OAKLAND UNIVERSITY NRS 3026 EXAM
3 QUESTION AND ANSWER |YEAR
2026.2027| GRADED A+|| LATEST
UPDATE
During which phase of the cycle of violence does the batterer become contrite
and remorseful?
a. Battering
b. Honeymoon
c. Tension-building
d. Increased drug taking
b
The United States ranks poorly in terms of worldwide infant mortality rates.
Which factor has the greatest impact on decreasing the mortality rate of infants?
a. Providing more women's shelters
b. Ensuring early and adequate prenatal care
c. Resolving all language and cultural differences
d. Enrolling pregnant women in the Medicaid program by their eighth month of
pregnancy
b
The nurse is planning a teaching session for staff on ethical theories. Which
situation best reflects the Deontologic theory?
a. Approving a physician-assisted suicide
b. Supporting the transplantation of fetal tissue and organs
c. Using experimental medications for the treatment of AIDS
d. Initiating resuscitative measures on a 90-year-old patient with terminal cancer
d
Which step of the nursing process is being used when the nurse decides whether
an ethical dilemma exists?
a. Analysis
b. Planning
c. Evaluation
d. Assessment
a
The nurse is interviewing a patient who is 6-weeks pregnant. The patient asks the
nurse, "Why is elective abortion such an ethical issue?" Which response by the
,nurse is most appropriate?
a. Abortion requires third-party consent.
b. The U.S. Supreme Court ruled that life begins at conception.
c. Abortion law is unclear about a woman's constitutional rights
d. There is a conflict between the rights of the woman and the rights of the fetus.
d
At the present time, which agency governs surrogate parenting?
a. State law
b. Federal law
c. Individual court decision
d. Protective child services
c
Which patient will most likely seek prenatal care?
a. A 15-year-old who patient who tells her friends, "I just don't believe that I am
pregnant."
b. A 28-year-old who is in her second pregnancy and abuses drugs and alcohol.
c. A 20-year-old who is in her first pregnancy and has access to a free prenatal
clinic.
d. A 30-year-old who is in her fifth pregnancy and delivered her last infant at
home with the help of her mother and sister.
c
A medical-surgical nurse is asked to float to a women's health unit to care for
patients who are scheduled for therapeutic abortions. The nurse refuses to
accept this assignment and expresses her personal beliefs as being incongruent
with this medical practice The nursing supervisor states that the unit is short-
staffed and the nurse is familiar with caring for postoperative patients. In
consideration of legal and ethical practices, can the nursing supervisor enforce
this assignment?
a. The staff nurse has the responsibility of accepting any assignment that is made
while working for a health care unit, so the nursing supervisor is within his or her
rights to enforce this assignment
b. Because the unit is short-staffed, the staff nurse should accept the assignment
to provide care by benefit of her or his experience to patients who need care
c. The staff nurse has expressed a legitimate concern based on his or her fee
c
With regard to an obstetric litigation case, a nurse working in labor and birth is
found to be negligent. Which intervention performed by the nurse indicates that a
breach of duty has occurred?
a. The nurse did not document fetal heart tones (FHR) during the second stage of
labor.
b. The patient was only provided ice chips during the labor period, which lasted 8
,hours.
c. The nurse allowed the patient to use bathroom rather than a bedpan during the
first stage of labor.
d. The nurse asked family members to leave the room when she prepared to do a
pelvic exam on the patient.
a
A nurse is working with an active labor who is in preterm labor and has been
designated as high risk. The patient is very apprehensive and asks the nurse, "Is
everything going to be all right?" Th nurse replies, "Yes, everything will be okay."
Following delivery via an emergency cesarean birth, the newborn undergoes
resuscitation and does not survive. The patient is distraught over the outcome
nad blames the nurse for telling her that everything would be okay. Which ethical
principle did the nurse violate?
a. Autonomy
b. Fidelity
c. Beneficience
d. Accountability
b
A nurse is working in the area of labor and birth. Her assignment is to take care of
a gravida 1 para 0 woman who presents in early labor at term. Vaginal exam
reflects the following: 2 cm, cervix posterior, — 1 station, and vertex with
membranes intact. The patient asks the nurse if she can break her water so that
her labor can go faster. The nurse's response, based on the ethical principle of
malficience, is which of the following?
a. Tell the patient that she will have to wait until she has progressed further on
the vaginal exam and then she will perform an amniotomy.
b. Have the patient write down her request and then call the physician for an
order to implement the amniotomy.
c. Instruct the patient that only a physician or certified midwife can perform this
procedure.
d. Give the patient an enema to stimulate labor.
c
A nurse working in a labor and birth unit is asked to take care of two high-risk
patients in the labor and birth suite: a 34 weeks' gestation 28-year-old gravida 3,
para 2 in preterm labor and a 40-year-old gravida 1, para 0 who is severely
preeclamptic. The nurse refuses this assignment telling the charge nurse that
based on individual patient acuity, each patient should have one-on-one care.
