apply.
A. Transportation access
B. Health literacy
C. Neighborhood safety
D. Astrological sign
E. Employment and income stability
A. Transportation access
B. Health literacy
C. Neighborhood safety
E. Employment and income stability
3 multiple choice options
A client cannot afford glaucoma medications. What is the priority action?
A. Provide a printed list of community resources without discussion
B. Ask the provider to switch to a less costly effective alternative and involve a
social worker
C. Tell the client to take the drops every other day
D. Instruct the client to apply warm compresses instead
B. Ask the provider to switch to a less costly effective alternative and involve a
social worker
Which example best demonstrates effective interprofessional collaboration?
A. The nurse independently changes the plan of care
, B. The team rounds together and jointly sets daily goals with the client
C. The pharmacist changes the provider's order without discussion
D. Each discipline documents separately without communication
B. The team rounds together and jointly sets daily goals with the client
Which age-related change increases risk for medication toxicity in older adults?
A. Increased hepatic blood flow
B. Decreased renal clearance
C. Increased total body water
D. Increased serum albumin
B. Decreased renal clearance
Which strategies reduce fall risk in older adults with vertigo? Select all that
apply.
A. Teach slow position changes
B. Keep lights off at night to avoid glare
C. Use assistive devices as needed
D. Remove home tripping hazards
E. Encourage sudden head turns to habituate
A. Teach slow position changes
C. Use assistive devices as needed
D. Remove home tripping hazards
3 multiple choice options
Which task can be safely delegated to an experienced UAP for an older adult at
risk for skin breakdown?
A. Assess blanching over the sacrum
B. Teach the client about repositioning
C. Turn and reposition every 2 hours per plan
D. Stage a pressure injury
C. Turn and reposition every 2 hours per plan
