NUR2811 MODULE 5 CAPSTONE EXAM PREPARATION
QUESTIONS COMPLETE WITH CORRECT ANSWERS
Table of Contents
Section Domain Approx. Page
Questions Reference
1 Healthcare Ethics and Legal 15 Section 1
Principles
2 Cellular Regulation and 15 Section 2
Immunity
3 Safety and Effective Care 10 Section 3
Environment
4 Nursing Process and Clinical 10 Section 4
Judgment
Section 1: Healthcare Ethics and Legal Principles
1. A nurse is caring for a client who has just received a diagnosis of
terminal cancer. The client states, "I do not want any heroic measures.
I just want to be comfortable." Which ethical principle is the nurse
upholding by respecting this decision?
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Justice
Correct Answer: C
Rationale: Autonomy refers to the client's right to self-determination
,and independence. By respecting the client's wishes regarding end-of-
life care, the nurse is upholding the principle of autonomy.
2. A nurse manager is allocating limited staffing resources during a
mass casualty event. The manager decides to assign the most critical
clients to the most experienced nurses. Which ethical principle is
being applied?
A. Fidelity
B. Justice
C. Veracity
D. Autonomy
Correct Answer: B
Rationale: Justice refers to fairness and equity, including the fair
allocation of resources. Assigning resources based on acuity and need
demonstrates the application of justice.
3. A nurse promises a client that they will return in 15 minutes to
administer pain medication. The nurse returns in 10 minutes. Which
ethical principle is the nurse demonstrating?
A. Beneficence
B. Fidelity
C. Nonmaleficence
D. Veracity
Correct Answer: B
Rationale: Fidelity is the keeping of promises made to clients, families,
and other healthcare professionals. Returning when promised
demonstrates fidelity.
4. A client asks a nurse about the side effects of a newly prescribed
medication. The nurse explains the risks and benefits truthfully. Which
, ethical principle is the nurse practicing?
A. Autonomy
B. Justice
C. Veracity
D. Fidelity
Correct Answer: C
Rationale: Veracity refers to truthfulness. Providing accurate and
truthful information about medication side effects upholds the principle
of veracity.
5. A nurse witnesses a colleague taking a controlled substance from
the medication dispensing system for personal use. Which action
should the nurse take first?
A. Report the colleague to the nursing manager.
B. Confront the colleague directly.
C. Ignore the behavior to avoid conflict.
D. Document the incident in the client's chart.
Correct Answer: A
Rationale: The nurse has a legal and ethical duty to report impaired
practice. Reporting to the manager is the appropriate first step to
ensure client safety and allow the facility to intervene.
6. A nurse is providing care to a client who refuses a prescribed blood
transfusion based on religious beliefs. The client is competent and has
signed a refusal form. Which action should the nurse take?
A. Administer the transfusion anyway to save the client's life.
B. Respect the client's decision and document the refusal.
C. Ask the family to convince the client to accept the transfusion.
D. Notify the provider to obtain a court order.
Correct Answer: B
QUESTIONS COMPLETE WITH CORRECT ANSWERS
Table of Contents
Section Domain Approx. Page
Questions Reference
1 Healthcare Ethics and Legal 15 Section 1
Principles
2 Cellular Regulation and 15 Section 2
Immunity
3 Safety and Effective Care 10 Section 3
Environment
4 Nursing Process and Clinical 10 Section 4
Judgment
Section 1: Healthcare Ethics and Legal Principles
1. A nurse is caring for a client who has just received a diagnosis of
terminal cancer. The client states, "I do not want any heroic measures.
I just want to be comfortable." Which ethical principle is the nurse
upholding by respecting this decision?
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Justice
Correct Answer: C
Rationale: Autonomy refers to the client's right to self-determination
,and independence. By respecting the client's wishes regarding end-of-
life care, the nurse is upholding the principle of autonomy.
2. A nurse manager is allocating limited staffing resources during a
mass casualty event. The manager decides to assign the most critical
clients to the most experienced nurses. Which ethical principle is
being applied?
A. Fidelity
B. Justice
C. Veracity
D. Autonomy
Correct Answer: B
Rationale: Justice refers to fairness and equity, including the fair
allocation of resources. Assigning resources based on acuity and need
demonstrates the application of justice.
3. A nurse promises a client that they will return in 15 minutes to
administer pain medication. The nurse returns in 10 minutes. Which
ethical principle is the nurse demonstrating?
A. Beneficence
B. Fidelity
C. Nonmaleficence
D. Veracity
Correct Answer: B
Rationale: Fidelity is the keeping of promises made to clients, families,
and other healthcare professionals. Returning when promised
demonstrates fidelity.
4. A client asks a nurse about the side effects of a newly prescribed
medication. The nurse explains the risks and benefits truthfully. Which
, ethical principle is the nurse practicing?
A. Autonomy
B. Justice
C. Veracity
D. Fidelity
Correct Answer: C
Rationale: Veracity refers to truthfulness. Providing accurate and
truthful information about medication side effects upholds the principle
of veracity.
5. A nurse witnesses a colleague taking a controlled substance from
the medication dispensing system for personal use. Which action
should the nurse take first?
A. Report the colleague to the nursing manager.
B. Confront the colleague directly.
C. Ignore the behavior to avoid conflict.
D. Document the incident in the client's chart.
Correct Answer: A
Rationale: The nurse has a legal and ethical duty to report impaired
practice. Reporting to the manager is the appropriate first step to
ensure client safety and allow the facility to intervene.
6. A nurse is providing care to a client who refuses a prescribed blood
transfusion based on religious beliefs. The client is competent and has
signed a refusal form. Which action should the nurse take?
A. Administer the transfusion anyway to save the client's life.
B. Respect the client's decision and document the refusal.
C. Ask the family to convince the client to accept the transfusion.
D. Notify the provider to obtain a court order.
Correct Answer: B
