Exam 4: NSG300 / NSG 300 (Latest 2026/2027 Update) Foundations of Nursing Exam | Questions
OBJECTIVE ASSESSMENT - EXAM
Exam 4: NSG300 / NSG 300 Foundations of
Nursing
Latest 2026/2027 Update | Grade A - GCU
75 100% 2026/2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
- Nursing Fundamentals & Professional Practice - Health Assessment & Physical Examination
- Pharmacology & Medication Administration - Patient Safety & Infection Control
- Communication, Documentation & Care Coordination
- Evidence-Based Practice & Quality Improvement
COVER PAGE - 1
,Section 1: Nursing Fundamentals & Professional Practice
Weight: 20% | 15 Questions
Q1.
A newly licensed RN is preparing to assume care for a 68-year-old client admitted with heart failure.
The nurse recalls that the American Nurses Association (ANA) Code of Ethics for Nurses emphasizes
several provisions. When the nurse advocates for the client's right to refuse a recommended invasive
procedure, which ethical provision is being upheld?
Provision 1: The nurse practices with compassion and respect for the inherent dignity of every person
Provision 3: The nurse promotes, advocates for, and protects the rights of the patient
Provision 5: The nurse owes the same duties to self as to others
Provision 7: The nurse advances the profession through research and scholarly inquiry
Correct Answer: B
Rationale:
Provision 3 of the ANA Code of Ethics specifically addresses the nurse's duty to promote, advocate for, and protect the
rights of the patient, including the right to autonomy and informed refusal. While Provision 1 addresses respect for
dignity, the active advocacy for patient rights falls squarely under Provision 3.
Q2.
A nursing student is caring for a postoperative client who confides that they do not want their family to
know about a recent cancer diagnosis. The student wants to share this information with the client's
spouse, believing the spouse has a right to know. What is the most appropriate ethical principle
guiding the nurse's action in this situation?
Beneficence, because sharing the diagnosis will help the family provide better support
Autonomy, because the client has the right to determine who receives their health information
Justice, because all family members deserve equal access to the client's medical information
Fidelity, because the nurse must be loyal to the family's needs rather than the client's wishes
Correct Answer: B
Rationale:
Autonomy is the ethical principle that respects the client's right to self-determination, including control over their personal
health information. HIPAA and professional ethics require the nurse to maintain confidentiality unless the client provides
consent, regardless of the family's perceived need to know.
, Q3.
An RN is delegating the task of obtaining vital signs on stable postoperative clients to an unlicensed
assistive personnel (UAP). According to the National Council of State Boards of Nursing (NCSBN)
delegation model, which factor must the RN evaluate before making this delegation decision?
The UAP's personal preference for which clients to assess
The stability of the client and the predictability of the outcome
The number of years the UAP has worked on the unit
The availability of the charge nurse to supervise the UAP
Correct Answer: B
Rationale:
The NCSBN delegation model requires the RN to assess the stability of the client and the predictability of the outcome
before delegating tasks. Vital signs on stable postoperative clients are appropriate for delegation because the outcomes
are predictable, whereas unstable clients require RN-level assessment and intervention.
Q4.
A nurse manager is reviewing the scope of practice for licensed practical nurses (LPNs) in their state.
The LPN asks to administer an intravenous push medication of furosemide to a client with acute
pulmonary edema. What is the most appropriate response from the nurse manager?
Allow the LPN to administer the medication under direct RN supervision
Deny the request because IV push medications typically exceed the LPN scope of practice
Ask the LPN to complete a competency checklist before administering the medication
Refer the request to the physician for a direct order to the LPN
Correct Answer: B
Rationale:
IV push medications, particularly those with rapid onset and narrow therapeutic windows like furosemide, generally
exceed the scope of practice for LPNs in most states. The RN retains responsibility for tasks requiring complex
assessment and rapid clinical judgment, which IV push administration necessitates.
Q5.
A nurse is caring for a client with end-stage renal disease who refuses dialysis treatment. The client's
family insists that the nurse convince the client to continue treatment. Which response best
demonstrates the nurse's understanding of the ethical principle of nonmaleficence?
The nurse should persuade the client to continue dialysis to avoid family conflict
The nurse should respect the client's decision while ensuring the client understands the consequences
The nurse should request a psychiatric evaluation to determine the client's decision-making capacity
The nurse should involve the hospital ethics committee to override the client's refusal
Correct Answer: B
Rationale:
Nonmaleficence requires the nurse to avoid causing harm, which includes respecting a competent client's right to refuse
treatment while ensuring informed decision-making. Coercing the client or overriding autonomy would cause
psychological harm, whereas respecting the decision with full information upholds both nonmaleficence and autonomy.
