EXAM 4: NUR 204/ NUR204
Leadership and Management
2026-2028 Testing Cycle | Newly Released
50 Q & A| Grade A+ | Guaranteed Pass
100% Correct Verified Solutions - Fortis
Q1: A nurse is caring for a patient who is scheduled for an elective surgery. The patient tells the
nurse, "I don't want to sign the consent form until I understand all my options." The nurse
should:
A. Tell the patient that the surgeon will explain everything again
B. Support the patient's right to ask questions and notify the provider
C. Reassure the patient that the surgery is routine and safe
D. Ask the patient to sign the form and ask questions later
Correct Answer: B
Rationale: Correct because autonomy and informed consent require that the patient fully
understands the procedure, risks, benefits, and alternatives; the nurse should advocate for the
patient's right to ask questions.
Q2: A nurse manager is reviewing a malpractice claim. The nurse failed to assess a patient's fall
risk and document it. The patient fell and fractured a hip. Which element of malpractice is
missing if the nurse can prove that the fall was unavoidable despite proper assessment?
A. Duty
B. Breach of duty
C. Injury
D. Proximate cause
Correct Answer: D
Rationale: Correct because proximate cause requires a direct link between the nurse's breach and
the injury; if the fall was unavoidable, causation may not be established.
, Q3: A nurse is caring for a patient who is confused and repeatedly tries to get out of bed. The
nurse applies a soft wrist restraint without an order to prevent falls. Which intentional tort has the
nurse committed? (Select all that apply.)
A. Assault
B. Battery
C. False imprisonment [CORRECT]
D. Negligence
Correct Answer: C
Rationale: Correct because applying restraints without an order on a patient who is not
competent to consent is false imprisonment; the nurse must obtain an order and follow facility
policy.
Q4: A nurse is reviewing the Nurse Practice Act (NPA) for their state. The NPA is considered
legally binding because:
A. It is a federal law that applies to all states
B. It is a set of administrative rules enforced by the Board of Nursing
C. It is a guideline that nurses may choose to follow
D. It is a recommendation from the American Nurses Association
Correct Answer: B
Rationale: Correct because the NPA is a state law, and the Board of Nursing enforces its rules
and regulations, making them legally binding.
Q5: A patient is admitted with a life-threatening condition and requires immediate treatment.
The patient is unconscious and has no advance directive. The nurse should:
A. Wait for the family to arrive before initiating treatment
B. Proceed with treatment under the emergency doctrine
C. Ask the patient's primary care provider for permission
D. Transfer the patient to another hospital
Correct Answer: B
Rationale: Correct because the emergency doctrine allows treatment without consent when the
patient is unable to consent and delay would risk serious harm.
Q6: A nurse is caring for a patient who is a Jehovah's Witness and has signed a refusal for blood
products. The patient becomes severely anemic and requires a transfusion to survive. Which
ethical principles are in conflict? (Select all that apply.)
A. Autonomy [CORRECT]
Leadership and Management
2026-2028 Testing Cycle | Newly Released
50 Q & A| Grade A+ | Guaranteed Pass
100% Correct Verified Solutions - Fortis
Q1: A nurse is caring for a patient who is scheduled for an elective surgery. The patient tells the
nurse, "I don't want to sign the consent form until I understand all my options." The nurse
should:
A. Tell the patient that the surgeon will explain everything again
B. Support the patient's right to ask questions and notify the provider
C. Reassure the patient that the surgery is routine and safe
D. Ask the patient to sign the form and ask questions later
Correct Answer: B
Rationale: Correct because autonomy and informed consent require that the patient fully
understands the procedure, risks, benefits, and alternatives; the nurse should advocate for the
patient's right to ask questions.
Q2: A nurse manager is reviewing a malpractice claim. The nurse failed to assess a patient's fall
risk and document it. The patient fell and fractured a hip. Which element of malpractice is
missing if the nurse can prove that the fall was unavoidable despite proper assessment?
A. Duty
B. Breach of duty
C. Injury
D. Proximate cause
Correct Answer: D
Rationale: Correct because proximate cause requires a direct link between the nurse's breach and
the injury; if the fall was unavoidable, causation may not be established.
, Q3: A nurse is caring for a patient who is confused and repeatedly tries to get out of bed. The
nurse applies a soft wrist restraint without an order to prevent falls. Which intentional tort has the
nurse committed? (Select all that apply.)
A. Assault
B. Battery
C. False imprisonment [CORRECT]
D. Negligence
Correct Answer: C
Rationale: Correct because applying restraints without an order on a patient who is not
competent to consent is false imprisonment; the nurse must obtain an order and follow facility
policy.
Q4: A nurse is reviewing the Nurse Practice Act (NPA) for their state. The NPA is considered
legally binding because:
A. It is a federal law that applies to all states
B. It is a set of administrative rules enforced by the Board of Nursing
C. It is a guideline that nurses may choose to follow
D. It is a recommendation from the American Nurses Association
Correct Answer: B
Rationale: Correct because the NPA is a state law, and the Board of Nursing enforces its rules
and regulations, making them legally binding.
Q5: A patient is admitted with a life-threatening condition and requires immediate treatment.
The patient is unconscious and has no advance directive. The nurse should:
A. Wait for the family to arrive before initiating treatment
B. Proceed with treatment under the emergency doctrine
C. Ask the patient's primary care provider for permission
D. Transfer the patient to another hospital
Correct Answer: B
Rationale: Correct because the emergency doctrine allows treatment without consent when the
patient is unable to consent and delay would risk serious harm.
Q6: A nurse is caring for a patient who is a Jehovah's Witness and has signed a refusal for blood
products. The patient becomes severely anemic and requires a transfusion to survive. Which
ethical principles are in conflict? (Select all that apply.)
A. Autonomy [CORRECT]
