NUR 170 Final Exam: (Latest 2026/2027 Update) Delegation, Ethics,
Pharmacology, Anatomy & Physiology | Q&A Grade A
Complete Review: 5 Rights of Delegation, Ethical Principles (Veracity, Nonmaleficence, Fidelity), ICP, Eye Disorders, Wound
Healing, Cardiac Output, Pharmacokinetics, and Infection Control
SUBJECT SOURCE FORMAT
Foundations of Nursing / NUR 170 Galen Final Exam Study Guide Q&A Guide with Rationale
2026/2027
Q1
List the 5 rights of delegation.
CORRECT ANSWER
Right task, Right circumstance, Right person, Right direction/communication, Right
supervision/evaluation
RATIONALE
• Delegation transfers authority but not accountability.
• RN must ensure task is within delegatee's scope and competence.
• Ongoing supervision and evaluation are required.
Q2
Define veracity, nonmaleficence, and fidelity.
CORRECT ANSWER
Veracity = truth telling; Nonmaleficence = duty to do no harm; Fidelity = fulfillment of promises.
RATIONALE
• Veracity builds trust between nurse and patient.
• Nonmaleficence requires balancing risks and benefits.
• Fidelity includes keeping commitments and maintaining competence.
, Q3
What is normal intracranial pressure (ICP)?
CORRECT ANSWER
5‑15 mmHg
RATIONALE
• ICP >20 mmHg requires intervention.
• Maintain cerebral perfusion pressure (CPP = MAP – ICP) >60 mmHg.
• Elevate HOB, avoid neck flexion, and prevent Valsalva.
Q4
Differentiate between decorticate and decerebrate posturing.
CORRECT ANSWER
Decorticate (above brainstem): arms flexed, legs extended. Decerebrate (below brainstem): arms and legs
extended (worse prognosis).
RATIONALE
• Decorticate indicates hemispheric damage.
• Decerebrate indicates brainstem damage.
• Decerebrate is more severe and associated with worse outcomes.
Q5
What is the difference between myotic and mydriatic eye drops?
CORRECT ANSWER
Myotic = constricts pupil (decreases pressure); Mydriatic = dilates pupil (increases pressure).
RATIONALE
• Myotics (pilocarpine) used in glaucoma to open outflow channels.
• Mydriatics (atropine) used for eye exams; contraindicated in narrow‑angle glaucoma.
• Punctal occlusion reduces systemic absorption.
Pharmacology, Anatomy & Physiology | Q&A Grade A
Complete Review: 5 Rights of Delegation, Ethical Principles (Veracity, Nonmaleficence, Fidelity), ICP, Eye Disorders, Wound
Healing, Cardiac Output, Pharmacokinetics, and Infection Control
SUBJECT SOURCE FORMAT
Foundations of Nursing / NUR 170 Galen Final Exam Study Guide Q&A Guide with Rationale
2026/2027
Q1
List the 5 rights of delegation.
CORRECT ANSWER
Right task, Right circumstance, Right person, Right direction/communication, Right
supervision/evaluation
RATIONALE
• Delegation transfers authority but not accountability.
• RN must ensure task is within delegatee's scope and competence.
• Ongoing supervision and evaluation are required.
Q2
Define veracity, nonmaleficence, and fidelity.
CORRECT ANSWER
Veracity = truth telling; Nonmaleficence = duty to do no harm; Fidelity = fulfillment of promises.
RATIONALE
• Veracity builds trust between nurse and patient.
• Nonmaleficence requires balancing risks and benefits.
• Fidelity includes keeping commitments and maintaining competence.
, Q3
What is normal intracranial pressure (ICP)?
CORRECT ANSWER
5‑15 mmHg
RATIONALE
• ICP >20 mmHg requires intervention.
• Maintain cerebral perfusion pressure (CPP = MAP – ICP) >60 mmHg.
• Elevate HOB, avoid neck flexion, and prevent Valsalva.
Q4
Differentiate between decorticate and decerebrate posturing.
CORRECT ANSWER
Decorticate (above brainstem): arms flexed, legs extended. Decerebrate (below brainstem): arms and legs
extended (worse prognosis).
RATIONALE
• Decorticate indicates hemispheric damage.
• Decerebrate indicates brainstem damage.
• Decerebrate is more severe and associated with worse outcomes.
Q5
What is the difference between myotic and mydriatic eye drops?
CORRECT ANSWER
Myotic = constricts pupil (decreases pressure); Mydriatic = dilates pupil (increases pressure).
RATIONALE
• Myotics (pilocarpine) used in glaucoma to open outflow channels.
• Mydriatics (atropine) used for eye exams; contraindicated in narrow‑angle glaucoma.
• Punctal occlusion reduces systemic absorption.
