NUR 210 EXAM 1 TEST BANK 2026/2027 | 100% Correct
Answers with Complete Solutions | Foundations of Nursing,
Nursing Process, Health Assessment, Safety & Infection
Control, Basic Care & Comfort | Pass Guaranteed - A+
Graded
Unit 1: Foundations of Nursing Practice (35 Questions)
Q1: A 67-year-old patient with terminal cancer refuses pain medication, stating "I need
to suffer to atone for my past." The nurse recognizes this as a spiritual concern and
responds therapeutically. Which response demonstrates the best therapeutic
communication?
A. "You shouldn't think that way—modern medicine can help you."
B. "Tell me more about what suffering means to you and your beliefs" [CORRECT]
C. "Your doctor ordered this medication, so you really should take it."
D. "Everyone feels guilty sometimes, but you need to focus on getting better."
Correct Answer: B
Rationale: Therapeutic communication requires exploring the patient's perspective
without judgment. This open-ended response invites the patient to share spiritual
beliefs, allowing the nurse to understand the meaning behind the refusal and potentially
involve chaplaincy or spiritual care. Option A dismisses the patient's belief system.
Option C uses authority in a non-therapeutic way. Option D minimizes feelings and
,imposes the nurse's perspective. Understanding spiritual distress is fundamental to
holistic nursing care per Watson's Theory of Human Caring.
Q2: A nurse discovers that a colleague documented administering medications that
were not actually given. According to the ANA Code of Ethics and legal standards,
which action must the nurse take?
A. Confront the colleague privately and accept their promise to never do it again
B. Report the incident to the nursing supervisor or appropriate authority immediately
[CORRECT]
C. Document the discrepancy in the patient's medical record
D. Ignore it unless a patient is harmed, as reporting could damage the colleague's career
Correct Answer: B
Rationale: Falsified documentation constitutes fraud and jeopardizes patient safety.
Provision 3.5 of the ANA Code of Ethics requires nurses to protect patients from
impaired practice, including reporting through proper channels. This maintains
professional accountability and institutional quality assurance. Option A enables
continued unsafe practice. Option C is inappropriate documentation (incident reports
are separate). Option D violates ethical and legal obligations, potentially allowing harm
to occur.
,Q3: A nursing student is analyzing Florence Nightingale's contributions to modern
nursing. Which principle is most attributed to her work during the Crimean War?
A. Development of the first nursing theory based on energy fields
B. Establishment of sanitation, hygiene, and statistical analysis of patient outcomes
[CORRECT]
C. Creation of the first nurse practitioner role
D. Focus on psychosocial care rather than physical environment
Correct Answer: B
Rationale: Nightingale's Environmental Theory emphasized clean air, water, drainage,
and sanitation, reducing mortality from 42% to 2% at Scutari Hospital. She pioneered
statistical analysis using polar area diagrams (coxcombs) to demonstrate nursing's
impact on outcomes. Option A describes Martha Rogers' Science of Unitary Human
Beings. Option C occurred in the 1960s with Loretta Ford. Option D describes later
psychosocial nursing theories.
Q4: A patient with diabetes is admitted after a motor vehicle accident. The patient asks
the nurse not to inform their spouse about the diabetes diagnosis, fearing family
conflict. The spouse arrives and asks about the patient's condition. Which action
demonstrates appropriate ethical decision-making?
A. Honor the patient's request completely and tell the spouse only about the accident
injuries
B. Explain to the patient that HIPAA requires disclosure to family members
, C. Explore with the patient what specific information can be shared and facilitate a
family conversation if the patient consents [CORRECT]
D. Tell the spouse everything, as family has a right to know for caregiving purposes
Correct Answer: C
Rationale: HIPAA protects patient health information; disclosure requires patient
authorization unless specific exceptions apply (minors, public health threats, court
orders). The nurse should negotiate information sharing, respecting autonomy while
facilitating family support if the patient consents. Option A may be acceptable but
doesn't explore collaborative solutions. Option B misrepresents HIPAA. Option D
violates patient confidentiality rights.
Q5: A nurse is delegating tasks to a UAP on a busy medical-surgical unit. Which task is
appropriate to delegate according to the five rights of delegation?