Which ethical principle is the nurse advocating?
a. Accountability
b. Beneficience
c. Justice
d. Fidelity
b
, A charge nurse is working on a postpartum unit and discovers that the one of the
patients did not receive AM care during her shift assessment. The charge nurse
questions the nurse assigned to provide care and finds out that the nurse
thought "the patient should just do it by herself because she will not have to do
this at home." On further questioning of the nurse, it is determined that the rest of
her assigned patients were provided AM care. The assigned nurse has violated
which ethical principle?
a. Justice
b. Truth
c. Confidentiality
d. Autonomy
a
A nurse is entering information on the patient's electronic health record (EHR)
and is called to assist in an emergency situation with regard to another patient in
the labor and birth suite. The nurse rushes to the scene to assist; however, she
leaves the chart open on the computer screen. The emergent patient situation is
resolved satisfactorily, and the nurse comes back to the computer entry screen to
complete charting. At the end of the shift, the nurse manager asks to speak with
the nurse and tells her that she is concerned with what happened today on the
unit because there was a breach in confidentiality. Which response by the nurse
indicates that she understands the nurse manager's concerns?
a. The nurse acknowledges that she should have made sure that her patient was
safe before assisting with the emergency.
b. The nurse states that she should have logged out of the EHR prior to attending
to the emergency.
b
A nurse is admitting a patient to the labor and birth unit in early labor that was
sent to the facility following a checkup with her health care provider in the office.
The patient is a gravida 1, para 0, and is at term. No health issues are discerned
from the initial assessment, and the nurse prepares to initiate physician orders
based on standard procedures. Which action by the nurse manager is warranted
in this situation?
a. No action is indicated because the nurse is acting within the scope of practice.
b. The nurse manager should intervene and ask the nurse to clarify admission
orders directly with the physician.
c. The nurse manager should review standard procedures with the nurse to
validate that orders are being carried accurately.
d. The nurse manager should review the admission procedure with the nurse.
a
A nurse who works in the emergency department (ED) is assigned to a patient
who is experiencing heavy vaginal bleeding at 12 weeks' gestation. An ultrasound
has confirmed the absence of a fetal heart rate, and the patient is scheduled for a
dilation and evacuation of the pregnancy. The nurse refuses to provide any
3 QUESTION AND ANSWER |YEAR
2026.2027| GRADED A+|| LATEST
UPDATE
During which phase of the cycle of violence does the batterer become contrite
and remorseful?
a. Battering
b. Honeymoon
c. Tension-building
d. Increased drug taking
b
The United States ranks poorly in terms of worldwide infant mortality rates.
Which factor has the greatest impact on decreasing the mortality rate of infants?
a. Providing more women's shelters
b. Ensuring early and adequate prenatal care
c. Resolving all language and cultural differences
d. Enrolling pregnant women in the Medicaid program by their eighth month of
pregnancy
b
The nurse is planning a teaching session for staff on ethical theories. Which
situation best reflects the Deontologic theory?
a. Approving a physician-assisted suicide
b. Supporting the transplantation of fetal tissue and organs
c. Using experimental medications for the treatment of AIDS
d. Initiating resuscitative measures on a 90-year-old patient with terminal cancer
d
Which step of the nursing process is being used when the nurse decides whether
an ethical dilemma exists?
a. Analysis
b. Planning
c. Evaluation
d. Assessment
a
The nurse is interviewing a patient who is 6-weeks pregnant. The patient asks the
nurse, "Why is elective abortion such an ethical issue?" Which response by the
,nurse is most appropriate?
a. Abortion requires third-party consent.
b. The U.S. Supreme Court ruled that life begins at conception.
c. Abortion law is unclear about a woman's constitutional rights
d. There is a conflict between the rights of the woman and the rights of the fetus.
d
At the present time, which agency governs surrogate parenting?
a. State law
b. Federal law
c. Individual court decision
d. Protective child services
c
Which patient will most likely seek prenatal care?
a. A 15-year-old who patient who tells her friends, "I just don't believe that I am
pregnant."
b. A 28-year-old who is in her second pregnancy and abuses drugs and alcohol.
c. A 20-year-old who is in her first pregnancy and has access to a free prenatal
clinic.
d. A 30-year-old who is in her fifth pregnancy and delivered her last infant at
home with the help of her mother and sister.
c
A medical-surgical nurse is asked to float to a women's health unit to care for
patients who are scheduled for therapeutic abortions. The nurse refuses to
accept this assignment and expresses her personal beliefs as being incongruent
with this medical practice The nursing supervisor states that the unit is short-
staffed and the nurse is familiar with caring for postoperative patients. In
consideration of legal and ethical practices, can the nursing supervisor enforce
this assignment?
