NU NSG240 Fundamentals Exam 1 UPDATED ACTUAL
Questions and CORRECT Answers
Glasgow Coma Scale Assessment goal: Assess level of consciousness
Glasgow Coma Scale Assessment Components: Eye Opening (1–4)
Verbal Response (1–5)
Motor Response (1–6)
GCS Score for severe brain injury 3-8
GCS score for moderate brain injury 9-12
GCS score for minor brain injury 13-15
GCS Eye opening response scale 1-4
1: NO response
2: Respond to Pressure
3: Respond to Sound
4: Spontaneous
GCS Verbal Response scale 1-5
1: No response
2: Sounds
3: Inappropriate words
4: Confused
5: Oriented
GCS Motor response scale 1-6
1: No response
2: Extension
3: DeCORticate: arm moves to core
4: Withdraws/ Normal flexion without hand
5: Localizes pain w/ hand
6: Obey verbal command
6 Ethical principles per ANA A. Autonomy
B Veracity
C. Non-maleficence
D. Fidelity
E. Justice
F. Beneficence
H. Advocate
Autonomy Right to make their own decisions about life and healthcare
Veracity The duty to be honest, truthful, and complete in all communication
, Non-maleficence The obligation to "do no harm" or, more accurately, to avoid actions that would
cause harm to a patient
Fidelity The principle of being faithful, keeping promises, and maintaining loyalty and trust
in relationships
Justice The ethical principle of fairness, ensuring the equitable and impartial distribution
of healthcare resources and the fair treatment of all patients, regardless of their
background or status
Beneficence The duty to take positive actions to help others and actively promote their well-
being and best interests
Advocate The role of a person who actively supports or pleads on behalf of a patient or
another individual, ensuring their rights and best interests are upheld
Nursing Practice Act(NPA) Defines the scope of nursing practice sets:
Educational standards
Licensure standards
Disciplinary actions
Who implements and enforces the NPA State Board of Nursing
NPA vs BON NPA provides framework
BON makes and enforces laws
Board of Nursing Creates rules and regulations to enforce the law, and determines the legal duties
and responsibilities of nurses
The Joint Commission (TJC) evaluates and accredits U.S. healthcare organizations and programs to ensure
they meet high standards for patient safety and quality of care
Incident reports are reported to The Joint commission
What is a Sentinel Event? An incident of unsafe practice causing extreme harm, short term harm, or
unexpected harm not due to the patient's illness.
To whom are Sentinel Events reported? The Joint Commission
What is an ethical dilemma? Situation with no clear right or wrong answer, where a nurse must make a difficult
care decision.
What can happen when there is a conflict in values Patient may be in distress
leading to an ethical dilemma
What is an ethics committee? Interdisciplinary group (doctors, nurses, social workers, case managers, etc.).
Helps resolve ethical dilemmas in patient care.
What is Ethics Principles that guide right and wrong conduct in nursing.
Questions and CORRECT Answers
Glasgow Coma Scale Assessment goal: Assess level of consciousness
Glasgow Coma Scale Assessment Components: Eye Opening (1–4)
Verbal Response (1–5)
Motor Response (1–6)
GCS Score for severe brain injury 3-8
GCS score for moderate brain injury 9-12
GCS score for minor brain injury 13-15
GCS Eye opening response scale 1-4
1: NO response
2: Respond to Pressure
3: Respond to Sound
4: Spontaneous
GCS Verbal Response scale 1-5
1: No response
2: Sounds
3: Inappropriate words
4: Confused
5: Oriented
GCS Motor response scale 1-6
1: No response
2: Extension
3: DeCORticate: arm moves to core
4: Withdraws/ Normal flexion without hand
5: Localizes pain w/ hand
6: Obey verbal command
6 Ethical principles per ANA A. Autonomy
B Veracity
C. Non-maleficence
D. Fidelity
E. Justice
F. Beneficence
H. Advocate
Autonomy Right to make their own decisions about life and healthcare
Veracity The duty to be honest, truthful, and complete in all communication
, Non-maleficence The obligation to "do no harm" or, more accurately, to avoid actions that would
cause harm to a patient
Fidelity The principle of being faithful, keeping promises, and maintaining loyalty and trust
in relationships
Justice The ethical principle of fairness, ensuring the equitable and impartial distribution
of healthcare resources and the fair treatment of all patients, regardless of their
background or status
Beneficence The duty to take positive actions to help others and actively promote their well-
being and best interests
Advocate The role of a person who actively supports or pleads on behalf of a patient or
another individual, ensuring their rights and best interests are upheld
Nursing Practice Act(NPA) Defines the scope of nursing practice sets:
Educational standards
Licensure standards
Disciplinary actions
Who implements and enforces the NPA State Board of Nursing
NPA vs BON NPA provides framework
BON makes and enforces laws
Board of Nursing Creates rules and regulations to enforce the law, and determines the legal duties
and responsibilities of nurses
The Joint Commission (TJC) evaluates and accredits U.S. healthcare organizations and programs to ensure
they meet high standards for patient safety and quality of care
Incident reports are reported to The Joint commission
What is a Sentinel Event? An incident of unsafe practice causing extreme harm, short term harm, or
unexpected harm not due to the patient's illness.
To whom are Sentinel Events reported? The Joint Commission
What is an ethical dilemma? Situation with no clear right or wrong answer, where a nurse must make a difficult
care decision.
What can happen when there is a conflict in values Patient may be in distress
leading to an ethical dilemma
What is an ethics committee? Interdisciplinary group (doctors, nurses, social workers, case managers, etc.).
Helps resolve ethical dilemmas in patient care.
What is Ethics Principles that guide right and wrong conduct in nursing.
