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BSN 111 Final Exam Practice Questions | 300+ Questions with Verified Answers & Rationales | Ethics, Therapeutic Communication, Nursing Process, Cultural Safety, Patient Safety

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Master your BSN 111 Final Examination with this comprehensive collection of 300+ exam-style multiple-choice practice questions, verified answers, detailed rationales, and illustrations covering the most heavily tested concepts in foundational nursing. This practice resource is designed to strengthen clinical judgment, reinforce theoretical knowledge, and improve exam performance through realistic nursing scenarios that mirror university and licensure-style examinations. The document provides extensive practice questions across essential nursing topics, including professional ethics, Canadian Nurses Association (CNA) Code of Ethics, advocacy, autonomy, beneficence, justice, nonmaleficence, therapeutic communication, nurse–client relationship, communication models, SBAR, patient safety, quality improvement, nursing theories, patterns of knowing, Maslow's Hierarchy of Needs, nursing process (ADPIE), cultural competence, cultural safety, Indigenous health, health inequities, leadership, professional boundaries, clinical decision-making, critical thinking, and evidence-based nursing practice. Every question is followed by the correct answer and a concise rationale, making the resource ideal for active recall, self-assessment, and comprehensive final exam revision. This study material is especially valuable for students enrolled in Bachelor of Science in Nursing (BSN), Registered Nursing (RN), Practical Nursing (PN), Registered Practical Nursing (RPN/LPN), Health Sciences, Allied Health, and other undergraduate healthcare programs. It also serves as an excellent revision resource for students preparing for final examinations, course assessments, clinical competency evaluations, OSCEs, NCLEX-RN/Next Generation NCLEX (NGN) preparation, and professional nursing practice courses that emphasize ethical decision-making, communication, patient-centred care, and safe clinical practice. References Canadian Nurses Association. (2017). Code of Ethics for Registered Nurses. Canadian Nurses Association. Potter, P. A., Perry, A. G., Stockert, P. A., & Hall, A. M. Canadian Fundamentals of Nursing (latest edition). Elsevier. Arnold, E. C., & Boggs, K. U. Interpersonal Relationships: Professional Communication Skills for Nurses. Elsevier. Keywords BSN 111, BSN 111 practice questions, BSN final exam, nursing practice questions, nursing exam questions, nursing MCQs, nursing test bank, nursing rationales, nursing ethics, CNA code of ethics, advocacy, accountability, autonomy, beneficence, nonmaleficence, justice, fidelity, therapeutic communication, communication skills, nurse patient relationship, SBAR, patient safety, quality improvement, nursing process, ADPIE, nursing theory, patterns of knowing, Maslow hierarchy of needs, cultural competence, cultural safety, Indigenous health, health inequities, leadership, professional boundaries, critical thinking, evidence based nursing, NCLEX review, RN exam preparation, practical nursing, registered nursing, healthcare communication, clinical reasoning

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BSN 111 Final Exam Practice
Questions 2026 Exam All
Answers and Illustrations
Given



Four patients in labor all request epidural analgesia to manage their pain

at the same time.Which ethical principle is compromised when only one

nurse anesthetist is on call?

A. Justice

B. Nonmaleficence

C. Beneficence


D. Fidelity - ANSWER ✔✔ANS: A

,Justice refers to fairness and is used frequently in discussion regarding

access to health care resources. Here the just distribution of resources,

in this case pain management, cannot be justly apportioned.

The patient tells the nurse that she is afraid to speak up regarding her

desire to end care for fear of upsetting her husband and children. Which

principle in the nursing code of ethics ensures that the nurse will

promote the patient's cause?

A. Responsibility

B. Advocacy

C. Confidentiality


D. Accountability - ANSWER ✔✔ANS: B


Nurses advocate for patients when they support the patient's cause. A

nurse's ability to adequate advocate for a patient is based on the unique

relationship that develops and the opportunity to better understand the

patient's point of view.

The patient's son requests to view the documentation in his mother's

medical record. What is the nurse's best response to this request?

A."I'll be happy to get that for you."

B. "You will have to talk to the physician about that."

,C."You will need your mother's permission."


D."You are not allowed to see it. - ANSWER ✔✔ANS: C


The nurse understands that sharing health information is governed by

HIPAA legislation, which defines rights and privileges of patients for

protection of privacy. Private health information cannot be shared without

the patient's specific permission.

When people work together to solve ethical dilemmas, individuals must

examine their own values. This step is crucial to ensure that

A. The group identifies the one correct solution.

B. Fact is separated from opinion.

C. Judgmental attitudes are not provoked.


D. Different perspectives are respected - ANSWER ✔✔ANS: D


Values are personal beliefs that influence opinions. To be able to

negotiate differences in opinions, the nurse must first be clear about

personal values, which will influence behaviors, decisions, and actions.

Ethical dilemmas are common occurrences when caring for patients.

The nurse understands that dilemmas are a result of

A. Presence of conflicting values.

B. Hierarchical systems.

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, C. Judgmental perceptions of patients.


D. Poor communication with the patient. - ANSWER ✔✔ANS: A


The nurse questions a physician's order to administer a placebo to the

patient. The nurse's action is based on which ethical principle?

A. Autonomy

B. Beneficence

C. Justice


D. Fidelity - ANSWER ✔✔ANS: A


Autonomy refers to the freedom to make decisions free of external

control. In this case, the nurse questions the physician's order for a

placebo because it supports the patient's autonomy.

The nurse finds it difficult to care for a patient whose advance directive

states that no extraordinary resuscitation measures should be taken.

Which step may help the nurse to find resolution in this assignment?

A. Call for an ethical committee consult.

B. Decline the assignment on religious grounds.

C. Scrutinize her own personal values.

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