A. Assessing a newly admitted patient's pain level and vital signs
B. Administering oral antibiotics to a patient with stable vital signs
C. Assisting a stable, independent patient with ambulation to the bathroom [CORRECT]
D. Educating a patient with newly diagnosed heart failure about sodium restriction
Correct Answer: C
Rationale: The five rights of delegation (right task, right circumstance, right person, right
direction/communication, right supervision) allow delegation of stable, routine activities
Answers with Complete Solutions | Foundations of Nursing,
Nursing Process, Health Assessment, Safety & Infection
Control, Basic Care & Comfort | Pass Guaranteed - A+
Graded
Unit 1: Foundations of Nursing Practice (35 Questions)
Q1: A 67-year-old patient with terminal cancer refuses pain medication, stating "I need
to suffer to atone for my past." The nurse recognizes this as a spiritual concern and
responds therapeutically. Which response demonstrates the best therapeutic
communication?
A. "You shouldn't think that way—modern medicine can help you."
B. "Tell me more about what suffering means to you and your beliefs" [CORRECT]
C. "Your doctor ordered this medication, so you really should take it."
D. "Everyone feels guilty sometimes, but you need to focus on getting better."
Correct Answer: B
Rationale: Therapeutic communication requires exploring the patient's perspective
without judgment. This open-ended response invites the patient to share spiritual
beliefs, allowing the nurse to understand the meaning behind the refusal and potentially
involve chaplaincy or spiritual care. Option A dismisses the patient's belief system.
Option C uses authority in a non-therapeutic way. Option D minimizes feelings and
,imposes the nurse's perspective. Understanding spiritual distress is fundamental to
holistic nursing care per Watson's Theory of Human Caring.
Q2: A nurse discovers that a colleague documented administering medications that
were not actually given. According to the ANA Code of Ethics and legal standards,
which action must the nurse take?
A. Confront the colleague privately and accept their promise to never do it again
B. Report the incident to the nursing supervisor or appropriate authority immediately
[CORRECT]
C. Document the discrepancy in the patient's medical record
D. Ignore it unless a patient is harmed, as reporting could damage the colleague's career
Correct Answer: B
Rationale: Falsified documentation constitutes fraud and jeopardizes patient safety.
Provision 3.5 of the ANA Code of Ethics requires nurses to protect patients from
impaired practice, including reporting through proper channels. This maintains
professional accountability and institutional quality assurance. Option A enables
continued unsafe practice. Option C is inappropriate documentation (incident reports
are separate). Option D violates ethical and legal obligations, potentially allowing harm
to occur.
,Q3: A nursing student is analyzing Florence Nightingale's contributions to modern
nursing. Which principle is most attributed to her work during the Crimean War?
A. Development of the first nursing theory based on energy fields
B. Establishment of sanitation, hygiene, and statistical analysis of patient outcomes
[CORRECT]
C. Creation of the first nurse practitioner role
D. Focus on psychosocial care rather than physical environment
Correct Answer: B
Rationale: Nightingale's Environmental Theory emphasized clean air, water, drainage,
and sanitation, reducing mortality from 42% to 2% at Scutari Hospital. She pioneered
statistical analysis using polar area diagrams (coxcombs) to demonstrate nursing's
impact on outcomes. Option A describes Martha Rogers' Science of Unitary Human
Beings. Option C occurred in the 1960s with Loretta Ford. Option D describes later
psychosocial nursing theories.
Q4: A patient with diabetes is admitted after a motor vehicle accident. The patient asks
the nurse not to inform their spouse about the diabetes diagnosis, fearing family
conflict. The spouse arrives and asks about the patient's condition. Which action
demonstrates appropriate ethical decision-making?
A. Honor the patient's request completely and tell the spouse only about the accident
injuries
B. Explain to the patient that HIPAA requires disclosure to family members
, C. Explore with the patient what specific information can be shared and facilitate a
family conversation if the patient consents [CORRECT]
D. Tell the spouse everything, as family has a right to know for caregiving purposes
Correct Answer: C
Rationale: HIPAA protects patient health information; disclosure requires patient
authorization unless specific exceptions apply (minors, public health threats, court
orders). The nurse should negotiate information sharing, respecting autonomy while
facilitating family support if the patient consents. Option A may be acceptable but
doesn't explore collaborative solutions. Option B misrepresents HIPAA. Option D
violates patient confidentiality rights.
Q5: A nurse is delegating tasks to a UAP on a busy medical-surgical unit. Which task is
appropriate to delegate according to the five rights of delegation?
A. Assessing a newly admitted patient's pain level and vital signs
B. Administering oral antibiotics to a patient with stable vital signs
C. Assisting a stable, independent patient with ambulation to the bathroom [CORRECT]
D. Educating a patient with newly diagnosed heart failure about sodium restriction
Correct Answer: C
Rationale: The five rights of delegation (right task, right circumstance, right person, right
direction/communication, right supervision) allow delegation of stable, routine activities
