NR 226 – Final Exam 1 Comprehensive Review Study Guide with Practice Questions Latest Edition (2026)

NR 226 ACTUAL FINAL EXAM 1
QUESTIONS WITH CORRECT AND
VERIFIED ANSWERS 100% RATED
CORRECT GRADED A+ 2026 EDITION
A practitioner asks the nurse to witness an informed consent. Which patient does the
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nurse identify is unable to give an informed consent for surgery?
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1) 16 year old boy who is married
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2) 35 year old woman who is depressed
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3) 50 year old woman who does not speak English
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4) 65 year old man who has received a narcotic for pain. - ans-
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Correct Answer: 4 (Narcotics depress the CNS, including decision-making abilities.
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1 - Because legally anyone under 18 who is married can make the decision.
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wrong because a depressed person can make these decisions until proven mentally
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incompetent.
3 - Wrong because this person can provide informed consent after translations.
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When the nurse is administering a medication to a confused patient, the patient says,
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"this pill looks different from the one I had before." What should the nurse do?
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1) Ask what the other pill looked like.
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2) Explain the purpose of the medication.
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3) Check the original medication prescription.
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4) Encourage the patient to take the medication. - ans-
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Correct answer: 3 (This is the safest intervention because it goes to the original sourc
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e of the prescription.)
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Wrong because This action by itself is unsafe because the patient is confused
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h e information obtained may be innacurate.
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,2 - This intervention ignores the patient's concern.
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This action ignores the patient's statement and is unsafe without obtaining additional
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information.

The nurse administers an incorrect dose of a medication to a patient. What is the pri
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mary purpose of documenting this event in an Incident Report?
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1) Record the event for future litigation.
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2) Provide a basis for designing new policies.
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3) Prevent similar situations from happening again.
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4) Ensure accountability for the cause of the accident. - ans-Correct answer: 3 (Risk-
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management committees use stats about accidents & incidents to identify patterns of
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risk and prevent future accidents/incidents.)
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Wrong because although documentation of an incident may be used in a court of la
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w, it is not the primary reason for an incident report.
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2-
This is not the primary reason. New policies may or may not have to be written and i
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mplemented.
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Although nurses are always accountable for their actions, accountability for the caus
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e of an incidence is the role of the courts.
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A practitioner writes a prescription for a medication that is larger than the standard do
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se. What should the nurse do?
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1) Inform the supervisor
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2) Give the drug as prescribed.
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3) Give the average dose of the medication.
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4) Discuss the prescription with the practitioner. - ans-
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Correct Answer: 4 (Nurses have a prof. resonsibility to know/
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investigate the standard dose for medications being administered. In addition, nurses
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are responsible for their own actions regardless of whether there is a written prescript
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ion)

1 - It is unnecessary to call the supervisor.
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2 - This is unsafe for the patient and may result in malpractice.
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3 - Changing a medication prescription is not within the scope of nursing practice.
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When the nurse attempts to administer a medication to a patient, the patient refuses t
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o take the medication because it causes diarrhea. The nurse provides teaching about
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the medication, but the patient continues to adamantly refuse the medication. What s
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hould the nurse do first? ww ww ww ww

, 1) Document the patient's refusal to take the medication.
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2) Notify the practitioner of the patient's refusal to take the medication.
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3) Discuss with a family member the need for the patient to take the medication.
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4) Explain again to the patient the consequences of refusing to take the medication. -
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ans-Correct Answer: 1 (The patient has the right to refuse)
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2. Notifying the practitioner eventually should be done, but it is not the priority at this t
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ime.
3. Discussing the situation with a family member without the patient's consent is a vio
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lation of confidentiality.
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4. The patient has been taught about the medication and adamantly refuses the medi
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cation. Further teaching at this time may be viewed by the patient as badgering.
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When caring for a terminally ill patient, a family member says, "I need your help to ha
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sten my mother's death so that she is no longer suffering." What should the nurse do
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based on the position of the American Nurse association in relation to assisted suicid
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e?

1) Not participate in active euthanasia.
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2) Participate based on personal values and beliefs.
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3) Participate when the patient is experiencing severe pain.
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4) Not participate unless two practitioners are consulted and the patient has had coun
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seling. - ans-Correct Answer: 1 (Withholding the medication and docu-
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menting the patient's refusal are the appropriate interventions. Patient's have a right t
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o refuse care.)
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2. Notifying the practitioner eventually should be done, but it is not the priority at this t
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3. Discussing the situation with a family member without the patient's consent is a vio
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lation of confidentiality.
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4. The patient has been taught about the medication and adamantly refuses the medi
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cation. Further teaching at this time may be viewed by the patient as badgering.
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Which organization is responsible for ensuring that Registered Nurses are minimally q
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ualified to practice nursing?
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1) Sigma Theta Tau
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2) State Boards of Nursing
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3) American Nurses Association
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4) Constituent leagues of the National League for Nursing. - ans-
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Correct Answer: 2. (The National Council of State Boards of Nursing is responsible fo
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r the NCLEX examinations; however, the licensing authority in the jurisdiction in which
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wwthe graduate takes the examination verifies the acceptable score on the examination.
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)