1
NU131 Nursing and Healthcare I Exam 2 2026/2027
Actual Exam - Complete Questions with Detailed
Rationales | 100% Verified Graded A+ Pass
Guaranteed - A+ Graded
Section 1: Foundations of Nursing Practice (Q1-12)
Q1: Which historical figure is credited with establishing the first formal nursing training school
and emphasizing environmental sanitation during the Crimean War?
A. Clara Barton
B. Florence Nightingale
C. Dorothea Dix
D. Lillian Wald
Correct Answer: B
Rationale: Florence Nightingale is known as the founder of modern nursing. She established the
Nightingale Training School for nurses at St. Thomas' Hospital in London and significantly
improved sanitary conditions in military hospitals during the Crimean War, drastically reducing
mortality rates.
Q2: A nurse is caring for a postoperative patient who is experiencing severe pain. The nurse
contacts the provider to request a prescription for analgesics. Which role of the nurse is being
demonstrated?
A. Educator
B. Caregiver
C. Advocate
D. Leader
Correct Answer: C
Rationale: A patient advocate actively supports the patient's rights and well-being. By contacting
the provider to address unrelieved pain, the nurse is advocating for the patient's comfort and right
to adequate pain management.
,2
Q3: The Quality and Safety Education for Nurses (QSEN) competency that focuses on
minimizing the risk of harm to patients through both system effectiveness and individual
performance is:
A. Patient-centered care
B. Teamwork and collaboration
C. Safety
D. Informatics
Correct Answer: C
Rationale: The QSEN competency of Safety specifically targets the minimization of risk of harm
to patients. It emphasizes the use of safety standards, error reporting, and system improvements
to ensure individual performance does not lead to preventable injuries.
Q4: A nursing student is asked to explain the purpose of the Nurse Practice Act to a patient.
Which response by the student indicates an accurate understanding?
A. "It is a set of ethical guidelines that governs nurse-patient interactions."
B. "It is a law passed by a state legislature that defines the scope of nursing practice in that state."
C. "It is a federal mandate that determines the educational requirements for all nursing
programs."
D. "It is a voluntary certification that validates a nurse's clinical skills."
Correct Answer: B
Rationale: The Nurse Practice Act (NPA) is a state-specific statute that legally defines the scope
of practice, licensure requirements, and disciplinary actions for nurses within that jurisdiction. It
is not a federal law, an ethical guideline, or a voluntary certification.
Q5: Which nursing role involves coordinating care among multiple healthcare disciplines to
ensure the patient's holistic needs are met?
A. Case manager
B. Primary caregiver
C. Nurse researcher
D. Staff educator
,3
Correct Answer: A
Rationale: A case manager coordinates patient care across different settings and disciplines,
ensuring that medical, emotional, and financial needs are addressed. They act as a liaison
between the patient, family, and interprofessional team.
Q6: A nurse is participating in a committee to reduce the rate of catheter-associated urinary tract
infections (CAUTIs) on the unit. This is an example of which professional nursing role?
A. Researcher
B. Leader
C. Educator
D. Advocate
Correct Answer: B
Rationale: The leadership role in nursing involves influencing others to achieve a common goal,
such as improving patient outcomes. Participating in quality improvement committees to
implement evidence-based practices demonstrates nursing leadership.
Q7: According to the American Nurses Association (ANA) Code of Ethics, the primary
responsibility of the nurse is to:
A. The physician
B. The hospital administration
C. The patient
D. The nursing profession
Correct Answer: C
Rationale: The ANA Code of Ethics explicitly states that the nurse's primary commitment is to
the patient, whether an individual, family, group, or community. While the nurse has obligations
to the profession and employer, the patient's well-being takes precedence.
Q8: A nurse is caring for a patient from a different cultural background who refuses a blood
transfusion due to religious beliefs. The nurse respects this decision and informs the provider.
Which ethical principle is the nurse demonstrating?
, 4
A. Beneficence
B. Non-maleficence
C. Justice
D. Autonomy
Correct Answer: D
Rationale: Autonomy refers to the patient's right to self-determination and the right to make
decisions about their own care, even if those decisions conflict with the medical team's
recommendations. Respecting a religious refusal of treatment upholds autonomy.
Q9: An interprofessional team is rounding on a patient. The nurse contributes information about
the patient's daily living activities and emotional status, while the physical therapist discusses
mobility. This is an example of:
A. Independent nursing practice
B. Interprofessional collaboration
C. Delegation
D. Supervision
Correct Answer: B
Rationale: Interprofessional collaboration occurs when multiple healthcare disciplines work
together, combining their unique expertise to develop a comprehensive, patient-centered care
plan. Each team member contributes distinct knowledge to improve patient outcomes.
Q10: Which QSEN competency requires the nurse to use information and technology to
communicate, manage knowledge, mitigate error, and support decision-making?