4: NSG300 / NSG 300 (Latest 2026/2027 Update) Foundations of Nursing Exam | Questions and Verified Answers | 100% Correct | Grade A - GCU 2026/2027
OBJECTIVE ASSESSMENT - EXAM
Exam 4: NSG300 / NSG 300 Foundations of
Nursing
Latest 2026/2027 Update | Grade A - GCU
75 100% 2026/2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
- Nursing Fundamentals & Professional Practice - Health Assessment & Physical Examination
- Pharmacology & Medication Administration - Patient Safety & Infection Control
- Communication, Documentation & Care Coordination
- Evidence-Based Practice & Quality Improvement
COVER PAGE - 1
,Section 1: Nursing Fundamentals & Professional Practice
Weight: 20% | 15 Questions
Q1.
A newly licensed RN is preparing to assume care for a 68-year-old client admitted with heart failure.
The nurse recalls that the American Nurses Association (ANA) Code of Ethics for Nurses emphasizes
several provisions. When the nurse advocates for the client's right to refuse a recommended invasive
procedure, which ethical provision is being upheld?
Provision 1: The nurse practices with compassion and respect for the inherent dignity of every person
Provision 3: The nurse promotes, advocates for, and protects the rights of the patient
Provision 5: The nurse owes the same duties to self as to others
Provision 7: The nurse advances the profession through research and scholarly inquiry
Correct Answer: B
Rationale:
Provision 3 of the ANA Code of Ethics specifically addresses the nurse's duty to promote, advocate for, and protect the
rights of the patient, including the right to autonomy and informed refusal. While Provision 1 addresses respect for
dignity, the active advocacy for patient rights falls squarely under Provision 3.
Q2.
A nursing student is caring for a postoperative client who confides that they do not want their family to
know about a recent cancer diagnosis. The student wants to share this information with the client's
spouse, believing the spouse has a right to know. What is the most appropriate ethical principle
guiding the nurse's action in this situation?
Beneficence, because sharing the diagnosis will help the family provide better support
Autonomy, because the client has the right to determine who receives their health information
Justice, because all family members deserve equal access to the client's medical information
Fidelity, because the nurse must be loyal to the family's needs rather than the client's wishes
Correct Answer: B
Rationale:
Autonomy is the ethical principle that respects the client's right to self-determination, including control over their personal
health information. HIPAA and professional ethics require the nurse to maintain confidentiality unless the client provides
consent, regardless of the family's perceived need to know.
, Q3.
An RN is delegating the task of obtaining vital signs on stable postoperative clients to an unlicensed
assistive personnel (UAP). According to the National Council of State Boards of Nursing (NCSBN)
delegation model, which factor must the RN evaluate before making this delegation decision?
The UAP's personal preference for which clients to assess
The stability of the client and the predictability of the outcome
The number of years the UAP has worked on the unit
The availability of the charge nurse to supervise the UAP
Correct Answer: B
Rationale:
The NCSBN delegation model requires the RN to assess the stability of the client and the predictability of the outcome
before delegating tasks. Vital signs on stable postoperative clients are appropriate for delegation because the outcomes
are predictable, whereas unstable clients require RN-level assessment and intervention.
Q4.
A nurse manager is reviewing the scope of practice for licensed practical nurses (LPNs) in their state.
The LPN asks to administer an intravenous push medication of furosemide to a client with acute
pulmonary edema. What is the most appropriate response from the nurse manager?
Allow the LPN to administer the medication under direct RN supervision
Deny the request because IV push medications typically exceed the LPN scope of practice
Ask the LPN to complete a competency checklist before administering the medication
Refer the request to the physician for a direct order to the LPN
Correct Answer: B
Rationale:
IV push medications, particularly those with rapid onset and narrow therapeutic windows like furosemide, generally
exceed the scope of practice for LPNs in most states. The RN retains responsibility for tasks requiring complex
assessment and rapid clinical judgment, which IV push administration necessitates.
Q5.
A nurse is caring for a client with end-stage renal disease who refuses dialysis treatment. The client's
family insists that the nurse convince the client to continue treatment. Which response best
demonstrates the nurse's understanding of the ethical principle of nonmaleficence?
The nurse should persuade the client to continue dialysis to avoid family conflict
The nurse should respect the client's decision while ensuring the client understands the consequences
The nurse should request a psychiatric evaluation to determine the client's decision-making capacity
The nurse should involve the hospital ethics committee to override the client's refusal
Correct Answer: B
Rationale:
Nonmaleficence requires the nurse to avoid causing harm, which includes respecting a competent client's right to refuse
treatment while ensuring informed decision-making. Coercing the client or overriding autonomy would cause
psychological harm, whereas respecting the decision with full information upholds both nonmaleficence and autonomy.
4: NSG300 / NSG 300 (Latest 2026/2027 Update) Foundations of Nursing Exam | Questions and Verified Answers | 100% Correct | Grade A - GCU 2026/2027
