Exam 1: NR 226/ NR226 Practice Test (Latest
2026/ 2027 Update) Fundamentals: Patient Care
Guide |100 Questions with Verified Answers&
Rationale| 100% Correct Solutions- Chamberlain.
Question:
The nurse administers an incorrect dose of a medication to a patient.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
What is the primary purpose of documenting this event in an Incident
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Report?
1) Record the event for future litigation.
i,- i,- i,- i,- i,- i,-
2) Provide a basis for designing new policies.
i,- i,- i,- i,- i,- i,- i,-
3) Prevent similar situations from happening again.
i,- i,- i,- i,- i,- i,-
4) Ensure accountability for the cause of the accident.?
i,- i,- i,- i,- i,- i,- i,- i,-
Answer:
Correct Answer: 3 (Risk-management committees use stats about
i,- i,- i,- i,- i,- i,- i,- i,-
accidents & incidents to identify patterns of risk and prevent future
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
accidents/incidents.)
1 - Wrong because although documentation of an incident may be used
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
in a court of law, it is not the primary reason for an incident report.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
2- This is not the primary reason. New policies may or may not have to be
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
written and implemented. i,- i,-
,4 - Although nurses are always accountable for their actions,
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
accountability for the cause of an incidence is the role of the courts.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Question:
A practitioner writes a prescription for a medication that is larger than the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
standard dose. What should the nurse do?
i,- i,- i,- i,- i,- i,-
1) Inform the supervisor
i,- i,- i,-
2) Give the drug as prescribed.
i,- i,- i,- i,- i,-
3) Give the average dose of the medication.
i,- i,- i,- i,- i,- i,- i,-
4) Discuss the prescription with the practitioner.?
i,- i,- i,- i,- i,- i,-
Answer:
Correct Answer: 4 (Nurses have a prof. resonsibility to know/investigate
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the standard dose for medications being administered. In addition, nurses
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
are responsible for their own actions regardless of whether there is a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
written prescription) i,-
1 - It is unnecessary to call the supervisor.
i,- i,- i,- i,- i,- i,- i,- i,-
2 - This is unsafe for the patient and may result in malpractice.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
3 - Changing a medication prescription is not within the scope of nursing
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
practice.
Question:
,When the nurse attempts to administer a medication to a patient, the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
patient refuses to take the medication because it causes diarrhea. The
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
nurse provides teaching about the medication, but the patient continues
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
to adamantly refuse the medication. What should the nurse do first?
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
1) Document the patient's refusal to take the medication.
i,- i,- i,- i,- i,- i,- i,- i,-
2) Notify the practitioner of the patient's refusal to take the medication.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
3) Discuss with a family member the need for the patient to take the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
medication.
4) Explain again to the patient the consequences of refusing to take the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
medication.?
Answer:
Correct Answer: 1 (The patient has the right to refuse)
i,- i,- i,- i,- i,- i,- i,- i,- i,-
2. Notifying the practitioner eventually should be done, but it is not the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
priority at this time. i,- i,- i,-
3. Discussing the situation with a family member without the patient's
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
consent is a violation of confidentiality.
i,- i,- i,- i,- i,-
4. The patient has been taught about the medication and adamantly
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
refuses the medication. Further teaching at this time may be viewed by
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the patient as badgering.
i,- i,- i,-
Question:
When caring for a terminally ill patient, a family member says, "I need
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
your help to hasten my mother's death so that she is no longer suffering."
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
, What should the nurse do based on the position of the American Nurse
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
association in relation to assisted suicide? i,- i,- i,- i,- i,-
1) Not participate in active euthanasia.
i,- i,- i,- i,- i,-
2) Participate based on personal values and beliefs.
i,- i,- i,- i,- i,- i,- i,-
3) Participate when the patient is experiencing severe pain.
i,- i,- i,- i,- i,- i,- i,- i,-
4) Not participate unless two practitioners are consulted and the patient
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
has had counseling.?
i,- i,-
Answer:
Correct Answer: 1 (Withholding the medication and docu- menting the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
patient's refusal are the appropriate interventions. Patient's have a right to
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
refuse care.) i,-
2. Notifying the practitioner eventually should be done, but it is not the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
priority at this time. i,- i,- i,- i,-
3. Discussing the situation with a family member without the patient's
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
consent is a violation of confidentiality.
i,- i,- i,- i,- i,-
4. The patient has been taught about the medication and adamantly
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
refuses the medication. Further teaching at this time may be viewed by
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the patient as badgering.
i,- i,- i,-
Question:
A practitioner asks the nurse to witness an informed consent. Which
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
patient does the nurse identify is unable to give an informed consent for
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
surgery?