a. The staff nurse has the responsibility of accepting any assignment that is made
while working for a health care unit, so the nursing supervisor is within his or her
rights to enforce this assignment
b. Because the unit is short-staffed, the staff nurse should accept the assignment
to provide care by benefit of her or his experience to patients who need care
c. The staff nurse has expressed a legitimate concern based on his or her fee
c
With regard to an obstetric litigation case, a nurse working in labor and birth is
found to be negligent. Which intervention performed by the nurse indicates that a
breach of duty has occurred?
a. The nurse did not document fetal heart tones (FHR) during the second stage of
labor.
b. The patient was only provided ice chips during the labor period, which lasted 8
,hours.
c. The nurse allowed the patient to use bathroom rather than a bedpan during the
first stage of labor.
d. The nurse asked family members to leave the room when she prepared to do a
pelvic exam on the patient.
a
A nurse is working with an active labor who is in preterm labor and has been
designated as high risk. The patient is very apprehensive and asks the nurse, "Is
everything going to be all right?" Th nurse replies, "Yes, everything will be okay."
Following delivery via an emergency cesarean birth, the newborn undergoes
resuscitation and does not survive. The patient is distraught over the outcome
nad blames the nurse for telling her that everything would be okay. Which ethical
principle did the nurse violate?
a. Autonomy
b. Fidelity
c. Beneficience
d. Accountability
b
A nurse is working in the area of labor and birth. Her assignment is to take care of
a gravida 1 para 0 woman who presents in early labor at term. Vaginal exam
reflects the following: 2 cm, cervix posterior, — 1 station, and vertex with
membranes intact. The patient asks the nurse if she can break her water so that
her labor can go faster. The nurse's response, based on the ethical principle of
malficience, is which of the following?
a. Tell the patient that she will have to wait until she has progressed further on
the vaginal exam and then she will perform an amniotomy.
b. Have the patient write down her request and then call the physician for an
order to implement the amniotomy.
c. Instruct the patient that only a physician or certified midwife can perform this
procedure.
d. Give the patient an enema to stimulate labor.
c
A nurse working in a labor and birth unit is asked to take care of two high-risk
patients in the labor and birth suite: a 34 weeks' gestation 28-year-old gravida 3,
para 2 in preterm labor and a 40-year-old gravida 1, para 0 who is severely
preeclamptic. The nurse refuses this assignment telling the charge nurse that
based on individual patient acuity, each patient should have one-on-one care.
Which ethical principle is the nurse advocating?
a. Accountability
b. Beneficience
c. Justice
d. Fidelity
b
, A charge nurse is working on a postpartum unit and discovers that the one of the
patients did not receive AM care during her shift assessment. The charge nurse
questions the nurse assigned to provide care and finds out that the nurse
thought "the patient should just do it by herself because she will not have to do
this at home." On further questioning of the nurse, it is determined that the rest of
her assigned patients were provided AM care. The assigned nurse has violated
which ethical principle?
a. Justice
b. Truth
c. Confidentiality
d. Autonomy
a
A nurse is entering information on the patient's electronic health record (EHR)
and is called to assist in an emergency situation with regard to another patient in
the labor and birth suite. The nurse rushes to the scene to assist; however, she
leaves the chart open on the computer screen. The emergent patient situation is
resolved satisfactorily, and the nurse comes back to the computer entry screen to
complete charting. At the end of the shift, the nurse manager asks to speak with
the nurse and tells her that she is concerned with what happened today on the
unit because there was a breach in confidentiality. Which response by the nurse
indicates that she understands the nurse manager's concerns?
a. The nurse acknowledges that she should have made sure that her patient was
safe before assisting with the emergency.
b. The nurse states that she should have logged out of the EHR prior to attending
to the emergency.
b
A nurse is admitting a patient to the labor and birth unit in early labor that was
sent to the facility following a checkup with her health care provider in the office.
The patient is a gravida 1, para 0, and is at term. No health issues are discerned
from the initial assessment, and the nurse prepares to initiate physician orders
based on standard procedures. Which action by the nurse manager is warranted
in this situation?
a. No action is indicated because the nurse is acting within the scope of practice.
b. The nurse manager should intervene and ask the nurse to clarify admission
orders directly with the physician.
c. The nurse manager should review standard procedures with the nurse to
validate that orders are being carried accurately.
d. The nurse manager should review the admission procedure with the nurse.
a
A nurse who works in the emergency department (ED) is assigned to a patient
who is experiencing heavy vaginal bleeding at 12 weeks' gestation. An ultrasound
has confirmed the absence of a fetal heart rate, and the patient is scheduled for a
dilation and evacuation of the pregnancy. The nurse refuses to provide any