A. Quality improvement
B. Evidence-based practice
C. Informatics
D. Teamwork and collaboration
Correct Answer: C
NU131 Nursing and Healthcare I Exam 2 2026/2027
Actual Exam - Complete Questions with Detailed
Rationales | 100% Verified Graded A+ Pass
Guaranteed - A+ Graded
Section 1: Foundations of Nursing Practice (Q1-12)
Q1: Which historical figure is credited with establishing the first formal nursing training school
and emphasizing environmental sanitation during the Crimean War?
A. Clara Barton
B. Florence Nightingale
C. Dorothea Dix
D. Lillian Wald
Correct Answer: B
Rationale: Florence Nightingale is known as the founder of modern nursing. She established the
Nightingale Training School for nurses at St. Thomas' Hospital in London and significantly
improved sanitary conditions in military hospitals during the Crimean War, drastically reducing
mortality rates.
Q2: A nurse is caring for a postoperative patient who is experiencing severe pain. The nurse
contacts the provider to request a prescription for analgesics. Which role of the nurse is being
demonstrated?
A. Educator
B. Caregiver
C. Advocate
D. Leader
Correct Answer: C
Rationale: A patient advocate actively supports the patient's rights and well-being. By contacting
the provider to address unrelieved pain, the nurse is advocating for the patient's comfort and right
to adequate pain management.
,2
Q3: The Quality and Safety Education for Nurses (QSEN) competency that focuses on
minimizing the risk of harm to patients through both system effectiveness and individual
performance is:
A. Patient-centered care
B. Teamwork and collaboration
C. Safety
D. Informatics
Correct Answer: C
Rationale: The QSEN competency of Safety specifically targets the minimization of risk of harm
to patients. It emphasizes the use of safety standards, error reporting, and system improvements
to ensure individual performance does not lead to preventable injuries.
Q4: A nursing student is asked to explain the purpose of the Nurse Practice Act to a patient.
Which response by the student indicates an accurate understanding?
A. "It is a set of ethical guidelines that governs nurse-patient interactions."
B. "It is a law passed by a state legislature that defines the scope of nursing practice in that state."
C. "It is a federal mandate that determines the educational requirements for all nursing
programs."
D. "It is a voluntary certification that validates a nurse's clinical skills."
Correct Answer: B
Rationale: The Nurse Practice Act (NPA) is a state-specific statute that legally defines the scope
of practice, licensure requirements, and disciplinary actions for nurses within that jurisdiction. It
is not a federal law, an ethical guideline, or a voluntary certification.
Q5: Which nursing role involves coordinating care among multiple healthcare disciplines to
ensure the patient's holistic needs are met?
A. Case manager
B. Primary caregiver
C. Nurse researcher
D. Staff educator
,3
Correct Answer: A
Rationale: A case manager coordinates patient care across different settings and disciplines,
ensuring that medical, emotional, and financial needs are addressed. They act as a liaison
between the patient, family, and interprofessional team.
Q6: A nurse is participating in a committee to reduce the rate of catheter-associated urinary tract
infections (CAUTIs) on the unit. This is an example of which professional nursing role?
A. Researcher
B. Leader
C. Educator
D. Advocate
Correct Answer: B
Rationale: The leadership role in nursing involves influencing others to achieve a common goal,
such as improving patient outcomes. Participating in quality improvement committees to
implement evidence-based practices demonstrates nursing leadership.
Q7: According to the American Nurses Association (ANA) Code of Ethics, the primary
responsibility of the nurse is to:
A. The physician
B. The hospital administration
C. The patient
D. The nursing profession
Correct Answer: C
Rationale: The ANA Code of Ethics explicitly states that the nurse's primary commitment is to
the patient, whether an individual, family, group, or community. While the nurse has obligations
to the profession and employer, the patient's well-being takes precedence.
Q8: A nurse is caring for a patient from a different cultural background who refuses a blood
transfusion due to religious beliefs. The nurse respects this decision and informs the provider.
Which ethical principle is the nurse demonstrating?
, 4
A. Beneficence
B. Non-maleficence
C. Justice
D. Autonomy
Correct Answer: D
Rationale: Autonomy refers to the patient's right to self-determination and the right to make
decisions about their own care, even if those decisions conflict with the medical team's
recommendations. Respecting a religious refusal of treatment upholds autonomy.
Q9: An interprofessional team is rounding on a patient. The nurse contributes information about
the patient's daily living activities and emotional status, while the physical therapist discusses
mobility. This is an example of:
A. Independent nursing practice
B. Interprofessional collaboration
C. Delegation
D. Supervision
Correct Answer: B
Rationale: Interprofessional collaboration occurs when multiple healthcare disciplines work
together, combining their unique expertise to develop a comprehensive, patient-centered care
plan. Each team member contributes distinct knowledge to improve patient outcomes.
Q10: Which QSEN competency requires the nurse to use information and technology to
communicate, manage knowledge, mitigate error, and support decision-making?
A. Quality improvement
B. Evidence-based practice
C. Informatics
D. Teamwork and collaboration
Correct Answer: C