2026/ 2027 Update) Fundamentals: Patient Care
Guide |100 Questions with Verified Answers&
Rationale| 100% Correct Solutions- Chamberlain.
Question:
The nurse administers an incorrect dose of a medication to a patient.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
What is the primary purpose of documenting this event in an Incident
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Report?
1) Record the event for future litigation.
i,- i,- i,- i,- i,- i,-
2) Provide a basis for designing new policies.
i,- i,- i,- i,- i,- i,- i,-
3) Prevent similar situations from happening again.
i,- i,- i,- i,- i,- i,-
4) Ensure accountability for the cause of the accident.?
i,- i,- i,- i,- i,- i,- i,- i,-
Answer:
Correct Answer: 3 (Risk-management committees use stats about
i,- i,- i,- i,- i,- i,- i,- i,-
accidents & incidents to identify patterns of risk and prevent future
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
accidents/incidents.)
1 - Wrong because although documentation of an incident may be used
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
in a court of law, it is not the primary reason for an incident report.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
2- This is not the primary reason. New policies may or may not have to be
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
written and implemented. i,- i,-
,4 - Although nurses are always accountable for their actions,
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
accountability for the cause of an incidence is the role of the courts.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Question:
A practitioner writes a prescription for a medication that is larger than the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
standard dose. What should the nurse do?
i,- i,- i,- i,- i,- i,-
1) Inform the supervisor
i,- i,- i,-
2) Give the drug as prescribed.
i,- i,- i,- i,- i,-
3) Give the average dose of the medication.
i,- i,- i,- i,- i,- i,- i,-
4) Discuss the prescription with the practitioner.?
i,- i,- i,- i,- i,- i,-
Answer:
Correct Answer: 4 (Nurses have a prof. resonsibility to know/investigate
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the standard dose for medications being administered. In addition, nurses
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
are responsible for their own actions regardless of whether there is a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
written prescription) i,-
1 - It is unnecessary to call the supervisor.
i,- i,- i,- i,- i,- i,- i,- i,-
2 - This is unsafe for the patient and may result in malpractice.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
3 - Changing a medication prescription is not within the scope of nursing
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
practice.
Question:
,When the nurse attempts to administer a medication to a patient, the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
patient refuses to take the medication because it causes diarrhea. The
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
nurse provides teaching about the medication, but the patient continues
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
to adamantly refuse the medication. What should the nurse do first?
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
1) Document the patient's refusal to take the medication.
i,- i,- i,- i,- i,- i,- i,- i,-
2) Notify the practitioner of the patient's refusal to take the medication.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
3) Discuss with a family member the need for the patient to take the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
medication.
4) Explain again to the patient the consequences of refusing to take the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
medication.?
Answer:
Correct Answer: 1 (The patient has the right to refuse)
i,- i,- i,- i,- i,- i,- i,- i,- i,-
2. Notifying the practitioner eventually should be done, but it is not the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
priority at this time. i,- i,- i,-
3. Discussing the situation with a family member without the patient's
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
consent is a violation of confidentiality.
i,- i,- i,- i,- i,-
4. The patient has been taught about the medication and adamantly
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
refuses the medication. Further teaching at this time may be viewed by
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the patient as badgering.
i,- i,- i,-
Question:
When caring for a terminally ill patient, a family member says, "I need
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
your help to hasten my mother's death so that she is no longer suffering."
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
, What should the nurse do based on the position of the American Nurse
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
association in relation to assisted suicide? i,- i,- i,- i,- i,-
1) Not participate in active euthanasia.
i,- i,- i,- i,- i,-
2) Participate based on personal values and beliefs.
i,- i,- i,- i,- i,- i,- i,-
3) Participate when the patient is experiencing severe pain.
i,- i,- i,- i,- i,- i,- i,- i,-
4) Not participate unless two practitioners are consulted and the patient
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
has had counseling.?
i,- i,-
Answer:
Correct Answer: 1 (Withholding the medication and docu- menting the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
patient's refusal are the appropriate interventions. Patient's have a right to
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
refuse care.) i,-
2. Notifying the practitioner eventually should be done, but it is not the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
priority at this time. i,- i,- i,- i,-
3. Discussing the situation with a family member without the patient's
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
consent is a violation of confidentiality.
i,- i,- i,- i,- i,-
4. The patient has been taught about the medication and adamantly
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
refuses the medication. Further teaching at this time may be viewed by
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the patient as badgering.
i,- i,- i,-
Question:
A practitioner asks the nurse to witness an informed consent. Which
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
patient does the nurse identify is unable to give an informed consent for
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
surgery?
